Sammy Makama Head, Port Health Services Unit MOH, Kenya POEs in - PowerPoint PPT Presentation

Sammy Makama Head, Port Health Services Unit MOH, Kenya

POEs in Kenya (Int. Airports) 1. Objectives of Port Health Services at POEs 2. Key PHS functions 3. Core capacity requirements 4. Preparedness at POEs 5. Use of information generated at POEs 6. Challenges 7. Achievements 8.

Part IV ; Points of Entry 1. Part V: General Provisions 2. Article 23: Health measures on arrival and a) departure Article 31: Health measures relating to entry of b) travellers Annex 1 (B): Core capacity requirements at 3. POEs

Prevention/control of spread of PHEICs through: - Provision of basic health services for travellers 1. Control of disease causing vectors and vermins 2. Inspection and certification of exports/imports 3. Surveillance: communicable diseases and 4. conditions Ensure coordinated rapid response to any PHEICs 5.

DETECTING PUBLIC CONTROLING RESPONDING HEALTH EVENTS PUBLIC HEALTH RISKS TO EMERGENCIES OF INTERNATIONAL At PORTS, AIRPORTS CONCERN (PHEICs) GROUND CROSSING CONTINGENCY INSPECTION - SCREENING PLANS

Airports, ports and ground: - Permanent Capacities 1. (Available at all times) Capacity to respond to PHEIC 2. (During emergencies)

Permanent Capacities Capacity requirements at all times (routine) (b) Equipment & personnel for (a) Health service, transport staff & equipment (c) Trained personnel for (e) Trained staff and inspection of programme for conveyances vector control (d) ensure save environment, water, catering facilities, wash rooms, disposal services & inspection programmes

Capacity to respond to PHEIC Capacity requirements for Provide PH assessment responding to PHEIC & care for affected b (emergency) travellers, animals, goods by establishing Emergency resp. c arrangements with plan, coordinator, a medical, veterinary contact points for Provide space, facilities for isolation, relevant PoE, PH & separate from treatment & other other agencies other travellers services to interview suspect or affected persons Provide for f assessment, d quarantine of suspect or affected Provide access to travellers required equipment, personnel with To apply recommended measures, protection gear for disinsect, disinfect, decontaminate, To apply entry/exit e e transfer of travellers baggage, cargo, containers, control for departing with infection/ conveyances, goods, postal & arriving contamination parcels etc passengers

Staff deployment/re-deployment 1. Contingency planning 2. Development of protocols 3. Supplies 4. Training/Sensitization 5. Surveillance 6. Designated referral facilities for POEs 7.

 POEs requirements included in the MOH Contingency Plan  Public health emergency plan part of Kenya Aviation Pandemic Preparedness Plan

 Entry screening protocol – finalised  Protocol for handling suspected cases at POEs - finalised  Exit screening protocol - Draft  Safe burial protocol – Draft

 PPEs  Surveillance/Entry screening forms  Disinfectants / Sanitizers  IEC materials  Waste management supplies

 95 TOTs on EVD  Over 500 sensitized on EVD  50 trained on use of thermo-cameras

 Every major POE has a designated HF for referral of suspected cases  Kenyatta National Hospital is designated for JKIA

Travelers arriving from unaffected 1. countries Temperature taking a) Travelers arriving from EVD 2. affected countries Fill surveillance forms a) Temperature taking b) Travelers transiting from EVD 3. affected countries Fill surveillance forms a) Temperature taking b)

282 Eldoret Airport 960 Kiunga 726 Kisumu Port 30,000 Lokichogio 48,000 Lungalunga 18,000 Isebania 85,266 Taveta 74,562 Lwakhakha 64,614 Namanga 99,516 Malaba 110,226 Busia 18,102 Kilindini Port 71,718 Mombasa Airport 247,962 JKIA 0 50,000 100,000 150,000 200,000 250,000

 Revision of plans  Resource allocation  Follow up of travelers  Further risk assessment

S/Leone, 37 Liberia, 49 Guinea, 14

 Outcome of follow up: - Still on Completed f/up, 23% 21dys, 34% Left the country, 43%  15 are health workers: nurses, doctors, clinicians and epidemiologists

Travellers screened at Travellers screened at Lungalunga Busia (Kenya/Uganda (Kenya/Tanzania Border) Border) S/sudan Tanzanian DRC s Rwanda Kenyans Burundi Others Tanzania others

 Further strengthen POEs core capacities  Human resource, Commodities, Equipment, Infrastructure  Strengthen collaboration:  Within the country with other agencies  With PHS agencies of countries within the region  Complete development of e-portal and health information system for Port Health Services