Mekong Basin Disease Surveillance (MBDS) MBDS Foundation Secretariat MEKONG BASIN DISEASE SURVELLANCE (MBDS)

Background MEKONG BASIN DISEASE SURVELLANCE (MBDS) Canada’s GPP Contribution (Canada’s Global Partnership Program) MBDS (Disease Surveillance) Ministry / Government APEIR (Research) University

Animal-human interface (zoonoses) Cross-border cooperation Risk communications Policy research MBDS ICTs HR devt - epidemiology Lab Community- based surveillance 6 countries Rest of the World Info sharing The MBDS core strategies - Inter-related & converge at X-Border MBDS Partners MEKONG BASIN DISEASE SURVELLANCE (MBDS)

MBDS Cross-Border Sites Cambodia China Lao PDR Myanmar Thailand Vietnam MEKONG BASIN DISEASE SURVELLANCE (MBDS)

APEIR MEKONG BASIN DISEASE SURVELLANCE (MBDS) The Asia Partnership on Emerging Infectious Diseases Research (APEIR) was initiated in 2006 to promote regional collaboration in avian influenza research. In 2009, the partnership expanded its scope to include all emerging infectious diseases (EIDs). APEIR is a research network, composed of researchers, practitioners and senior government officials from Cambodia, China, Lao PDR, Indonesia, Thailand and Vietnam. APEIR is built to develop a strong research network in Asia that generates 3M (multi- disciplinary, multi-sector and multi-country) collaborative researches and actions on EIDs based on ecohealth / onehealth concepts, and which facilitates communication and knowledge sharing among countries to reduce the threat of EIDs and the burden on these countries, especially on poor and marginalized groups in the region.

Mitigating Biosecurity Threats in Southeast Asia MEKONG BASIN DISEASE SURVELLANCE (MBDS) General Objective The overall objective of the project is to strengthen regional capacity for understanding, preventing, preparing for, and responding to disease agents that have bioterrorism and/or pandemic potential in Southeast Asia. Specific Objectives 1.Develop a greater understanding of the risks of an infectious pandemic emerging from natural, accidental or intentional means, at high-traffic border crossings in Southeast Asia. 2.Strengthen laboratory and field surveillance, diagnostics, prevention and response capacities towards infectious pathogens with bioterrorism and/or pandemic potential. 3.Synergize efforts among partner GPP projects in laboratory capacity strengthening and web-based pandemic risk assessment. 4.Build effective and efficient mechanisms for research to directly inform and shape regional policies and practices in surveillance, outbreak investigation and response.

Action Plan MEKONG BASIN DISEASE SURVELLANCE (MBDS) 1.Set up a joint APEIR-MBDS Core Team 2.Conduct Inception workshop and Project launching 3.Risk Management Training workshop for Bio Threat surveillance at XB areas 4.Biosafety & Biosecurity guideline development workshop 5.Evaluation the degree of cross border transmission of organism of interest in the cross borders area 6.Cross Border Biosafety and Biosecurity detection by using developed guideline 7.Evaluate the result and sharing experience with other regional networks 8.Regular checking of regional / global Biosecurity signals and uploads to MBDS and APEIR Websites and share with all stakeholders. 9.APEIR will develop the Biosecurity research databank. 10.MBDS will develop Mobile phone application for Biothreat surveillance. 11.Upload WHO Biosafety manuals, guidelines and other related documents into APEIR and MBDS Website. 12.The developed field level Biosafety and Biosecurity manual will be applied in other MBDS active cross border sites.

Project Cross Border Sites MEKONG BASIN DISEASE SURVELLANCE (MBDS) 1.Thailand – Laos – Vietnam (Mukdahan – Savannakhet – Quang Tri) 2.Laos – Thailand (Champasack – Ubonratchathani) 3.China – Laos (Mengla – Luang Namtha) 4.Thailand – Cambodia (Sakaeo – Banteay Meanchey)

MEKONG BASIN DISEASE SURVELLANCE (MBDS) MBDS Cross border information exchange (Current) Schedule of exchange and content : Within 24 hours of Diagnosis: H1N1/H5N1, AFP, SARS, Cholera/ Severe Diarrhea, Encephalitis, Tetanus, Meningitis, Diphtheria, PHEIC Every Monday of the week: Leptospirosis, Chikungunya, Dengue Fever, Typhoid Fever, Measles Every 5 th day of each Month: Malaria, Pneumonia Quarterly (Every three months): HIV/AIDS, Tuberculosis

MEKONG BASIN DISEASE SURVELLANCE (MBDS) 1.H1N1/H5N1 2.AFP 3.SARS 4.Cholera/ Severe Diarrhea 5.Encephalitis 6.Tetanus 7.Meningitis 8.Diphtheria 9.PHEIC 10.Leptospirosis 11.Chikungunya 12.Dengue Fever 13.Typhoid Fever 14.Measles 15.Malaria 16.Pneumonia 17.HIV/AIDS 18.Tuberculosis Specific organisms of interest 1. Influenza (Importance of air-borne disease) 3. Salmonellosis (Importance of food-borne diseases ) 2. Melioidosis

MEKONG BASIN DISEASE SURVELLANCE (MBDS) APEIR (Research)  Lead research  Data collection  Capacity building (Lab and researcher)  Risk management workshop  Policy synthesis workshop  Lab Equipment  Collaboration  Ext consultant  M & E MBDS (Disease Surveillance)  Strengthen Bio Threat Surveillance  Risk Management workshop  Develop Biosafety Training manual  Capacity building  Surveillance equipment & PPE  Development of Surveillance application  Policy synthesis workshop  Biosafety and Biosecurity web page  Collaboration with APEIR  Ext Consultant  M & E OTHERS (Lab, Technical)  ASEAN  WHO EDPLN  Bio Diaspora  IFBA  CORDS Share network collaboration experience other networks

Strengthen Bio Threat Surveillance in MBDS MEKONG BASIN DISEASE SURVELLANCE (MBDS)  Risk Management workshop (with APEIR and CORDS)  Research for specific organisms of interest (with APEIR)  Policy synthesis workshop (with APEIR)  Updating information from MBDS Bio Threat web page  Development of Biosafety Manual (with IFBA) in local languages  Development of mobile application for XB disease surveillance (Biodata signs and symptoms, photo, location and other related information)  Training Bio Threat Surveillance at selected project area  Provide surveillance equipments and reporting apparatus  Information sharing, networking and transfer of experience to other networks * IFBA: International Federation of Biosafety Associations

Future for Collaboration MEKONG BASIN DISEASE SURVELLANCE (MBDS)  MBDS as Platform for program implementation  MBDS has cover Six Mekong Countries international XB checkpoint area  Provincials / States Health Officials are Coordinators (focal) for MBDS XB XC program  Identified role and responsibility for all XB Coordinators  MBDS Programs are inline with National Disease Surveillance System  Network collaboration, policy guidance, full time secretariat  Trust and mutual understanding are key of MBDS

MEKONG BASIN DISEASE SURVELLANCE (MBDS) Thank you very much!