International Health Regulations new procedures and tools to global - PowerPoint PPT Presentation

Operationalizing assistance and cooperation by States Parties to prevent or in response to disease outbreaks B RAZILIAN RESPONSE TO THE PUBLIC HEALTH EMERGENCIES Eduardo Hage Carmo Director. Communicable Diseases Surveillance. Secretariat of Health Surveillance.Ministry of Health August 22th, 2016

International Health Regulations – new procedures and tools to global public health  Purpose – Public Health Emergency of International Concern  Public health events – regardless source, origin or nature  Development of core capacity (Article 5) “Each State Party shall develop, strengthen and maintain … the capacity to detect, assess, notify and report events in accordance with these Regulations” 2007 2012 2014 2016

Global Outbreak Alert and Response Network 2005 2003 2006

National network of alert and response to public health emergencies  Nacional center – MoH - 2006  Receive and share information 24/7  Public Health Event Monitoring  Capture information on electronic media and others open-source information sources  Coordinated response CIEVS Number Brazil by regions States 27 Northeastern Southeastern Municipalities – Capital and strategic 28 South Midwest North National Health Regulatory Agency 1 Source: CIEVS/SVS/MoH

National center of alert and response to public health emergencies - Cievs work 24/7/365 Nobreak Nobreak Power generator Power generator 12

Monitoring and response elements of Cievs Network Surveillance Epidemiological, Environmental and Sanitary Biosafety Assessment Field Health Investigation assistance Urgency and Food, drugs and Emergency Immunization

Rapid Response Team to public health emergencies Field Epidemiology Training Program - EPISUS Stablished – 2000 Graduated – 115 + 12 Outbreak investigated - 294 Assistance/support to other countries – South America, Africa 7

National Laboratory Capacity National reference laboratories

Public Health Emergency of National Importance Federal Legislacion - November, 2011 Disasters Disasters Epidemics Epidemics Lack of assistance Lack of assistance •Present risk of national •Emergency situation or • Event recognized as emergency by dissemination public calamity recognized by decree or public calamity affecting •Produced by infectious agents citizens by unresponsiveness of the Federal Executive Level, unexpected state direction, district and involving direct action in municipal of SUS Public Health •Represent the reintroduction of eradicated disease •Event that exceeds the response capacity of the local •High severity level •Extrapolate the responsiveness of state management of SUS

Response and contingency plans for public health emergencies  Emergency Plan, Contingency Plans and Action Plans  Epidemiological emergencies, Accidents involving chemicals, biological, radiological and nuclear agents, disasters Contingency Plans for specific emergencies Generic Plan

Disaster response and public health emergency Medical Supply Kit (MSK)  30 medicines  18 other products  500 persons for 3 months 11

Disaster interagency response in PHEC • NBCR – MoD e MoH • Chemistry Emergencies - CETESB • Nuclear Emergencies – FEAM • Radiological accident – CNEN e IRD • P2R2 – MI, MMA e MS • Disaster and Emergencies - MoI, MoH e MoD • CEMADEN – MoCTI

Notification by group of public health events. Brazil, 2012 - 2015 Hipótese/Suspeita de Notificação N % Notificações por Tipo de Evento - 2012 a 2015 Vector borne diseases 709 33.01 Doenças Transmitidas por Respiratory diseases 486 22.63 3% 1% Vetores Doenças de Transmissão Food and water borne diseases 454 21.14 0% 2% 2% Respiratória 3% Doenças de Transmissão Unknown etiology 261 12.15 Hídrica/Alimentar 33% Etiologia desconhecida 12% Zoonosis 59 2.75 Zoonoses Adverse events: Health produtos and services 56 2.61 21% Evento Adverso: Produtos e Disasters 43 2.00 Serviços 23% Desastres Naturais ou Epizootics 42 1.96 Antropogênicos Epizootias Unusual or unexpected events 30 1.40 Evento Incomum/Inesperado Others 8 0.37 Outros Total 2.148 100.00

Ebola fever outbreak. Alert and response in Brazil • Operational center actived • Risk assessment of introdution (24h/7d) • Point of entries monitored • Suspected case investigated (Guiné)  350 evaluated and monitored  Case discarded

Olympics and Paralympics Games Response Operations’ Centers (CIOCS) 7 CIOCS (1 national and 6 locals) 7 CIOCS (1 national and 6 locals) Surveillance of CIOCS - MoH CIOCS communicable diseases and environmental Amazonas CIOCS Points of entry, health services Minas Gerais CIOCS CIOCS Rio de CIOCS Logistic and communication Bahia Medical Janeiro São Paulo emergencies CIOCS Distrito Prevention and International Promotion Federal surveillance

Olympic and Paralympic Games Structure, work force and procedures  Network available in 6 host cities  Mobile units of SAMU (ambulance, ships and air units)  Emergency Units (UPA) in the 6 host cities  Reference hospitals in the host cities of SUS  Teams of the National Professional SUS Force  Risk assessment produced for each host city www.saude.gov.br/viajante  Publication especially prepared for those traveling for pleasure or business in Brazil or abroad.  Portuguese, English, Spanish and French

Olympics and Paralympics Games Health, food and service inspection (ANVISA and state level surveillance) Specific regulations for mass gatherings • Food trade • Health services • Sanitary control on the entry of goods and products for use in mass gatherings 6 health surveillance plans drawn up Assessment and sanitary inspection of health facilities and venues plants in the areas of handling and food trade

Obrigado!

www.saude.gov.br/svs Disque Saúde - 136 Disque Notifica 0800-644-6645 notifica@saude.gov.br www.saude.gov.br/combateaedes