GLOBAL HEALTH SECURITY AGENDA
DETECT
–
1: NATIONAL LABORATORY
SYSTEM ACTION PACKAGE
UPDATE
Dr. Phichet Banyati
Presentation Outline
1. Action Package Membership & Governance
2. Key Milestones & Activities in 2016
3. Partnership Collaboration and Outreach for 2016
4. Highlights of the Workshop, 27-29 July 2016
–
Key Challenges
–
Regional Strategic Roadmap
–
Key Regional Activities for 2016 & 2017
–
Recommendations
• South Africa,
• Thailand [coordinating country for 2016],
• United States
Lead Countries
• Canada, China, Ethiopia, Finland, Georgia, Israel, Japan, Malaysia, Mexico, Peru, Switzerland, United Kingdom, Yemen
Contributing Countries
• FAO, OIE, WHO
Action Package Membership &
Governance
•
In 2016, Thailand takes turn to lead monthly video
conference among lead countries
•
Contributing countries will be further invited to join
monthly video conference, if required.
•
Face
–
to
–
face Meeting/session was held on 28 July
2016, other appropriate venue will be further explored
and utilized.
Key Milestones & Activities in 2016
1. A Workshop: Enhancing Regional Partnership Towards Strengthening Laboratory System in Accelerating GHSA’s Implementation: Detect 1 was
convened during 27-29 July 2016, Bangkok, Thailand, aims to, among others, identify key regional activities and implementing mechanism; and to enhance networking on laboratory across regions.
2. A half day of the Face – face Meeting of Lead Countries & Contributing
Countries was organized back to back on, 28 July 2016 aims to stimulate the discussion on accelerating an implementation and collaboration of identified key priorities of regional activities .
3. Regional Workshop in November 2016 (to be confirmed) aims to fostering
Partnerships Collaborations and
Outreach for 2016
•
Thailand requested collaboration with WHO to
materialize an implementation of JEE;
•
Collaborated with ASEAN Plus Three Laboratory
Network and other relevant regional platforms on
laboratory;
•
Invited SAARC and ASEAN including Timor Leste
to participate in the two Regional Workshops and
other regional activities;
Regional Workshop: Enhancing Regional Partnership Towards Strengthening Laboratory System in Accelerating GHSA’s
Implementation: Detect 1
OBJECTIVES
To update on national strategic plans
on National Laboratory
System
Strengthening
(LSS);
To present the regional strategic roadmap on LSS based on outputs from
May 2015 Meeting;
To propose key regional activities and
identify implementing
mechanism; and
To enhance networking on LSS across
Participants
Timor Leste
Lead
Countries
USA
South Africa
Thailand
Development Partners/Local Partners
ASEAN Partnership Laboratory - Malaysia
Animal Health Lab
FAO
USAID [HQ, Thailand, Indonesia]
Thai US CDC
WHO [SEARO &WPRO]
OIE
Mekong Basin Disease Surveillance [MBDS]
APIER
JICA
AFRIMS
MOPH Thailand
MOFA
Key Results of the Workshop
Identified key
Challenges on
national
laboratory
Strategic
Roadmap on
Laboratory
System
Strengthening
[2016-2020]
Identified on
Key Regional
Overview challenges from 13 participating
countries
- Legislative framework is required
- Increase in diagnostic capacity such as bio-banking and bio-informatics
- Establishment of EQA system and accreditation
- Monitoring and maintenance service for biomedical engineering (such as biosafety cabinet)
- Establishment of regional database for sharing information
- Linking information between human and animal health sectors
Overview challenges from panelist discussion
- Shortage of qualified and well-trained laboratory
personnel
- Resource constraints and lack of infrastructure:
peripheral areas
- Notification system for medical conditions:
sub-optimal
- Public-private partnership on laboratory
- Laboratory capacity (infrastructure, laboratory QA
programme & performance and bio- sample
management)
• GHSA Detect-1 is able to accelerate the political
commitment, stakeholder engagement, collaboration for animal and human health sectors and the utilization of GHSA roadmap & action plan.
• Providing training opportunities and capacity building
for the countries needed.
• Developing for sustainable systems & policies based on
national/regional priorities
• Enhancing Integrated laboratory networks
Regional Strategic Roadmap on
Laboratory System Strengthening
[2016-2020]
•
Page 2
•
One of joint collaborative effort of lead countries
of GHSA
–
Detect 1: National Laboratory System
•
Aiming to provide
general guidance for GHSA
member countries
in developing their respective
National Roadmap on GHSA: Detect
–
1: National
Laboratory System
•
Identified key strategic components intend to
reinforce the International Health Regulations
[IHR 2005] as well as others relevant regional
strategies such as Asia Pacific Strategy for
Emerging Diseases [APSED]
•
Noting different stages of national laboratory
context, the roadmap will be further modified to be
suitable for local circumstances;
•
Served as a tool/framework for follow up progress
of the GHSA: Detect
–
1: National Laboratory
System and served as a framework for identification
of regional activities;
•
Taking consideration on synergised efforts needed
among inter
–
related of other GHSA Action
Packages such as Zoonosis, etc.
•
Joint External Evaluation
involving a combination
of domestic and independent experts
will be
promoted as a monitoring and evaluation tool
• Real-time biosurveillance with a national laboratory system and effective modern point-of-care and
laboratory- ased diagnosti s”
• Based on May 2015 Meeting : Key components of the
Roadmap for LSS were agreed among participating
countries of the said Meeting and served as a basis for formulating of this important document.
• Drafted by Thailand;
• Discussed among lead countries and key development
partners including WHO and USAID during the 4th and
5th Package Conference (Video) Call hosted by
Thailand on 31 May 2016 and 5 July 2016 respectively.
• Real-time biosurveillance with a national laboratory system and effective modern point-of-care and
laboratory- ased diagnosti s”
• Based on May 2015 Meeting : Key components of the
Roadmap for LSS were agreed among participating
countries of the said Meeting and served as a basis for formulating of this important document.
• Drafted by Thailand;
• Discussed among lead countries and key development
partners including WHO and USAID during the 4th and
5th Package Conference (Video) Call hosted by
Thailand on 31 May 2016 and 5 July 2016 respectively.
1.Strategic Policy Registering & licensing
1.1 Conduct JEE
1.2 Sharing/ updates National
Strategic Plan
2. Diagnostic Capacity
2.1 Develop Regional Specimen Referral
system
2.2 Training for trainers on Microbiology
2.3 IATA Training
3. Quality Management
System
3.1 Establish regional EQA
Program
4.Biorisk Management
System
4.1 Develop regional guidelines [Nussara,
tbc}
4.2 Training on biomedical engineers
to certify biosafety cabinet
4.3 Training on biosafety and Biosecurity [to be
included in 4.2]
5. Laboratory
Networking
5.1 Strengthen existing network
5.2 Establish inter-region
linkage
6. One
Health
6.1 Sharing best practices
6.2
Regional activities will be proposed
by any of lead countries, contributing
countries, as well as other GHSA
Package Members.
Implementing modalities will be in
close collaboration with WHO, FAO,
OIE, and other regional
Draft Action Plan of Key Regional
Activities: GHSA Detect 1
•
The Department of Medical Sciences hosted a
Meeting of key development partners on 19
July 2016 to draft the Action Plan; and
•
Draft Action Plan will be further consulted
with lead countries during the next video
Potential Regional activities have been identified
No. Regional activities Lead country/ Timeline
Key Partners
1 Bioengineering Training Thailand
2 Batches of 25 pp
2. External Quality Assurance Program
South Africa /Thailand
To be confirmed
- Thailand MOPH-US-CDC Collaboration - FAO/USAID
3. Sharing Experience on Lab Preparedness; Lessons learned from EID outbreak
Thailand South Africa
During the 2nd
Workshop [ Dates to be confirmed]
No. Regional activities Lead country/ Timeline
Key Partners
4. Bioinformatics Network Thailand
Malaysia (Dengue)
- FAO/USAID - US-CDC
4.1 Training on Influenza Sequencing & Bioinfomatic Basic
Thailand/Q 2 for 2017
WHO, FAO, DLD Thailand
5. Regional workshop to share 4-way linking experiences in
implementing countries such as Indonesia / Vietnam
Indonesia / Vietnam
No. Regional activities Lead country/ Timeline
Key Partners
6. Quality Assurance,
supply chain management, specimen collection and transport, perform
laboratory assessments
Thailand / Sri Lanka/Indonesia
6.1 Need assessment on packaging and training transportation including biosafety and biosecurity competency
Thailand [AH & HH]/October 2016
FAO
Thailand US CDC USAID
6.2 Regional Training on packaging and Shipping
Infectious Substances [ 2 – 3 days] [ subject to the result of activity 1]
Thailand/ March 2017
FAO & WHO USAID
No. Regional activities Lead country/ Timeline
Key Partners
6.3 Development of Regional [Sub – Regional] Agreement for Material Transfer Agreement [MTA]
Indonesia & Thailand/To be confirmed
6. 4 Establishment of Regional Referral Lab Network [public health network]
Malaysia, Indonesia, Sri Lanka/ 2nd Q of laboratory development
towards National Accreditation
Thailand
To be confirmed
