1. WHO Global Influenza Programme
Pandemic Influenza Risk and Impact Management: building capacity for pandemic response
Good morning.
WHO Global Influenza Programme

2. An overview of strategies, guidance, tools, and approaches for sustainable and resilient pandemic preparedness.

3. Evolution of WHO Guidelines on Pandemic Preparedness Planning:
Pandemic Influenza Risk Management (PIRM), 2017

4. Highlights of PIRM Framework: the Risk-based and Integrated Approaches
Promote all-hazards approach to Emergency Risk Management for Health
Strengthen whole of government and whole of society approach to risk management
Emphasize risk-based approaches with high-level guidance on risk and severity assessment
Uncouple global phases from national actions
Introducing flexibility in countries for planning and response
Incorporate new developments e.g. PIP Framework

5. From Strategy to Practice
Guidance and Tools Development
Pandemic Influenza Risk Management (2017)
Checklist for PanFlu Risk & Impact Management (2018)
Essential Steps for Developing/Updating National PIPP
A Practical Guide for Developing & Conducting SimEx to Test and Validate PIPP
Finalizing
Monitoring, Evaluation, and Country Support
A Member States Survey to access current level of preparedness
A Resources Mapping Tool for identifying resources needs in building essential capacities for pandemic response
Developing pandemic preparedness Benchmarks/ Milestones for M&E
Identifying Best Practices for PIPP in the context of health system and health security strengthening through a global review and in-country piloting

6. From Strategy to Practice: Guidance on surveillance, risk and severity assessments, and public health measures
WHO Guidance for Surveillance during an Influenza Pandemic
Published in November 2017
Pandemic Influenza Severity Assessment (PISA)
Tool for Influenza Pandemic Risk Assessment (TIPRA)
Published in 2016
Public Health Measures for Mitigating the Risk and Impact of Epidemic and Pandemic Influenza
To be developed
Public Health Measures for Mitigating The Risk and Impact of Epidemic and pandemic influenza

7. https://extranet.who.int/sph/influenza-plan
A New Interactive WHO Inventory Site of National Pandemic Influenza Preparedness Plans Linking with JEE/NAPHS and Monitoring Progress
Publicly available National Pandemic Preparedness Plans
Searchable by
WHO regions
Countries
Year a plan was developed or updated
Countries’ JEE status
Countries’ post JEE National Action Plan development
52% of Member States either have not yet developed a plan or plans are not publicly available
Of the 93 Member States that have publicly available plans:
only 27% updated their plans since 2009 pandemic
only 13% updated their plans since WHO published the new interim guidance on pandemic preparedness in 2013

8. A Checklist for Pandemic Influenza Risk and Impact Management: building capacity for pandemic response – 2018 update
Build on the up-to-date knowledge on pandemic and emergency preparedness
Lessons learned from the 2009 pandemic
Best practices
Updated pandemic preparedness plans
Addressing the need for Emergency Risk Management for Health (ERMH) as outlined in PIRM
Mapping pandemic influenza preparedness capacities requirements with
IHR (2005) self-assessment indicators
Joint External Evaluation (JEE) indicators
Resource of key guiding documents on all of the pandemic preparedness related topics
Practical, flexible, scalable, sustainable

9. Key features of the checklist
Many pandemic influenza preparedness and response capacities can be strengthened through capacity building efforts for addressing broader health security threats (all hazard)
IHR core capacities
JEE and NAPHS
Capacities needed specifically for pandemic influenza preparedness and response (hazard specific)
Such needs should be addressed through establishing or strengthening seasonal influenza programme
Leveraging existing information to assess current level of preparedness and identify priorities
Review JEE or IHR annual self assessment data instead of doing another assessment

10. The Essential Steps Guide
This document should be used in conjunction with the checklist
Focusing on the process of national pandemic influenza preparedness planning
Ensuring the objectives are clear and the essential steps and actions are taken in the planning process
Facilitating linkage of the two planning processes, i.e., pandemic influenza preparedness planning and the development of National Action Plan for Health Security (NAPHS)

11. Pandemic Preparedness Planning A capacity building process, not just writing a plan

12. A Practical Guide for Developing and Conducting Simulation Exercise to Test and Validate Pandemic Influenza Preparedness Plans
The main objective of the guide is to support countries to test and validate national pandemic influenza preparedness plans
It provides guidance on how to select, plan, design, conduct and evaluate simulation exercises for pandemic influenza preparedness and response
Using the outcomes from evaluation of the exercises to improve the plans being tested

13. Take Home Messages
Pandemic influenza is unpredictable but a recurring event that can have serious consequences on human health and economic well-being
Advance planning and investment in preparedness to ensure the capacities for pandemic response is crucial for mitigating the risk and impact of a pandemic and safe life
WHO is providing a package of strategy, practical guidance and tools to support pandemic preparedness planning
Pandemic influenza preparedness could benefit from leveraging existing activities in strengthening IHR core capacity, health security, and health systems
Pandemic influenza preparedness strengthens IHR core capacity, health security, and health systems and should be essential part of the planning processes

14. Acknowlegments
Special thanks to Dr Weigong Zhou

15. Thank you!