GLOBAL PUBLIC HEALTH PERSPECTIVES

Multisectoral Collaboration for Global Public Health Risks

World Health Organization

Modern Global Health Security threats

The International Health Regulations (IHR)

The IHR (2005) is the legal framework for collective

responsibility for global health security

The IHR specify the roles, responsibilities and core

capacities for States Parties to the Regulations and
WHO

The IHR reinforce WHO's central role in managing acute

public health risks, including providing information and
technical support to countries

The effectiveness of the IHR requires international,

multisectoral and multilevel operational readiness and
responsiveness

Two major areas for implementation 1) national core

capacity requirements 2) global event management

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WHO/GHSA : Synergistic mandates

Protect the health of the worlds human populations

Cross-sectoral and multi-disciplinary approaches

Collaboration is an obvious need under IHR
And fundamental under the principles of Global Health Security
For

Zoonoses
Antimicrobial resistance (AMR)
Food safety
Other emerging and existing infectious threats to health at the human-animal interface
Other areas (chemical, radiation)

GHSA creates an enabling environment and synergies for the

implementation of WHOs IHR

WHO collaborates closely with FAO and OIE on cross-sectoral

activities at the national, regional, and international level

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WHO Action on Antimicrobial Resistance

WHA67.25 ...... To develop a draft global action plan to

combat AMR.....to ensure that all countries...have the
capacity to combat AMR.
Takes into account existing action plans and all available
evidence and best practice

To apply a multisectoral approach by consulting:

Member States
Other relevant (multilateral) stakeholders including FAO
and OIE

To strengthen the tripartite collaboration between FAO, OIE

and WHO for combatting AMR
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WHO Helping Countries Build Core Capacities

National core capacities required under IHR:

Surveillance, Reporting, Notification, Verification, Response,
and Collaborative activities
Both existing & emerging threats (including biological threats)

Building capacities translates to health systems strengthening

Strong national health systems are required for collective
defense against threats to global health security

Alignment with national animal health sector to ensure technical

collaboration at the human-animal interface
Strong public health systems and strong animal health
systems nationally
PLUS require standard national tools, mechanisms, and
processes to normalise planning, assessing and responding
together
Based on joint priorities and shared references
Example: WHO IHR/OIE PVS project

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Overlap Between GHSA and IHR

GHSA
Prevent AMR
Vaccination Programs
Nosocomial infection
control
Regional
bio surveillance hubs
Sample sharing
Novel diagnostics
Sharing medical
countermeasures and
personnel

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IHR

Surveillance
Laboratory
Preparedness
Response
Zoonotic diseases
Human Resources

Legislation, Policy &

Financing
Risk communication
Coordination and NFP
Communication
Points of Entry
Food Safety
Chemical Events
Radiological Emergencies

MOVING FORWARD
Shared Value Shared Responsibility
PRIORITIES
OPPOTURNITIES
RISKS
Preparedness for all risks Several opportunities can Support the development
be used to build capacities
of political commitment,
increases country resilience
financial investment and

interest
in
specific
diseases
Early detection allows
intersectoral collaboration
(influenza,
Mers,
Ebola)
rapid response, reduces
at global, regional and
the number of people Comprehensive national
national level.
affected and reduces the
health
systems
impact on the economy:
strengthening approaches Systems best built on
National Priority Health
travel and trade
Issues
Collaboration with other
A few countries not able to
sectors: animal health,
tourism, trade, defence Strengthen CULTURE of
prevent, detect or respond
Routine
Cross-Sectoral
(biosecurity
threats)
to the risks will create a
Collaboration and Use
New technologies available
major threat for the rest of
for better surveillance
existing Tools, Norms,
the world.
Platform,
Network,
Systems

Conclusions
Better risk management for emerging and re-emerging diseases require
all countries to have International Health Regulations (IHR) capacities
in place and WHO to ensure a global safety net. National commitment
is key.
Need to maintain continued and balanced attention to high-risk
threats such as Ebola and AMR as well as all hazards approach.
WHO, FAO and OIE are critical to maintain global preparedness and
alert and provide coordinated international response to mitigate the
multisectoral impact of these events.
As there is major OUTBREAK now, immediate Action for renewed
political attention and investment is required.

CONCLUSIONS

If countries can prevent, detect, and

effectively assess/respond to known
diseases early, they will be able to detect
what is unusual or unknown
and implement effective response
actions while the problem is small