THE AVIATION SECTOR: relevant ICAO SARPS AND USOAP Audit Protocol - - PowerPoint PPT Presentation
International Civil Aviation Organization PUBLIC HEALTH EMERGENCY PREPAREDNESS PLANNING IN THE AVIATION SECTOR: relevant ICAO SARPS AND USOAP Audit Protocol Questions 13 th Steering Committee Meeting of COSCAP-NA 16-18 April 2013 Jeju Island,
International Civil Aviation Organization
2
PHE Impact on air travel ICAO Health Related SARPs and Guidelines USOAP PHE Protocol Questions CAPSCA Asia Pacific Project Lessons from CAPSCA AVs Action by the meeting
3
Not necessarily an infectious disease
Can anything be done at this juncture at the departure airport for departing passengers?
What measures can be implemented if a passenger falls ill?
Possibility of implementing measures at arrival airport?
7
11
ISSUES:
12
WHO holds global meeting: Timing & severity of next pandemic cannot be predicted Take threat seriously Take appropriate actions & mobilize resources
Start of Pandemic
H5N1
Start of Pandemic Spread to rest of world
H1N1 “Swine” flu
There is no evidence of increased illness in the pig population
16
Guidelines)
work with civil aviation authorities, airlines, airport operators, air traffic control, customs and immigration and others.
Launched Sept. 2006: Singapore
20
Note: ** IATA Cabin crew procedures for managing travelers with a communicable disease - General Guidelines for Cabin Crew: SUSPECTED COMMUNICABLE DISEASE (October, 2011)
21
Health Regulations (2005) of the World Health Organization (WHO)
suspected communicable disease is reported promptly to air traffic control for onward timely notification to public health authority, in order to facilitate provision for the presence of any special medical personnel and equipment necessary for the management of public health risks on arrival at destination aerodrome
preparation for an outbreak of a communicable disease posing a public health risk or public health emergency of international concern. The ICAO guidance in developing a national aviation plan or the ICAO “Template for a National Aviation Public Health Emergency Preparedness Plan” can be found on the ICAO CAPSCA website www.capsca.org.
22
A global legal framework for public health security
Courtesy WHO
24
25
ICAO ref. Protocol question Reply Guidance for review
Status of implementation Evidence/Notes/ Comments
ORG: prevention of communicable disease CC Art 14 A9 8.12 & 8.16 A37-13
Has the State identified a clear contact point at national aviation level, with identified individual(s), for policy formulation,
preparedness and coordination of a national plan in
a communicable disease or other public health emergency with the potential to pose a serious public health risk?
Yes No If yes, provide name and contact details
New question
The World Health Organization’s International Health Regulations (IHR) (2005) contain many Articles of relevance to aircraft and airport
point addressed by this question (or equivalent individual in the regulatory authority) should be aware of the existence of the IHR (2005) and should have a contact point in the State’s ministry of health to facilitate intersectoral collaboration
International Civil Aviation Organization
Declaration of Health
Name and seat number or function of persons
suffering from a communicable disease:
Fever (38°C/100°F or greater) plus
previous injury
procedures
implementation, check if the universal precaution kit is used (not mandatory, recommendation)
crew and the flight crew and the transmission, for States where it is required, of a General Declaration form.
check air operators related procedures
suspected communicable diseases, including transmission of the following information: 1) Aircraft identification; 2) Departure aerodrome; 3) Destination aerodrome; 4) Estimated time of arrival; 5) Number of persons on board; 6) Number of suspected case(s) on board; and 7) Nature of the public health risk, if known.
41
Aerodrome Emergency Plan including public health emergencies Air Traffic Services (ATS) contingency plan including public health emergencies ATS Procedures for notification of suspected public health risk on board an aircraft Aircraft Operators Procedures for suspected public health risk on board an aircraft
health risk
NOTIFICATION OF SUSPECTED COMMUNICABLE DISEASE, OR OTHER PUBLIC HEALTH RISK, ON BOARD AN AIRCRAFT
Air Traffic Controller Aircraft Operator (or handling agency) at destination aerodrome Destination Aerodrome TWR ATC ICAO Aircraft General Declaration
(ICAO Annex 9, Appendix 1 & IHR (2005) Annex 9) Departure Aerodrome TWR ATC
Via local procedure (Aerodrome Emergency Plan)
Voice or data link e.g. AFTN*
Authority
Via local procedure (Aerodrome Emergency Plan)
*AFTN = Aeronautical Fixed Telecommunication Network
Afghanistan China Hong Kong, China India Indonesia Macao, China Malaysia Myanmar Mongolia Nepal New Zealand** Papua New Guinea Philippines Singapore Solomon Islands Sri Lanka** Thailand Tonga Viet Nam
20 States **2012 ***2013
Brunei Darussalam***
45
46
most challenging issue
Insufficient communication, cooperation, coordination and collaboration between aviation and public health sectors Little participation in the development and harmonisation of each other's plans and preparedness. Public health officers often do not fully consider the special aspects of aviation when developing national preparedness plans. Likewise, aviation personnel may give insufficient attention to public health emergency planning since they concentrate primarily on prevention of aircraft accidents.
national PHEP for aviation sector
and relatively inexpensive to organise. However, in many States they are not undertaken often enough.
— Aviation and public health authorities to have
formal framework and procedures for working together on the national PHEP for aviation
ministerial level
— Civil aviation regulations should include PHE
related SARPs
— AEPs should include procedures and protocols
for PHEs harmonised with national PHEP for aviation sector
— CAA and PHA should jointly review the AEP — Personnel need training in AEP and AEP should
be exercised through trials and simulations
— Whole of Society Approach to emergency
planning needs consideration (Note: forming
partnerships with non-traditional partners in public health issues can help advance disaster preparedness)
48
incorporate all types of event (“all-hazards”) with the potential to become a public health emergency with an international impact
references in technical guidance and tools
18 – 21 June 2013
49
That States/Administrations : a) should prepare for the ICAO Universal Safety Oversight Audit Programme (USOAP) CMA which, from 2013, will include protocol questions concerning Public Health Emergency related Standards and Recommended Practices (SARPs); b) prepare and update aviation public health emergency preparedness plans in collaboration with public health authorities, and perform exercises to test such plans in compliance with related ICAO SARPs and WHO IHR (2005); c) consider become participating members of the ICAO CAPSCA Asia Pacific project, if not yet members, and accept Preparedness Assistance Visits by the ICAO CAPSCA Asia Pacific Project, by sending a letter to the ICAO APAC Regional Office.
International Civil Aviation Organization
CAPSCA web site: