The document provides an overview of the International Health Regulations (IHR) of 2005. The IHR are a legally binding framework that was established to help prevent the international spread of disease while avoiding unnecessary interference with international traffic and trade. The IHR require countries to strengthen their disease surveillance and response systems and to assess and report any public health events that may constitute a public health emergency of international concern within 24 hours. The document discusses Afghanistan's progress in implementing the IHR, including establishing an IHR focal point and conducting assessments, as well as ongoing challenges to fully meeting all IHR core capacity requirements.
international health regulation
RULES AND GUIDELINES OF INTERNATIONAL HEALTH REGULATIONS:
International health regulations evolution:
The IHR originated with ISR adapted at the international sanitary conference in Paris in 1851
Cholera epidemic 🡪 Europe 🡪1830 & 1847
Need international cooperation
22nd World Health Assembly (1969) adopted, revised and consolidated the international sanitary regulations, renames as IHR in 1969
26th World Health Assembly 1973🡪amendment in IHR
Thirty-fourth World Health Assembly amended the IHR (1969) to exclude smallpox in the list of notifiable diseases.
During the Forty-Eighth World Health Assembly in 1995, WHO and Member States agreed on the need to revise the IHR (1969) most notably:
narrow scope of notifiable diseases (cholera, plague, yellow fever),
The past few decades have seen the emergence and re-emergence of infectious diseases.
The emergence of “new” infectious agents Ebola, Hemorrhagic Fever and the re-emergence of cholera and plague in South America and India, respectively;
dependence on official country notification; and
lack of a formal internationally coordinated mechanism to prevent the international spread of disease.
These challenges were placed against the backdrop of the increased travel and trade characteristic of the 20th century.
The IHR (2005) entered into force, generally, on 15 June 2007, and are currently binding on 194 countries (States Parties) across the globe, including all 193 Member States of WHO.
summary:
The International Health Regulations (IHR) are an international legal instrument that covers measures for preventing the transnational spread of infectious diseases.
IHR is an instrument of international law that is legally binding on countries.
IHR is a set of regulations that is legally binding upon 196 state parties.
This legal binding is adopted by 196 countries, including all (194) WHO member states.
IHR is a benchmark to state the rights and obligations of countries to report public health actions.
The objective of IHR is to work together to protect global health security.
IHR are the international agreements with the objective of preventing the spread of public health threats without unnecessary impairment of international travel and trade.
The IHR was adopted by the 58th World Health Assembly in 2005 through Resolution WHA 58.3.
International Health was in action since 15 June 2007
The International Health Regulations (IHR 2005) are a set of regulations legally binding on 196 States Parties, including all WHO Member States. They contribute to global public health security by providing a new framework for the coordination of the management of events that may constitute a public health emergency of international concern, and improve the capacity of all countries to detect, assess, notify and respond to public health threats.
The IHR were adopted at the Fifty-eighth World Health Assembly on 23 May 2005 and entered into force on 15 June 2007.
Globalization, Global Health and Public Health.
Changing Concepts of Public Health.
Causes, Aspects and Types of Globalization.
Social Changes due to Globalization.
How Globalization affects Public Health.
Globalization of Public Health.
Threats to Global Health.
The Global Health Security Agenda (GHSA) is a 5 year programme to improve globaa, regional and national capacitities to prevent, detect and respond to the threat of infectious diseases, to enhance international and national cross sectoral collaboration on health security and to raise awareness of the links between health and security
Definition and Historical Glimpse of Public Health
Ancient Greece (500-323 BC)
Roman Empire (23 BC – 476 AD)
Middle Ages (476-1450 AD)
Birth of Modern Medicine (1650-1800 AD)
Great Sanitary Awakening (1800s-1900s)
Modern Public Health (1900 AD & onward)
international health regulation
RULES AND GUIDELINES OF INTERNATIONAL HEALTH REGULATIONS:
International health regulations evolution:
The IHR originated with ISR adapted at the international sanitary conference in Paris in 1851
Cholera epidemic 🡪 Europe 🡪1830 & 1847
Need international cooperation
22nd World Health Assembly (1969) adopted, revised and consolidated the international sanitary regulations, renames as IHR in 1969
26th World Health Assembly 1973🡪amendment in IHR
Thirty-fourth World Health Assembly amended the IHR (1969) to exclude smallpox in the list of notifiable diseases.
During the Forty-Eighth World Health Assembly in 1995, WHO and Member States agreed on the need to revise the IHR (1969) most notably:
narrow scope of notifiable diseases (cholera, plague, yellow fever),
The past few decades have seen the emergence and re-emergence of infectious diseases.
The emergence of “new” infectious agents Ebola, Hemorrhagic Fever and the re-emergence of cholera and plague in South America and India, respectively;
dependence on official country notification; and
lack of a formal internationally coordinated mechanism to prevent the international spread of disease.
These challenges were placed against the backdrop of the increased travel and trade characteristic of the 20th century.
The IHR (2005) entered into force, generally, on 15 June 2007, and are currently binding on 194 countries (States Parties) across the globe, including all 193 Member States of WHO.
summary:
The International Health Regulations (IHR) are an international legal instrument that covers measures for preventing the transnational spread of infectious diseases.
IHR is an instrument of international law that is legally binding on countries.
IHR is a set of regulations that is legally binding upon 196 state parties.
This legal binding is adopted by 196 countries, including all (194) WHO member states.
IHR is a benchmark to state the rights and obligations of countries to report public health actions.
The objective of IHR is to work together to protect global health security.
IHR are the international agreements with the objective of preventing the spread of public health threats without unnecessary impairment of international travel and trade.
The IHR was adopted by the 58th World Health Assembly in 2005 through Resolution WHA 58.3.
International Health was in action since 15 June 2007
The International Health Regulations (IHR 2005) are a set of regulations legally binding on 196 States Parties, including all WHO Member States. They contribute to global public health security by providing a new framework for the coordination of the management of events that may constitute a public health emergency of international concern, and improve the capacity of all countries to detect, assess, notify and respond to public health threats.
The IHR were adopted at the Fifty-eighth World Health Assembly on 23 May 2005 and entered into force on 15 June 2007.
Globalization, Global Health and Public Health.
Changing Concepts of Public Health.
Causes, Aspects and Types of Globalization.
Social Changes due to Globalization.
How Globalization affects Public Health.
Globalization of Public Health.
Threats to Global Health.
The Global Health Security Agenda (GHSA) is a 5 year programme to improve globaa, regional and national capacitities to prevent, detect and respond to the threat of infectious diseases, to enhance international and national cross sectoral collaboration on health security and to raise awareness of the links between health and security
Definition and Historical Glimpse of Public Health
Ancient Greece (500-323 BC)
Roman Empire (23 BC – 476 AD)
Middle Ages (476-1450 AD)
Birth of Modern Medicine (1650-1800 AD)
Great Sanitary Awakening (1800s-1900s)
Modern Public Health (1900 AD & onward)
10 Excel Formulas that will help you in any JobHitesh Biyani
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Ipsos has many of the leading polling experts from around the world, and we brought them together in London to provide unique combined insight. Our panel members from the US, Canada, Italy and Sweden talked us through the role and challenges of polling in their countries and what we need to do to get it right. They also updated us on the political landscape of their countries, with outlines of the major elections they have recently had, and in the case of the US, the on-going race to the White House.
Chemistry word can be represented as C for chemistry, H for health, E for environment, M for medicines, I for industries, S for sciences, T for teaching, R for research and Y for you.
we are a living chemistry as we are made of chemicals only and there are a lot of chemical reactions going in our body.
Will you fly for food? The best way to explore a new city is to eat your way through it! BayAreaEats shares the best spots to indulge in your love for food- from New York, Austin, Seattle, Chicago and more. Hotel tips and restaurant recommendations included!
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The international health regulations (IHR) is an agreement among 194 countries, including all WHO member countries ,to work together for healthy security of the world. Under the IHR, all countries need to report all events of international public health impact
Overview of International Health Regulaiton - IHR 2005, AfghanistanIslam Saeed
International Health Regulation and its implementation in Afghanistan was prepared by Dr. islam Saeed, Director for Surveillance/DEWS in MoPH Afghanistan
Ebola progress preparedness in AfghanistanIslam Saeed
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Epidermiologic pattern of viral hepatitis in afghanistanIslam Saeed
Epidemiology of Viral Hepatitis in Afghanistan. The presentation is prepared by Dr. Islam Saeed, Director for Surveillance/DEWS at Afghan National Public Health Institute (ANPHI), MoPH
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
Empowering ACOs: Leveraging Quality Management Tools for MIPS and BeyondHealth Catalyst
Join us as we delve into the crucial realm of quality reporting for MSSP (Medicare Shared Savings Program) Accountable Care Organizations (ACOs).
In this session, we will explore how a robust quality management solution can empower your organization to meet regulatory requirements and improve processes for MIPS reporting and internal quality programs. Learn how our MeasureAble application enables compliance and fosters continuous improvement.
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Dr. David Greene Arizona
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ICH Guidelines for Pharmacovigilance.pdfNEHA GUPTA
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Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
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Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
Nursing Care of Client With Acute And Chronic Renal Failure.ppt
International health regulaiton (IHR-2005) Afghanistan Dr. Islam Saeed
1. Islamic Republic of Afghanistan
Ministry of Public Health
Afghanistan National Public Health Institute ( ANPHI )
Surveillance / DEWS Directorate
Overview of International
Health Regulations
(IHR-2005)
Dr. Islam Saeed, Director Surveillance, ANPHI-MoPH
MD, MSc-HPM, MSc-FELTP
Afghanistan National Public Health Institute
Disease Early Warning System
2. Afghanistan National Public Health Institute
Disease Early Warning System
2
Outline
• Need for ensuring global health
• IHR (2005)- a legal framework
• Assessment of public health events
• National Core capacities
• Implementation of IHR 2005
• Situation in Afghanistan
• Achievements and Challenges
• Conclusion
3. Afghanistan National Public Health Institute
Disease Early Warning System
3
What is concern?
• Epidemics took days, weeks/months to
reach far territories
• Emergence/re-emergence of infectious
diseases and increased pace of spread
• Threat of deliberate use of biological and
chemical agents
• Events of international concern of unknown
causes or sources
• Impact on health, economy, security
4. Afghanistan National Public Health Institute
Disease Early Warning System
4
What are IHR (2005)?
A legal framework
• International legal instrument which is legally
binding on all WHO States Parties to protect
global health
• The international commitment for shared
responsibilities and collective defence against
disease spread
Rights, Obligations
and procedures
entered into force
on 15 June 2007
5. The 58th World Health Assembly adopts the revised
International Health Regulations, “IHR”
Ensuring maximum public health security while minimizing
interference with international transport and trade
Legally binding for WHO and the world’s countries that have agreed
to play by the same rules to secure international health.
Afghanistan National Public Health Institute
Disease Early Warning System
6. Afghanistan National Public Health Institute
Disease Early Warning System
6
International Health regulations (2005)
10 Parts, 66 Articles, 9 Annexes
• PART I DEFINITIONS, PURPOSE AND SCOPE, PRINCIPLES AND RESPONSIBLE AUTHORITIES
• PART II INFORMATION AND PUBLIC HEALTH RESPONSE
• PART III RECOMMENDATIONS
• PART IV POINTS OF ENTRY
• PART V PUBLIC HEALTH MEASURES
• Chapter I General provisions
• Chapter II Special provisions fro conveyances and conveyance operators
• Chapter III Special provisions for travellers
• Chapter IV Special provisions for goods, containers and container loading areas
• PART VI HEALTH DOCUMENTS
• PART VII CHARGES
• PART VIII GENERAL PROVISION
• PART IX THE ROSTER OF EXPERTS, THE EMERGENCY COMMITTEE AND THE REVIEW COMMITTEE
• Chapter I The IHR Roster of Experts
• Chapter II The Emergency Committee
• Chapter III The Review Committee
• PART X FINAL PROVISIONS
7. What’s new?
• From three diseases to all public health threats
• From preset measures to adapted response
• From control of borders to, also, containment at source
• New focus on national capacity
Afghanistan National Public Health Institute
Disease Early Warning System
8. Afghanistan National Public Health Institute
Disease Early Warning System
8
Purpose of IHR (2005)
“To prevent, protect against, control and provide
a public health response to the international
spread of disease in ways:
• that are commensurate with and restricted to
public health risks, and
• which avoid unnecessary interference with
international traffic and trade” – (Article 2)
9. Strengthen national capacity
1. Strengthen national disease surveillance, prevention,
control and response systems
2. Strengthen public health security in travel and transport
2 years +……………….. 3 + ……..(2)…….…..……+ (up to 2)
Afghanistan National Public Health Institute
Disease Early Warning System
• Timeline
2007 2009 2012 2014 2016
Planning Implementation
10. Core Capacity Technical Areas
Afghanistan National Public Health Institute
Disease Early Warning System
• 8 Core capacities
– Legislation and Policy
– Coordination
– Surveillance
– Response
– Preparedness
– Risk Communications
– Human Resources
– Laboratory
• Potential Hazards
– Infectious
– Zoonosis
– Food safety
– Chemical
– Radio nuclear
• 3 levels
– National
– Intermediate
– Peripheral/Community
• Events at Points of
Entry
– Ports
– Air ports
– Ground crossing
11. IHR Structure
Afghanistan National Public Health Institute
Disease Early Warning System
11
IHR Secretariat HQ
IHR Regional
Contact Points
CO NFPs
NFPs
12. Afghanistan National Public Health Institute
Disease Early Warning System
12
National IHR Focal Points (NFPs)
• Important role in implementation of IHR
• The national centre for communications with
WHO:
– On a 24/7 basis (by telephone, fax, email)
– NOT an individual person
• Legally required functions
• Potential additional tasks as determined by
State:
– Risk assessment, coordinated response etc.
13. WHO and IHR
• Designate WHO IHR contact points
• Support States Parties in assessing their public health
risks, through the notification, consultation, and
verification processes
• Inform State Parties of relevant international public
health risks
• Recommend adapted public health measures
• Assist States Parties in their efforts to investigate
outbreaks and meet the IHR national requirements for
surveillance and response
Afghanistan National Public Health Institute
Disease Early Warning System
14. Roster of experts
IHR Roster of Experts (Article 47)
Emergency Committee – provides views on PHEIC,
temporary recommendation (Articles 48, 49)
Review Committee - reporting, review, standing
recommendations, amendment and disputes
(Articles 50-53)
IHR ROSTER OF EXPERTS
REVIEW COMMITTEE
Standing Recommendations
Afghanistan National Public Health Institute
Disease Early Warning System
Amendments
EMERGENCY COMMITTEE
Public Health Emergencies (PHEIC)
Temporary Recommendations
15. Public Health Emergency of International
Afghanistan National Public Health Institute
Disease Early Warning System
15
Concern (PHEIC)
• PHEIC is an extraordinary event which is
determined, as provided in these Regulations:
i. to constitute a public health risk to other
States through the international spread of
disease and
ii. to potentially require a coordinated
international response.
• IHR require procedural steps by the DG/WHO in
determining that a PHEIC exists
16. Afghanistan National Public Health Institute
Disease Early Warning System
16
Event notification
• Any event that may constitute a public health
emergency of international concern (PHEIC)
• NFP of the government should notify to WHO within 24
hours of national assessment
• Continue to provide WHO with detailed public health
information including: case definition, cases/deaths,
conditions affecting spread, measures
• Does NOT mean an actual “PHEIC” is necessarily
occurring
17. Afghanistan National Public Health Institute
Disease Early Warning System
17
Verification of events
• Value of unofficial sources of information for early
alert (to be assessed and verification requested)
• WHO mandated to seek verification (from State
Party in which event arising) of events which may be
emergencies of international concern
• States Parties must give initial reply within 24 hours
and provide of information
• Offer On-site assessment, when necessary
18. Afghanistan National Public Health Institute
Disease Early Warning System
18
Early consultation
• For events not requiring notification, Member
States may:
• keep WHO advised, consult on appropriate
measures, and request WHO technical
assistance to assess the situation
• Need to continue monitoring/assessing the
event to see if notification becomes
necessary
19. Annex 2: Decision instrument for the assessment and notification of
Afghanistan National Public Health Institute
Disease Early Warning System
19
events that may constitute a PHEIC
An event of potential international
public health concern including those of
unknown causes or sources
*Q1: is the public health impact of the
event serious?
Q2: unusual or unexpected?
Q3: risk of international spread?
Q4: risk of travel or traffic restrictions?
Insufficient information : re-evaluate
20. Decision Instrument (1)
• Four diseases (a single case is notifiable):
– Smallpox, Poliomyelitis, human
influenza (caused by a new subtype),
SARS
• Utilization of the decision instrument:
– Cholera, plague, viral haemorrhagic
fevers, yellow fever, …
– Diseases of regional concern: dengue
fever, meningococcal diseases…
Afghanistan National Public Health Institute
Disease Early Warning System
21. Decision Instrument (2)
Criteria for assessment
• Is the public health impact of the event serious?
• Is the event unusual or unexpected?
• Is there a significant risk of international spread?
• Is there a significant risk of international travel or
trade restrictions?
Answering "yes" to any two of the criteria
requires a member state to notify WHO
Afghanistan National Public Health Institute
Disease Early Warning System
22. Combinations of answers requiring
notification
• Serious and unexpected
• Serious and risk for international spread
• Serious and risk for international
restrictions
• Unexpected and risk for international
spread
• Unexpected and risk for international
restrictions
Afghanistan National Public Health Institute
Disease Early Warning System
23. Designated Ports of Entry: Core capacity
requirements for responding to potential PHEICs
Entry/exit control
for departing &
arriving passengers
Afghanistan National Public Health Institute
Disease Early Warning System
23
a
Public health (PH)
emergency
response,
including
development of a
contingency plan
PH assessment
& care for
affected
travellers, or
animals
b
c Space to
interview
suspect or
affected
persons
d
Assessment,
quarantine of
suspect
travellers, if
required.
e
Implementation
of recommended
measures such
f as disinfection
g Access to required
equipment and
trained personnel
Source: WHO/HQ IHR team (modified)
24. Implications of non-compliance to IHR
• WHO will know from other sources
• Position of the State Party will change from
article 6 (notification) to article 10 (verification)
Afghanistan National Public Health Institute
Disease Early Warning System
24
–WHO will request verification
–WHO will embark on investigation based on
risk assessment
• IHR allow WHO to use whatever available
information to alert other partners
• Compliant State Party will receive timely
international support when needed
25. IHR Capacity analysis Afghanistan-2010
Afghanistan National Public Health Institute
Disease Early Warning System
25
26. IHR Capacity analysis Afghanistan-2011
Afghanistan National Public Health Institute
Disease Early Warning System
26
27. IHR Capacity analysis Afghanistan-2012
Afghanistan National Public Health Institute
Disease Early Warning System
27
28. IHR Capacity analysis Afghanistan-2013
Afghanistan National Public Health Institute
Disease Early Warning System
28
29. Major Achievements
• IHR National Focal points
• Assessments and plan
• Training and capacity buildings
• IHR 2005 translation and distribution
• Surveillance and response
• Laboratory support
• Collaboration with international community
• Reporting to WHO
• Asking for extension
• Still a long way to go
Afghanistan National Public Health Institute
Disease Early Warning System
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30. Afghanistan National Public Health Institute
Disease Early Warning System
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Challenges
• Empowerment of the NFP
• Maintain disease surveillance, early warning and
response system
• Transparency and information sharing
• Maintenance and expansion of existing partnerships
• Resource mobilization
• Strengthen capacity at airports, and ground
crossings
• Improvement of advocacy and awareness-raising
efforts
31. Conclusion
• IHR implementation is the responsibility of all
sectors of the government of Afghanistan
• Coordination is must
• Capacities should be established
• Proper implementation ensure saving lives and
resources
• Good international image
• Capacity building and human resources
• National and Global Health Security
• Collaboration across countries
Afghanistan National Public Health Institute
Disease Early Warning System
32. Afghanistan National Public Health Institute
Disease Early Warning System
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Thanks
Email: kmislamsaeed@gmail.com
Mobile: 0093(0)700290955