menafrinet - who€¦ · photo credits: mvp menafrinet surveillance data weeks 1-53, 2015 15 from:...
TRANSCRIPT
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RyanNovak,MenAfriNetDirector,CDCJasonMwenda,WHO-AFRO
MVPClosureConferenceAddisAbaba,Ethiopia23February2016
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MenAfriNet aregionalcatalyst
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PARTNERSHIPISKEYTOENDINGEPIDEMICMENINGITISINAFRICA
Photocredits:MVP
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IntegratedDiseaseSurveillanceandResponse
ComplementaryMeningi?sBeltSystems
• IDSRbasedtools• Labconfirma?onofallcases• Popula?onbasedrates
3
EnhancedMeningi?sSurveillance
CaseBasedSurveillance
Partne
rship
VaccineIm
pact
Decision
Making
Research MenAfriNet
• Consor?umofPartners• ReinforceCBSstrategically• PlaHormforcollabora?on
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CaseBasedSurveillance:BurkinaFasoexperience,2009-12
Ref:MMWR(2012)v.61No.50
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TheMenAfriNetModel
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CountryEngagement
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Country Districts MenAfriNetDistricts MenAfriNetPopula?on
Burkina 63 63(100%) 18,450,494(100%)
Mali 59 10(17%) 3,714,680(21%)
Niger 42 9(20%) 3,689,293(20%)
Togo* 5 2(40%) 406,000(6%)
Total 169 84(40%) 23,031,362(42%)
*Onlythe5northerndistrictsoftheSavanesRegioninTogoareconsideredpartofthemeningiGsbelt.
2015MenAfriNetSurveillanceSites
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1 Designatepopula?onundersurveillance
• Burkina:naVonal• Mali/Niger:5-10districts• Togo:onedistrict
2 Countryworkplanwithbudget • MissionTASeptember-October
3 AdaptSOPtocountrycontext • CasedefiniVons• Listofvariables• Surveillanceindicators• CommunicaVon
4 Training/Workshops • Regionaldatamanagementworkshop(EpiInfoandDMSorientaVon)• NaVonalSurveillanceWorkshop(TrainingoftheTrainers,surveillance/
laboratory/datamanagementSOPs)• CascadetrainingintheDistricts
5 Datacollec?on/management • DefinenetworkrolesandresponsibiliVes• toolsateachlevel
6 Specimencollec?on • DefinenetworkrolesandresponsibiliVes7 Specimenconfirma?on • PCR
• QA/QCprogram
8 Supervision • Definefrequency,rolesandresponsibiliVes9 Analysisofdata • Definefrequency,rolesandresponsibiliVes10 Dissemina?onofdata/informa?on • SubmitdataregionallytoMenAfriNetDataManagementTeam;
• Providefeedbackresults/performancetoactorsinthesystem.• Definefrequency,rolesandresponsibiliVes
11 Par?cipateinnetworkmee?ngs • CountryMenAfriNetprojectleadwillparVcipateinmonthlyTechnicalSubcommieeeteleconferencestoprovideprogressupdate;
• PresentdataandlessonslearnedatAnnualMenAfriNetPartnersMeeVng;
12 Finalreport • ClosedataatendofmeningiVsseasonandclean/analyze;• Prepare/submitannualMenAfriNetprojectreportincludinglessons
learnedandrecommendaVons.
MenAfriNetCountryWorkPlan
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StrengtheningLaboratoryConfirma?on
CountryReal-?mePCRImplemented
PCRSerotypingAdded
QA/QC,EQA,PTProgram
BurkinaFaso 2008,2014* 2015 2010
Mali 2010,2015* 2014
Niger 2011,2014* 2016 2015
Ghana 2012,2016* 2016 2014
*SwitchtoDirect-PCRreal-Gmeassay
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RevisedTools10
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NetworkDataManagement11
WHOAFROMenAfriNetData
Repository
MenAfriNetQuarterly
CBSBulle?n
DataaccessrequestWHOHQ
BurkinaFaso MaliNiger Togo
WHO-IST/WADataManager
MenAfriNetDataManagers
Data
validaGon
RegionalDataManagementTeamWHOWeeklyEnhancedMeningi?sSurveillanceBulle?n
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MenAfriNetQuarterlySurveillanceFeedbackBulle?n
• 2015QuarterlyBulleVns1-4• 2015SummaryMenAfriNetBulleVn• [email protected]
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MenAfriNetSurveillancePerformanceIndicators TargetMenAfriNet
2015
1 %ofdistrictsreporVngcasebasedmeningiVsdata(includingzeroreporVng) >80% 96%
2 %ofreportedmeningiVscaseswithoutcomeknown >90% 41%
3 %completenessofMenAfriVacvaccinestatus >80% 16%
4 %ofreportedmeningiVscaseswithalumbarpunctureperformed >80% 97%
5 %ofCSFspecimensreceivedatanylaboratoryusingaT-Iboele >50% 23%
6 %ofCSFspecimensreceivedatanaVonalreferencelaboratory >70% 72%
7 %ofreportedcaseswithdelayof<7daysforspecimentransporttonaVonalreferencelaboratory >50% 21%
8 %ofreportedcaseswithaGramStainperformedatanon-NaVonalLab* >70% 60%
9 %ofCSFspecimensreceivedataNaVonalLabandanalysedbyaconfirmatorytest* >90% 98%
10 %ofCSFspecimens,culturecontaminated <10% 4.3%
11 %ofCSFspecimens,PCRresultscontaminated <10% 0.1%
12 %ofCSFspecimensconfirmed(Hi,Spn,Nm&otherpathogens) >30% 36%
*Nigerdatamissing,calculatedbasedonBurkina,Mali,Togoonly.
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Dataforac?on
14/24
• EvaluatetheimpactofMenAfriVac™
• Guideresearchlong-termeffec?veness,herdimmunity,serogroupreplacement;
• Informdecision-making,EPIintegra?onandvaccinedevelopmentforotherserogroups.
Photocredits:MVP
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MenAfriNetSurveillanceDataweeks1-53,2015
15
From:MenAfriNetSurveillanceAnnualBulleGn2015
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MenAfriNetNmCResponse• April3,2015Nigerdeclaresepidemic
• April9,2015MenAfriNetresponse• April-Julydeployed15stafffrom5countries,400person-dayscontributed
• South-SouthcollaboraVonBurkinaFasoDLM&CHUP-CDGdeployedfortechnicalassistance
• 13localhiresrecruitedtoprovidesurgecapacity
• Deployedamobilelab(LaboMobil)
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0
500
1,000
1,500
2,000
2,500
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
Cases
Week
EpidemicofserogroupCmeningi?s—Niger,January–June2015
• 8,502suspectedmeningiVscases;• 573deaths(CFR=6.7%);• 1,456of4,039CSFPCRposiVve.
1087;79%
196;14%
101;7% NmCNmWS.pn
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ConfirmedCasesbyWeekvs.Ini?alReportedResults,NiameyRegion–January1-June28,2015
19
0
20
40
60
80
100
120
140
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
Cases
Week
NmC NmW NmX NmInd
I
ICGRequest,04/22/2015:NmW:25(69%)NmC:4(11%)
I
Sitrep,04/13/2015:NmW:40%NmC:34%
Importanceof?melycasebasedsurveillanceduringanepidemicresponse
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SporadiccasesofserogroupCconfirmedinBurkinaFasoandMali,2015
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PCV13Impact—BurkinaFaso
• MenAfriNetreal-VmePCRplapormincludesthethreemainbacterialmeningiVspathogens
• PCV13integratedintoEPIOctober2013• EvaluaVngPCV13impact2014-16
– Implementedserotypingin4of5naVonalreferencelabs
– ConducVngretrospecVveserotypingofbankedspecimens
– Indirectcohortstudy,enhancedvaccinestatus
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Takehomemessages• Countryownership=sustainability• BroadpublichealthcapacitybuildingisachievablewhenacountrypriorityisusedasthemodelimplementaVon—IDSR&meningiVs
• MenAfriNetmodelisasuccessful,expandableplapormforvaccineevaluaVon
• JobisnotdoneonserogroupAepidemiceliminaVon• EpidemicduetootherserogroupswillconVnuetoplaguetheregionunVlalow-costconjugatemulVvalentvaccineisavailable—preparednesscriVcal
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AcknowledgementsMinistriesofHealthBurkinaFaso,Mali,Niger,Togo
DrIsaïeMedah,MSDLMBurkinaFasoPrRasmataOuédraogo,CHUP-CDGBurkinaFasoPrLassanaSangaré,CHU-YOBurkinaFasoPrSambaSow,CVDMaliDrSeydouDiarra,INRSPMaliDrRanaouAbaché,DNSNiger
WHOAFRO,IST/WA,GenevaDrRichardMihigo,DrAssimawePana,DrDjamillaCabral,DrChantalKambiré,DrMamoudouDjingarey,PrDenisKandolo,ClementLingani,DrWilliamPerea,DrOlivierRonveaux,KatyaFernandez,AlainPoy
AgencedeMédecinePréven?veDrBradGessner,DrBertheLafourcade,DrJenniferMoïsi
NorwegianIns?tuteofPublicHealthPrDominiqueCaugant&DrPaulKristensen
Meningi?sVaccineProjectDrFMarcLaforce&DrMarie-PierrePreziosi
Bill&MelindaGatesFounda?onGAVI Photocredits:MVP
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Formoreinforma?onpleasecontact:RyanT.Novak,PhDMenAfriNetDirectorMeningiVsandVaccinePreventableDiseasesBranchDivisionofBacterialDiseasesNaVonalCentersforImmunizaVonandRespiratoryDiseasesCentersforDiseaseControlandPrevenVonPhone+1(404)6398579;[email protected]
MenAfriNetisBillandMelindaGates-fundedinternaGonalconsorGumledbyCDC,WHO,AMP,andAfricanMinistriesofHealthtoimprovemeningiGscase-basedsurveillanceintheMeningiGsBelt
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BACKUPSLIDES
25
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MenAfriNetGovernance
AdvisoryBoard:DominiqueCaugantBrianGreenwoodF.MarcLaForce
Marie-PierrePreziosiSambaSow
DavidStephensTumaniCorrah
CDCFounda?on(primarygrantee)
TheBill&MelindaGatesFounda?on
MenAfriNetSites Data
ManagementTeam
Laboratory
DataManagement
Evalua?on&Research
SteeringCommisee1:AMPCDC
WHOAFRO
Advisory,non-voVng:BMGF&CDCF
CDC(projectlead)PrincipalInvesVgator
ProjectDirectorProjectCoordinator
Surveillance&Outbreak
WorkGroup
s2
1TheMenAfriNetSteeringCommiUeeisthemaindecisionmakingbody2EachWorkGroupisChairedbyapartnernominatedbytheSteeringCommiUeeandaCDClead.
WHO-CCEQAMol.Epi.
TechnicalsubcommiseeAMP,CDC,WHO(HQ,AFRO,IST),WorkGroup
Chairs,MenAfriNetSiteFocalPoints
Communi-ca?ons
Update10/13/15
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Challenges Opportuni?esMVPending • EngageWHOcountryoffices
• MenAfriNetConsorVumincreasedrollfortechnicalsupport
PartnercoordinaVon
• Governance• MenAfriNetWorkingGroups• Teleconferences&meeVngs
Epidemics • Focusonhighprioritydeliverables• Leverageregionalcapacity• “South—South”collaboraVon
Security
• Countryownership• Indirectengagement&mentoring• Regionaltechnicalassistance
Funding • RecruitnewMenAfriNetpartners• GAVI,USAID,GHSinfrastructure• ExpandMenAfriNet(i.e.PCV13)
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Minimumdataelements28
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Tchirozérine
Aguié
Arlit Bilma
Boboye
Birni N'Konni Bouza
Dakoro
Diffa Dogon-doutchi Dosso
Filingué
Guidam-Roumdji
Gaya
Goure
Illéla Keita
Loga Madaoua
Madarounfa Magaria Maïne Soroa
Matamèye
Mayahi Mirriah
N'guigmi
Kollo
Ouallam
Say
Tahoua Tanout
Téra Tessaoua
Tillabéri
Zinder Maradi
Abalak
Tchintabaraden
Agadez
Niamey
NigerepidemicofserogroupCmeningococcalmeningi?s2015
AlertDistricts(n=6)
EpidemicDistricts(n=13)
*MeningiGs epidemic thresholds for response aredefined according to WHO outbreak guidelines2015:AlertthresholdisanaUackrateof3–9casesper100,000persons,andtheEpidemicThresholdisanaUackrateof≥10casesper100,000persons.
EpidemicstatusJanuary–June2015*
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Source:WHOEbolaSituaGonReport28Oct15;MenAfriNet;NigerMS/DSRE;BurkinaFasoMS/DLM