DG SANTE actions under the CBRN Action Plan
Antonis Lanaras
DG SANTE C3 – Crisis management and preparedness in health
10th Meeting of the CoU on Secure, Safe and Resilient Societies CBRNE
8 March 2018, Brussels
Decision 1082/2013/EU on serious cross-border threats to health
Public health emergencies at EU level are managed under the health security framework of Decision 1082/2013/EU
Provides for a comprehensive and coordinated approach for preparedness, early warning, risk assessment and crisis response
Supports Member States to fight cross-border health threats such as communicable diseases, but also chemical, environmental and unknown threats
Structures and mechanisms
Network for epidemiologicsurveillance
EWRS – alert system
Health Security
Committee, and working
groups
Capacity building and
technical assistance through Health
Programme
Commission internal
mechanisms for crisis
coordination and response
Epidemiological surveillance
Communicable diseases are permanently monitored by the European Centre for Disease Prevention and Control (ECDC)
Network for the epidemiological surveillance of communicable diseases and of related special health issues:
Brings into permanent communication the Commission, the ECDC and national authorities responsible for epidemiological surveillance.
MS communicate comparable and compatible data on epidemiological surveillance of notifiable communicable diseases and the progression of epidemics by using the EU case definitions
Early Warning and Response System (EWRS)
Rapid alert system for notifying alerts in relation to serious cross-border threats to health.
Enables the Commission and the national authorities to
be in permanent communication for the purposes of:
alerting
assessing public health risks and
determining the measures that may be required to protect public health
EWRS update
The remodelled EWRS will include modules to:
Support efficiently the detection and management of serious cross-border threats to health;
Link to other EU rapid alert systems (RAS);
Provide access to contextual information allowing an informed assessment and coordination of response;
Ensure appropriate flexibility through a modular architecture to adjust to future changes
Risk Assessment
For the coordination of response the Commission, where necessary, makes available to the Member States risk assessment of the potential severity of the threat, including possible public health measures
Communicablediseases
Food safety
e.g. Chemical threats
NATIONAL COMPETENT AUTHORITIES
Coordination of response
MS to consult each other within the Health Security Committee composed of Member States representatives and in liaison with the Commission to coordinate:
national responses to serious cross-border health threats
risk and crisis communication to the public and to healthcare professionals
Preparedness
Commission supports Member States to: build capacity to implement the
core capacity standards of the International Health Regulations
ensure adequate coordination between MS for a consistent level of preparedness and interoperability between national preparedness and response plans.
Member States regularly report on the state of play on preparedness and response planning
Sharing best practice and experience in
preparedness and response planning
Promoting interoperability
of national preparedness
plans
Addressing intersectoraldimension of
preparedness and response planning
at Union level
Supporting implementation of core-capacity
requirementsfor surveillance
and response (as per Art. 5 and 13
of the IHR)
Coordination within the Commission• Frameworks for food safety and animal health and for pharmaceutical products DG SANTE
• EU Civil Protection Mechanism, European Medical Corps, European Voluntary Aid Corps DG ECHO
• European Agenda on Security, Security Union; EU CBRN Action Plan DG HOME
• EU Joint Framework on countering hybrid threats DG GROW-EEAS
• EU Framework Programme for Research and Innovation Horizon 2020 DG RTD
• Bilateral programmes - IHR implementation within health systems strengthening and promoting universal health coverage
DG DEVCO
• EU Action Plan on the Sendai Framework for Disaster Risk Reduction 2015-2030 DG ECHO-JRC
• Strategy on Foreign and Security Policy DG EEAS
Coordination under the EU health security framework
EU Member States
EEA & EFTA
GHSI: Global Health Security Initiative
CBRN Action Plan actions to improve
preparedness and response capacity
1. EXERCISES/WORKSHOPS with Member States
Inter-sectoral table-top exercise on hybrid threats, 30-31 January
Cross-sectoral table-top exercise on business continuity planning during a pandemic, Q3 2018
Workshops on preparedness and IHR implementation, 1st workshop, 25-27 April
Training on best practices regarding entry and exit screening (Q3 2018)
"CHIMERA" Hybrid threat Table-top Exercise, 30-31 January 2018
CBRN Action Plan actions to improve preparedness and response capacity
2. JOINT ACTIONS with Member States
Joint action on preparedness and action at points of entry(ports, airports, ground crossings) - Healthy GateWays with emphasis on biological (particularly vector-borne) and chemical threats (Q2 2018)
Joint Action on vaccination to enhance cooperation and build concrete tools to improve vaccination coverage in Europe (2018)
Joint Action on efficient response to highly dangerous and emerging pathogens at EU level EMERGE (2015-2018)
Joint Action on preparedness and IHR implementation, including laboratory strengthening (Q4 2018)
Joint procurement of medical countermeasures
Joint Procurement Agreement, adopted in 2014, provides for a voluntary mechanism for procuring jointly. So far 24 MS participate.
First procurement procedure for Botulinum anti-toxin in 2016.
Procurement procedure for pandemic influenza vaccines involving 18 MS + Commission is underway,
Other medical countermeasures are under preparation.
ECDC activities under the CBRN Action Plan
Cross-sectoral biorisk awareness and mitigation training -2nd Edition, Jointly organised by ECDC & EUROPOL, Olhão-Portugal, 17-19 April 2018
Handbook on the threat from bioterrorism - a European perspective - Part 1 ready by mid-April 2018
Raise awareness and exchange best practices as regards “Do it yourself” biology - a commercially available bio-kits to produce genetically modified microorganisms which may lead to intentional attack or accidental contamination with modified viruses or bacteria.
ECDC-Country Preparedness Support Section, PHC Unit, [email protected]
Thank you!
https://ec.europa.eu/health/preparedness_response/overview_en
