1. Presented by Senator the Honourable Jerry Narace Minister of Health Caribbean Public Health Agency (CARPHA) Ministry of Health

2. BACKGROUND 2002 - CARICOM Heads mandated review of RHIs July 2007- Integration of 5 RHIs into one Caribbean Public Health Agency PAHO-cost effectiveness analysis September 2007-analysis presented to Ministers’ Caucus Steering Committee and Project management team

3. CARPHA - Vision A Caribbean in which the health of the people is promoted and protected from disease, injury and disability, thereby fostering the wellness revolution enunciated in the Port of Spain Declaration

4. CARPHA-Mission To provide strategic direction, in analyzing, defining and responding to public health priorities of CARICOM, in order to prevent disease, promote health and to respond to public health emergencies. To support solidarity in health, as one of the principal pillars of functional cooperation, in the Caribbean Community.

5. Proposed Structure CARPHA Ministry of Health

6. ADMINISTRATION Budget & Finance Human Resources General Services – IT/IS

7. Procurement & Materials Management Emergency & Preparedness Strategic Planning and Resource mobilization ADMINISTRATION (cont’d)

8. SURVEILLANCE & RISK ASSESSMENT Laboratory Support Services Microbiology –Virology –Bacteriology, Parasitology and Entomology Molecular Biology

9. Quality Management Biosafety & Support Services Environmental Health Drug Testing SURVEILLANCE & RISK ASSESSMENT (cont’d)

10. Epidemiology –Non-communicable diseases –Communicable diseases –Environmental health –Climate change –Bio-statistics SURVEILLANCE & RISK ASSESSMENT (cont’d)

11. RESEARCH & EVALUATION Research Support -disease prevention and control Monitoring & Evaluation -develop methods for health impact assessment Policy Development -Research agenda -Sharing of scientific outputs

12. INFORMATION, EDUCATION & COMMUNICATION UNIT Public Information & Communication Documentation & Dissemination Information Systems Training and Development

13. ADVANTAGES Higher levels of specialization Development of synergies Effective trans- organizational coordination and collaboration

14. ADVANTAGES (cont’d) Sharing of policies and programmes Dissemination of information HR development Monitoring and evaluation.

15. CAMPUS STRUCTURE

16. PROPOSED CAMPUS SITE CENTENO

17. TT CARPHA PROPOSALS Financing model brief Functional model brief Business plan brief

18. FINANCIAL BRIEF Construction and Equipment - GORTT to source funding for construction Funding from donor countries & agencies Soft loans General financing - Construction Methodology - Design/Build/Equip - Special Purpose vehicle to develop the project

19. FINANCIAL BRIEF Mortgage Repayment/Operational Expenses - PAHO Assistance - GORTT Business Plan for presentation at next meeting

20. BUSINESS MODEL BRIEF Centre for Tropical Disease Control –Generate revenue & international participation Services to countries and private sector –Agriculture –Tourism/Health Tourism –Indoor Air Quality –Training & Development –Consultancy Services –Attraction Of Funding

21. BUSINESS MODEL BRIEF Development of small OECS countries –Infrastructure –Lab expertise –Training & Development CARPHA Lab –Public Health –Food Safety –International Standards & Accreditation

22. CARPHA Functional Brief Ministry of Health

23. PROGRAMME AREAS Tropical / Infectious Disease Food and Drug Safety & Nutritional Services Environmenta l Health Connected Catalytic Mutually supportable Surveillance Monitoring Testing Analysis Identification

24. ENVIRONMENTAL HEALTH Ground water and surface water quality Water supply/ wastewater management Air quality surveillance (indoors and outdoor) Solid waste management and disposal monitoring

25. ENVIRONMENTAL HEALTH Hazardous waste assessment and management Medical waste management Environmental toxicology Insect disease vector identification and control Health risk identification, assessment

26. TROPICAL AND INFECTIOUS DISEASE State-of-the-art detection tools to prevent disease and death through - sexually-transmitted - blood-borne - vector-borne - water-borne - respiratory diseases Assist in regional disease surveillance Analyze, interpret and disseminate information

27. FOOD, DRUG SAFETY AND NUTRITION Drug Safety Technical Guidance: Detection, testing, surveillance Training Programmes in consumer safety Expertise - Sampling design - Media selection - Collection & diagnostic - Monitoring samples - Data interpretation - Risk assessment/communication/recommendation - Compliance

28. ORGANIZATIONAL STRUCTURE Laboratory Services Administration Pathogen Detection Laboratories Chemical Laboratories Quality Assurance Technical Services Rapid & Field Diagnostics Detection

29. TECHNICAL SUPPORT Food, Drug Safety & Quality Assurance Environmental Health Tropical Infectious Disease TECHNICAL PROGRAMS Vector Control Loaning of specialized sampling tools Media Shipping Training for sample collection RAPID FIELD DIAGNOSTICS DETECTION Specialized field items Epidemiology & Health Informatics Veterinary Public Health

30. LABORATORY SERVICES -DIVISIONS Laboratory Services Pathogen Detection Section Environmental HumanFood & Drug Chemistry Section SpectrometryChromatography Clinical/Radio & Classic Chemistry Quality Assurance

31. LABORATORY SERVICES: PATHOGEN DETECTION – Environmental Health Identifying environmental pathogens responsible for disease outbreaks Identification and genotyping methods for microbiological, viral and bacterial infections Vector-borne diseases/ entomology

32. Bacteriology Laboratories DNA/RNA PCR Suites Cell culture HIV, TB, and STDs Vector- borne Fungal and Microbiology Enteric Diseases Respirator y Diseases LABORATORY SERVICES: PATHOGEN DETECTION – Human

33. LABORATORY SERVICES: PATHOGEN DETECTION – Food & Veterinary Identify/quantify quality indicators, pathogens (bacteria, viruses, and fungi), and bacterial toxins –In food –In animals Food-borne illness investigations

34. LABORATORY SERVICES: Chemical Identify/quantify pesticide, antibiotic, and toxic residues; detrimental heavy metals; radioisotopes present –In the Environment –In Food Food Assurance –Analyze foods for physical characteristics –Confirming compliance to packaging standards –Analyze nutrient content

35. LABORATORY SERVICES

36. CAMPUS STRUCTURE

37. QUESTIONS? Thank you!