Pandemic Preparedness FAO OIE WHO Technical Meeting on

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Pandemic Preparedness FAO/ OIE/ WHO Technical Meeting on Highly Pathogenic Avian Influenza, 27 -29

Pandemic Preparedness FAO/ OIE/ WHO Technical Meeting on Highly Pathogenic Avian Influenza, 27 -29 June, 2007, Rome. Paul Gully WHO HQ Geneva 1| Pandemic Preparedness Rome | 27 -29 June 2007

Overview l Sporadic human infections, continue to reflect animal outbreaks l Technical dilemma: –

Overview l Sporadic human infections, continue to reflect animal outbreaks l Technical dilemma: – pandemic risk remains & will persist – evolution & severity of the threat cannot be predicted – need to "de-link" the threat posed by H 5 N 1 and the absolute requirement to prepare for a pandemic l Political dilemma: – limited resources – competing health and other priorities l Public Health advocacy: – investment in pandemic preparedness is an investment in the resilience of health systems and society to respond to many crises & pathogens, including influenza 2| Pandemic Preparedness Rome | 27 -29 June 2007

WHO Strategic Action plan: 5 key areas that concern human health l Reduce human

WHO Strategic Action plan: 5 key areas that concern human health l Reduce human exposure to H 5 N 1 virus – Reduce mortality and morbidity – Reduce chance of re-assortment l Strengthen early warning system – Ensure data + clinical specimens available for risk assessment l Intensify rapid containment operations l Build capacity to cope with pandemic – National Pandemic Preparedness Plans including non-health sector preparedness – WHO role in a pandemic – Collaboration with other UN Agencies and NGOs l Coordinate global scientific research & vaccine development – Novel influenza virus & Pandemic vaccines, antiviral drugs – Community mitigation strategies 3| Pandemic Preparedness Rome | 27 -29 June 2007

Progress l Globally, great progress has been made in pandemic preparedness, experience gained and

Progress l Globally, great progress has been made in pandemic preparedness, experience gained and gaps identified l Majority countries have Pandemic Preparedness Plans – Wide variations in completeness l Technical and resource needs vary – Often resource poor environments have fragile infrastructure and information systems – IHR (2005) should assist in strengthening their capacities l Ethical issues should be fully explored and communicated 4| Pandemic Preparedness Rome | 27 -29 June 2007

The future: building on experience, addressing gaps l Continuation of original areas of work

The future: building on experience, addressing gaps l Continuation of original areas of work l Wider scope: cross governmental and multi-sectorial – Operational – Test and review plans through exercise process l Resilience of the health system l Inclusion of Rapid Containment in national plan l Community mitigation – population must be informed and engaged – national authorities cannot respond to all communities simultaneously 5| Pandemic Preparedness Rome | 27 -29 June 2007

Conclusion l Pandemic preparedness activities should be continued & expanded in scope and depth

Conclusion l Pandemic preparedness activities should be continued & expanded in scope and depth from central to local level, across governments and sectors l Gaps identified need to be addressed, specifically health systems, community preparedness & Rapid Containment inclusion in National Influenza Preparedness Plans l Funding streams need to be identified l WHO activities will continue in close collaboration with international partners, UNSIC & UN humanitarian agencies. Collaboration at country level through UN country teams is vital for WHO country representatives and Regional Offices l Investment should not be seen as disease specific but as a contribution to the resilience of society and health systems to respond to many crises 6| Pandemic Preparedness Rome | 27 -29 June 2007

Thank you 7| Pandemic Preparedness Rome | 27 -29 June 2007

Thank you 7| Pandemic Preparedness Rome | 27 -29 June 2007