Joint Action to strengthen health preparedness and response to - - PowerPoint PPT Presentation
Joint Action to strengthen health preparedness and response to - - PowerPoint PPT Presentation
Joint Action to strengthen health preparedness and response to biological and chemical terror attacks DG SANTE Unit C3 Crisis management and preparedness in health 24 June, 2019 EU health security framework Decision 1082 serious
EU health security framework – Decision 1082 serious cross-border health threat
Preparedness and response planning
Vaccination Joint Procurement AMR
Food safety and animal health, pharmaceutical products EU Civil Protection Mechanism, European Medical Corps, Disaster Risk Reduction Security Union; EU CBRN Action Plan; hybrid threat framework EU Framework Programme for Research and Innovation Horizon 2020 Bilateral development programmes – IHR and health systems strengthening
Health preparedness to terror attacks
- Exchange of lessons learnt in the Health Security Committee on
recent conventional attacks
- Preparedness plans, manuals, e.g., training manual by France on
damage control strategies to improve health sector preparedness;
- Background paper on preparedness and response to terrorist
attacks; technical action plan on preparedness and IHR implementation
- Capacity building under the Health Programme, intersectroal
exercises, trainings, workshops
- Joint Actions of Member States on preparedness, laboratory
strengthening, points of entry
- Re-engineering of the Early Warning and Response System
- Medical countermeasures (joint procurement, vaccination, rapid
exchange via EWRS)
- 2015 European Security Agenda
- 2017 Counterterrorism package
- Action Plan to enhance preparedness against chemical, biological,
radiological and nuclear security risks
- Action plan on the protection of public spaces
- Union Civil Protection Mechanism, rescEU
- Joint Framework on hybrid threats
(2016) Joint Communication (2018) on increasing resilience and bolstering capacities to address hybrid threats
DG HOME, ECHO, GROW, EEAS, other relevant Commission services and EU agencies (Europol, ECDC, etc.)
Related policy frameworks on security, hybrid threats – including ..
Exercise Chimera
Luxembourg, 30 - 31 January 2018
Health, civil protection and security sectors EU Member States, EEA countries plus Serbia and Moldova, Commission services, ECDC, EEAS, EU Hybrid Fusion Cell, Council Secretariat, WHO and NATO
Background/Rationale (1)
- Terrorism events across Europe and globally & concern amongst
EU citizens on security and terrorism
- Health Programme thematic priority to protect citizens from
cross-border health threats
- New emerging threats
- Biological and chemical terrorism, cyber attacks on infrastructure, hybrid
threats
- ‘DIY’ biology and DNA synthesis has also increased potential ability of
non state actors to produce chemical and biological agents
- Commitment from MS is essential
- Identify gaps and priorities for collaboration & exchange of information
and best practices
- Strengthen cooperation between health, security and civil protection
services
Background/Rationale (2)
- Examples of foiled attempts and executed biological and
chemical intentional releases:
- 1978: Ricin poisoning of Georgi Markov in the U.K
- 1984: Salmonella release in Oregon, U.S.
- 1995: Sarin attack in Tokyo underground, Japan
- 2001: Anthrax letter attacks in the U.S.
- 2002: Theatre crisis in Moscow, Russia
- 2006: Killing of Alexander Litvinenko in U.K.*
- 2018: Use of Novichok agent in Salisbury, U.K
- 2018: Ricin bomb plot in Cologne, Germany
- 2019: Contaminated parcels to consulates and embassies in Australia
- 2011-Present: Large scale use of chemical agents in Syrian conflict
- There is also a plethora of online threats for a biological or
chemical release directed towards Europe
Agent: radioactive polonium-210
Threat agents with significant weapons potential
Member States’ Preparedness for CBRN Threats – European Parliament TERR Committee http://www.europarl.europa.eu/RegData/etudes/STUD/2018/604960/IPOL_STU(2018)604960_EN.pdf
Policy Expectations (1)
- Objective:
- Protect EU populations from intentional health crises.
Security remains a high priority for the Commission
- Address gaps in health preparedness & strengthen cross-
sectoral work (health, security & civil protection sectors), in response to a biological and/or chemical terror attack
- Builds on work of earlier and current Joint Actions:
- EMERGE; SHARP; Healthy Gateways
- Sustainability of the results of the Joint Action
Policy Expectations (2)
- Specifically:
- Preparedness and response planning for bio/chem attacks
- Threat detection and risk assessment
- Bridging health, security and civil protection actors
- Diagnosis and treatments
- MCM availability and rapid response
- Non-pharmaceutical control measures
- Risk and crisis communication between and across sectors
- Rapid information exchange, consultation and
coordination between MS and different sectors
Possible Activities (1)
- Sharing experience & guidelines of mass events
across European cities
- Guidelines for risk/threat assessments & joint incident
evaluation across sectors
- Mapping key laboratory and specialised treatment
capacities, improving availability and rapid deployment
- f medical countermeasures, mechanisms for cross-
sectoral collaboration
- Review of risks and guidelines for DNA synthesis and
‘DIY’ biology
Possible Activities (2)
- Targeted trainings on damage control techniques
to improve health system preparedness
- Developing/updating clinical case management
guidelines
- Cross-sectoral capacity building through
exercises, trainings and developing networks
- Supporting crisis management including
emergency operations, non-pharmaceutical countermeasures and risk communication
Linkages and differentiation
- Linkages to work undertaken in other JAs, such as:
Laboratory support for analysis of samples; Specialised treatment capacities; Management of borders
- But, this JA is focused on intentional events, which are
therefore severe and unexpected emergencies and would involve different sectors: health, security and civil protection
- Thus, terror attack scenarios necessitate specific
preparedness and response measures and structures given increased complexity, urgency, uncertainty and variety of actors involved
Budget & Timeline
- Budget: 5,000,000
- Exceptional utility expected (EC funding at 80%)
- Next steps
- Development of the JA structure and proposal
- Submission
- Quality assurance workshop
- Kick-off