health threat unit sanco c3 health threats unit sanco c3 epinorth 5 september 2005

Health Threat Unit SANCO C3

Health Threats UnitSANCO C3

Epinorth5 September 2005


Projects

Projects

Working groups

Working groups

NetworkCommittee

HealthSecurityCommitte

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Heal thThreat

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EWRS

Communicablediseases

RAS BICHAT

Biological Chemical RadiologicalThreats

GHS N

WHO

Internationalrelations

Other Rapid AlertSystems

Commission’ DGs

Riskmanagement

Risk assessmentEU Member States

EEA CountriesEU Candidate

countriesScanning the

HorizonMedISys,

...

Up to May 2005


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* Pertussis * IRIDE * EUNID * VENICE * EURONET P4

* ETHREAT

* EUVACNET(Measles)

* EPIET * Basic Network* Smallpox diagnosis

* EPINORTH

* EuroHIV * EuroTB * ListerNet * IPSE (ex Helics)

* Eurosurveillance Monthly * ENIVD (VHF)

* EUCAST

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Surveillance

Training

Vaccines

Chemicals

Information

Laboratories

Modelling

Preparedness

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* EURO-CJD * ENTERNET * EWGLINET * ESSTI * ModelRel * EU-IBIS (Mening°)

* Hemophilus Influenza * EU-REQAS * Eurosurveillance Weekly

* GSCT (Chemicals)

* ASHT (Chemicals )

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* ESACA

* EARSS * EISS * INSIGHT * DIVINE-NET

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2005 and beyond – New structures

May 2005: ECDC – Stockholm

September 2005: Executive Agency Luxembourg

End 2006: New Public Health Programme


Collaboration with ECDC Surveillance:

ECDC: search for, collect, collate, evaluate and disseminate relevant scientific and technical data;Commission: legal framework, case definitions, methodologies….

Scientific opinions and scientific and technical assistance including training:

ECDC: provision of opinions and assistanceCommission: requesting opinion and assistance

Early Warning and Response:ECDC: provide timely information to the Commission, the Member States, Community agencies and international organisations in the field of public health; rapid scientific assessment of incoming alert messages;Commission: Crisis management, measures

European networking:ECDC: Co-ordinating the European networking of bodies, and operating the dedicated surveillance networks;


Main delegated tasksManage all phases of projects

Publication of calls, evaluation,Contract negotiation, signature, payment

Public procurement proceduresLogistical and technical support :

Non political expert working groupsSeminars; conferences

Executive agency

Legal existence1/1/2005 – 31/12/2010

Structure = 2 units Staff : approx. 30 people


Health objectives and actions

Surveillanceof

threats

Deliver effective response

TackleDeterminants

Prevent diseases

Information

Health systems

co-operation

Reduce disease

Promote health

Protect citizens

Help nationalsystems

Provide +

information

Health Objectives

Action strands

newnewnew

New health programme

Health & consumer360 M€ > 1,200M€


Health objectives and actionsACTION STRANDS

Reinforce existing 3 action strands Monitoring/Surveillance of Threats Address DeterminantsProvide Information

Add 3 new action strandsDeliver effective response to threatsPrevent/tackle diseases and injuriesAchieve synergies between national health systems



Health objectives and actions

ACTION STRANDS (6)

1) Enhance surveillance of threats Surveillance of non communicable diseasesCo-ordination with ECDCLaboratory network (rare/risky pathogens)

2) Respond effectively to threats (new)

Improve preparedness for rapid intervention: contingency planning, training, alert systemsNetworking and best practice exchange



Health objectives and actions3) Promote health tackling determinants

Life style/addictions: smoking, alcohol, nutrition, exercise, drugsEnvironment and socio economic

4) Prevent diseases and injuries (new)Complement determinants strand with action on major diseases: HIV, cancer, cardiovascular and mental diseasesReduce accidents and injuries

5) More and better Health informationStrengthen knowledge baseMore dissemination

6) Achieve synergies between national health systems (new)

Health technology assessmentPatient safety and mobility

A network of centres of reference



2006 & New developments in HTUOrientations for Work plan 2006 (Health threat Strand)

& developments

Generic Preparedness PlanningInternational aspectsNew Health Emergency Operations Facility [HEOF]

RAS CHEMMATRIXHEDIS

Health Threat Unit


Not to be covered anymore by HTU (ECDC)

SurveillanceCo-operation of laboratoriesCapacity building (surveillance, training)Surveillance activities on antimicrobial resistanceInformation on surveillance (e.g. Eurosurveillance etc.)

Health Threat UnitOrientations 2006


Preparedness and responseEmphasis on preparedness. This heading could become very large and possibly split in two.

Logistics, transportation issuesInfluenza (e.g. preventive measures for veterinary workers in case of Avian flu), in agreement with ECDCRisk communication, EU network of public health media officers, in agreement with ECDCLinking hospitals to prepare for mass eventsTraveller traceability (networking airports for contact tracing and providing coordinated information to travellers)Environmental sampling and analysisRisk and threat analysis for health security incidentsEnvironmental (e.g. biosensors) and human biomonitoring (e.g. for levels of bioagents in humans)Psychological impact of health emergenciesCapacity building for joint law enforcement and health authority operations



Providing risk management tools

Providing evidence-based information to steer action (in co-ordination with ECDC)

Capacities needed for implementation of IHRIHR implementation in the EU



Strategies on vaccines and other drugs relevant to communicable diseases control and Health Security

Exchanging information on vaccination and immunisation strategies

Exchanging information on other medicines (e.g. antivirals)

Planning and policy implementation and strategies related to addressing areas of decreasing or lower rates; and in preparedness strategies (such as pre-event vaccinations or stockpiling), especially for serious health threats such as bioterrorism.

ECDC should be involved in all issues concerning the scientific basis for planning and policies



Antimicrobial resistance and healthcare associated infections – health services aspects

Surveillance part of AMR will go to ECDC but patient safety and healthcare related actions may be required

impact on CD of mobility of patients and healthcare staff migrant health, cross-borderpatient safety issues



Safety of blood, tissues and cells, organs

Aims to promote the quality, safety and availability of substances of human origin

Minimize risks and ensuing threats to patients’ health associated with their collection, processing, preservation, storage, distribution and use.

Activities should support implementation of existing EU legislation



Objectives of GPPPublic health attention points for MS plans

comparisons, reviews, improvements and fine-tuningAttention points for EC in support to MSReduce the vulnerability for the EU

Contact points (Community - MS)Identification of minimal requirements in plans (Community - MS)Checklist

Reduce potential conflicts between the different national plans

Mutual awarenessInteroperability

Health Threat UnitGeneric preparedness planning


Focus of threats in the GPP> outbreak> local interestFocus on 4 threats: biological , chemical, radiological, environmental, deliberate or not

Major outbreak of an unknown illness (ex: SARS)Previously unrecognised pathogen in the blood supplyChemical, biological, or radiological contamination of a water supplyLost source or an accidental release of radiation affecting >1MSSerious imported infection affecting a number of countriesInternational concern over the safety of a vaccineNext influenza pandemicSuspected deliberate or accidental release of a serious biological agent



Future orientationsFocus on role, functions and relations of public health partner

Set up a peer review process of national plans To review the minimal requirementsTo follow-up, test and exercise interoperability

Improve systematic information exchange and co-ordinationEuropean measures in other sectors should be open to take into account the public health aspect for countermeasuresCOM will consider adopting relevant decisions on declaring emergencies and on consultation of countermeasures Propose algorithms, terminology and use of equivalent levelsDevelop an EU-plan or process on triggering and building a liaise and response structure Continue the process



Basic conceptsRisk assessment

A scientifically based process consisting of the following steps: I) hazard identification, ii) hazard characterization, iii) exposure assessment, and iv) risk characterization

Risk management A process, distinct from risk assessment, of weighing policy alternatives, in consultation with interested parties, considering risk assessment and other factors relevant for health protection of consumers and for the promotion of fair trade practices, and if needed selecting appropriate prevention and control options.

Risk communication



DefinitionsPublic Health Threat

An event (incident) or condition involving one or more agents, which has resulted in or has the potential to produce rapidly harm, directly or indirectly, to the health of an exposed population.

Public Health Crisis A sequence of events following a public health threat, where the limited time available for deciding and the large degree of uncertainty leads to overburdening the normal response capacity and/or undermining of authority.



Sanco’s traditional international role

Involvement in international organisationsWorld Health Organization, OECD, CoE, G7+

Enlargement 10 countries joined in May 2004Now new candidate/potential candidate countries (Bulgaria, Romania, Turkey, Croatia, Western Balkans)

Health Threat UnitInternational aspects


Sanco’s expanding international role

Greater involvement in development of international health treaties (FCTC, IHR)

“New” European Neighbourhood Programme CountriesIsrael, Jordan, Moldova, Morocco, the Palestinian Authority,

Tunisia, Ukraine, Armenia, Azerbaijan, Egypt, Georgia, Lebanon, Algeria, Belarus, Libya, Syria

Russia – Partnership and Cooperation Agreement, Four “common spaces”.

A growing number of bilateral agreements with public health element requested e.g. China, USA, India, Thailand


Why? GloballyHealth growing as a global foreign policy concern

Global commerce and health Recent wave of multilateral and bilateral free trade agreements - exchange of goods and services that affect health and health care

Disease and international securityPublic health preparedness now more important than during Cold War eraPrevention of bioterrorismAwareness globalisation means epidemics such as SARS, Avian Flu can spread more quicklyRole of diseases (e.g HIV/AIDS) in devastating economies


EU Coordination mechanism

Other RASMIC

ECURIERASFF

EUROPHYTADNS TRACES

RAPEXEUROPOL

RELEXECHO

HEDIS CIRCA

ALERTNOTIFICATIONS

& Follow up

INFO BICHATBICHAT bulletin

News to authorities

Warning systems

RAS BICHAT

EWRS

RAS CHEM

Digital mapping

MATRIX

Supporting tools

GenericPreparedness

planning

GPHIN PromedNexis Lexis FactivaNews wires Satellite TVsUN & specialised sites

DSN- Dedicated surveillance networksInput from projects supported by EC

« Scanning the Horizon »

MEDISYS TARIQA

HEOF - Health Emergency Operations Facility

25 Member States3 EEA Countrie

2 CandidateCountries

ECDC

GHSN(USA, Canada,Japan, Mexico,

WHO)

Health Emergency &

Diseases Info Centre

Health Threat UnitHEOF


Thank you for your attention!

http://europa.eu.int/comm/dgs/health_consumer/publichealth.htm

Questions?

health threat unit sanco c3 health threats unit sanco c3 epinorth 5 september 2005

Documents

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