ASDPE Regional Plan for Strengthening the National Influenza Surveillance Capacity: Guiding the way towards a comprehensive National Influenza Surveillance System (NISS) Emerging Disease Surveillance & Response (ESR) WHO Western Pacific Regional Office (WPRO)

2 Emerging Disease Surveillance and Response (ESR) WHO Western Pacific Regional Office (WPRO) Regional Plan for Strengthening the National Influenza Surveillance Capacity Goal in 2007: To develop and sustain comprehensive national influenza surveillance systems through enhancing/strengthening the capacities of the National Influenza Centers and associated epidemiology programmes

3 Emerging Disease Surveillance and Response (ESR) WHO Western Pacific Regional Office (WPRO) GISN in WPRO and SEARO, NICs in 13 countries in the Western Pacific Region and 8 NICs in 6 countries in the South East Asia Region 2 WHO Collaborating Centres (Australia and Japan)

4 Emerging Disease Surveillance and Response (ESR) WHO Western Pacific Regional Office (WPRO) Workplan and Expected Outcomes by Improving virological testing capacity in the National Influenza Centers –Virus isolation using cell culture or egg embryo –Typing/subtyping using standard WHO reagents –Regular submission to WHO CC representative strain and immediate submission of non-typable viruses –Molecular diagnostic capacity such as real-time PCR for seasonal influenza and H5N1 –Meet the EQA standard

5 Emerging Disease Surveillance and Response (ESR) WHO Western Pacific Regional Office (WPRO) Workplan and Expected Outcomes by Better understanding the epidemiology of influenza through link of virological and epidemiological surveillance for influenza - step by step approach to strengthen the capacities –Able to conduct outbreak investigations –Able to analyse and interpret the ILI data to understand the seasonality and to report to FluNet –Determine the proportion of influenza among ILI cases –Describe the seasonality, incidence, age distribution, risk group in various population and geographic locations

6 Emerging Disease Surveillance and Response (ESR) WHO Western Pacific Regional Office (WPRO) Workplan and Expected Outcomes by Improving early detection of human avian influenza cases or clusters –Capacity of surveillance for Severe Acute Respiratory Illness (e.g. atypical pneumonia, ARDS, etc.) 4. Contributing to the national rapid response and containment as well as pandemic preparedness planning –Specific roles and responsibilities of National Influenza Center are identified in the national rapid response and containment plan –Specific roles and responsibilities of National Influenza Center are identified in the national pandemic preparedness plan

7 Emerging Disease Surveillance and Response (ESR) WHO Western Pacific Regional Office (WPRO) Introduction to Group Work 3 Development of NIC/GISN 5-yr Workplan

8 Emerging Disease Surveillance and Response (ESR) WHO Western Pacific Regional Office (WPRO) Vision Where we are … Where we want to be

9 Emerging Disease Surveillance and Response (ESR) WHO Western Pacific Regional Office (WPRO) Group Work 3 Group A VIP Room Group B Lobby Group C 7 th Floor Group D Grand Ballroom Zhen Xu Xia Gang Prem Sanjeev Singh Nobuhiko Okabe Ondri Dwi Sampurno Vivi Setiawaty Nguyen Thanh Long Domanh Hung Nguyen Le Khanh Hang Vu Ngoc Long B Khamphaphongphane P Vongphrachanh S Archkawongs Chong Chee Kheong Norizah Ismail Anne-Claire Gourinat Jean Paul Grangeon Dong Wang (Christine) Lo Yee Chi (Janice) G Wickramasinghe Chun Kang Jinwoong MOON Park Sunhee Vito Roque Remigio Olveda Juan Lopez MS Haider Philippe Buchy Ung Sam An Ly Sovann Seng Heng Kim Jong Hwan Ro Nam Chol Khin Yi Oo Anand Shrestha S Waicharoen Phoebe Lee Wen Lim Nancy Tee Sue Huang Oyuntsetseg Purev Dulmaa Nyamkhuu Alyeksander Burmaa Boris Pavlin Takato Odagiri Aeron Hurt Wang Dayan Jeff McFarland Dapeng Luo Ian Barr Seiichiro Fujisaki Xu Xiyan Andrew Corwin Harpal Singh Oomen John Anne Kelso Lance Jennings Patrick Reading Babatunde Olowokure Wilina Lim Ann Moen Hitoshi Oshitani Sonja Olsen

10 Emerging Disease Surveillance and Response (ESR) WHO Western Pacific Regional Office (WPRO) Plenary - Feedback at 1:30pm

11 Emerging Disease Surveillance and Response (ESR) WHO Western Pacific Regional Office (WPRO) Overall Comments

12 Emerging Disease Surveillance and Response (ESR) WHO Western Pacific Regional Office (WPRO) 1. Improving virological testing capacity in the NICs in and environment where safe laboratory practices and quality assurance are ensured.

13 Emerging Disease Surveillance and Response (ESR) WHO Western Pacific Regional Office (WPRO) 2. Better Defining the epidemiology and burden of influenza through linking virological and epidemiological surveillance and strengthening of national networks

14 Emerging Disease Surveillance and Response (ESR) WHO Western Pacific Regional Office (WPRO) 3. Supporting national efforts and improving communication and reporting through the strengthening or development of regional and global networks.

15 Emerging Disease Surveillance and Response (ESR) WHO Western Pacific Regional Office (WPRO) ACTIONS FOR WHO COLLABORATING CENTRES

16 Emerging Disease Surveillance and Response (ESR) WHO Western Pacific Regional Office (WPRO) ACTIONS FOR WHO