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Strategic Framwork For Emergency Preparedness
Strategic Framwork For Emergency Preparedness
Emergencv
Preparedness
A strategic framework for emergency preparedness
ISBN 978-92-4-151182-7
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ii
CONTENTS
Acknowledgements .........................................................................................v
List of contributors ...........................................................................................vii
...........................................................................................ix
.................................................................................................1
.......................................1
..........................................................................2
....................................................3
5. Framing emergency preparedness .............................................................4
......................................................6
...............................................7
..........................................................................................8
Annex 1. Elements of preparedness at all levels .............................................9
Appendix 1. ...................................................13
Appendix 2. ......................................14
Appendix 3. Frameworks and assessment tools for
emergency preparedness .................................................................................15
iii
A STRATEGIC FRAMEWORK FOR EMERGENCY PREPAREDNESS
WHO would like to thank Professor Ronald Waldman for his contribution to the
development of this framework.
WHO would also like to express gratitude to all Member States, partners and WHO
Departments and Regional Offices (see list of contributors) for the extensive input received
in particular before, during and after the Bali meeting on Advancing Global Health Security
held from 27 – 29 June 2016.
v
vi
A STRATEGIC FRAMEWORK FOR EMERGENCY PREPAREDNESS
vii
A STRATEGIC FRAMEWORK FOR EMERGENCY PREPAREDNESS
Cer tb
The Strategic Framework for Emergency
Preparedness is a unifying framework which
&
These include components associated with the
country health emergency preparedness. It adoptsgif strengthening of the following areas.
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The health emergency preparedness framework
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resources for community and country emergency emergency preparedness.
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for these.
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epidemics
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approach, comprising all-hazard and hazard-
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preparedness for all types of emergencies at the
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A STRATEGIC FRAMEWORK FOR EMERGENCY PREPAREDNESS
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strengthening
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to cross borders; epidemics and pandemics;
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the human, economic and societal consequences. and other types of emergencies caused by
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health and on society.
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It relies on all stakeholders working together resources for community and country emer-
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gency preparedness, and mobilizing increased
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• The SDGs
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stronger emergency preparedness. Investment in •
this strategy to reduce the number and severity of Eas
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that various stakeholders play in emergency the Integrated Disease Surveillance and Response
preparedness. (IDSR) framework; and Health 2020 in the
Ss50 European Region.
Levels of preparedness remain uneven across and
- -
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term health and other societal impacts. The these varied global and regional frameworks. It
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recent Report of the UN Secretary-General’s -
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assessment, infrastructure, preparedness and
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play important roles in community-based equipment, exercises, and knowledge.
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4
A STRATEGIC FRAMEWORK FOR EMERGENCY PREPAREDNESS
-
4. Whole-of-government/whole-of-society
approach: Emergencies have widespread
systems, or for temporary health services in
-
health sector has an important role to play in
all of them. Integrated support for emergency
aspects of health systems that support pre-
preparedness across all sectors of govern-
paredness, including:
ment and society, including non-govern-
a. Development, training and equipping of a
- - -
health
- emergency workforce
b. Maintenance of structurally and func-
&
- -
-
-
c. A reliable supply of medicines
-
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⑤ Financing for emergency risk manage- economies, livelihoods, the environment and
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(3 (NDMA) and/or the equivalent bodies
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- 3. Most emerging epidemic and
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preparedness and response to many types
-
of emergencies, including those caused by
Human health is intrinsically linked to the
- natural and technological hazards. While the
health of animals and to the environment.
-
lead agency for the management of localized
The overall aim of the One Health approach
-
outbreaks is usually the Ministry of Health,
- e -
5
emergency
preparedness
Common elements for strengthening
33 — - -
emergency preparedness
— Plans for emergency preparedness, response
-
-
and recovery
-
—
-
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—
-
on -
-
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management
-
—
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cies
— Basic and safe health and emergency services
—
— -
form and accelerate emergency preparedness
* Resources
— Financial resources for emergency prepared-
i —
health
— Dedicated, trained and equipped human re-
sources for emergencies
6
A STRATEGIC FRAMEWORK FOR EMERGENCY PREPAREDNESS
support.
• The develop-
ment of an emergency preparedness pro-
gramme and associated plans should be
based on all-hazards assessments of risk,
- -
evidence-based way.
•
-
op preparedness and emergency response
- -
tools have been used. It is crucial that emer-
-
gency preparedness plans between and
- - - within sectors and levels are aligned and do
for every aspect of the process, and enables
-
- -
- - -
-
- health emergency preparedness, notably:
-
- • -
holders commit to improving a country’s
-
-
-
• -
-
cy response plan that sets out the com-
-
-
-
- health sector, all hazard responses
ening emergency preparedness are included • -
in a budget for health security or emergency
risk management, which in turn should not •
)ط( ﺧﻄﺔ ﻋﻤﻞ وطﻨﯿﺔ ﯾﻠﺘﺰم ﺑﮭﺎ أﺻﺤﺎب اﻟﻤﺼﻠﺤﺔ ﻟﺘﺤﺴﯿﻦ ﻣﺴﺘﻮى اﺳﺘﻌﺪاد اﻟﺒﻠﺪ ﺧﻼل ﻓﺘﺮة زﻣﻨﯿﺔ ﻣﻌﯿﻨﺔ
•
( ﺧﻄﺔ اﻻﺳﺘﺠﺎﺑﺔ اﻟﻮطﻨﯿﺔ ﻟﻠﻄﻮارئ اﻟﺼﺤﯿﺔ ﻟﺠﻤﯿﻊ اﻟﻤﺨﺎطﺮ اﻟﺘﻲ ﺗﺤﺪد اﻟﻌﻤﻠﯿﺎت واﻟﻤﺴﺆوﻟﯿﺎت اﻟﻤﺸﺘﺮﻛﺔ ﻟﺠﻤﯿﻊ2)
وﺟﻤﯿﻊ اﻻﺳﺘﺠﺎﺑﺎت ﻟﻠﻤﺨﺎطﺮ،ﻗﻄﺎﻋﺎت اﻟﺼﺤﺔ
•
.( ﺧﻄﻂ اﻟﻄﻮارئ اﻟﻤﻌﺪة ﻟﻠﻤﺨﺎطﺮ ذات اﻷوﻟﻮﯾﺔ واﻟﻤﺮﺗﺒﻄﺔ ﺑﺨﻄﺔ اﻟﻌﻤﻞ اﻟﻮطﻨﯿﺔ وﺧﻄﺔ ﻣﻮاﺟﮭﺔ ﺟﻤﯿﻊ اﻟﻤﺨﺎطﺮ3)
7
into account available resources must be in The world is at a moment of convergence. The
: jis
•
ensuring health security at all levels of society
① ②
-
-
that threaten people’s health worldwide.
D
&
- -
-
⑤
-
-
-
- - -
-
preparedness.
8
CORE ELEMENTS COMMUNITY
Governance
-
Community emergency
that integrate emergency preparedness recognised in policies
preparedness
- -
Community level drills and exercises
recovery
-
recovery
management programmes
planning
9
CORE ELEMENTS COMMUNITY
-
- capacity assessments and assessments and capacity assessments
include health
modelling
- -
test samples
emergencies
emergencies preparedness
community capacity development
emergency preparedness
on community emergency
and accelerate emergency preparedness
preparedness other measures
preparedness at community level
emergent health issues
emergent diseases
preparedness preparedness
11
12
emergency preparedness
preparedness
emergency response
emergency response
experts
capacity
community level
supplies
emergencies
systems to support health in emergencies
A STRATEGIC FRAMEWORK FOR EMERGENCY PREPAREDNESS
Appendix 1. III.
-
demics of varying severity have occurred
-
regional outbreaks, although they have cies. Country and community emergency
preparedness for pandemics involves
readiness to reduce transmission and
manage the response with limited access
(PHEICs). Many other communicable
- assistance.
tricts without posing an important threat b. Emergencies due to hydrometeorological
Sudden-onset
nature of these outbreaks has important and slow-onset emergencies due to natu-
that are required; their management
and health systems (and the further possi-
and local health systems to detect them
and to respond rapidly and competently, and health sector preparedness. Techno-
logical events, outbreaks of communicable
Importantly, the management of out- disease and other secondary hazards may
breaks of this nature, if well executed, can follow natural hazard events that cause
usually remain largely under the authority
of the ministry of health or designated health services), and countries must be
health agencies. prepared to deal with them.
II. - 2. Emergencies due to human-induced hazards
There are several known
a. Emergencies due to technological hazards
Emergencies may arise from a range of
humans and which have been detected in
numerous countries, but which have not
yet reached pandemic status: MERS CoV widespread regional or global phenomena.
- These can originate from technological
ples. Approaches to preparing for these
procedures, infrastructure failures or
the other categories of threat presented
here.
13
waste, dam failures, transport accidents,
Appendix 2.
Technological hazards may also arise from
the impacts of other hazardous events.
b. Emergencies due to societal hazards
Societal hazards are mostly associated
the knowledge,
ranging from civil unrest through armed
by governments, response and recovery
use of chemical, biological, radiological and
can cause great morbidity and loss of life from the impacts of likely, imminent, emerging, or
current emergencies.
health that can last for many years, even
decades. A range of preparedness and an event or threat that produces
response measures are required to deal
with the consequences of these complex consequences that require urgent, coordinated
a document
14
A STRATEGIC FRAMEWORK FOR EMERGENCY PREPAREDNESS
15
• Europe 2020 http://www.euro.who.int/en/ • OIE Tool for the Evaluation of Performance
health-topics/health-policy/health-2020-the- of Veterinary Services http://www.oie.int/
european-policy-for-health-and-well-being support-to-oie-members/pvs-evaluations/oie-
• Strategic Plan for Disaster Risk Reduction and pvs-tool/
Response 2013-2018: A more resilient health • PAHO Health Sector Self-Assessment Tool for
sector in the Americas (PAHO) Disaster Risk Reduction (WHO/PAHO)
• Framework of Action for Disaster Risk http://www.paho.org/disasters/index.
Management for Health (WPRO) http://www. php?option=com_content&view=art
wpro.who.int/publications/9789290617082/ icle&id=1375%3Ahealth-sector-self-
en/ assessment-tool-for-disaster-risk-
reduction&Itemid=924&lang=en
• European Strategic Action Plan on Antibiotic
Resistance http://www.euro.who.int/en/ • Toolkit for assessing health system capacity
about-us/governance/regional-committee- for crisis management (EURO) http://www.
for-europe/past-sessions/sixty-first-session/ euro.who.int/en/publications/abstracts/
documentation/working-documents/wd14- strengthening-health-system-emergency-
european-strategic-action-plan-on-antibiotic- preparedness.-toolkit-for-assessing-health-
resistance system-capacity-for-crisis-management.-part-
1.-user-manual-2012
• WHO Emergency and Disaster Risk
Management for Health Survey Tool (WHO)
• Global Health Security Agenda
• WHO Laboratory Assessment Tool
www.ghsagenda.org
English: http://www.who.int/ihr/publications/
laboratory_tool/en/
Assessment Tools French: http://www.who.int/ihr/publications/
laboratory_tool/fr/
• Assessment Tool for Core Capacity
Russian: http://www.who.int/ihr/
Requirements at Designated Airports, Ports
publications/laboratory_tool/ru/
and Ground Crossings http://www.who.int/
Spanish: http://www.who.int/ihr/
ihr/publications/PoE/en/
publications/laboratory_tool/es/
• Benchmarks, Standards and Indicators of
Emergency Preparedness and Response
(SEARO) http://www.searo.who.int/entity/ Partnership Portal
emergencies/topics/EHA_Benchmarks_
Standards11_July_07.pdf
The Strategic Partnership Portal (SPP) is a WHO
• Emergency Response Preparedness Guidance
(IASC) https://www.humanitarianresponse. coordination tool that provides comprehensive,
info/en/programme-cycle/space/emergency- up-to-date reporting of health security
response-preparedness-guidance-and- contributions made by donors and partners; notes
templates the collaborations between various stake-holders;
• Hospital Safety Index 2nd Edition, Guide and identifies the specific needs and gaps each
for Evaluators (WHO) http://www.who.int/ country faces in building its IHR capacities. Such
hac/techguidance/hospital_safety_index_ information is crucial to improve transparency and
evaluators.pdf?ua=1 facilitate future collaborations.
• IHR Joint External Evaluation Tool
(WHO) http://www.who.int/iris/ In addition, under WHO’s new Outbreaks and
handle/10665/204368 Health Emergencies (OHE) programme, the
• Initial Assessment of National Surveillance (in SPP plays a central role in country emergency
press) preparedness, reporting the recommendations
• Initial Assessment of Public Health of the Joint External Evaluations (JEE) and other
Surveillance of Events Related to Points of elements of the IHR Monitoring and Evaluation
Entry (in press) Framework (IHR MEF) to link countries with
• Joint Assessment of National Health donors and partners interested in supporting
Strategies (International Health Partnership +) implementation of national action plans.
http://www.internationalhealthpartnership.
net/en/key-issues/national-health-planning- • Strategic Partnership Portal (WHO)
jans/ https://extranet.who.int/donorportal/
16
A STRATEGIC FRAMEWORK FOR EMERGENCY PREPAREDNESS
17