Enhancing Joint Collaborative Efforts for Lab Preparedness. 2 nd GHSA Detect 1 Workshop 8-10 February 2017, Richmond Hotel Thailand

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Enhancing Joint Collaborative Efforts for Lab Preparedness 2 nd GHSA Detect 1 Workshop 8-10 February 2017, Richmond Hotel Thailand

From July 2016 February 2017 Communication between PH & AH is key Coordination for partnership Avoiding duplication and parallel efforts not reinvented the wheel Networking the networks

Jointly hosting by Thailand through two relevant ministries: the Department of Medical Sciences, Ministry of Public Health; and the Department of Livestock Development, Ministry of Agriculture and Cooperatives

Participants Lead countries Participating Countries GHSA Members [AH & HH Labs] GHSA Chair South Africa Canada 7 AMS (HH) Republic of Korea Tanzania China 10 AMS (AH) Thailand Japan Timor & Bhutan (HH) USA Malaysia 7 countries from SAARC (AH)

Key Development Partners FAO Regional Office for Asia Pacific WHO [HQ, WPRO, SEARO] OIE, South East Asia JICA Thailand MOPH U.S. CDC Collaboration USAID [HQ, Indonesia, Thailand] FHI 360 AFRIM Canada s Global Partnership Programme [GPP] Defense Threat Reduction Agency [DTRA] ASEAN Secretariat

Objectives To update on an implementation of the Regional Strategic Roadmap on LSS [2016-2020] in each of member cou ntries; To share experiences on lab preparedness utilizing One Health approach; To enhance networking on animal health lab and human health lab across regions; and To strengthen collaboration among relevant Actions Packages;

Flow of the Workshop Update Roadmap One Health Approach on Lab Networking Linkages AH HH Lab & Other AP Roadmap introduction Presentations from affected countries Feld Visits Panel discussion Updates of its implementation Group Discussion Group discussion Field Visits National updates Field Visit DLD & DMSC Social Activities Identified possible regional activities

Expected Outputs Updated on the implementation of LSS Roadmap; Sharing experiences on lab preparedness and responses; Initiated joint activities of relevant AP such as D1, D5, Prevent 1 & Prevent 2, if any Networking among member countries of GHSA: Detect 1 and other relevance Actions Packages, development partners/stakeholder We Achieved them ALL

Transpired Issues /Concerns Direction of GHSA Chair --- Action Package, Capacity building, Evaluation; Utilization of Regional Roadmap to identify strengths and gaps of national laboratory system; Sharing experiences and lessons learnt; Broadening of One Health Concept; Linkages of Detect 1 and other GHSA Action Packages namely Prevent 1, Prevent 2, Response 1, and Detect 5 [Collaboration/Cooperation is a KEY]

Capacity of lab and AMR involvement of accreditation AMR related issues: Quality of data utilization of data; engagement with authority, epidemiologist

Transpired Issues /Concerns Followed up and Updated on key regional activities Discussed on Material Transfer Agreement [MTA] Close collaboration of animal health and human health is important; AMR Laboratory, Zoonotic Diseases Existing activities Identified possible regional activities Lab AMR [Lab surveillance need AH- HH, capacity building, political commitment, planning,]

Transpired Issues Development partners will include subregional networks such as WHO CC,

Proposed collaborative areas/activities Lab and AMR - Training on AMR surveillance, participating in GLASS - Develop relevant SOPs on AMR in linking all related agencies - AMR EQA Quality Assurance: Expanding the existing programme : Stepwise Quality Management System AMR EQA by NIH, India: Participating countries Indonesia, Maldives & Nepal. Suggestions to expand the programme by WHO

Proposed collaborative areas/activities - Regional working group for quality assurance (at various levels) in order to make it easy for countries to be a part of Quality system -Training trainers and sharing expertise -Sharing information between animal and human sectors -Harmonization of existing tools where possible - Capacity building on Bio risk management, biosafety/biosecurity and procurement of equipment

Proposed collaborative areas/activities - Establishing/enhancing Lab Directors Forum at national, sub regional, regional levels - Identifying reliable reference laboratories for EIDs - Networking with international agencies; CBEP,GPP - Joint training, exercises, operational research, sharing examples of best practices - Joint collaboration between Action Packages (relevant development partners can support) - Championing Lab course : Lab Guidance and Lab quality & Biosafety

Take Home Messages 1. Encourage countries to utilize the Strategic Roadmap on Laboratory System Strengthening [2016-2020] getting the policy to support, where we are?, etc.] 2. Continued support required by the Tripartite [FAO, OIE, WHO] Harmonize Lab assessment tools, policy guidelines and framework, as appropriate; Capacity building on selected zoonotic diseases and AMR. 3. Leveraging a platform to demonstrate the linkages of GHSA AP through One Health Approach such as Four Ways Linking, etc. (AMR as an issue) 4. Roles of Lead countries and contributing countries in implementing and scaling up regional activities;

Take Home Messages 5. Enhancing lab networking including Director Lab Network ASEAN and SAARC Lab Directors Forum [FAO], sub regional levels? 6. Advocacy to higher level through appropriate channels [Organizing to make the summary available] 7. Workforce Action Package to address a wider perspective Lab workforce

Take Home Messages 8. Build upon Ongoing works/efforts/platforms of development partners and countries 9. Regional, multilateral and bilateral platforms to address specific need /concern of individual country; 10. Countries commitments/contributions should be made available to achieve common GHSA s goals based on the measurable indicators in JEE s

Follow Up Actions Provided a snap short/summary to all participating countries for your further use; Sharing key outputs through the GHSA Website; Video Conference of lead countries and contributing countries, development partners Coordination and communication of lead countries [Thailand, South Africa, Tanzania, USA]; Expand to other regions Tanzania and South Africa to be further discussed during the next video conference

Needed Follow up Actions By the DMSC Conducted After Action Review in 9 March 2017 [FAO, USAID, WHO, CDC, TUC] ---- Prioritized regional activities -- Issuance of Press Release and Summary of Workshop; Distribute the Proceedings Report of the 1 st Workshop [posted at GHSA Website, in country dissemination]; Formulate a new Letter of Agreement with USAID; Conduct the Video Conference in April 2017; Develop the Proceedings of the 2 nd Workshop [Editorial Team by the end of April];

Hope to see you all in the 3 rd Workshop of GHSA Detect 1 A follow up platform Sharing platform Sharing spirit of countries to address the same concerns