2. IHR: the framework for preparedness and response
Core Capacities for Surveillance and Response
Event Detection and Verification
Incident Management System: the mechanism for coordinating a regional response
Coordination of Partners GOARN
Deployment of Multi-disciplinary Teams
Research & Development

3. International Health Regulations (IHR)
A legal tool – 10 Parts, 66 Articles, 9 Annexes – that describes procedures, rights and obligations for 196 States Parties and WHO
From three diseases to all public health hazards, irrespective of origin or source
From preset measures to adapted response
From control of borders to containment at source
Requested, developed and negotiated by Member States
Based on dialogue, transparency and trust
State’s commitment – beyond the health sector
Not a new technical discipline (…existing…)

4. Article 2 - Purpose and scope of the IHR
…to prevent, protect against, control and provide a public health response to the international spread of disease in ways that are commensurate with and restricted to public health risks, and which avoid unnecessary interference with international traffic and trade.
National Core Capacities
IHR Operational Framework
Administrative procedures
Global Alert and Response System 3

5. Ebola put to test all core capacities!!!
Ebola Virus Disease
Legislation, Policy, Financing
Emergency funding, legislation for public health measures
Coordination, NFP communication
IHR NFP 24/7, national emergency mechanism(s)
Surveillance
Capacity for detection and epidemiological investigation throughout the national territory, at any level of the Health Services
Response
Pre-identified response team (contact tracing, funerals), IPC (PPE)
Preparedness
Integrated plans and generic tools between different sectors
Risk Communication
Implementation and adaptation of risk communication plan
Human Resources
Pre designation, awareness and training of HCWs for all EVD related actions (detection, management, contact tracing, sampling, disinfection)
Laboratory
Biosecurity protocols, Sampling Kits, international shipment of specimens
Points of Entry
Management of potential cases and contacts, disinfection
Zoonotic hazard
Food Safety
Chemical hazard
Radiation related hazard
They serve to prepare for and respond to public health events, incl. PHEIC
They’re neither a legal nor an academic exercise
IHR to serve public health and not a new discipline!

6. Zika virus spread in the Americas, May 2015 to present

8. WHERE PAHO WORKED 30 COUNTRIES/TERRITORIES
KEY
FACTS on
Z I K A V
PAHO has carried out activities in
30 COUNTRIES/TERRITORIES
in LAC
Totaling approximately
1,080 days of technical work
in those priority countries.

9. NUMBER OF PAHO EXPERTS 175 EXPERTS PAHO has mobilized/hired Working in
KEY
FACTS on
Z I K A V
PAHO has mobilized/hired
175 EXPERTS
Working in
17 TECHNICAL AREAS
Experts
Mobilized
Technical
Areas

10. Zika Virus Research Agenda