National Public Health Institute Pakistan Prof Aamer Ikram, SI(M) Executive Director NIH IANPHI Annual Meeting Italy October 22-24, 2017

Air Quality Situational Analysis Pakistan Annual deaths - 60,000 to 80,000 Air Quality Index - 150-165 WHO Karachi 88 ug/m3 Lahore 66 ug/m3 Rawalpindi 107 ug/m3

National Institute of Health Autonomous organization (Ministry of National Health Services Regulations & Coordination) Facilitate international and regional collaboration, seek technical assistance and participate in global disease control programs effectively

Functions Monitor environments with special reference to air, water and food pollution Advise the Federal Government in developing food standards and pure food laws in collaboration with the international agencies like the WHO and the FAO Conduct research on applied nutrition like clinical nutrition and food analysis and undertake nutrition education programs

Environmental Health Protection Unit Water quality Health care waste management Chemical management Food safety acts & laws

Nutrition Division Testing facilities Public Analyst Laboratory Biochemical Food Laboratory Chemical Water Testing Laboratory Microbiological Laboratory  Iodine Laboratory Reference Laboratory for Fortified Wheat Flour Hazard Analysis Critical Control Points Techniques Laboratory Applied Nutrition Section (Nutrition Education and Diet Therapy)

Efforts One Health Hub notification (Integrating EHPU) Collaboration: Ministry Climate Change Ministry National food Safety & Research WHO, FAO, OIE, CDC Joint External Evaluation 2016 5-year Roadmap (strengthening National Public Health System)

Efforts Strengthen air quality testing Food Safety - Situational analysis, data reviewed Appellate lab: - Mycotoxins/ Pesticide detection System - Equipment procured for Water safety/ Quality testing - Participation in QC program

Profoundly indebted