Conference "Lessons learned for public health from the Ebola outbreak in West Africa – how to improve preparedness and
response in the EU for future outbreaks"
12-14 October 2015 Mondorf les Bains – Luxembourg
Public Health England Emergency Response Department Porton Down Salisbury Wiltshire SP4 0JG United Kingdom
Tel: +44 (0) 1980 61 / 2827 / 9874 / 3667 E-Mail: [email protected] Website: www.gov.uk/phe
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CONTENTS
Page
Introductory Statements 2
Conference Introduction 3 Conference Map 4 Opening Day of the Conference 5
Workshop Programmes 7 Closing Afternoon of the Conference 20
General Information 21 Conference Coach Timetable 23 Glossary of Terms 24
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Introductory Statement
Vytenis Andriukaitis, EU Commissioner for Health and Food Safety My first year as EU Commissioner for Health and Food Safety has been marked by the major Ebola outbreak in West Africa. I was deeply touched by this crisis and witnessed the suffering first hand when I visited the affected countries with my colleague Commissioner Stylianides a few weeks into our mandate. New cases are thankfully decreasing, and we hope that the outbreak is finally under control. However, we need the continued commitment of the EU and the rest of the world to stamp it out completely. The Ebola crisis has shown us the importance of multi-sectoral cooperation, as it has involved public health services, research and innovation for the development of new vaccines and therapies, humanitarian aid, transport and international cooperation. Efficient cooperation between sectors is a key element of EU legislation on serious cross-border health threats, which was extended two years ago to strengthen preparedness for chemical and environmental threats to health in addition to communicable diseases. I am committed to ensuring EU legislation and procedures remain fit for purpose. It is vital that both at EU and Member State-level all protocols and procedures are in place to efficiently address any crisis that comes our way. Learning lessons from our response to the Ebola outbreak is important to be better prepared to respond to future health threats. This is why the Luxembourg Presidency and the European Commission are convening this conference: to identify learning points so as to strengthen health security within the European Union and enhance the preparedness and response capacities of the EU Member States. I am looking forward to an inspiring discussion in Luxembourg on how we can reach these goals, and to presenting the results to Health Ministers at the next Health Council.
The Ebola epidemic is the most striking illustration of what we all know but what is never stressed enough: health is our most important capital. If we want the human right to health to be reality, we need effective, strong and resilient health systems. It is therefore vital that the health dimension is fully taken into account when decisions are taken to react to cross-border crises.
Ebola seems to be under control but we need to be vigilant. We don’t know when the next epidemic will hit us, but we know for sure that cross-sectoral cooperation is crucial if we want to strengthen health security within the European Union and to improve the response and preparedness capacities of Member States in case of future outbreaks. Health, medical and clinical concerns must remain at the core of this response.
The Ebola epidemic has triggered new ways of working and of crisis management within the European Union, allowing for best possible coordination of public health, research, development and military departments. Speeder reaction and pragmatic approaches were greatly facilitated by daily and weekly teleconferences operated by the Emergency Coordination Response Centre and the Health Security Committee and unprecedented funds were levied.
I am very honored to count Dr. Margaret Chan among the speakers – there is a lot that can be learnt from the assessment performed by the World Health Organization on how to intensify the strategic development and the maintenance of health system preparedness.
It is now time for the European Union to look back and to ask ourselves: What could be done differently? How can we better sustain critical health system capacities? The European Union, just as the international community, need to learn lessons from the Ebola crisis.
The Luxembourg Presidency is committed to push this important issue forward and to put it high on the political agenda, together with the Commission and the Member States.
Introductory statement
Lydia Mutsch, Minister of Health, Luxembourg
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Conference Introduction
Conference addressing: "Lessons learned for public health from the Ebola outbreak in West Africa - how to improve preparedness and response in the EU for future outbreaks" The European Commission and the Luxembourg Ministry of Health welcome you to this conference organised under the Luxembourg Presidency to: “Identify lessons learned about the EU response to the Ebola epidemic in West Africa and to improve EU public health preparedness and response capacities for future similar events.” The Conference starts at 09:15 on 12 October and finishes at 15:00 on the 14 October. The programme comprises the opening of the Conference on the 12 October, followed by four workshops running in parallel. On the 14 October, all participants will reconvene as a Conference to share each workshop’s findings. The Conference participants are drawn from EU Member States, EU bodies, International and Non-Governmental Organisations and companies working in risk and crisis management and communication. The final output of the Conference will be presented to the Council of Ministers under the auspices of the Luxembourg Presidency in December 2015. At the end of the Conference each participant will be given a USB containing the workshop presentations. The four workshops are: Workshop 1: The Ebola outbreak as a complex crisis: the EU response and inter-sectoral cooperation Workshop 2: Good practices and innovation for pre-clinical and clinical management of Ebola virus disease Workshop 3: Communication activities and strategies addressed to the public and health professionals Workshop 4: The EU preparedness and response planning as part of global health security The workshops are being run on behalf of the European Commission by Public Health England’s Conference Team who will be happy to help you should you need any assistance.
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Conference Map
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PROGRAMME MONDAY 12 OCTOBER 2015 Location: Salle des Fêtes
Amended agenda
TIME Opening Day of the Conference
08:30 Registration and Coffee
09:15 Opening of the Conference
09:15
Addresses Moderator: Martin Seychell - Deputy Director General DG SANTE Mrs Lydia Mutsch – Minister of Health (Luxembourg) Mr Romain Schneider – Minister of Cooperation and Humanitarian action
(Luxembourg) Dr Vytenis Andriukaitis – European Commissioner for Health and Food Safety Mr Christos Stylianides – European Commissioner for Humanitarian Aid and Crisis
Management Dr Margaret Chan – Director General World Health Organization Mr Hermann Gröhe – Minister of Health (Germany)
10:30 Coffee
10:45
Feedback on Lessons Learned from Ministers of Health Moderator: Martin Seychell - Deputy Director General DG SANTE • Dr George Pamboridis - Minister of Health (Cyprus) • Mrs Jane Ellison - Parliamentary Under Secretary of State for Public Health (UK) • Mr Marijan Cesarik - Vice-Minister of Health (Croatia) • Mr Arvydas Skorupskas - Adviser to the Minister of Health (Lithuania) • Mrs Päivi Sillanaukee - Permanent Secretary to the Ministry of Social Affairs and
Health (Finland) • Mr. Francisco George, Director General for Health (Portugal) • Mrs Christine Fages - Ambassador, Ministry of Foreign Affairs, (France)
12:30
EU Health Award for NGOs fighting Ebola Award Ceremony - prize giving by Commissioner Andriukaitis, and Minister Lydia Mutsch Moderator: Mr John F. Ryan - Acting Director of the European Commission Public Health Directorate DG SANTE
13:15 Lunch
14:30
Panel Discussion Moderator: Dr Nick Gent - Public Health England • Dr Andrea Ammon - European Center for Disease Prevention and Control • Mr Panu Saaristo - International Federation of Red Cross • Ms Hilde de Clerck - Médecins Sans Frontières
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• Mr Guillaume Grosso - Head of Europe at GAVI • Mr Paul de Raeve - European Federation of Nurses • Dr Gunael Rodier - World Health Organization • Prof Paul Cosford - Public Health England • Ms Barbara Bentein - UNICEF • Dr Nicole Lurie - - Assistant Secretary for Preparedness and Response at the
U.S.Department of Health and Human Services
16:30 Adjourn
19:00 Reception - Orangerie
20:00 Formal Dinner - Salle des Fêtes
22:30 Buses Depart for Hotels
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WORKSHOP 1 PROGRAMME
The Ebola outbreak as a complex crisis: the EU response and inter-sectoral cooperation
Location: Salle des Fêtes – Côté Thermes
WORKSHOP 1 This workshop will allow participants to discuss the main issues that contributed to make the Ebola outbreak in West Africa a 'complex emergency situation' or a 'complex crisis', and to agree main messages indicating areas deserving special attention to improve the EU public health response should a similar outbreak occur in the future. The discussions will also address particular aspects that have challenged the European Commission and the EU health authorities in responding rapidly and efficiently, including the need to work in close collaboration with other sectors and with the international partners, namely the World Health Organization. This workshop will explore these challenges by addressing 3 thematic areas:
• THEMATIC AREA 1: ‘From the early identification of the cases in Guinea until July 2014: risk assessment and EU risk management in the early phase of the outbreak’.
• THEMATIC AREA 2: ‘Risk management after July 2014: coordination mechanisms
in place under Decision 1082/2013/EU on serious cross-border threats to health and the role of the Health Security Committee’.
• THEMATIC AREA 3: ‘Risk management after July 2014: EU added value and cross sector cooperation beyond the health sector and EU borders – Working with other Commission Services, Cooperation with non-governmental organisation, international organisation and with third countries' partners’.
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TIME WORKSHOP 1 - TUESDAY 13 OCTOBER
0830
Registration and Coffee
09:00
• Welcome and Introductions • Opening Address
09:30
Thematic Area 1: From early identification of cases in Guinea until July 2014 – What was the risk assessment and EU risk management in the early phase of the outbreak
10:30
Coffee
11:00
Thematic Area 1: From early identification of cases in Guinea until July 2014 – What was the risk assessment and EU risk management in the early phase of the outbreak
11:30
Thematic Area 1: Round table discussion within groups
12:30 Lunch
13:30
Thematic Area 2: Risk management after July 2014 - The coordination mechanisms in place under Decision 1082/2013/EU on serious cross-border threats to health and the role of the Health Security Committee
14:30 Thematic Area 2: Round table discussion within groups
15:30 Coffee
15:45
Thematic Area 3: Cross sector cooperation beyond the health sector and EU borders - The EU added value and cross sector cooperation beyond the health sector and EU borders – Working with other Commission Services, Cooperation with non-governmental organisation, international organisation and with third countries' partners
16:45 Day One Plenary and Close
17:00 Adjourn
19:30 Dinner in the Orangerie
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WORKSHOP 1 - WEDNESDAY 14 OCTOBER
08:30
Registration and Coffee
09:00 Recap on Thematic Area 3
09:15 Thematic Area 3: Round table discussion within groups
10:15 Consolidation of Workshop 1 Key Messages
11:30 Workshop 1 Plenary and Close
12:00 Lunch
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PROGRAMME WORKSHOP 2
Good practices and innovation for pre-clinical and clinical management of Ebola virus disease
Location: Salon Clement
WORKSHOP 2 The workshop will allow participants to exchange good practices and discuss lessons learned related to pre-clinical management, clinical management and Ebola research response. It will further provide the opportunity to identify concrete actions and the way forward to meet challenges and needs related to medical evacuation, ground transport of Ebola virus disease (EVD) patients in European countries, hospital preparedness and treatment for EVD in European hospitals, and accelerated research and development to ensure innovation in medical countermeasures. The workshop will be organised around 4 thematic areas, each of them divided into specific sub-sessions. The 4 thematic areas are as follows:
• THEMATIC AREA 1: Pre-clinical Management and Staff Protection
• THEMATIC AREA 2: Clinical Management
• THEMATIC AREA 3: Innovation in Medical Countermeasures
• THEMATIC AREA 4: Lessons Learnt in Research Response
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TIME WORKSHOP 2 - TUESDAY 13 OCTOBER
08:30
Registration and Coffee
09:00 Opening and Introduction
Session 1 Pre-clinical Management and Staff Protection
09:05 Medical Evacuation
09:35 Ground Transport of EVD Patients in European Countries
10:00 Staff Protection for Infectious Diseases of High Consequence in European Healthcare Settings
10:30 Coffee
10:45 Wrap-up and Conclusions Session 1
Session 2 Clinical Management
11:15 First Assessment of EVD Patients and Infection Control
11:50 Hospital Preparedness for Patients with Infectious Diseases of High Consequence in Europe
12:30 Lunch
13:30 Current Treatment Approaches for EVD in European Hospitals
14:00 Wrap-up and Conclusions Session 2
Session 3 Innovation in Medical Countermeasures
14:30 Vaccines: a Game Changer in Management of Ebola Outbreak
15:00 Coffee
15:15 Accelerated R&D for EVD: Medicines, Diagnostics and Personal Protection Equipment
Session 4 Lessons Learnt on Research Response
16:00 Lessons Learnt on Research Response: Global challenges
17:00 Adjourn
19:30 Dinner in the Orangerie
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WORKSHOP 2 - WEDNESDAY 14 OCTOBER
08:30
Registration and Coffee
09:00 Lessons Learnt on Research Response: Taking Advantage of "Peacetime"
09:45 Lessons Learnt on Research Response: Crisis as an Opportunity
10:30 Coffee
10:45 Lessons Learnt on Research Response: Ethical Considerations
11:30 Wrap-up and Conclusions Session 3 and 4
12:00 Lunch
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WORKSHOP 3 PROGRAMME
Communication activities and strategies addressed to the public and health professionals
Location: Suite des Poètes
The dynamic of the Ebola crisis and the multi-sectoral response generated challenges and opportunities for communicating with internal and external target audiences - such as the public; at risk groups; governments and responding organisations – in affected countries, globally and at a European level.
Emergency Risk Communications was a key element in crisis management and involved an exchange of views between the Commission, Member States representatives, inter-governmental organizations, selected partner organisations, as well as feedback from European media outlets. Workshop 3 will invite participants to consider the development of the external and internal communications element of a response to the Ebola outbreak. For the morning of 13 October 2015 the communications workshop will be joined by 30 journalists. There will be a panel discussion to allow feedback from journalists about their experience of the EU and national communication about the outbreak with them Broad areas for discussion will include:
• How the media and communications staff can work more effectively together
• External communication with the public and specific groups such as health professionnals
• How best to support WHO in communication activities in affected countries, deployment of communicators to the affected countries along medical experts
• Developing the role of communications as an essential part of crisis management. • Improving coordination of communications activity and messaging amongst responding
organisations
• Evaluation of the public perception of risk and the effectiveness of risk messaging.
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TIME WORKSHOP 3 - TUESDAY 13 OCTOBER
08:30
Registration and Coffee
09:00 Welcome and Introduction: A Formal Welcome to the workshop
09:15
Journalist and Communicator Group Discussion: Journalists and communicators group discussion on “reporting the European response to Ebola”. Followed by feedback
10:30 Coffee
11:00 Introductions
11:15 Country Presentations followed by Questions
12:30 Introduction to Group Work
12:45 Lunch
13:30 Group Work Topic 1
15:00 International Presentations
15:45 Coffee
16:15 Group Work Topic 2
16:50 Feedback and Round Up for Day 2
17:00 Adjourn
19:30 Dinner in the Orangerie
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WORKSHOP 3 - WEDNESDAY 14 OCTOBER
08:30 Arrival and Coffee
09:00 Project Presentations
09:45 Groups Feedback Presentations
10:30 Finalise Conclusions for the Plenary Session
11:10 Coffee
11:30 Wrap-up Session
12:00 Lunch
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WORKSHOP 4 PROGRAMME
The EU preparedness and response planning as part of global health security
Location: Salle des Fêtes – Côté Parc
WORKSHOP 4 This workshop will invite participants to consider the EU preparedness and response planning as part of global health security in the context of the Ebola outbreak in West Africa. It will focus on issues that would improve the EU public health preparedness and response should a similar outbreak occur in the future. This workshop will address the following 3 themes:
• THEME 1: ‘EU preparedness to rapidly deploy public health support’. • THEME 2: ‘EU support for preparedness and response planning in affected
countries’.
• THEME 3: ‘Research for epidemic preparedness and global health security’.
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TIME WORKSHOP 4 - TUESDAY 13 OCTOBER 2015
08:30
Registration and Coffee
09:00
Welcome and Introduction
09:30
Theme 1: EU Preparedness to Rapidly Deploy Public Health Support
Emergency Response and Coordination Centre (ERCC) coordination role in emergency response and lessons learnt from its work during the Ebola outbreak
European Medical Corps and its links with the WHO Global Health Emergency Work Force. Support in case of a public health emergency or other type of emergency with medical and public health consequence
Presentation of the concept of Public Health pools of experts
Mobile and deployable laboratories in third countries. Lessons learned starting from EMLAB. How to integrate research into operations
Continuous training and stress testing of preparedness schemes in outbreak free periods supported by existing training programmes
10:30
Coffee
10:45
Participant Groups Discussion and Preparation of Questions
11:00
Questions to the Panel
11:30
Theme 2: EU Support for Preparedness and Response Planning in Affected Countries
EU support for reinforcing the global leadership role of WHO for health crises
The IHR as global mechanism for all-hazard surveillance and response
Support to Health Systems Strengthening in Low Income Countries: Implement health SDGs and mitigate outbreak risks
12:30
Lunch
13:30
Theme 2 Session Resumes
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Exit screening: The US CDC experience in the affected countries
Proposal for an EU network supporting exit screening implementation in affected countries
Public Health in travel and transport and at ports and airports: Support the dissemination of temporary recommendations of the IHR Emergency Committee and their coherent and cross-sectoral implementation across the EU based on Art. 15 of the IHR
14:20
Participant Groups Discussion and Preparation of Questions
14:30
Questions to the Panel from before and after Lunch Presentations
15:00
Coffee
15:15
Theme 3: Research for Epidemic Preparedness and Global Health Security Policy
How can research in affected regions/countries be carried out in partnership, such as through the Global Research Collaboration for Infectious Disease Preparedness (GLoPID-R) network?
Research preparing the ground for the future: sample sharing, deployment of Medical Countermeasures
PREPARE, a European platform to prepare for emerging and re-emerging infectious diseases
Clinical trials in outbreak scenarios, and the importance of networks to aid in emergency research
The role of the European & Developing Countries Clinical Trials Partnership in preparedness research
16:05
Participant Groups Discussion and Preparation of Questions
16:20
Questions to the Panel
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1700 Adjourn
1930 Dinner in the Orangerie
WORKSHOP 4 - WEDNESDAY 14 OCTOBER
08:30 Arrival and coffee
9:00
Finalisation of Conclusions with Working Coffee
Theme 1 conclusions
Theme 2 conclusions
Theme 3 conclusions
12:00
Lunch
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PROGRAMME WEDNESDAY AFTERNOON 14 OCTOBER 2015
Location: Salle des Fêtes
Closing Afternoon of the Conference
13:00
Reporting back from the 4 Workshops Chair: Mr John F. Ryan - Acting Director of the European Commission Public Health Directorate DG SANTE Closing Addresses: • Dr Elisabeth Heisbourg – Ministry of Health Luxembourg • Mr Jean-Louis De Brouwer - Director DG ECHO • Prof David Heymann CBE - Centre on Global Health Security at Chatham
House • Mr Xavier Prats Monné - Director General DG SANTE
15:00 End of the Conference
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GENERAL INFORMATION
Conference Registration
• Registration for participants staying in hotels. When you arrive at your Hotel on Sunday the 11 October 2015 a member of the Public Health England (PHE) Conference Team will register you for the Conference.
• Registration for participants not staying in hotels. You will be able to register for the Conference at the entrance to the Salle des Fêtes on the opening day of the Conference. Registration will open at 08:00 on Monday 12 October 2015 and the Conference will open at 09:15.
• Badges. You will be provided with a name badge, please wear it at all times.
PHE Conference Team The PHE Conference Team will be available to provide you with information and will be based in the following locations:
• Salon Sol in the Salle des Fêtes • Salon Rodange in the main Hotel
The PHE Conference Team can be contacted on the following numbers:
• Dr Paul Riley - PHE Conference Team Lead: +44 (0)7717 787802 • Andrew Chaplin - PHE Workshop 1 Lead: +44 (0)7557 634270 • Gema Rios - PHE Workshop 2 Lead: +44 (0)7920 492096 • Andrew Black - PHE Workshop 3 Lead: +44 (0)7827 257198 • Sandra Broad - PHE Workshop 4 Lead: +44 (0)7500 881536 • Anthea Chilton - PHE Co-ordinator: +44 (0)7825 976128 • Rosemary Hayward - PHE Co-ordinator: +44 (0)7900 137193
Travel to and from Mondorf Parc Hotel Please refer to the Conference coach timetable on page 23. Wifi Wifi is available free of charge throughout the Hotel.
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Media There will be media coverage of the Conference. Members of the media have also been invited to attend Workshop 3 on the morning of the 13 October 2015. Filming and Photography Filming and photography may take place at the Conference and in the respective Workshops. If you do not want to be filmed or photographed please inform the Public Health England Conference Team and the camera crew and/or photographer.
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CONFERENCE COACH TIMETABLE Hotel Victors, Schloss Berg Hotels at Remich:
Hotel St Nicholas Hotel des Vignes Hotel Domaine la Forêt
MONDAY 12 OCTOBER 2015 Depart from hotels 08.00hrs 08.00hrs
Arrive at Mondorf Parc 08.30hrs 08.30hrs
Depart from Mondorf Parc 16.45hrs 16.45hrs
Arrive at hotels 17.15hrs 17.15hrs
Depart from hotels for formal dinner
18.30hrs 18.30hrs
Arrive at Mondorf Parc 19.00hrs 19.00hrs
Depart from Mondorf Parc 22.30hrs 22.30hrs
Arrive at hotels 23.00hrs 23.00hrs
TUESDAY 13 OCTOBER 2015 Depart from hotels 08.00hrs 08.00hrs
Arrive at Mondorf Parc 08.30hrs 08.30hrs
Depart from Mondorf Parc 17.15hrs 17.15hrs
Arrive at hotels 17.45hrs 17.45hrs
Depart from hotels for informal dinner
19.00hrs 19.00hrs
Arrive at Mondorf Parc 19.30hrs 19.30hrs
Depart Mondorf Parc 22.00hrs 22.00hrs
Arrive at hotels 22.30hrs 22.30hrs
WEDNESDAY 14 OCTOBER 2015 Depart from Hotels 08.00hrs 08.00hrs
Arrive at Mondorf Parc 08.30hrs 08.30hrs
Depart to Airport & Rail Station Approximate journey time 45mins
15.45hrs 15.45hrs
*Please note - the Conference coaches are provided to delegates at no cost - if you wish to make your own arrangements you will not be reimbursed.
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GLOSSARY OF TERMS Acronym Definition
ALIMA The Alliance for International Medical Action CHAFEA The Consumers, Health, Agriculture and Food Executive Agency CRISCOMSCORE Crisis Communication Score Card DG COMM Directorate General of Communication DG DEVCO Directorate General International Cooperation and Development DG ECHO Directorate General Humanitarian Aid and Civil Protection
Department DG MOVE EU Commission Directorate-General for Mobility and Transport DG RTD Directorate-General for Research and Innovation DG SANTE Directorate General for Health and Food Safety DH Department of Health EAHC Executive Agency for Health and Consumers EC European Commission European CBRNE Center
European Chemical, Biological, Radioactive, Nuclear and Explosive Center
ECDC European Centre for Disease Prevention and Control ECOM Effective Communication in Outbreak Management EDCTP The European & Developing Countries Clinical Trials Partnership EFN European Federation of Nurses EFSA European Food Safety Agency EJC European Journalism Centre EMA European Medicines Agency ERD Emergency Response Department (of PHE) EU European Union EVD Ebola Virus Disease EWRS Early Warning and Response System GAVI Global Alliance for Vaccines and Immunization GHSAG Global Health Security Action Group GHSI Global Health Security Initiative HHS Department of Health and Human Service (USA) HSC Health Security Committee HSC COMNET Health Security Committee Communicators Network IBBS Informationsstelle des Bundes für Biologische Gefahren und
Spezielle Pathogene IFRC International Federation of Red Cross and Red Crescent Societies IFSW-Europe International Federation of Social Workers IHR International Health Regulations INFOSAN The International Food Safety Authorities Network Inserm Institut national de la santé et de la recherche médicale LSHTM The London School of Hygiene & Tropical Medicine MCM Medical Countermeasures MoH Ministry of Health Luxembourg MSB Swedish Civil Contingencies Agency MSF Médecins Sans Frontières NGO Non-Governmental Organization
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Acronym Definition NIPH National Institute of Public Health NIPH Norwegian Institute of Public Health PHE Public Health England RKI Robert Koch Institute RMCWG Risk Management and Communication Working Group Solthis Therapeutic Solidarity and Initiatives for Health TIEMS The International Emergency Management Society UNICEF United Nations International Children’s Emergency Fund WHO World Health Organization WHO Euro World Health Organization Regional Office for Europe WHO HQ World Health Organization Head Quarters
Conference "Lessons learned for public health from the Ebola outbreak in West Africa – how to improve preparedness and
response in the EU for future outbreaks"
12-14 October 2015 Mondorf les Bains – Luxembourg
Public Health England Emergency Response Department Porton Down Salisbury Wiltshire SP4 0JG United Kingdom
Tel: +44 (0) 1980 61 / 2827 / 9874 / 3667 E-Mail: [email protected] Website: www.gov.uk/phe
