current cáceres - world organisation for animal health · 2015-07-17 · current intergovernmental...
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Current intergovernmental information and reporting systems, legal frameworks, and their respective roles in early warning
Dr Paula Cáceres SotoHead, World Animal Health Information and Analysis Department
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‐1‐
Founding intergovernmental mandate for ensuring transparency of the global disease situation
Only two organisations have a global legal framework asking to collect and release global health information
1924 “OIE Organic Basic Texts”
1951“International Sanitary
Regulations”
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Legally binding mechanisms
Obligations on States Parties to notify events that mayconstitute a public health emergency of international
concern (IHR)
Obligation for Member Countries to notify all
relevant information about listed and emerging animal
diseases (Organic Statutes & Animal Health
Codes)
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‐3‐
Notifiable diseases
Non‐disease specific definition of notifiable events
Decision instrument (Annex 2)
117 Listed‐diseases (GA)+
emerging diseases
9027
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Disease alerts
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‐5‐
OIE disease alerts for listed diseases
1. First occurrence
2. Re‐occurrence
3. New strain
4. Sudden and unexpected change in the distribution orincrease in incidence or virulence of, or morbidity ormortality
5. Occurrence in an unusual host species
Within 24 hours
Article 1.1.3. of Animal Health Codes:
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‐2‐
OIE disease alerts for emerging diseases
• A change of a known pathogenic agent or its spread to anew geographic area or species
or
• A previously unrecognised pathogenic agent or diseasediagnosed for the first time
New occurrence of a disease causing a significant impacton animal or public health resulting from:
Alert when detected
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WHO : disease alert for potential PHEIC
Events that may constitute a public healthemergency of international concern (PHEIC)Positive answer for at least 2 question:
‐7‐
Within 24 hours
Q1: serious public health impact ?
Q2: unusual or unexpected?
Q3: risk of international spread?
Q4: risk of travel or trade restrictions?
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Disease information
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Early warning system
117 OIE‐listed diseases+
Emerging diseases (significant morbidity or mortality, or
zoonotic potential)
For emergency situations
‐9‐
OIE : Complementarity of information
Monitoring system
117 OIE‐Listed diseases (economic and/or zoonotic impact)
DISEASE INFORMATION
For a detailed knowledge of the epidemiological situation
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Early warning system
IHR
For emergency situations
‐10‐
WHO : Complementarity of information
Monitoring system
Official reporting of surveillance data
(granularity and frequency of information vary according to
disease programmes and among countries)
ALL HAZARD APPROACH(not restricted to infectious diseases)
For a detailed knowledge of the epidemiological situation
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Dissemination of information
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‐12‐
Dissemination on WAHIS interface
Veterinary Services
Veterinary Services
Veterinary Services
Veterinary Services
Veterinary Services
Veterinarians
Countries
StakeholdersTrade of
animals and animals products
Scientific community
OIE (only single database: WAHIS)
OIE: Dissemination of information
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WHO: Dissemination of information
Restricted access
Public access
Closed networks
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Rumour tracking and GLEWS
‐14‐
Rumour tracking Rumour tracking
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To improve the early warning capacity for animal disease threats of the three sister
organizations for the benefit of the international community
GLEWS
‐15‐
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• Historical technical evolution of OIE and WHOreporting systems for adaptation to newtechnologies and evolution of Members’ needs
• Essential to strengthen early detection, rapidresponse, and protection against biological threats
Evolution of reporting systems to better address legal obligations
1920s 2015
TRANSPARENCY, EFFICIENCY, SPEED
Future?
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International Organisations
National Official Authorities
Laboratories confirmation
VERIFICATION RUMOUR TRACKING
Health professionals
PUBLICCountries
Confirmation
Early detection
Notification
Communication
Prevention measures
Doctor Farmer Veterinarian
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Conclusion
• Member Countries required to report suchdisease events to the OIE and to WHO
• Whatever their origin : naturally occurring orresult from an accidental or deliberate release
• The international community should promote fullcompliance with these international reportingframeworks to protect against all bio‐threats
‐18‐
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Thank you
Dr Paula Cáceres Soto
Building cooperation forefficient health and security
systems worldwide
Head, World Animal Health Information and Analysis Department