2020年10月28日 星期三

[全球衛生] 修課筆記20201028

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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