PUBLIC HEALTH MEASURES AT PoE MONGOLIA Surenkhand G. Deputy Director, National Center for Communicable Diseases (IHR NFP)
5th CAPSCA-AP meeting 19-20 April 2012
National planning on emerging disease • The first multisectoral workshop on IHR (2005), May 2007 • National APSED implementation plan 2008-2010, July 2008 • Ministerial order to implement national plan on emerging disease 2010-2011 , April, 2010 • National programme on communicable disease prevention and control 20112015, Government Resolution dated April, 2011 • National plan for Emerging Infectious Diseases and Public Health Emergencies 2012-2015
Event based surveillance system • Sources of information (hotline, media, medical, non-medical) • Event verification, risk assessment • Response to WHO verification request • Linked with risk communication team, RRT and MFETP • Feedback system (weekly by e-mail, real-time by phone)
Indicator based surveillance system • Operational nationwide • SoPs for early warning and response updated in 2010 • Syndromic reporting system –standard case definitions used • Weekly feedback by e-mail (national, sub-national, local, WHO, Laboratory) • Surveillance data from animal heath, food and environment agencies • Incidence baselines and thresholds established
Public Health Emergency Preparedness and Response • National IHR multisectoral coordinating committee • SoPs for IHR NFP communication and coordination • Draft Strategy to strengthen public health functions at the PoE 2011-2015 • Health care facility Acute Respiratory Disease preparedness plan
The Structure of the State Specialized Inspection Agency CHAIRMAN
Deputy chairman Finance, labor social welfare inspection department
Health, education culture and science inspection department
Deputy chairman
Infrastructure inspection department
Border inspection department
Food agriculture industry and service inspection department
Natural environment, Tourism Geology and Mining inspection department
The secretariat office Strategy planning, policy regulation department
21 aimags Specialized inspection departments
Monitoring and evaluation department
Metropolitan specialized inspection agency
International cooperation and public relation department Specialized inspection departments at the border points
Finance, budget and economics department
Central laboratory
EMERGENCY PREPAREDNESS AND RESPONSE • Public Health Emergency contingency plan for PoE • Conduct training, drill and exercise to test contingency plan • Arrangement for interview, quarantine, treatment and isolation • Specific control measures (disinfection, deratization, disinsection)
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ZURAG Uzuuleh surgalt, tusgaarlah oroo
Emergency Preparedness in Chingiss Khan Airport Arrangements: - Transportation of suspect travellers - Treatment - Isolation - Diagnosis
National Centre for Communicable diseases (Hospital and IHR NFP)
State Specialized Inspection agency:
Chingiss Khaan airport
- Quarantine - Conveyance inspection - Vector control - Disinfection, disinsection…
- Customs - Border control - Security - Emergency - Immigration
Mechanisms for command, communication & coordination:
Ministry of Health
- Event communication - Collaborative investigation - Coordinated response (e.g. screening, examination)
PoE core capacity assessment 2010 100
3 боомтын дундаж
50.6
Сүхбаатар
60.33
Замын Үүд
62
Буянт-Ухаа
66
NEXT STEP • Review and revise SoPs for interagency communication and coordination during emergencies • Update Public Health Emergency contingency plan, incorporating a whole-of-society approach, risk communication and business continuity components • Conduct multiagency table top exercise and simulation to ensure plan functionality • Conduct IHR self-assessment 2012 and develop plan to address gaps and weaknesses • Conduct risk assessment study to evaluate cost effectiveness of interventions (health declaration forms, temperature screening) • Upgrade human resource capacity • Collaborate with relevant ministries to strengthen core capacities (trained staff, equipment, safe environment for travellers) at 3 designated PoE
