advertisement

26 IHR 2006

44 %
56 %
advertisement
Information about 26 IHR 2006
Travel-Nature
law

Published on March 14, 2008

Author: Willi

Source: authorstream.com

advertisement

International Health Regulations (IHR) - the international law on communicable diseases:  International Health Regulations (IHR) - the international law on communicable diseases Preben Aavitsland IHR is not only about rat control:  IHR is not only about rat control ”Acute watery diarrhoeal syndrome”:  ”Acute watery diarrhoeal syndrome” SARS cases by week of onset, 2003:  SARS cases by week of onset, 2003 Unofficial reports from Guangdong WHO global warning12. March First reports to WHO, 11 February Hotel Metropol 21 February Situation in 2003:  Situation in 2003 No well-functioning international surveillance system New diseases not covered in IHR 1969 Sars was hidden by countries, no incentive to report No rules to guide international measures Countries applied different measures Trade measures disguised as publichealth measures? Anarchy!  A law is needed  a new IHR History of international communicable disease law:  History of international communicable disease law Cholera epidemics in Europe 1830-1847 International Sanitary Conference, Paris 1851 International Sanitary Convention, Paris 1926 International Sanitary Regulations, 1951 International Health Regulations 1969 (1973, 1981) Cholera, plague, yellow fever, smallpox, relapsing fever, typhus The IHR revision process:  The IHR revision process 1995, May (WHA 48): Decision to revise IHR 1995-2003: Worskhops, consultations etc. 2004, January: First draft for consultation 2004, March-June: Regional consultations 2004, November: Intergovernmental Working Group I 2005, February and May: Intergovernmental Working Group II 2005, 23 May (WHA 58): Adoption of the IHR 2007, June: Entry into force 2008, May: First evaluation IHR – an international treaty:  IHR – an international treaty The Intergovernmental Working Groups:  The Intergovernmental Working Groups IGWG I – November 2004 – Palais de Nations, Geneva IGWG II – February and May 2005 – WHO HQ, Geneva All countries represented. Regional and plenary meetings. Political. Few public health experts present Every article (every word!) negotiated separately Consensus needed – every country had veto powers. Difficult! Strange results some places (e.g. § 7) Last article (§ 43) agreed on 14 May 03:06 IGWG agrees on 14 May 04:20 World Health Assembly adopts IHR 23 may 2005 National laws on communicable diseases:  National laws on communicable diseases Stop the national spread of the disease Protect the rights of the individuals with disease and cause minimal harm International law on communicable diseases:  International law on communicable diseases Stop the international spread of the disease Protect the sovereignty of states and cause minimal harm (restrictions) Purpose and scope of IHR (§ 2):  Purpose and scope of IHR (§ 2) The purpose and scope of these Regulations are 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 risks to public health, and which avoid unnecessary interference with international traffic and trade. The International Health Regulations:  The International Health Regulations International surveillance system International rules on response to international threats International rules on routine measures against international disease spread Procedural rules (WHO and states) Contents of the IHR:  Contents of the IHR Part I Definitions and purpose Part II Surveillance and response Part III WHO recommendations concerning specific threats Part IV – VIII Routine measures Part IX Procedures Part X Reservations, disputes, etc Contents of the IHR:  Contents of the IHR Part I Definitions and purpose Part II Surveillance and response Part III WHO recommendations concerning specific threats Part IV – VIII Routine measures Part IX Procedures Part X Reservations, disputes, etc The IHR surveillance system:  The IHR surveillance system National IHR Focal Point WHO Local level Mass media, NGOs etc. assess national events do surveillance notify, inform, consult in confidence verify do surveillance Non-governmental sources:  Non-governmental sources NGOs The Kon-fu-tse principle of surveillance:  The Kon-fu-tse principle of surveillance ”Notify to WHO the events that you would like to know about if they occured in your neighbour country.” Decision instrument (annex 2) to determine a potential public health ermergency of international concern (pheic):  Decision instrument (annex 2) to determine a potential public health ermergency of international concern (pheic) Slide20:  Two or more yes  notify WHO. Events detected by national epidemic intelligence Question 1:  Question 1 Is the public health impact of the event serious? Large number of cases/deaths for this type of event for the given place, time or population? Potential to have a high public health impact? External assistance needed? Question 2 and 3:  Question 2 and 3 Is the even unusual or unexpected? Is there a significant risk of international spread? Evidence of epi link to similar events in other states? Any factor to alert us of potential for cross border movement of the agent vehicle or host? Question 4 :  Question 4 Is there a significant risk of international trade of travel restrictions? International restrictions in the past with similar events? Source food or other product that has been exported or imported? Event in intrnational gathering or area of intense tourism? Requests for information from foreign officials or international media? Notification = the start of a dialogue (i.e. ”not a big deal”):  Notification = the start of a dialogue (i.e. ”not a big deal”) Potential pheic Declared pheic Dialogue Key attributes of IHR surveillance:  Key attributes of IHR surveillance WHO recommendations regarding a pheic:  WHO recommendations regarding a pheic National IHR Focal Point WHO Local level Emergency committee implement consult National IHR Focal Point inform and recommend Basis for WHO recommendations:  Basis for WHO recommendations Views of the states concerned Advice of the Emergency committee Science Adjusted to risk assessment  no more restrictions than necessary Examples of recommendations:  Examples of recommendations Reviw travel history Mandatory vaccination of travellers Mandatory medical examination Quarantine Refusal of entry to affected areas Exit screening from affected area Destruction of cargo National core capacities (annex 1):  National core capacities (annex 1) Event detection Local, regional, national level Event assessment and notification National level Public health response to events 24/7 Support, including on-site assistance Communication links Public health emergency plan Potential barriers to effective IHR:  Potential barriers to effective IHR Why should Epiet fellows care?:  Why should Epiet fellows care? Evaluate / improve national surveillance and response capacity (annex 1) In training site country or home country In other country as part of a mission Apply IHR in National IHR Focal Point Notify or inform WHO and respond to requests Provide on-site assistance Be a member of a WHO response team Literature:  Literature IHR resolution and text http://www.who.int/csr/ihr/en/ Baker MG, Fidler DP. Global public health surveillance under new International Health Regulations. Emerg Infect Dis 2006; 12: 1058-65. Nicoll A, Jones J, Aavitsland P, Giesecke J. Proposed new International Health Regulations. BMJ 2005; 330: 321-2.

Add a comment

Related presentations

Related pages

„Diese Menschen suchen ihr Glück“ - DER SPIEGEL 26/2006

Hirsi Ali, 36, Tochter eines somalischen Exilpolitikers, flüchtete 1992 aus Kenia in die Niederlande und zog 2003 für die rechtsliberale VVD ins ...
Read more

Ein virtueller Club und sein Nutzen für Ihr Business | Der ...

Ein virtueller Club und sein Nutzen für Ihr Business 26. Juni 2006 . Neulich fand ich eine Einladung in meinem Postfach – mit durchwegs positiven Folgen.
Read more

Hosted by the - WHO | World Health Organization

26 - 28 April 2006 Geneva, 1 June 2006 ... 3.1 Passenger locator card - Dr Claude Thibeault ... for implementation of IHR(2005) at points of entry , 2006 ...
Read more

Was sammelt ihr? - forum.giga.de

... Was sammelt ihr? Zitat: Zitat von VAMP25;P ... 26.04.2006, 21:28. Alf1990. AW: Was sammelt ihr? boah.. jeder hat mal was gesammelt..
Read more

Freche Kinder - wie reagiert ihr? - Seite 26 - eltern.de

19.01.2006 Beiträge 36.277. Re: ... 26.055. Re: Freche Kinder ... Freche Kinder - wie reagiert ihr? Zitat von knalltyte.
Read more

Silvia W. und ihr Sohn | In Gedenken an die Opfer der ...

Verstorben am 26. Juni 2006 in Taufkirchen Kindesmord und Suizid durch Sprung vom 8. Stock kurz vor der Zwangsräumung Silvia W. (39) war Mutter eines ...
Read more

Update 26.03.2006 - Sim Forum

SimForum: Update 26.03.2006 (Die Sims 2: Downloads)
Read more

Anschläge am 26. November 2008 in Mumbai – Wikipedia

Anschläge am 26. November 2008 in Mumbai Das Hotel Taj ... Juli 2006 explodierten sieben Bomben innerhalb von elf Minuten auf der S-Bahn in Bombay.
Read more

Bis einer heult! • manchmal ist er ihr unheimlich

Wenn sie sich streiten, dann würde er ihr immer so unheimlich, erzählt sie mir verschüchtert, schaut unter sich und nestelt am Saum ihrer Bluse. Erst ...
Read more