Management of Drug-Resistant TB
Green-light countries; 6 regioal committee
resistant, susceptible organism
conentional DST, LPA
Milestone
2014 GHSA, G7
2011 PIP framework
2014-2016 Ebola outbreak
2016 JEE: voluntary collarborative process to assess a countrry's capacity under the IHR(2005), Self-evaluation plus external evaluation
2016 WHE: WHO Helath Emergencies
2018 SPAR: State party Self-assessment annual reporting tool
2020 Taiwan is going to conduct 2nd voluntary Jee assessment(1st 2016or2017)
8 core capacities
10 core capacities: POE, radioactive
1.national legistration:2
2.National focal point:2
3.Seuveillaince:2
4.Response:4
5.preparedness
6.communication
7.huamn resources
8.lab service
20 indicators
https://www.cdc.gov.tw/File/Get/5b8gmJMzQapsSv8YLgcyuA
AAR: https://www.who.int/ihr/procedures/after-action-review/en/
only 20% countires have fulfilled their core capacity by 2012 deadline
69 countries are currently activemembers of GHSA
global health security agenda
monitor and identify, respond earlier
AP leaders: develop ad maitain the Action Package framework
Prevent, Detect, Respond
Nationawide lab network, real-time information system, emergency operation centers
Prevent:
1. prevent emergence and spread of antimicronial drus resistant organisms
2. promote national biosafety
3. reduce
>>>>>biosafety and biosecurity, immunization
Detect
4.Launch, strengthen
5.strengthen the global norm of rapid reporting
6.develop and deploy novel diagnostics
7.train surveillance team
Respond
8. develop an interconnected global network
9.improve blobal access to medical and non-medical
GHSA action package generic layout
5 year target
measuring indicator
desired national impact
country commitments to AP
five year action items
baseline assessment and planning activities
monitoring and evaluation activities
JEE country-specific status
priority actions 19 technical areas
integral part of a continuous process of strengthening capacities for the implementation of the IHR
8 national core capacities, POE, zoonosis, food safety, chemical radionuclear
IHRMT average, IHRMT average 2, JEE average
Tsai FJ, Health Security, 16(5), 304-310
IHR MEF, monitoring and evaluation framework
SPAR
JEE
AAR
SimEx
Status of IHR capacities for health security
Risk profiling
other assessments
IHR-MEF
National action paln for health security
one health
strategic partnership; universities?
Stattus of IHR capacities for health security
HSS: heath systems stengthening in high vulnerability countries
health promotio core competencies
program planning, implementattion and evaluation,
partneership building
cimmunication and report writing
technology
knowledge
diversity and inclusiveness
university role
education and capacities
evidence and research
awareness and engagement
innovative ideas
Keiji Fukuda
JEE, GHSA
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