2016-09-16
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GLOBAL HEALTH SECURITY AGENDA
COUNTRY ROADMAP: THAILAND
2016-09-16
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ACRONYMS
AMR-NC: AMR National Multisectoral Committee BEID: Bureau of Emerging Infectious Diseases, Department of Disease Control BPS: Bureau of …., Ministry of Agriculture and Cooperatives BHA Bureau of Health Administration, Ministry of Public Health CDC: United States Centers for Disease Control and Prevention DMSc : Department of Medical Sciences DDC: Department of Disease Control DF: Department of Fishery, Ministry of Agriculture and Cooperatives DHS: Department of Health Service Support DLD : Department of Livestock Development, Ministry of Agriculture and Cooperatives DMDC: Drug Monitoring System Monitoring and Development Center, Thai Health Foundation DNP: Department of National Parks, Wildlife and Plant Conservation, Ministry of Natural Resources and Environment DOA: Department of Agriculture, Ministry of Agriculture and Cooperatives DSS: Department of Health Service Support, Ministry of Public Health FAO: Food and Agriculture Organization of the United Nations FDA: Food and Drug Administration FETP: Field Epidemiology Training Program FETP-V: Field Epidemiology Training Program (Veterinary) FETP-W: Field Epidemiology Training Program (Wildlife) HSRI: Health System Research Institute, Ministry of Public Health IHPP: International Health Policy Program, Ministry of Public Health MOAC: Ministry of Agriculture and Cooperatives MOC: Ministry of Commerce MOD: Ministry of Defence MOEnv: Ministry of Natural Resources and Environment MOI: Ministry of Interior MOJ: Ministry of Justice MOL: Ministry of Labour MOPH: Ministry of Public Health MOF: Ministry of Finance MOFA: Ministry of Foreign Affairs MOST: Ministry of Science and Technology MOT: Ministry of Transportation NHCO: National Health Committee Office; NHSO: National Health Security Office
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OHCU: One Health Coordinating Unit OIE: World Organization for Animal Health THOHUN: Thailand One Health University Network USAID: United States Agency for International Development WHO: World Health Organization ZPO: The Zoological Park Organization under the Royal Patronage of His Majesty the King, Ministry of Natural Resources and Environment
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Detect 1:
Laboratory Systems
GHSA Goal GHSA Objective GHSA 5-Year Target
Detect Threats Early Developing and deploying novel diagnostics and strengthen laboratory systems
Real-time biosurveillance with a national laboratory system and effective modern point-of-care and laboratory-based diagnostics
YEAR Key Milestones
Host Government Activity
Other GHSA Donors and Stakeholders
Other Activity (e.g. NGO, other governments, multilaterals, private sector)
DMSc, BHA, DHS, DDC NSTDA, universities, WHO, TUC, CDC, FAO, OIE, AFRIMS
MT council, Microbiology council, biosafety association
Year 1 2016
Strategic Policy, Registering & Licensing 1.1 Self-assessment utilizing the JEE
conducted; 1.2 National Roadmap developed
DMSc DLD
Diagnostic Capacity 1.3 National committee for
microbiology laboratory standard established
DMSc
Quality Management System 1.4 100 % of district laboratories
certified by MoPH standard
DMSc
Biorisk Management System 1.5 Training course for Biomedical
engineering containment programme conducted
DMSc
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One Health 1.6 Diseases for both HH and AH
(including AMR and Zoonotic pathogen) prioritized
DMSc, DLD, DDC
Networking 1.7 National laboratory network
enhanced
DMSc, DLD
Laboratory Workforce 1.8 National Laboratory workforce
Plan as part of National strategic Plan formulated
DMSc, DHS
Year 2 2017
Strategic Policy, Registering & Licensing 2.1 Joint External Evaluation
conducted; 2.2 Joint HH-AH National laboratory
strategic plan and policy developed;
2.3 Auxiliary regulations of Pathogen and Animal Toxin Act supporting national biosafety and biosecurity implemented
DMSc, BHA, DHS, DDC, DLD
Diagnostic Capacity 2.4 1st Edition of National standards
for microbiology laboratories launched
DMSc, BHA,DHS,
Quality Management System 2.5 2nd Ed. Of the MoPH laboratory
quality standard launched 2.6 Web base laboratory capacity
mapping database developed 2.7 TOR for tier reference laboratories
initiative (for all tier lab, HH-AH) formulated.
DMSc, DLD
Year 2 2017
Biorisk Management System 2.8 National Biosafety and Biorisk
DMSc, DLD
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management Guidelines conform with new PAT act developed
Networking 2.9 Requirement on Laboratory
capacity for multi-tier laboratory network reviewed and revised
DMSc National laboratory standard committee
Laboratory Workforce 2.10 Relevant Training curriculum
developed
DMSc, DHS,DDC
Year 3 2018
Strategic Policy, Registering & Licensing 3.1 National Strategic Plan continued
implemented; 3.2 50 % of reference laboratories
audited and licensed
DMSc, BHA, DHS,DDC DMSc (BPAT)
Diagnostic Capacity 3.3 National Guideline on Point Of
Care [validation and verification] established and implemented
DMSc, BHA, DHS, FDA
Quality Management System 3.4 National PT/EQA center for
Health laboratoriesis established
DMSc
Biorisk Management System 3.5 All biosafety officers in all health
laboratories certified
DMSc, DLD
Networking 3.6 National SOPs for specimen
referral system developed with one health approach;
3.7 Regional referral system policy for cross- border/regional formulated;
3.8 Laboratory information system for public health laboratory network and EPI linked.
DMSc, DDC, DLD
Laboratory Workforce 3.9 Training center (on laboratory
DMSc
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capacity building, Biosafety, Biorisk management and bioengineering control)
Year 4 2019
Strategic Policy, Registering & Licensing 4.1 All of reference laboratories
audited and licensed
DMSc (BPAT)
Diagnostic Capacity 4.2 DMSc laboratory information
system integrated
DMSc
Biorisk Management System 4.3 All biosafety officers in all health
laboratories certified
DMSc, DLD
Networking 4.4 National guideline for information
sharing of AH-HH lab formulated
DMSc, DDC, DLD
Year 5 2020
Strategic Policy, Registering & Licensing 5.1 Incidence report trend monitoring
system developed
DMSc
Biorisk Management System 5.2 National Guideline on Bio-
engineering control endorsed by PAT
DMSc, DLD,
Networking 5.3 Laboratory information for National
real time biosurveillance and Emerging Operation Center for selected pathogen integrated
DMSc, DDC, DLD
Total Budget: To be identified
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Detect 2 & 3: Real Time Surveillance Systems Target Desired Impact
Strengthened foundational indicator- and event-based surveillance systems that are able to detect events of significance for public health, animal health and health security; improved communication and collaboration across sectors and between sub-national (local and intermediate), national and international levels of authority regarding surveillance of events of public health significance; improved country and intermediate level/regional capacity to analyse and link data from and between strengthened, real-time surveillance systems, including interoperable, interconnected electronic reporting systems. This can include epidemiologic, clinical, laboratory, environmental testing, product safety and quality, and bioinformatics data; and advancement in fulfilling the core capacity requirements for surveillance in accordance with the IHR and the OIE standards
A functioning public health surveillance system capable of identifying potential events of concern for public health and health security, and country and intermediate level/regional capacity to analyse and link data from and between strengthened real-time surveillance systems, including interoperable, interconnected electronic reporting systems. Countries will support the use of interoperable, interconnected systems capable of linking and integrating multi-sectoral surveillance data and using resulting information to enhance the capacity to quickly detect and respond to developing biological threats. Foundational capacity is necessary for both indicator-based (including syndromic) surveillance and event-based surveillance, in order to support prevention and control activities and intervention targeting for both established infectious diseases and new and emerging public health threats. Strong surveillance will support the timely recognition of the emergence of relatively rare or previously undescribed pathogens in specific countries.
Key Milestones Host
Government Activity Other Donors and
Stakeholders
Other Activity (e.g. NGO, other governments, multilaterals, private
sector)
Year 1
1.1 Guidelines implemented for event confirmation, verification, assessment and notification 1.2 Policies, regulations, and communication procedures established at designated PoE as required by the IHR in Annex 1 1.3 Plans developed with country commitment to a sustainable funding plan for interoperable, interconnected, electronic real-time reporting system
MOPH MOAC MOT MOF MOFA
WHO FAO OIE CDC
Year 2 2.1 Data is complied, analyzed for trends, summarized for decision-making, and shared with stakeholders
MOPH MOAC MOT MOF
WHO FAO OIE
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2.2 Regular feedback of syndromic surveillance results to all levels and other relevant stakeholders is disseminated
MOFA CDC
Year 3
3.1 Sharing of surveillance activities is coordinated and supported through government commitment, stakeholders and partnerships, including neighboring countries 3.2 Sharing of surveillance activities is coordinated and supported through government commitment, stakeholders and partnerships, including neighboring countries
MOPH MOAC MOT MOF MOFA
WHO FAO OIE CDC
Year 4
4.1 Data is compiled, analyzed for trends, summarized for decision-making, and shared with stakeholders 4.2 Country has demonstrated the ability to file a report within 24 hours to the OIE for relevant zoonotic disease, based on an exercise or event
MOPH MOAC MOT MOF MOFA
WHO FAO OIE CDC
Year 5
5.1 Sharing of surveillance activities is coordinated and supported through government commitment, stakeholders and partnerships, including neighboring countries
MOPH MOAC MOT MOF MOFA
WHO FAO OIE CDC
Total budget
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Detect 4: Reporting (See also DETECT 2 and 3: Real Time Surveillance) Target Desired Impact
Timely and accurate disease reporting according to WHO requirements and consistent coordination with FAO and OIE.
Countries and their National IHR Focal Points, OIE Delegates, and WAHIS National Focal Points will have access to a toolkit of best practices, model procedures, reporting templates, and training materials to facilitate rapid (within 24 hours) notification of events that may constitute a PHEIC to WHO / listed diseases to OIE and will be able to rapidly (within 24/48 hours) respond to communications from these organizations.
Key Milestones Host
Government Activity Other Donors and
Stakeholders Other Activity (e.g. NGO, other
governments, multilaterals, private sector)
Year 1
1.1 Standard procedures established for implementing Circular 16 to strengthen surveillance data sharing among animal and human health sectors and laboratories
MOPH MOAC
WHO FAO OIE CDC
Year 2 2.1 Communicable disease reporting requirements updated and implemented
MOPH MOAC
WHO FAO OIE CDC
Year 3
3.1 National framework established for case-based reporting that integrates the preventive and clinical systems for domestic and international reporting of zoonotic disease events compliant with OIE and WHO standards
MOPH MOAC
WHO FAO OIE CDC
Year 4 4.1 National reporting of zoonotic MOPH
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disease and public health events compliant with OIE and WHO standards
MOAC WHO FAO OIE CDC
Year 5
5.1 Policies or legislation developed, as needed, to facilitate international reporting of PHEIC according to the WHO/IHR; and of animal diseases according to OIE
MOPH MOAC
WHO FAO OIE CDC
Total Budget
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Detect 5:
Workforce Development
Target Desired Impact
State parties should have skilled and competent health personnel for sustainable and functional public health surveillance and response at all levels of the health system and the effective implementation of the IHR (2005). A workforce includes physicians, animal health or veterinarians, biostatisticians, laboratory scientists, farming/livestock professionals, with an optimal target of one trained field epidemiologist (or equivalent) per 200,000 population, who can systematically cooperate to meet relevant IHR and PVS core competencies.
Prevention, detection, and response activities conducted effectively and sustainably by a fully competent, coordinated, evaluated and occupationally diverse multi-sectoral workforce.
Key Milestones Host
Government Activity Other Donors and
Stakeholders Other Activity (e.g. NGO, other
governments, multilaterals, private sector)
Year 1
Activities to Strengthen National Workforce Development
1.1 Maintain the existing training programs such as FETP, FETPV, FETPW, FEMT
- FETP, FETPV, FETPW Thailand
- CDC/ FAO/ WHO/USAID
1.2 Develop new curriculum for training-of-trainers (TOT) course
- FETP Thailand, MOAC, MOEnv
- CDC Advocate for One Health approach and HSS
1.3 Conduct self-assessment utilizing JEE assessment tools
- DDC -
1.4 Develop national plan for workforce management and development in disease control
- BOE in coordination with BPS, MOAC
- CDC/ FAO/ WHO/USAID/OIE
Activities as a Leading Country
1.5 Establish the Thailand Regional Coordination Office
- DDC, DLD - CDC/ FAO/ WHO/USAID/OIE
1.6 Develop regional Strategic Framework for Public Health Workforce Development and Systems Strengthening on Epidemiology (2016-2020)
- DDC - CDC/ FAO/
WHO/USAID/OIE
1.7 Establish regular communication with other leading and contributing countries
- BOE coordination for DDC
- CDC/ FAO/ WHO/USAID/OIE
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for workforce development action package
1.8 Conduct annual meeting among leading and contributing countries for workforce development action package
- DDC, DLD - CDC/ FAO/
WHO/USAID/OIE
Year 2
Activities to Strengthen National Workforce Development
2.1 Strengthen national One Health network
- DDC, DLD - CDC/ FAO/ WHO/USAID/OIE
2.2 Implement the national plan for workforce management and development in disease control
- DDC, DLD - CDC/ FAO/
WHO/USAID/OIE
2.3 Conduct self-assessment utilizing JEE assessment tools
- DDC -
2.4 Develop a centralized database for trained personnel
- DDC, DLD - CDC/ FAO/ WHO/USAID/OIE
Activities as a Leading Country
2.5 Strengthen international network (ASEAN+3 FETN)
- DDC - CDC/ WHO/USAID
2.6 Monitor the national plan for workforce management and development in other countries
- DDC, DLD - CDC/ FAO/
WHO/USAID/OIE
2.7 Foster opportunity for joint outbreak investigation
- DDC, DLD - CDC/ FAO/ WHO/USAID/OIE
2.8 Conduct the global TEPHINET scientific conference
- DDC, DLD - CDC/ FAO/ WHO/USAID/OIE
2.9 Maintain regular communication with other leading and contributing countries for workforce development action package
- DDC, DLD - CDC/ FAO/
WHO/USAID/OIE
2.10 Conduct annual meeting among leading and contributing countries for workforce development action package
- DDC, DLD - CDC/ FAO/
WHO/USAID/OIE
2.11 Support the Coordinating Office - DDC, DLD - CDC/ FAO/
WHO/USAID/OIE
Year 3
Activities to Strengthen National Workforce Development
3.1 Evaluate the training-of-trainers (TOT) course
- DDC - CDC/ WHO/USAID
3.2 Conduct the national seminar on epidemiology
- DDC - CDC/ WHO/USAID
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3.3 Conduct self-assessment utilizing JEE assessment tools
- DDC -
3.4 Develop and evaluate intensive and retention strategy and effective training approach to maintain workforce performance in Ministry of Public Health or similar institutions
- DDC
- CDC/ WHO/USAID
Activities as a Leading Country
3.5 Evaluate joint outbreak investigation - DDC, DLD - CDC/ FAO/
WHO/USAID/OIE
3.6 Maintain and strengthen international network (TEPHINET)
- DDC - CDC/ WHO/USAID
3.7 Expand collaboration with other regional training programs
- DDC, DLD - CDC/ FAO/ WHO/USAID/OIE
3.8 Maintain regular communication with other leading and contributing countries for workforce development action package
- DDC, DLD - CDC/ FAO/
WHO/USAID/OIE
3.9 Conduct annual meeting among leading and contributing countries for workforce development action package
- DDC, DLD - CDC/ FAO/
WHO/USAID/OIE
3.10 Support the Coordinating Office - DDC, DLD - CDC/ FAO/
WHO/USAID/OIE
Year 4
Activities to Strengthen National Workforce Development
4.1 Conduct JEE - DDC - CDC/ WHO/USAID
4.2 Revise the national plan for workforce development
- DDC - CDC/ WHO/USAID
Activities as a Leading Country
4.3 Maintain regular communication with other leading and contributing countries for workforce development action package
- DDC, DLD - CDC/ FAO/
WHO/USAID/OIE
4.4 Conduct annual meeting among leading and contributing countries for workforce development action package
- DDC, DLD - CDC/ FAO/
WHO/USAID/OIE
4.5 Support the Coordinating Office - DDC, DLD - CDC/ FAO/
WHO/USAID/OIE
Activities to Strengthen National Workforce Development
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Year 5
5.1 Revise and develop 2nd
5-year national strategic plan for workforce development
- DDC - CDC/ WHO/USAID
Activities as a Leading Country
5.2 Maintain regular communication with other leading and contributing countries for workforce development action package
- DDC, DLD - CDC/ FAO/
WHO/USAID/OIE
5.3 Conduct annual meeting among leading and contributing countries for workforce development action package
- DDC, DLD - CDC/ FAO/
WHO/USAID/OIE
5.4 Support the Coordinating Office - DDC, DLD - CDC/ FAO/
WHO/USAID/OIE
Total Budget
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Prevent 1:
Antimicrobial Resistance
Target Desired Impact
The draft National Action Plan on AMR, Thailand (2017-2021)1 indicates five national targets as follows.
By the year 2021, 1. Morbidity due to AMR reduces by 50% 2. Amount of antibiotics for human use decreases by 20% 3. Amount of antibiotics for animal use decreases by 30% 4. Public knowledge on AMR and awareness in appropriate use of antimicrobials increases 20% 5. The national AMR management system has a demonstrated capacity (Score 4)
Reduction of morbidity, mortality and economic impact caused by AMR
Key Milestones Host
Government Activity Other Donors and
Stakeholders
Other Activity (e.g. NGO, other governments,
multilaterals, private sector)
Year 1
1.1 The AMR National Multisectoral Committee (AMR-NC) including relevant subcommittees is established. (Strategy 6)
MOPH, MOAC - -
1.2 The national plans of four priority areas2 are developed. Designated
settings and sentinel sites to implement the plans are identified. (Strategy 1-6)
AMR-NC - -
1.3 Baseline data from the pilot sites covering the five national targets are established. (Strategy 1-6)
AMR-NC, MOPH, MOAC HSRI3 IHPP, Universities
1.4 A program to establish the prototypes of companion animal hospitals to promote appropriate use of antimicrobials is developed. (Strategy 4)
- - Universities
1.5 A program to review and monitor the distribution and use of antimicrobials in plantation (Strategy 4)
DOA, FDA, DMSc - IHPP
Year 2 2.1 The national integrated AMR surveillance and warning system/center for human and animals is established. (Strategy 1)
DMSc, DLD, DDC - -
2.2 National standard technique for laboratory, aligned with the international standard, is developed. (Strategy 1)
DMSc - -
2.3 Hospitals (150 beds+) adopt and implement the national AMR program (Strategy 3)
BHA, DSS, DDC, DMS - NHSO, HA, Universities
2.4 Strengthening capacities of health professionals regarding infectious disease and promoting the use of relevant guidelines to address AMR
BHA, DSS, DDC, DMS - NHSO, HA, Universities
2.5 Strengthening regulatory control by antibiotic reclassification measure. (Strategy 2)
FDA - -
2.6 Detection of antimicrobial residues and AMR pathogens in food chain (Strategy 4)
MOPH, MOAC - -
2.7 Engaging stakeholders from public, private and civil society sectors to increase public awareness on AMR (Strategy 5)
MOPH, MOAC - NHCO, DMDC, Universities
2.8 Report on Thailand AMR situations and actions is published. (Strategy 6) AMR-NC - -
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Key Milestones Host Government Activity
Other Donors and Stakeholders
Other Activity (e.g. NGO, other governments,
multilaterals, private sector)
Year 3
3.1 AMR surveillance and warning system in animal and fishery products is developed. (Strategy 4)
DLD, DF, FDA, DMSc FAO -
3.2 National monitoring system on distribution of antimicrobials for human and animal use is established. (Strategy 2)
FDA, DLD, DF HSRI, WHO3 IHPP, Universities
3.3 Regulatory system on medicated feed production is established (Strategy 4)
DLD - -
3.4 Interim monitoring and evaluation of the implementation of National Action Plan on AMR is conducted. Essential changes for facilitating the plan implementation to achieve the goals are made as appropriate. (Strategy 6)
AMR-NC - -
Year 4
4.1 Results from the designated units/sentinel sites are used as inputs (baseline data) for revising the targets of national action plan on AMR.
AMR-NC, MOPH, MOAC - Universities
4.2 Engaging stakeholders to discuss results, lessons learned and revising the national action on AMR. (Strategy 6)
AMR-NC - NHCO, DMDC, Universities
Year 5
5.1 5.1 Updating the components of AMR-NC and its relevant subcommittees AMR-NC - -
5.2 A final report on the implementation of the National Action Plan on AMR (2017-2021) is published.
AMR-NC - -
5.3 5.3 The 2nd
National Action Plan on AMR (2022-2026) is approved. AMR-NC - -
Total Budget
Notes: 1. As of July 2016, the draft National Action Plan on AMR, Thailand (2017-2021) is under the process to be submitted for the Cabinet approval. It consists of 6 strategies: (1) AMR
surveillance based on One Health approach, (2) Control and regulation of antimicrobial distribution, (3) Infection prevention and control in healthcare settings and antimicrobial stewardship in healthcare settings and pharmacies; (4) AMR control & appropriate use of antimicrobials in agriculture and companion animals; (5) Public awareness on AMR and appropriate use of antimicrobials and (6) Governance and policy mechanism for sustainable implementation addressing AMR.
2. The four priority areas of national plans include the items as follows: National plan for detection and reporting of priority AMR pathogens based on Global Antimicrobial Surveillance System (GLASS), National plan for surveillance of infections caused by priority AMR pathogens, National plan for HCAI programs, and National plan for antimicrobial stewardship.
3. The proposal is under the peer-review. 4. The AMR national system capacity based on the Joint External Evaluation Tool (JEE) should be achieved the Score 2, 3 and 4 in the Year 1, 4 and 5, respectively. 5. The M&E framework of the implementation of AMR National Action Plan is based on the developmental evaluation approach that allows to make adjustment of the plan and
activities in order to achieve the national goals and targets, to respond to changing situations over time.
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Prevent 2:
Zoonotic Diseases
5-Year Goal: Thailand has level-4 of capability according to the assessment tool of Joint External Evaluation: IHR (2005) monitoring and evaluation framework launched in February 2016, relevant partners have capability for preparedness and response to threats from emerging infectious diseases/ zoonosis/ other infectious diseases of international concern, applying the 5 years National EID/Zoonosis Strategic Plan with One Health Approach.
Key Milestones Host
Government Activity Other GHSA Donors and
Stakeholders
Other Activity (e.g. NGO, other governments, multilaterals, private
sector)
Year 1
1.1 Zoonotic disease priority for Thailand reviewed/revised
1.2 Multi-ministerial MOU developed 1.3 Baseline ZDAP Self-Assessment
using evaluation tool of IHR/ GHSA joint external evaluation completed
1.4 Mechanism of coordination between IHR Zoonosis and GHSA ZDAP identified and developed
DDC/DLD
OH Secretariat/DDC OH Secretariat/DDC
OH Secretariat/DDC
CDC/ FAO/ WHO
USAID
Year 2
2.1 Joint surveillance of zoonosis among animal-human-wildlife initiated and implemented
2.2 Provincial One Health model developed and implemented in 20 provinces
2.3 “One Health Watch” information sharing center developed
2.4 National EID/ Zoonosis Committee Meeting regularly (> 2 times/year)
2.5 Joint external Evaluation of IHR/GHSA on Zoonotic Action Packages done
DDC/DLD/DNP
DDC/DLD/DNP
OHCU/DLD/DNP/ZPO OH Secretariat/BEID DDC/DLD/DNP
CDC/ FAO/ WHO
CDC/ FAO/ WHO
CDC WHO
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Year 3
3.1 National implementation plan for 5 prioritized zoonotic diseases developed and implemented
3.2 Laboratory surveillance database for 5 prioritized diseases developed
3.3 Joint One Health Outbreak Investigation and Response developed and implemented (Manual/Guidelines)
3.4 Model of provincial One Health coordination mechanism developed and implemented in 35 provinces
3.5 Regional and provincial TOTs trained to support sustainable One Health workforce (at least 1/province)
DDC/DLD/DNP DDC/DLD/DNP
DDC/DLD/DNP DDC/DLD/DNP
DDC/DLD/THOHUN
CDC/ FAO/ WHO
CDC/ FAO/ WHO
CDC/ FAO/ WHO USAID/EPT2
Year 4
4.1 National zoonosis surveillance system (including wildlife) evaluated
4.2 SRRT-One Health with veterinary team trained and covered in 45 provinces
4.3 National EID/ Zoonosis Committee Meeting regularly (> 2 times/year) and sustain functioning of national coordination mechanism
4.4 Established EID/Zoonosis Provincial Committee under Communicable Diseases Act 2558 coverage at 100%
4.5 National EID /One Health Expert Committee established and knowledge based system initialized
DDC/DLD/DNP DDC/DLD
OH Secretariat/BEID DDC/DLD DDC/DLD/NSTDA
CDC CDC
5 CDC
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Year 5
5.1 Zoonosis/ EID event-based surveillance for 5 prioritized diseases (and unusual events) established at regional level
5.2 SRRT-One Health with veterinary team trained and covered in 50 provinces
5.3 Integrated One Health/ zoonosis laboratory network and referral system developed
5.4 Provincial One Health coordination mechanism developed and implemented in 55 provinces
5.5 Public – Private Partnership implemented in 12 provinces (with One Health implementation)
5.6 Risk communication on EID/zoonosis developed and implemented at regional level
DDC/DLD/DNP
DDC/DLD DDC/DLD/DMSC DDC/DLD/DNP DLD/DDC DDC/DLD
CDC
CDC
CDC
CDC
Total Budget
Note: Underlined words of each item is/ are the main responsible organization/agencies, the following are contributing or collaborating organizations/agencies
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Prevent 3: Biosafety & Biosecurity
Key Milestones
Host Government Activity
Other GHSA Donors and Stakeholders
Other Activity (e.g. NGO, other governments, multilaterals, private sector)
Year 1 2016
Biorisk Management System 1.1 Training course for Biomedical
engineering containment programme conducted
DMSc
Year 2 2017
2.1 Auxiliary regulations of Pathogen and animal toxin act supporting national biosafety and biosecurity are implemented
2.2 National Biosafety and Biorisk management Guidelines conform with new PAT act are developed
DMSc, DLD
Year 3 2018
3.1 Training curriculum for biosafety officer in different level of laboratories aligned with PAT Act;
3.2 BSO trainings conducted
DMSc, DLD
Year 4 2019
4.1 Biosafety officers in all public health laboratories certified;
4.2 All public health laboratories for
GHSA Goal GHSA Objective GHSA 5-Year Target
Prevent Avoidable Epidemics Promoting national biosafety and biosecurity systems.
A whole-of-government national biosafety and biosecurity system is in place, ensuring that especially dangerous pathogens are identified, held, secured and monitored in a minimal number of facilities according to best practices; biological risk management training and educational outreach are conducted to promote a shared culture of responsibility, reduce dual use risks, mitigate biological proliferation and deliberate use threats, and ensure safe transfer of biological agents; and country-specific biosafety and biosecurity legislation, laboratory licensing, and pathogen control measures are in place as appropriate.
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dangerous pathogens inspected and accredited
Year 5 2020
5.1 National Guideline on Bio-engineering control are endorsed by PAT;
5.2 Incidence report trend monitoring system established; and
5.3 National guideline for transportation of infectious material developed
DMSc, DLD,
Total Budget: To be identified
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Prevent 4: Immunization
Target Desired Impact
A functioning national vaccine delivery system—with nationwide reach, effective distributions, access for marginalized populations, adequate cold chain, and ongoing quality control—that is able to respond to new disease threats
Effective protection through achievement and maintenance of immunization against measles and other epidemic-prone vaccine preventable diseases (VPDs). Measles immunization is emphasized because it is widely recognized as a proxy indicator for overall immunization against VPDs. Countries will also identify and target immunization to populations at risk of other epidemic-prone VPDs of national importance (e.g., cholera, Japanese encephalitis, meningococcal disease, typhoid, and yellow fever). In the case of some diseases that are transferable from cattle to humans, such as anthrax and rabies, animal immunization should also be taken into account.
Key Milestones
Host Government
Activity
Other Donors and
Stakeholders
Other Activity (e.g. NGO, other
governments, multilaterals,
private sector)
Year 1
1.1 Steps to strengthen immunization programs to sustainably implement vaccine coverage of VPDs are developed
1.2 Internal and external QA programs for designated health facilities are developed 1.3 National databases for laboratory(ies) to record, monitor and report to stakeholders
are established 1.4 Collaborations with WHO, and other international stakeholders focused on
development to invest in immunization programs are established
Year 2
2.1 Monitoring and evaluation of health workers in immunization implementation activities
are performed
2.2 Measurable success criteria to document progress of immunization programs is
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determined 2.3 Information, education, communication materials on vaccine delivery and cold-chain
management are developed and disseminated 2.4 Coordination with sectors and stakeholders to implement vaccination controls at PoE is
established.
Year 3
3.1 Successes of strategies targeting community engagement for immunization adherence are documented
3.2 Trainings and exercises for event or hazard-specific response and management plans with sectors, stakeholders, and other agencies are developed
3.3 Steps to strengthen cold-chain quality assurance and safety measures within vaccine storage and delivery systems are developed
Year 4 4.1 Sustainable plan for vaccine programs is developed and implemented 4.2 Sustainable plan to ensure plan for vaccine delivery and cold-chain management is
developed and implemented
Year 5
5.1 National plan is strengthened for better integration of financial management for healthcare planning and immunization priorities
5.2 Strategic framework to nationally prioritize resources and investments in immunization is developed
Total Budget
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Respond 1: Emergency Response Operations
Target Desired Impact
Countries will have a public health emergency operation centre (EOC) functioning according to minimum common standards; maintaining trained, functioning, multi-sectoral rapid response teams and “real-time” biosurveillance laboratory networks and information systems; and trained EOC staff capable of activating a coordinated emergency response within 120 minutes of the identification of a public health emergency.
Effective coordination and improved control of outbreaks as evidenced by shorter times from detection to response and smaller numbers of cases and deaths.
Key Milestones Host
Government Activity
Other Donors and Stakeholders
Other Activity (e.g. NGO, other governments, multilaterals, private
sector)
Year 1
1.1 Routine communication connectivity with international, national, and sub-national public health focal points is established 1.2 Authorities for activation and deactivation of the national PHEOC are identified 1.3 Technical assistance with the receipt, inventory, installation and testing of PHEOC equipment systems are provided 1.4 The multisectorial emergency response department includes all key stakeholders for public and animal health, including veterinary, wildlife, and other pertinent experts 1.5 Database of PHEOC SMEs for preparedness and response are developed
MOPH MOAC MOF
WHO FAO OIE CDC
Year 2 2.1 EOC roles and responsibilities plans to key
stakeholders are disseminated
2.2 Risk communications strategy and/or operational
MOPH MOAC MOF
WHO FAO OIE
2016-09-16
26
plan are disseminated
2.3 EOC activates a coordinated emergency response
or exercise within 120 minutes of the identification of a
public health emergency; response utilized operations,
logistic and planning functions
CDC
Year 3
3.1 Discussion and operations-based exercises conducted jointly with MOPH 3.2 National legislation or directives for PHEOC and other entities to manage public health emergencies are developed and/or improved 3.3 National public health response fund and the policies for utilization of this fund are identified
MOPH MOAC MOF
WHO FAO OIE CDC
Year 4
4.1 Current legislation, regulation and other national policies that authorize emergency management activities are assessed 4.2 Measurable success criteria to document progress of PHEOC capacity are identified
MOPH MOAC MOF
WHO FAO OIE CDC
Year 5 5.1 After Action reviews (AAR) and improvements for routine trainings and exercises incorporated into national response plans
MOPH MOAC MOF
WHO FAO OIE CDC
Total Budget
2016-09-16
27
Respond 2: Linking Public Health and Security Authorities
Target Desired Impact
In the event of a biological event of suspected or confirmed deliberate origin, a country will be able to conduct a rapid, multisectoral response, including the capacity to link public health and law enforcement, and to provide and/or request effective and timely international assistance, including to investigate alleged use events.
Development and implementation of a memorandum of understanding (MOU) or other similar framework outlining roles, responsibilities, and best practices for sharing relevant information between and among appropriate human and animal health, law enforcement, and defence personnel and validation of the MOU through periodic exercises and simulations. In collaboration with FAO, International Criminal Police Organization (INTERPOL), OIE, WHO, individual Biological and Toxin Weapons Convention States Parties (and where appropriate the Implementation Support Unit), the United Nations Secretary-General’s Mechanism for Investigation of Alleged Use of Chemical and Biological Weapons (UNSGM), and other relevant regional and international organizations as appropriate, countries will develop and implement model systems to conduct and support joint criminal and epidemiological investigations to identify and respond to suspected biological incidents of deliberate origin.
Key Milestones Host
Government Activity Other Donors and
Stakeholders Other Activity (e.g. NGO, other
governments, multilaterals, private sector)
Year 1
1.1 Develop MOUs between and among health, agriculture, defense, security, law enforcement and other relevant sectors outlining roles, responsibilities, and best practices for sharing relevant information and collaboration in addressing challenges from biological threat
1.2 Establish National Committee and Sub-Committees to:
- review the existing laws and authorities;
- develop strategic framework/protocol/SOPs for implementing the MOUs particularly
MOPH, MOAC, MOI, MOD, MOJ, MOT, MOFA, MOC, MOF, MOL, MOST, Royal Thai Police
Medical Council of Thailand, Veterinary Council of Thailand
2016-09-16
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on information sharing and contingency plans;
- arrange for necessary resources for human and animal health surveillance, reporting and response
1.3 Establish Provincial Committee (rapid response team) to implement the contingency plans
Year 2
2.1 Develop training modules for multi-sectoral training on joint investigation to identify and respond to biological threat (contingency plan)
2.2 Conduct training
Relevant Departments of MOPH, MOAC, MOI, MOD, MOJ, MOT, MOFA, MOC, MOF, MOL, MOST, Royal Thai Police, FAO, OIE, WHO
Medical Council of Thailand, Veterinary Council of Thailand, Thai Veterinary Medical Association, The Animal Husbandry Association of Thailand
Year 3
3.1 Conduct multi-sectoral table-top and field simulation exercises
3.2 Evaluate the exercises and revise if necessary
Relevant Departments of MOPH, MOAC, MOI, MOD, MOJ, MOT, MOFA, MOC, MOF, MOL, MOST, Royal Thai Police, FAO, OIE, WHO
Medical Council of Thailand, Veterinary Council of Thailand, Thai Veterinary Medical Association, The Animal Husbandry Association of Thailand
Year 4
4.1 Conduct training 4.2 Conduct multi-sectoral table-top and
field simulation exercises 4.3 Evaluate the exercises and revise if
necessary
Relevant Departments of MOPH, MOAC, MOI, MOD, MOJ, MOT, MOFA, MOC, MOF, MOL, MOST, Royal Thai Police, FAO, OIE, WHO
Medical Council of Thailand, Veterinary Council of Thailand, Thai Veterinary Medical Association, The Animal Husbandry Association of Thailand
Year 5
5.1 Demonstrate the country capability to conduct a rapid, multi-sectoral response, including the capacity to link public health and law
Relevant Departments of MOPH, MOAC, MOI, MOD, MOJ, MOT, MOFA, MOC,
2016-09-16
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enforcement, and to provide and/or request effective and timely international assistance, including to investigate alleged use events
MOF, MOL, MOST, Royal Thai Police, FAO, OIE, WHO, INTERPOL
Total Budget
2016-09-16
30
Respond 3: Medical Countermeasures and Personnel Deployment Target Desired Impact
A national framework for transferring (sending and receiving) medical countermeasures and public health and medical personnel among international partners during public health emergencies.
Countries will have the necessary legal and regulatory processes and logistical plans to allow for the rapid cross-border deployment and receipt of public health and medical personnel during emergencies. Regional (international) collaboration will assist countries in overcoming the legal, logistical and regulatory challenges to deployment of public health and medical personnel from one country to another.
Key Milestones
Host Government Activity
Other Donors and Stakeholders
Other Activity (e.g. NGO, other governments, multilaterals, private sector)
Year 1
1.1 Capacity of emergency deployment of medical countermeasures response to emerging infectious diseases is tested
MOPH MOST MOD MOF MOFA MOT
WHO USAID TUC
Private hospital association Medical emergency association Professional Association in infectious diseases, pediatrics, medical technology
Year 2
2.1 Capacity of emergency deployment of medical countermeasures response to emerging infectious diseases is tested 2.2 Measurable success criteria to document progress of countermeasure response is determined
MOPH MOST MOD MOF MOFA MOT
WHO USAID TUC
Private hospital association Medical emergency association Professional Association in infectious diseases, pediatrics, medical technology
Year 3
3.1 International partnerships with medical product manufacturers supported and core services are supported 3.2 National plans and policies for personnel deployment are regularly updated
MOPH MOST MOD MOF MOFA MOT MOC
WHO USAID TUC
Private hospital association Medical emergency association Professional Association in infectious diseases, pediatrics, medical technology
Year 4 4.1 National plans and policies for MOPH WHO Private hospital association
2016-09-16
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medical countermeasure stockpile/deployment measures are updated 4.2 Engagement meeting(s) to build regional partnerships for personnel deployment is/are conducted
MOST MOD MOF MOFA MOT MOC
FAO OIE USAID TUC
Medical emergency association Professional Association in infectious diseases, pediatrics, medical technology
Year 5
5.1 Strategic framework to nationally prioritize resources and investments in medical countermeasures is developed
MOPH MOST MOD MOF MOFA MOT MOC
WHO FAO OIE USAID TUC
Private hospital association Medical emergency association Professional Association in infectious diseases, pediatrics, medical technology
Total Budget