Atlantic Provincial Perspective on Implementation of IHR Jeff Scott Chief Medical Officer of Health Nova Scotia

Building Block to implementation  Experience with SARS  Naylor report and implementation  Chief Pubic Health Officer and Public Health Agency  CEPR  New Quarantine legislation  Public Health Network

Building blocks to implementation  Federal Funding $100m (Trust fund)  Health Infoway $100m (CIPHSs)  Canadian Integrated Outbreak Surveillance Centre (CIOSC)  Development of MOUs

Building blocks to implementation  Foodborne Illness Outloook Protocol (FIORP)  Respiratory Illness Outbreak Protocol (RIORP)  Foreign Animal Disease Emergency Support Plan (FADES)  MOU – Provision of Mutual Aid during a PH Emergency  MOU – F/P/T Roles, Responsibilities during a Pandemic  MOU – Proccess for Information Sharing during PH Emergency

World Health Organisation Federal, Provincial and Territorial Ministers of Health Chief Public Health Officer of Canada Chief Medical Officer of Health has detected a Public Health Risk within its jurisdiction and deemed it to be a Public Health Emergency. Conference of Federal, Provincial and Territorial Deputy Ministers of Health Deputy Minister Responsible for Public Health in the concerned jurisdiction Council of Chief Medical Officers of Health Pan-Canadian Public Health Network Council LEGEND Information Reporting Decision Authority Notification process to institute information sharing among F/P/T government during a Public Health Risk/Emergency

Building blocks to implementation  Exercises  Atlantic Guard  Atlantic Shield  Avian Influenza  Pandemic Influenza

Obstacles to implementation  Funding - Naylor Gap  Lack of awareness at local level  Differing Provincial Legislation  CPHO role  Multiple Players  “Grey” Border areas (Nova Scotia Roles and Responsibilities of Federal Public Health Authorities related to Marine, Air and Land across Jurisdictional Boundaries.)  Deputy Minister and Minister changes