Laboratory network for EID response
DDC /MOPH perspectives
Supamit Chunsuttiwat
Science Park
31 March 2016
Key strategies in EID management
Prevention
Preparedness
Response
Recovery
Prevent Prepare Respond Recover
Key strategies in EID management
Prevent Prepare Respond Recover
Reduce risk • Sanitation • Hygiene • Vector control • Etc.
Build capacities • Surveillance capacity • Laboratory capacity • Hospital capacity • Stockpiling & logistics • Planning & exercises • R & D
Mitigate loss • Early detection • Outbreak investigatn • Outbreak control • Case manage. & IC • Risk communication • Incident command
Return to normal
• Physical • Mental • Social • Economic
Key strategies in EID management
Prevent Prepare Respond Recover
Reduce risk • Sanitation • Hygiene • Vector control • Etc.
Build capacities • Surveillance capacity • Laboratory capacity • Hospital capacity • Stockpiling & logistics • Planning & exercises • R & D
Mitigate loss • Early detection • Outbreak investigatn • Outbreak control • Case manage. & IC • Risk communication • Incident command
Return to normal
• Physical • Mental • Social • Economic
Key strategies in EID management
EID detection triad
Laboratory
Clinical Epidemio-logical
Diagnosis
Turning crises into opportunities
Major capacities built in the response to SARS, 2003
• Surveillance & Laboratory o epidemiologic definition adopted for
early detection o MOPH-US CDC cooperation initiated for
serologic testing; NSTDA collaboration with universities initiated
• Stockpiling o PPE stockpiling initiated
• Hospital infection control o BIDI accelerated hospital infection
control system o IC in public hospital activated, BIDI
serving as training center for hospital IC
Turning crises into opportunities
Major capacities built in the response to avian influenza, 2004
• Surveillance & laboratory o ILI surveillance initiated o PCR lab expanded – 12 regional labs. ,
confirmation at DMSc & universities o NSTDA support on rapid test develop. o SRRT expanded
• Stockpiling o Oseltamivir stockpile initiated o PPE stockpile increased
• Risk communication o Local RC networking strengthened
• National Committee established
• National plan on AI and PIP created
• Simulation exercise initiated and carried out at various levels
Turning crises into opportunities
Major capacities built in preparedness & response to pandemic influenza H1N1 2009 (1)
• Surveillance & laboratory o ILI, SARI surveillance strengthened o PCR lab further expended, confirmation
available in 24 hours
• Stockpiling & logistics o Oseltamivir expanded, local production
established o PPE stockpile expanded
• Vaccine capacity o Influenza vaccine manufacture project
approved o R&D for pandemic vaccine supported
under WHO GAP (started with H1N1, H5N1)
o National influenza immunization program initiated
Turning crises into opportunities
Major capacities built in preparedness & response to pandemic influenza H1N1 2009 (2)
• Hospital IC expanded countrywide, an isolation room in all public hospitals
• National Committee on AI & PIP maintained, later modified to National EID Com,
• National Plan on AI & PIP revised, modified to National EID Plan
• Simulation exercise maintained and supported by DDPM/MOI, BCP planning encouraged
Turning crises into opportunities
Major capacities built in preparedness to Ebola (1)
• Surveillance network strengthened o Traveler surveillance at POE
oDetection at health facility
oCommunity participation
• DRA established in main med. centers set for handling lab specimens of suspect Ebola
• Lab networking to fasten detection of Ebola, confirmation available DMSc & CU
Turning crises into opportunities
Major capacities built in preparedness to Ebola (2)
• National committee reactivated to oversee Ebola risk management
• Multisectoral cooperation extended, roles of armed forces and local admin. enhanced in preparedness planning for Ebola introduction and outbreak
• R&D on Ebola initiated (Siriraj research team)
Turning crises into opportunities
Major capacities built in preparedness and response to MERS
• Hospital IC capacity assessed and maintained
• Surveillance • SRRT trained to closely monitor Hajj
pilgrims & travelers from ME • Lab networking established for MERS
testing, 14 central and regional labs under DMSc; confirmation available at DMSc & universities
• National committee and cabinet kept informed on Ebola prep and response
• Simulation exercise conducted annually in high risk provinces
Thailand confirms first MERS case in visitor from Oman
BBC 19 June 2015
Thai officials disinfected the aircraft the 75-year-old man was on from Oman to Bangkok Thailand has confirmed its first case of Middle East Respiratory Syndrome (Mers), the deadly virus that has killed 24 people in South Korea.
The man is now in quarantine at an infectious diseases facility outside the capital Bangkok.Thai health officials said the 75-year-old from Oman was seeking treatment for a heart problem in Bangkok. Nearly 60 people who came into contact with the patient have been identified. That includes three relatives who travelled with him on the plane.
Social loss : 283 human cases 110Deaths Economic loss : Pig destruction (1.4 mil.) US$ 400 million Identification of aetiology International collaboration: Malaysia-Australia
Nipah - Malaysia 1999
Flying Fox
Key issues in HFMD response
• Public health
• Surveillance
• Laboratory investigation
• Prevention & Control
• Case management
• Risk communication
• Public Communication
Inter-
Depart.
Inter-
Sector.
Collab-
oration
ICS
Expert
advisory
Geographical distribution of Zika virus disease
Expectations of laboratory capacities for EID management: DDC perspective
Availability
Speed
Quality/ reliability
Sustainable/ self-reliance
Affordability/ cost-effectiveness
Advancement
Benefits of Lab networking
• Prompt response • Development • Quality / standard • Work load sharing • HRD • Other
ที่มา : กรมอาเซียน กระทรวงการตา่งประเทศ
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พรอ้มรว่มมอื
Summary • Critical role of laboratory network in EID response
• Speedy & reliable lab testing is critical for EID detection & response.
• National lab capacities determines EID preparedness and response
• Appreciation of lab collaboration in earlier EID responses • SARS /MERS, Avian / Pandemic influenza, Ebola, Nipah, etc.
• Great opportunities and potential of national lab networking
• Expectation of national laboratory capacities • Networking – extensive and tight, national & international
• Surge capacity & development
• Sustainability / self-reliance / security
• Quality
Thank you Terima kasih
Salamat Cam on
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