GLOBAL HEALTH SECURITY AGENDA DETECT – 1: NATIONAL LABORATORY

SYSTEM ACTION PACKAGE UPDATE

Dr. Phichet Banyati Deputy Director General, Department of Medical Sciences, Ministry of Public Health, Thailand

Presentation Outline

1. Action Package Membership & Governance

2. Key Milestones & Activities in 2016

3. Partnership Collaboration and Outreach for 2016

4. Highlights of the Workshop, 27-29 July 2016 – Key Challenges

– Regional Strategic Roadmap

– Key Regional Activities for 2016 & 2017

– Recommendations

5. Support needed from the Steering Group

• South Africa,

• Thailand [coordinating country for 2016],

• United States

Lead Countries

• Canada, China, Ethiopia, Finland, Georgia, Israel, Japan, Malaysia, Mexico, Peru, Switzerland, United Kingdom, Yemen

Contributing Countries

• FAO, OIE, WHO

Contributing International Organizations:

Action Package Membership & Governance

• In 2016, Thailand takes turn to lead monthly video conference among lead countries

• Contributing countries will be further invited to join monthly video conference, if required.

• Face – to – face Meeting/session was held on 28 July 2016, other appropriate venue will be further explored and utilized.

• Thailand works closely with Working Level Support Team in providing secretariat function for the year 2016

Maintain Regular communication among lead countries

Key Milestones & Activities in 2016

1. A Workshop: Enhancing Regional Partnership Towards Strengthening Laboratory System in Accelerating GHSA’s Implementation: Detect 1 was convened during 27-29 July 2016, Bangkok, Thailand, aims to, among others,

identify key regional activities and implementing mechanism; and to enhance networking on laboratory across regions.

2. A half day of the Face – face Meeting of Lead Countries & Contributing Countries was organized back to back on, 28 July 2016 aims to stimulate the discussion on accelerating an implementation and collaboration of identified key priorities of regional activities .

3. Regional Workshop in November 2016 (to be confirmed) aims to fostering sharing practices and tools to enhance an implementation of GHSA: Detect – 1.

4. Promote utilization of Joint External Evaluation [JEE]

Partnerships Collaborations and Outreach for 2016

• Thailand requested collaboration with WHO to materialize an implementation of JEE;

• Collaborated with ASEAN Plus Three Laboratory Network and other relevant regional platforms on laboratory;

• Invited SAARC and ASEAN including Timor Leste to participate in the two Regional Workshops and other regional activities;

• Collaborated with key development partners to organize the 1st Workshop in July 2016

Regional Workshop: Enhancing Regional Partnership Towards

Strengthening Laboratory System in Accelerating GHSA’s Implementation: Detect 1

27-29 July 2016, The Berkeley Hotel, Bangkok, Thailand

OBJECTIVES

To update on national

strategic plans on National Laboratory

System Strengthening

(LSS);

To present the regional strategic

roadmap on LSS based on outputs from

May 2015 Meeting;

To propose key regional

activities and identify

implementing mechanism;

and

To enhance networking

on LSS across regions.

Participants

ASEAN

Cambodia

Indonesia

Lao PDR

Malaysia

Myanmar

Thailand

Viet Nam

SAARC & Others

Bhutan

Sri Lanka

Nepal

Timor Leste

Lead Countries

USA

South Africa

Thailand

Contributing Countries

Georgia

Japan

Malaysia

Canada

Yemen

Switzerland

Development Partners/Local Partners ASEAN Partnership Laboratory - Malaysia

Animal Health Lab

FAO

USAID [HQ, Thailand, Indonesia]

Thai US CDC

WHO [SEARO &WPRO]

OIE

Mekong Basin Disease Surveillance [MBDS]

APIER

JICA

AFRIMS

MOPH Thailand

MOFA

Guests of honored

Key Results of the Workshop

Identified key Challenges on

national laboratory

Strategic Roadmap on Laboratory

System Strengthening [2016-2020]

Identified on Key Regional

Activities

Overview challenges from 13 participating countries

- Legislative framework is required - Increase in diagnostic capacity such as bio-banking and

bio-informatics - Establishment of EQA system and accreditation - Monitoring and maintenance service for biomedical

engineering (such as biosafety cabinet) - Establishment of regional database for sharing

information - Linking information between human and animal health

sectors - Shortage of laboratory workforce

Overview challenges from panelist discussion

- Shortage of qualified and well-trained laboratory personnel - Resource constraints and lack of infrastructure: peripheral areas - Notification system for medical conditions: sub-optimal - Public-private partnership on laboratory - Laboratory capacity (infrastructure, laboratory QA programme & performance and bio- sample management) - Data sharing system (improve operability including inter-laboratory referral system)

• GHSA Detect-1 is able to accelerate the political commitment, stakeholder engagement, collaboration for animal and human health sectors and the utilization of GHSA roadmap & action plan.

• Providing training opportunities and capacity building for the countries needed.

• Developing for sustainable systems & policies based on national/regional priorities

• Enhancing Integrated laboratory networks

RECOMMENDATIONS AND SUGGESTIONS

Regional Strategic Roadmap on Laboratory System Strengthening [2016-

2020]

• Page 2

• Page 1

• One of joint collaborative effort of lead countries of GHSA – Detect 1: National Laboratory System

• Aiming to provide general guidance for GHSA member countries in developing their respective National Roadmap on GHSA: Detect – 1: National Laboratory System

• Identified key strategic components intend to reinforce the International Health Regulations [IHR 2005] as well as others relevant regional strategies such as Asia Pacific Strategy for Emerging Diseases [APSED]

Preamble

• Noting different stages of national laboratory context, the roadmap will be further modified to be suitable for local circumstances;

• Served as a tool/framework for follow up progress of the GHSA: Detect – 1: National Laboratory System and served as a framework for identification of regional activities;

• Taking consideration on synergised efforts needed among inter – related of other GHSA Action Packages such as Zoonosis, etc.

• Joint External Evaluation involving a combination of domestic and independent experts will be promoted as a monitoring and evaluation tool

Preamble

• Real-time biosurveillance with a national laboratory system and effective modern point-of-care and laboratory-based diagnostics”

• Based on May 2015 Meeting : Key components of the Roadmap for LSS were agreed among participating countries of the said Meeting and served as a basis for formulating of this important document.

• Drafted by Thailand;

• Discussed among lead countries and key development partners including WHO and USAID during the 4th and 5th Package Conference (Video) Call hosted by Thailand on 31 May 2016 and 5 July 2016 respectively.

Formulation of Regional Roadmap

• Real-time biosurveillance with a national laboratory system and effective modern point-of-care and laboratory-based diagnostics”

• Based on May 2015 Meeting : Key components of the Roadmap for LSS were agreed among participating countries of the said Meeting and served as a basis for formulating of this important document.

• Drafted by Thailand;

• Discussed among lead countries and key development partners including WHO and USAID during the 4th and 5th Package Conference (Video) Call hosted by Thailand on 31 May 2016 and 5 July 2016 respectively.

Formulation of Regional Roadmap

1.Strategic Policy Registering

& licensing

1.1 Conduct JEE

1.2 Sharing/

updates National Strategic Plan

2. Diagnostic Capacity

2.1 Develop Regional

Specimen Referral system

2.2 Training for trainers on

Microbiology

2.3 IATA Training

3. Quality

Management System

3.1 Establish regional

EQA

Program

4.Biorisk Management

System

4.1 Develop regional guidelines [Nussara,

tbc}

4.2 Training on biomedical engineers

to certify biosafety cabinet

4.3 Training on biosafety and

Biosecurity [to be included in 4.2]

CORE COMPONENTS : REGIONAL ACTIVITIES

5. Laboratory Networking

5.1 Strengthen existing network

5.2 Establish inter-region

linkage

6. One

Health

6.1 Sharing best practices

6.2

7. Laboratory workforce

7.1 Capacity Building

7.2

CROSS CUTTING COMPONENTS: REGIONAL ACTIVITIES

Regional activities will be proposed by any of lead countries, contributing countries, as well as other GHSA Package Members.

Implementing modalities will be in close collaboration with WHO, FAO, OIE, and other regional organisations.

Draft Action Plan of Key Regional Activities: GHSA Detect 1

• The Department of Medical Sciences hosted a Meeting of key development partners on 19 July 2016 to draft the Action Plan; and

• Draft Action Plan will be further consulted with lead countries during the next video conference scheduled on 23 September 2016 [to be confirmed]

Potential Regional activities have been identified

No. Regional activities Lead country/ Timeline

Key Partners

1 Bioengineering Training Thailand 2 Batches of 25 pp to be trained by 2017

- US-CDC - AFRIMS - FAO/USAID

2. External Quality Assurance Program

South Africa /Thailand To be confirmed

- Thailand MOPH-US-CDC Collaboration - FAO/USAID

3. Sharing Experience on Lab Preparedness; Lessons learned from EID outbreak

Thailand South Africa During the 2nd Workshop [ Dates to be confirmed]

USAID, FAO, WHO

No. Regional activities Lead country/ Timeline

Key Partners

4. Bioinformatics Network Thailand Malaysia (Dengue)

- FAO/USAID - US-CDC

4.1 Training on Influenza Sequencing & Bioinfomatic Basic

Thailand/Q 2 for 2017

WHO, FAO, DLD Thailand

5. Regional workshop to share 4-way linking experiences in implementing countries such as Indonesia / Vietnam

Indonesia / Vietnam

FAO/USAID

No. Regional activities Lead country/ Timeline

Key Partners

6. Quality Assurance, supply chain management, specimen collection and transport, perform laboratory assessments

Thailand / Sri Lanka/Indonesia

6.1 Need assessment on packaging and training transportation including biosafety and biosecurity competency

Thailand [AH & HH]/October 2016

FAO Thailand US CDC USAID

6.2 Regional Training on packaging and Shipping Infectious Substances [ 2 – 3 days] [ subject to the result of activity 1]

Thailand/ March 2017

FAO & WHO USAID Thailand US CDC

No. Regional activities Lead country/ Timeline

Key Partners

6.3 Development of Regional [Sub – Regional] Agreement for Material Transfer Agreement [MTA]

Indonesia & Thailand/To be confirmed

6. 4 Establishment of Regional Referral Lab Network [public health network]

Malaysia, Indonesia, Sri Lanka/ 2nd Q of 2017

WHO USAID FAO DLD Thailand

6.5 Training on Stepwise laboratory development towards National Accreditation

Thailand To be confirmed

WHO

Key Recommendations:

• GHSA is enable platform to leverage and maximize the existing efforts from countries and partners •Communication between PH & AH is key • Coordination for partnership • Avoiding duplication and parallel efforts – not reinvented the wheel • Networking the networks

Views of Lead Countries & Contributing Countries

• This platform enhances collaboration such as Technical experts

• Demonstrated on political leadership on Detect 1

• Appreciated on the development of Strategic Roadmap for LSS;

• Implementation should be led by lead countries

• Communication – promote & courage the video conference hosted by Thailand of which contacted person is required,

Support needed from the Steering Group

• Interface among the 11 GHSA Actions Packages is required

• The Action Package would benefit from Steering Group in attending face – to – face meeting of lead countries to provide guidance and strategic direction

Acknowledgement

• Dr. Apichai Mongkol, Director General of the Department of Medical Science for his leadership and dedication

• Special thanks to lead countries [USA and South Africa] and key development partners for their active contribution

• Thank you for great support of the Department of Medical Sciences

DATES TO NOTE….

The next video conference will be on 23 September 2016;

Key regional activities to be implemented

The 2nd Regional Workshop to monitor the progress and sharing experiences [to be confirmed]

Thank you for your kind attention

Khob Khun Krub

Terima Kasih Banyak