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3 rd Asian Science & Technology Forum Issue for Discussion BILATERAL/MULTILATERAL JOINT EFFORTS AND NETWORKING TO COPE WITH INFECTIOUS DISEASES FOR SUSTAINABLE DEVELOPMENT IN ASIA by DR. HASAN ABDUL RAHMAN Director, Disease Control


  1. 3 rd Asian Science & Technology Forum Issue for Discussion BILATERAL/MULTILATERAL JOINT EFFORTS AND NETWORKING TO COPE WITH INFECTIOUS DISEASES FOR SUSTAINABLE DEVELOPMENT IN ASIA by DR. HASAN ABDUL RAHMAN Director, Disease Control Division Ministry of Health Malaysia Ministry of Health Malaysia

  2. 3 rd Asian Science & Technology Forum Factors contributing to disease re-emergence Changes/Evolution of existing organisms 1 1 Breakdown in Diseases spread public health to new geographic measures for 5 5 2 areas or new human previously 2 populations controlled infections DISEASE DISEASE EMERGENCE EMERGENCE Environmental sources Previously unrecognized harboring new/unusual 3 3 infections appear in persons 4 4 infectious agents living and working in areas Antimicrobial resistance with ecological changes in existing agents Ministry of Health Malaysia

  3. 3 rd Asian Science & Technology Forum ID Spectrum Changing Threat Explosive population Worldwide growth, Expanding poverty & urban migation International travel Mass population movement Vulnerable to Vulnerable to a wide array a wide array Technology of new and of new and Rapid Encroach resurgent resurgent change territories Affects risk infectious infectious of exposure to infectious diseases diseases agent Ministry of Health Malaysia

  4. 3 rd Asian Science & Technology Forum Emergence of Infectious Disease Outbreaks � New diseases with old infectious agents � Food poisoning (E. coli 0157:H7) � New diseases with new infectious agents � Nipah, SARS, Ebola, � AI , Pandemic I nfluenza � Old diseases in new location � West Nile Virus, Rift Valley Fever � Chikungungya Ministry of Health Malaysia

  5. 3 rd Asian Science & Technology Forum Infectious Disease Outbreak Avian MALAYSIA MALAYSIA influenza HIV SARS Global implications Among the poultry August 2004 (4) Leptospirosis Major social 2006 & 2007 (2) implication Endemic NIpah New manifestation Encephaliis High mortality Ministry of Health Malaysia

  6. 3 rd Asian Science & Technology Forum Actions taken… � Assistance from Public Health expert � Establishment of ID surveillance � syndromic notification � Capacity and capability building � Strengthening the National Laboratory facilities; Enhanced BSL-3 � Research capability � Establishment of Epidemic Intelligence Program (EIP Malaysia) � Improving risk communication strategy Ministry of Health Malaysia

  7. 3 rd Asian Science & Technology Forum Actions taken… � Effective cooperation and coordination � Collaboration among multi-disciplinary expert and between agency � Development of guideline of outbreak preparedness and response Ministry of Health Malaysia

  8. 3 rd Asian Science & Technology Forum Actions needed… � Develop Early Warning and Response System � Rapid response; success factor � Providing services � Health roles � Communicable disease risk � Risk communication � Crisis preparedness plan � Develop collaboration and communication � Bilateral / Multilateral • Exchange information • Exchange expertise • Multinational response team • Training Ministry of Health Malaysia

  9. 3 rd Asian Science & Technology Forum Actions needed… � Sharing information through � Website � Guidelines � Standard Operating Procedure (SOP) � Collaboration work � Stockpile of drug & PPE � Sharing expertise & training � Simulation exercise Ministry of Health Malaysia

  10. 3 rd Asian Science & Technology Forum JAPAN – MALAYSIA - ASEAN Collaboration 1 2 3 I n 2 0 0 4 Strengthening Surveillance of ASEAN + 3 Em erging hum an capacity & em erging and I nfectious Diseases capability: ( EI D) Program m e re-em erging Field epidem iology diseases training program m e betw een EI P M’sia Bilateral & FETP Japan collaboration for Reference Laboratories Aim : to establish Aim : to im prove & Strengthen system s, partnership strengthen health inter-country & netw orks personnel in surveillance rapid response m echanism for and surveillance early response Ministry of Health Malaysia

  11. 3 rd Asian Science & Technology Forum Conclusion Infectious diseases spread DO NOT 1 1 recognize boundaries Need Information Sharing & Experience • Conducting research and findings 2 2 • Guidelines & SOP • Training Establish close partnership & Relationship 3 3 • Bilateral / Multilateral • Practise common system Ministry of Health Malaysia

  12. Ministry of Health Malaysia

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