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Monday, 3 October 2016

Zoonotic Diseases Action Package

I. How do Action Package leading countries engage other participating countries? 

1.     To explore the participation of other countries and organizations in ZDAP and possible solicitation to join and / or play a ZDAP leadership role
2.     All GHSA participating countries must strengthen their use of PVS in harmony with IHR 2005 within JEE and other tools in line with the targets stated in their ZDAP Road Map taking into account lessons learnt and best practices adopted in other countries
II. What are the challenges and opportunities in implementing the GHSA Action Packages roadmap?
      Challenges and opportunities identified in the use of PVS and IHR 2005 within JEE tools, particularly in the areas of coordination, Collaboration and an appropriate balance in sector representation shall be rectified.

III. Current Activities (2014 - 2016)
1.     Building Global Commitment to Multi sector Approach to Manage Emerging Zoonotic Diseases in Support of the GSHA within the framework of Public Health.
2.     ASEAN Strategy on Rabies Elimination and the Action Plan.
3.     Update activities with GHSA steering group.
4.     OIE conference in Paris in June 2015.
5.     International Conference on ZDAP in Viet Nam àZDAP Action Plan.
6.     The Asia – Pacific Workshop on Multisectoral Collaboration for Prevention and Control of Zoonoses in Saporo Jepang in 2015.
7.     Global elimination of dog-mediated human rabies – The Time is Now, and the technical pre-meeting with the WHO Collaborating Centers in Geneva in 2015.
8.     Send assessors to JEE.
9.     2nd ZDAP meeting at Ritz Carlton Mega Kuningan Jakarta 22 August 2016.

IV. What are the coordination mechanism and efforts to be taken to strengthen the Action Packages?
1.     Effort will be made to improve (non-technical) communication about the importance and relevance of Zoonoses and One Health to the public and policy/decision-makers, including with ministries of finance, home affairs, planning, interior, etc.
2.     All GHSA participating countries must strengthen their use of PVS in harmony with JEE and other tools in line with the targets stated in their ZDAP Road Map taking into account lessons learnt and best practices adopted in other countries.
V. What are best practices to be shared?
1.     Integrated zoonoses prevention and control program.
2.     Enhance of knowledge and skill among health workers and education sectors.
3.     Integrated communities empowerment through IEC.
4.     Integrated Surveillance System, outbreak investigation and reporting from Districts/Cities, Province, Central level (Avian Influenza, Rabies, Anthrax, etc.).
5.     Sentinel surveillance of zoonoses.
6.     Zoonoses Epidemiology and Laboratory Network (Four Way Linking).
7.     Expert meeting of zoonoses integrated human and animal health.

Tools, Guidelines and Best Practices Partnerships Collaborations and Outreach for 2016
a.     Emergency operations Center (EOC) and Zoonotic Disease Action Package (ZDAP) in Viet Nam
b.     Strategic Plan for the elemination of Human Rabies in Kenya 2014 -2020
c.      GHSA Projecs and Partmers in Viet Nam
d.     Frequently Asked and Quetions on Rabies
e.      Zoonosis Electronical Comic
f.       Avian Influenza Pocket Book

Intersector Coordination, Cooperation and Partnership Collaboration for Zoonoses Control  in Indonesia, 1972- 2016
1.     MOU 1972 (DG CDC MoH and DG Animal Health, MoA) : Strengthen Zoonosis Control.
2.     Three Minister Decree 1978 (Minister of : Health, Agriculture, Home Affair) : Guide line  of Rabies Control.
3.     National Comsion AI control, Pandemic Preparedness 2006 (Presidential Decree no. 7, Year  2006) : National Strategic plan of AI Control and Pandemic Influenza Preparedness, 2006.
4.     National Comission of Zoonosis Control 2011 (Presidential Decree no. 30 Year 2011) : National Strategic Plan of Integrated Zoonosis control, 2012.

ZDAP Logic Model
1.     Inputs
a.     Policy and Regulation : a. GHSA Technical Guidance Document; and b. IHR Document.
b.     Workforce and Training.
c.      Funds.
d.     Materials : a. Manuals and b. Protocols.
e.      National Partners : a. Relevant Govornment;  b. Public and Private Sectors.
f.       International Partners : WHO, FAO, OIE, World Bank, GHSA Partner Countries.

2.     Activities / Process
a.     Assessment and Planning.
b.     Framework Development and Implementation.
c.      Workforece Development.
d.     Prevention Policy.
e.      Outbreak Response.
f.       Partnership and Colaboration.
g.     Communication and Reporting.

3.     Monitoring and Evaluation

4.     Outcomes
a.     Short-term outcomes (1-3 years):
-         Health Facility,  Laboratory and surveilance system able to detect and diagnose prioritized zoonotic diseases.
-         National policy to detect, prevent and control zoonotic disease outbreak.
-         Joint outbreak response to real time zoonotic threats.
-         Animal and Public health staff trained in the implementation of one Health Approch.
b.    Intermediate outcomes (3-4 years):
-         Reduce time to detect zoonotic threats.
-         Early notification of zoonotic disease outbreak in both animal and human health sectors.
-         Innovation in prevention, detection and response of zoonotic diseases.
c.      Long-term outcomes (5 + years):
-    Avoidable zoonotic disease epidemics in animals and humans prevented.
-    Reduced impact of naturally occuring outbreaks and international or accidental release of dangerous pathogens.

6. Is there external assistance required for strengthening the Action Packages Implementation?
1.     Enhance capacity and number of human resource.
2.     Technical assisstance support (WHO and FAO) for zoonoses experties: Rabies, Pes, Leptospirosis and Antraks, etc.
3.     Strengten laboratorium capacity  for zoonoses.
4.     Research development support on zoonoses.
7. Key Milestones & Activities for 2016
1.     Collaboration on International Health Regulation (IHR) and Performance Veterinary Services (PVS) Training for human and animal health services.
2.     Enhance and strengthen surveillance and diagnose (early detection) of human and animal health using the existing system.
3.     Advocacy of policy and regulation on trade and production of poultry and other farm animal for national multisectoral stakeholder.
4.     Strengthen real-time bio-surveillance on animal and human implementation.
5.     Join zoonoses socialization for human and animal health workers

8.  Five-Year Action Items
1.     Emphasize One Health approaches across all relevant sectors of government.
2.     Implement joint IHR and PVS training programs for human and animal health services.
3.     Increase the compatibility of existing animal and human diagnostics and surveillance data fields.
4.     Introduce and develop national multi-sector policies and regulatory guidelines promoting poultry and livestock production and marketing practices.
5.     Support the implementation of national architecture for real-time bio-surveillance, spanning animal and human populations to support disease monitoring and reporting.
6.     Actively address the proposal of core competencies and systems requirements for implementation of the surveillance system.
7.     Enhance, link, and increase analytic capability within disease reporting systems, to ensure that WHO, FAO, and OIE receive pertinent information.
8.     Introduce an operational framework that supports multi-sector notification for outbreaks of suspected zoonotic origin in the early stage of emergence.
9.     Introduce systems that promote complementary research for public health purposes.

9. Closing Remark
      One Health-driven Risk Mapping should be continued and/or expanded to help inform program direction, synergies and identify possible gaps.

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