Papua New Guinea Update 3 rd NIC Meeting 18 – 20 Beijing, China Berry Ropa National CSR Officer Department of Health Papua New Guinea

Latest developments in light of the Pandemic H1N Latest update on Pandemic H1N Pandemic Plan ILI Surveillance Laboratory Health Systems

Current on Pandemic H1N PNG 12 confirmed cases as 18 August, 2009 First case lab confirmed 18/6/09 with onset 14/6/09 Surveillance strategy; Case-based surveillance to detect ILI and Severe Acute Respiratory Illness cases with travel history together with Routine and Event-based surveillance to detect cases and clusters Community transmission not established Some positive System developments due to the Pandemic Influenza (H1N1)

Stage of Epidemic in- country Surveillance GoalSurveillance Strategy No reported casesEarly detection and investigation of initial cases Case-based surveillance to detect ILI cases with travel history Transition Sporadic cases and localized community clusters (e.g. school outbreaks) Comprehensive assessment Provide accurate description of disease epidemiology and clinical and virological features Routine and Event-based surveillance to detect cases and clusters Widespread community transmission Pandemic monitoring Track spread, occurrence, intensity of transmission, impact on health care system and monitoring of circulating influenza viruses. Routine surveillance using traditional influenza indicators Use of a variety of information sources to assess and monitor geographical spread, trends, intensity and impact. Surveillance strategy in PNG –current..

Response to Pandemic H1N Searching of cases using case definition Home isolation unless require hospitalization Provided Tamiflu who met the case definition Contact tracing Triage, infection control Advise to public Supply of Tamiflu and PPE

Pandemic Plan The initial Plan was initiated due to the threat of SARS and Avian Influenza National Executive Council approves the revised plan responding to H1N in July 2009 with initial injection of approx US$3.5Million Plan to be integrated into the National Disaster Plan Provinces responded by re-activating their own plans

ILI Surveillance 2xNew additional ILI surveillance sites established Plan for 3 more sites to be established

Laboratory The Pacific Ministerial Meeting agrees for improved laboratory service to provide real- time results for pandemic influenza’s and other public health events PNG plans to have its NIC to be upgraded to do R-T-PCR/ 2009

Health Systems Establishment of Control & Command Center for Public Health Events Hospitals establish triage, infection control and clinical management protocols Strengthen weekly events reporting Development of Weekly surveillance bulletin Experience in IHR reporting

Future plans Continue review of the NPP, integrate into the Nat Disaster Plan Upgrade NIC to do R-T-PCR Expansion of ILI surveillance sites Strengthen Surveillance and response capacity for public health events including Public Health Lab Continue support for hospitals to establish triage, infection control and clinical management of respiratory infections Continue support to provinces develop plans

Thank you