GLOBAL HEALTH SECURITY AGENDA DETECT 1: NATIONAL LABORATORY SYSTEM ACTION PACKAGE UPDATE

Transcription

1 GLOBAL HEALTH SECURITY AGENDA DETECT 1: NATIONAL LABORATORY SYSTEM ACTION PACKAGE UPDATE Dr. Phichet Banyati Deputy Director General, Department of Medical Sciences, Ministry of Public Health, Thailand

2 Presentation Outline 1. Action Package Membership & Governance 2. Key Milestones & Activities in Partnership Collaboration and Outreach for Highlights of the Workshop, July 2016 Key Challenges Regional Strategic Roadmap Key Regional Activities for 2016 & 2017 Recommendations 5. Support needed from the Steering Group

3 Lead Countries South Africa, Thailand [coordinating country for 2016], United States Contributing Countries Canada, China, Ethiopia, Finland, Georgia, Israel, Japan, Malaysia, Mexico, Peru, Switzerland, United Kingdom, Yemen Contributing International Organizations: FAO, OIE, WHO

4 Action Package Membership & Governance In 2016, Thailand takes turn to lead monthly video conference among lead countries Contributing countries will be further invited to join monthly video conference, if required. Face to face Meeting/session was held on 28 July 2016, other appropriate venue will be further explored and utilized. Thailand works closely with Working Level Support Team in providing secretariat function for the year 2016

5 Maintain Regular communication among lead countries

6 Key Milestones & Activities in A Workshop: Enhancing Regional Partnership Towards Strengthening Laboratory System in Accelerating GHSA s Implementation: Detect 1 was convened during July 2016, Bangkok, Thailand, aims to, among others, identify key regional activities and implementing mechanism; and to enhance networking on laboratory across regions. 2. A half day of the Face face Meeting of Lead Countries & Contributing Countries was organized back to back on, 28 July 2016 aims to stimulate the discussion on accelerating an implementation and collaboration of identified key priorities of regional activities. 3. Regional Workshop in November 2016 (to be confirmed) aims to fostering sharing practices and tools to enhance an implementation of GHSA: Detect Promote utilization of Joint External Evaluation [JEE]

7 Partnerships Collaborations and Outreach for 2016 Thailand requested collaboration with WHO to materialize an implementation of JEE; Collaborated with ASEAN Plus Three Laboratory Network and other relevant regional platforms on laboratory; Invited SAARC and ASEAN including Timor Leste to participate in the two Regional Workshops and other regional activities; Collaborated with key development partners to organize the 1 st Workshop in July 2016

8 Regional Workshop: Enhancing Regional Partnership Towards Strengthening Laboratory System in Accelerating GHSA s Implementation: Detect July 2016, The Berkeley Hotel, Bangkok, Thailand

9 OBJECTIVES To update on national strategic plans on National Laboratory System Strengthening (LSS); To present the regional strategic roadmap on LSS based on outputs from May 2015 Meeting; To propose key regional activities and identify i mplementing mechanism; and To enhance networking on LSS across regions.

10 Participants ASEAN SAARC & Others Lead Countries Contributing Countries Cambodia Indonesia Lao PDR Malaysia Myanmar Thailand Viet Nam Bhutan Sri Lanka Nepal Timor Leste USA South Africa Thailand Georgia Japan Malaysia Canada Yemen Switzerland

11 Development Partners/Local Partners ASEAN Partnership Laboratory - Malaysia Animal Health Lab FAO USAID [HQ, Thailand, Indonesia] Thai US CDC WHO [SEARO &WPRO] OIE Mekong Basin Disease Surveillance [MBDS] APIER JICA AFRIMS MOPH Thailand MOFA Guests of honored

12 Key Results of the Workshop Identified key Challenges on national laboratory Strategic Roadmap on Laboratory System Strengthening [ ] Identified on Key Regional Activities

13 Overview challenges from 13 participating countries - Legislative framework is required - Increase in diagnostic capacity such as bio-banking and bio-informatics - Establishment of EQA system and accreditation - Monitoring and maintenance service for biomedical engineering (such as biosafety cabinet) - Establishment of regional database for sharing information - Linking information between human and animal health sectors - Shortage of laboratory workforce

14 Overview challenges from panelist discussion - Shortage of qualified and well-trained laboratory personnel - Resource constraints and lack of infrastructure: peripheral areas - Notification system for medical conditions: suboptimal - Public-private partnership on laboratory - Laboratory capacity (infrastructure, laboratory QA programme & performance and bio- sample management) - Data sharing system (improve operability including inter-laboratory referral system)

15 RECOMMENDATIONS AND SUGGESTIONS GHSA Detect-1 is able to accelerate the political commitment, stakeholder engagement, collaboration for animal and human health sectors and the utilization of GHSA roadmap & action plan. Providing training opportunities and capacity building for the countries needed. Developing for sustainable systems & policies based on national/regional priorities Enhancing Integrated laboratory networks

16 Regional Strategic Roadmap on Laboratory System Strengthening [ ] Page 2 Page 1

17 Preamble One of joint collaborative effort of lead countries of GHSA Detect 1: National Laboratory System Aiming to provide general guidance for GHSA member countries in developing their respective National Roadmap on GHSA: Detect 1: National Laboratory System Identified key strategic components intend to reinforce the International Health Regulations [IHR 2005] as well as others relevant regional strategies such as Asia Pacific Strategy for Emerging Diseases [APSED]

18 Preamble Noting different stages of national laboratory context, the roadmap will be further modified to be suitable for local circumstances; Served as a tool/framework for follow up progress of the GHSA: Detect 1: National Laboratory System and served as a framework for identification of regional activities; Taking consideration on synergised efforts needed among inter related of other GHSA Action Packages such as Zoonosis, etc. Joint External Evaluation involving a combination of domestic and independent experts will be promoted as a monitoring and evaluation tool

19 Formulation of Regional Roadmap Real-time biosurveillance with a national laboratory system and effective modern point-of-care and laboratory-based diagnostics Based on May 2015 Meeting : Key components of the Roadmap for LSS were agreed among participating countries of the said Meeting and served as a basis for formulating of this important document. Drafted by Thailand; Discussed among lead countries and key development partners including WHO and USAID during the 4 th and 5 th Package Conference (Video) Call hosted by Thailand on 31 May 2016 and 5 July 2016 respectively.

20 Formulation of Regional Roadmap Real-time biosurveillance with a national laboratory system and effective modern point-of-care and laboratory-based diagnostics Based on May 2015 Meeting : Key components of the Roadmap for LSS were agreed among participating countries of the said Meeting and served as a basis for formulating of this important document. Drafted by Thailand; Discussed among lead countries and key development partners including WHO and USAID during the 4 th and 5 th Package Conference (Video) Call hosted by Thailand on 31 May 2016 and 5 July 2016 respectively.

21 CORE COMPONENTS : REGIONAL ACTIVITIES 1.Strategic Policy Registering & licensing 2. Diagnostic Capacity 3. Quality Management System 4.Biorisk Management System 1.1 Conduct JEE 2.1 Develop Regional Specimen Referral system 3.1 Establish regional EQA Program 4.1 Develop regional guidelines [Nussara, tbc} 1.2 Sharing/ updates National Strategic Plan 2.2 Training for trainers on Microbiology 4.2 Training on biomedical engineers to certify biosafety cabinet 2.3 IATA Training 4.3 Training on biosafety and Biosecurity [to be included in 4.2]

22 CROSS CUTTING COMPONENTS: REGIONAL ACTIVITIES 5. Laboratory Networking 6. One Health 7. Laboratory workforce 5.1 Strengthen existing network 6.1 Sharing best practices 7.1 Capacity Building 5.2 Establish inter-region linkage

23 Regional activities will be proposed by any of lead countries, contributing countries, as well as other GHSA Package Members. Implementing modalities will be in close collaboration with WHO, FAO, OIE, and other regional organisations.

24 Draft Action Plan of Key Regional Activities: GHSA Detect 1 The Department of Medical Sciences hosted a Meeting of key development partners on 19 July 2016 to draft the Action Plan; and Draft Action Plan will be further consulted with lead countries during the next video conference scheduled on 23 September 2016 [to be confirmed]

25 Potential Regional activities have been identified No. Regional activities Lead country/ Timeline 1 Bioengineering Training Thailand 2 Batches of 25 pp to be trained by 2017 Key Partners - US-CDC - AFRIMS - FAO/USAID 2. External Quality Assurance Program 3. Sharing Experience on Lab Preparedness; Lessons learned from EID outbreak South Africa /Thailand To be confirmed Thailand South Africa During the 2 nd Workshop [ Dates to be confirmed] - Thailand MOPH-US- CDC Collaboration - FAO/USAID USAID, FAO, WHO

26 No. Regional activities Lead country/ Key Partners Timeline 4. Bioinformatics Network Thailand - FAO/USAID Malaysia (Dengue) - US-CDC 4.1 Training on Influenza Sequencing & Thailand/Q 2 for WHO, FAO, DLD Bioinfomatic Basic 2017 Thailand 5. Regional workshop to share 4- Indonesia / FAO/USAID way linking experiences in Vietnam implementing countries such as Indonesia / Vietnam

27 No. Regional activities Lead country/ Key Partners Timeline 6. Quality Assurance, Thailand / Sri supply chain management, Lanka/Indonesia specimen collection and transport, perform laboratory assessments 6.1 Need assessment on Thailand [AH & FAO packaging and training HH]/October Thailand US CDC transportation including 2016 USAID biosafety and biosecurity competency 6.2 Regional Training on Thailand/ March FAO & WHO packaging and Shipping 2017 USAID Infectious Substances [ 2 3 Thailand US CDC days] [ subject to the result of activity 1]

28 No. Regional activities Lead country/ Timeline 6.3 Development of Regional [Sub Regional] Agreement for Material Transfer Agreement [MTA] Indonesia & Thailand/To be confirmed Key Partners 6. 4 Establishment of Regional Referral Lab Network [public health network] Malaysia, Indonesia, Sri Lanka/ 2 nd Q of 2017 WHO USAID FAO DLD Thailand 6.5 Training on Stepwise laboratory development towards National Accreditation Thailand To be confirmed WHO

29 Key Recommendations: GHSA is enable platform to leverage and maximize the existing efforts from countries and partners Communication between PH & AH is key Coordination for partnership Avoiding duplication and parallel efforts not reinvented the wheel Networking the networks

30 Views of Lead Countries & Contributing Countries This platform enhances collaboration such as Technical experts Demonstrated on political leadership on Detect 1 Appreciated on the development of Strategic Roadmap for LSS; Implementation should be led by lead countries Communication promote & courage the video conference hosted by Thailand of which contacted person is required,

31 Support needed from the Steering Group Interface among the 11 GHSA Actions Packages is required The Action Package would benefit from Steering Group in attending face to face meeting of lead countries to provide guidance and strategic direction

32 Acknowledgement Dr. Apichai Mongkol, Director General of the Department of Medical Science for his leadership and dedication Special thanks to lead countries [USA and South Africa] and key development partners for their active contribution Thank you for great support of the Department of Medical Sciences

33 DATES TO NOTE. The next video conference will be on 23 September 2016; Key regional activities to be implemented The 2 nd Regional Workshop to monitor the progress and sharing experiences [to be confirmed]

34 Thank you for your kind attention Khob Khun Krub Terima Kasih Banyak