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A Strategic Framework for

Emergencv
Preparedness
A strategic framework for emergency preparedness
ISBN 978-92-4-151182-7

© World Health Organization 2017

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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

Contributors marked with an asterisk provided


African Development Bank Group (AfDB);
workshop held from 8 to 9 June 2016. Further

Advancing Global Health Security held from 27 to


29 June 2016 in Bali, Indonesia. Commission; German Federal Ministry for

Delegates from the following countries:


Afghanistan; Armenia; Australia; Bangladesh;
Bhutan; Burkina Faso; Cambodia; Cameroon;
Canada; El Salvador; Ethiopia; Finland; Gambia;
Germany; Ghana; Indonesia; Italy; Japan; Kingdom
of Saudi Arabia; Malawi; Maldives; Malaysia;
Mauritania; Morocco; Myanmar; Nepal; The
Netherlands; Nigeria; Oman; Pakistan; Republic
of Korea; Singapore; South Africa; Suriname;
Tanzania; Thailand; Timor-Leste; Togo; Uganda;
United Kingdom; United States of America;
Vietnam; and Zambia.

The following WHO Headquarters departments:


Country Preparedness and IHR (CPI/WHE);

(HIM/WHE); Service Delivery and Safety (SDS/


HIS); Public Health and Environment (PHE/FWH);
Health System Governance and Financing (HGF/
HIS).

Network (AFENET); Caribbean Public Health


Agency (CARPHA); European Centre for Disease

Epidemics; Save the Children; Training Programs

Network (TEPHINET); United States Centres for

of Alabama; University of Tokyo.

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.
-

i -

-
-

• -
- -

- plans for emergency preparedness, response


-
The framework capitalizes on the-
strengths of
-
• assessments of risks and capac-
Es
=> -
-

- & preparedness; surveillance and early warning;


- -
-
-

and safe health and emergency services; risk


-

B
The health emergency preparedness framework
· 1
,
~
5 505-
resources for community and country emergency emergency preparedness.
-


-

preparedness, and for mobilizing and sustaining


-
S

58 ig&s

for these.
- supplies for health; dedicated, trained and
equipped human resources for emergencies.
The types of events covered by in this framework *Is
%
I
- -
The process for strengthening these core - 5 is is

components of emergency preparedness must 319


I

gj jj
- -

epidemics
--
and pandemics; and other types of
emergencies -
caused by natural, technological and assessing risks and capacity, and moves through -j)I

-- -
Els P
&19
on people’s health and on society.
- gible

I-
-
-
- I
gisis
ils.

si
&
-
..

--
approach, comprising all-hazard and hazard-
-
- Exercises provide evidence-based assessments to
- monitor and strengthen emergency preparedness.
- -
preparedness for all types of emergencies at the
-

Ensuring health security at all levels of society


5 9 =
should set out to achieve the following strategic investment to build consolidated emergency
.. -
preparedness. When prepared, responses are
G
-
, my

1. - -

economic and societal


-

consequences of
-
gencies
-

· 61 ylyinse
2. Resilient health system
- --

Investment in this strategy to reduce the number


- -
-

3. One Health at the human-animal-environ-


-

-
ment interface

/
&
I
25 & 25
~
s I 4. A whole-of-government, whole-of-society Ja
b7 sG approach. ↑

es
N
- ↑

&. g

ix
A STRATEGIC FRAMEWORK FOR EMERGENCY PREPAREDNESS

·
sybija 90

emergencies, and which have recommended


-

strengthening
-
emergency preparedness in
Public health is constantly threatened by a wide -
-

range of hazards. Despite measures to prevent


them, emergencies of varying types, scales and -55195574./1Sx X1[j
• To strengthen country and community

E
- -
emergency preparedness
-
in order to ensure
community, must be ready to respond to these

S
- -
-

emergencies. When we are prepared, responses -


- -

-
-

- -
-
to cross borders; epidemics and pandemics;
-
-
the human, economic and societal consequences. and other types of emergencies caused by
- natural, technological and societal hazards
-
-

- -
health and on society.
-

commitment at all levels must be sustained.


- • -
- -

It relies on all stakeholders working together resources for community and country emer-
-
gency preparedness, and mobilizing increased
-
-

area.
-

For the purposes of this framework, emergency Ministries of health can use this framework to
-

-
-

G
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53 … -
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-

---
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s jst
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sectors, the private sector and civil society. This


- -
-
- -
>
-
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&
-

--
¹ out the planning process by which countries
- -

approach, comprising all-hazard and hazard-

preparedness for all types of emergencies.²


-

&

39
,& -
-
-

inform their investments. It also points to other


S more detailed frameworks and tools that can help
55g- The purpose of this document is to provide a high-
T
-

jo
-

level, strategic, unifying framework that outlines


③ - - - -

what is needed for emergency preparedness.


36 -

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i -

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961s
-
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preparedness across relevant sectors and at all
-

55t>ejo x
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levels. It also responds to a number of post-event
3.
-

-
,
reviews that have concluded that the world is
-

1
3. Context On the basis of past trends, an important and

emergency preparedness has been inconsistent

achieving emergency preparedness, but for the


-

Emergency responses of appreciable magnitude


are generally followed by a rapid decline in
demonstrated
-
their commitment to working
together to improve emergency preparedness
- that past emergencies have reinforced the need
at all levels. Disasters caused by natural hazards,
-

establishments to work together to strengthen


preparedness. ‫ﺣﻼل ﻣ*ﺤﻤﻮﻋﺔ ﻣﻦ اﻷﻃﺮ‬9 ‫ٮ"تﻢ ﻣﻌﺎﻟ*ﺤﺔ اﻟ"ٮﺄﻫﺐ ﻟﺤﺎﻻت اﻟﻄوارئ ﻣﻦ‬
.‫ٮﺔ اﻟﻤ"ٮﻌﻠ"ڡﺔ *ٮﺎﻟﺼﺤﺔ وﺣﺎﻻت اﻟﻄوارئ واﻟﻜوارث‬D‫واﻟﻤ*ٮﺎدرات اﻟﻌﺎﻟﻤ‬
:‫وٮ"ﺸﻤﻞ ﻫﺬه‬
Emergency preparedness is addressed by a range
-
health, emergencies and disasters. These include:
sustainable development goals (SDGs), especially -

• The SDGs

g
stronger emergency preparedness. Investment in •
this strategy to reduce the number and severity of Eas
2005) -

• The Sendai Framework for Disaster Risk Re-


by strengthening of health and other societal
systems to improve the availability and quality •
of, and access to, the basic services upon which Framework

(OIE) Performance of Veterinary Services (PVS
Countries have been working on emergency Pathway)
• The Paris Agreement on Climate Change
that a high level of preparedness contributes • The Global Health Security Agenda (GHSA)
• Universal Health Coverage (UHC) 2030.
emergencies, and reduces their health and other
consequences. This experiences of this work These are complemented by regional strategies
have highlighted the value of public, private that address preparedness and disaster risk
and community partnerships within and across management around the world, such as the Asia-

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
- -

The framework for emergency preparedness


1 Is
is an
Fin
-
;

9
- .

term health and other societal impacts. The these varied global and regional frameworks. It
- m e m
&
S
recent Report of the UN Secretary-General’s -

High-Level Panel on the Global Response to -

Health Crises, declared that the Ebola outbreak in - -

West Africa (2013-2016) must ‘serve as a wake-up --


adopts and outlines the major lessons of previous
-

health crises’. -

2
A STRATEGIC FRAMEWORK FOR EMERGENCY PREPAREDNESS

8 Siss
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sign's S
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Health systems and&
- S

, emergency prepared-
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ness reinforce one another, and along with
emergency
-

other systems contribute to the resilience


&

preparedness - -

systems is extremely important to emergency


-
-

- -

&
This framework is built upon the following set of -
-

principles: stronger systems, but also the right rela-


-

3 ·
1. Safeguarding, maintaining and restoring the animal health and other societal systems are

-6 - -

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y -
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Y - Conversely, emergency preparedness builds


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paredness. Improving the state of individual, the resilience of these systems.
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6. Emergency preparedness should be ad- -

.
- -

dressed with an all-hazards approach. Many


·.
low-capacity countries, contributes to global 2155b
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--
health security and helps raise the level of elements of emergency preparedness
-
are ,
- -

health security for all. common


- to all hazards, and plans
-
for emer- ja
Would , ==-31. j
gency preparedness should be designed
-
-

- to incorporate them. There is also a need


3 2. &
= -
-

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9S gency management. Community members

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J-
169 - - -
ness measures based on risk assessments,
Jef-b 51 9
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-
-

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and these should build on and supplement
.
&

E
- members of the preparedness process. They
--

- all-hazard plans as appropriate.


g: i
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&

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7. A risk management approach underpins the
-

-
- -

gency preparedness. - - -

93's D -
is
& y
3. -
& O
- -

=, 1
- -
-

commitment, partnerships, and funding. The


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& 95
9
- : - -
#
- -

&
- -

-#
-

- - - -
-

reduce vulnerability.
- - - -

&
8.
-

to preparedness in a sustained manner, just - -

like funding. Emergency preparedness is a -


emergency preparedness. Addressing the
-
shared responsibility that requires coordi- health dimensions of emergency prepared-
-
ness requires the health system to interact
- -

with other government sectors at all levels of


-

-
-

private actors, civil society, donors, technical and civil society, including non-governmental
-
-
-

Si
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4. Achieving emergency preparedness has a I


f)
Es
- - -

G - S --
& cost, but this is an investment in health,
& safety, security and development. Sustained
&
-

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-
-

funding should be aligned with costed, prior-

gy00
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and capacity assessments.


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3
:
gig jj
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5. Framing emergency • -

preparedness -

emergency with health consequences, they

-
Preparedness for emergencies relies on a set of and technical assistance that supplement
-
- -
-

is missing. Although a number of approaches


-

to emergency preparedness are available, this that can strengthen country and community
Jas framework considers two main issues: (1) the level preparedness.
is/19

195
-

-
at which preparedness is implemented; and (2) 35-1841
2. Strategic approach to emergency
r
N strategic approaches to preparedness. -
-
s
preparedness /Maxigo,5 Si'1's :

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39
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1. Emergency preparedness needs to be imple- Key elements of emergency preparedness y
mented at all levels 3, O
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-

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-

• - from an analysis of the following four strategic I

- outcomes: D
jos
-
·

/gigt
&
&

to respond to emer- gis ,


-

1. -

gencies: a-
high level of readiness
-
will allow 355%-

must take ownership of their preparedness - -


-

and strengthen it for emergencies ranging


of establishing, strengthening and maintain-

that can be applied at all levels, which follows


support for community emergency prepared- an all-hazard approach and which a focus-
ness; this means that community representa-
-&
-

and processes should be assured to the - -


-
sign
- -
and set up specialized arrangements and
services for emergency response. It requires
-

-
assessment, infrastructure, preparedness and
private sector and other community actors
play important roles in community-based equipment, exercises, and knowledge.
-
2.
-
Health systems—
of the state. -
• -
The overall re-
Y

js restoring the health and wellbeing of commu-


-
sponsibility for safeguarding, maintaining and

jid
-

& -
-
preparedness for known and emergent
·
~

hazards, and must be strengthened. Emer-


js S - -

g 3 gency risk management and preparedness


·

- -

a health system more&


gass
IHR (2005), the Sendai Framework and other help
-
make resilient. It
- is important to recognize the importance of
- -

- -
-
ty: for example, emergency preparedness re-
-

quires a health workforce which is adequately


local government and other stakeholders
for emergency preparedness. Preparedness - -
bly distributed mix of skills and competencies.
This workforce must be properly remunerat-
for large-scale disasters and pandemics with

4
A STRATEGIC FRAMEWORK FOR EMERGENCY PREPAREDNESS

between human and animal health services,


-

services to address surges in the health needs


-

-
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
-

ministry of health and all stakeholders at


d. Disease surveillance systems and laborato-
-
ry services - -
-.+j;js gency preparedness and response, and help
e. Competent health service delivery for
-
reduce the consequences of outbreaks and
-
other emergencies—not only for the health

-18
-

x
⑤ Financing for emergency risk manage- economies, livelihoods, the environment and
903
& - ↑

ment, including preparedness as an inte-


-

& - -

other social assets.


-

9 g. -
8 ,
(3 (NDMA) and/or the equivalent bodies
-

I
egt3 &315
N

si
-
I
&
- 3. Most emerging epidemic and
-
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 -

the human-animal-environment interface,


-

numerous sectors is required. In such cases,


emergency preparedness at all levels. This
- -
the lead may be transferred to another
involves -
strengthening all aspects of veter-
inary health systems, as guided by the PVS
Pathway promoted by the OIE. For example,
&

S it 1 between health and other sectors (e.g.


the inclusion of veterinarians and other
- agriculture, water, energy, law enforcement,
animal health specialists in epidemiology and
laboratory training programmes, and in all as-
-

pects of emergency response planning, is an emergencies.


important element of emergency prepared-
ness. So too is the extension of epidemiologic The private sector plays an increasingly vital
role when limited resources are stretched
and wildlife habitats, with an emphasis on and overwhelmed. This underscores the
need to strengthen private sector emergency
is most common and disease spillover most
likely. Joint review of capacity, which includes between government, small and large-

and outbreak exercises, should be promoted. stakeholders as part of community and


country emergency preparedness.

5
emergency
preparedness
Common elements for strengthening

in Annex 1. These include:

33 — - -

emergency preparedness
— Plans for emergency preparedness, response
-
-

and recovery
-


-
-

-j -


-
on -
-

- -

management
-


- -
-
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

7. Operationalizing only be part of the health budget, but also

emergency gency funding mechanisms for rapid access


-

preparedness during emergencies. In most higher-risk


low-capacity countries, these processes will

support.
• The develop-
ment of an emergency preparedness pro-
gramme and associated plans should be
based on all-hazards assessments of risk,
- -

and of the available capacity to manage the


-

priority risks. A standardized approach to


-
-

all types of assessment is required so that ↑

they may be applied in a comparable, re-


producible and defensible manner to inform
emergency preparedness plans. A range of
-
works and tools enables countries to assess

targeted measures to strengthen prepared-

evidence-based way.

-
op preparedness and emergency response

• development and implemen- -


-

- -
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
-
- -

- - -

- must be aimed at developing consensus and


below). agreement not only on content, but also
• All steps of emergency pre-
paredness planning should take account
-
-

-
- health emergency preparedness, notably:
-
- • -
holders commit to improving a country’s
-
-

- level of preparedness over a given period

-
• -
-
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
-

investment to build consolidated emergency


-
- -
preparedness. This strategic framework has been
-

commitment to, and ownership of, emer-


- the universal desire to prepare for all emergencies
for strengthening emergency preparedness
d -

-
that threaten people’s health worldwide.
D
&

- -

-

-

-
-

- - -
-

lag between development and implementa- -


&
-
‫ﺣﺮ وﻫﻮ اﻟﺤﺎ*ﺣﺔ إﻟﻰ اﻟﺤﺪ ﻣﻦ‬9‫ٮﺎك ﻋﺎﻣﻞ ﻣﻬﻢ آ‬9‫وﻫ‬
commitment to emergency preparedness. ‫ڡﺎظ ﻋﲆ‬9‫ ﻟﻠﺤ‬،‫ٮﺬﻫﺎ‬D‫ڡ‬9‫ٮ‬9"‫ﺤﻄﺔ وٮ‬9‫ڡﺎرق اﻟﺰﻣﲏ *ٮيﻦ وﺿﻊ اﻟ‬9‫اﻟ‬
.‫ﺣﻢ واﻻﻟ"ٮزام *ٮﺎﻟ"ٮﺄﻫﺐ ﻟﺤﺎﻻت اﻟﻄوارئ‬9‫اﻟﺰ‬

Emergency preparedness is a dynamic

preparedness plans should be monitored and

and standardized tools and processes, and


should be reported accordingly. Reviews

body convened for the purpose. Where there


-

post-emergency or post-exercise reviews have

• Exercises provide evidence-based


assessments for the monitoring and strength-
ening of emergency preparedness. As training
tools, exercises are useful to help build indi-

As quality assurance tools, exercises can test


and evaluate emergency policies, plans and

preparedness.

8
CORE ELEMENTS COMMUNITY
Governance
-
Community emergency
that integrate emergency preparedness recognised in policies
preparedness

- -
Community level drills and exercises

A STRATEGIC FRAMEWORK FOR EMERGENCY PREPAREDNESS


-
-

recovery
-
recovery

management programmes

planning
9
CORE ELEMENTS COMMUNITY

-
- capacity assessments and assessments and capacity assessments
include health

modelling

sectors and levels

- -

surveillance animal health


systems

to services and supplies


human and animal diseases and contain
CORE ELEMENTS COMMUNITY

emergencies in emergencies at community level services in emergencies

test samples

emergencies

specialised emergency services


emergency services and health relevance to emergency preparedness and
sectors

services in other sectors in emergencies


services in other sectors in
emergencies
programmes
preparedness Clinical guidance and protocols
Coordinated mechanisms and strategies

A STRATEGIC FRAMEWORK FOR EMERGENCY PREPAREDNESS


emergency preparedness
preparedness

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

CORE ELEMENTS COMMUNITY

emergency preparedness
preparedness
emergency response

emergency response

hazards emergency preparedness include health


emergencies
community emergency volunteers

experts
capacity

private and civil society sectors

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

emergencies mild pandemic, such as the one caused

Emergency preparedness is required for the


greater severity would have a profound
following types of emergencies.
impact on the nature of the response in
1. Emergencies due to natural hazards many countries. Two prominent features
of pandemics that need to be considered
a. when undertaking pandemic prepared-
I. Some ness planning are as follows: (1) societal
- -
promised; and (2) external assistance for
its route of transmission (and in spite of
how it is portrayed in much of the world’s

-
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

personnel providing health and other

and the Red Cross and Red Crescent


Movement. Countries facing protracted
crises may also experience other types of
emergencies, for example outbreaks and
earthquakes, for which further emergency
preparedness, response and recovery
measures are needed.

the socioeconomic and health status of


individuals and households, and severely
reduce access to health services, triggering
various levels, responsibility for a range of

a document

manage its response to emergencies. An ERP

government ERP can be a synthesis of ministry-

14
A STRATEGIC FRAMEWORK FOR EMERGENCY PREPAREDNESS

• Pandemic Influenza Preparedness Framework


http://www.who.int/influenza/resources/
will employ in its response. A whole-of-society pip_framework/en/
• Paris Agreement with the Framework of the
sector. United Nations Framework Convention on
Climate Change
• Sendai Framework for Disaster Risk Reduction
event and its consequences. Risk results from 2015-2030 http://www.unisdr.org/we/
coordinate/sendai-framework
• Sustainable Development Goals http://www.
un.org/sustainabledevelopment/sustainable-
the process of determining
development-goals/
• United National Plan of Action on Disaster
Risk Reduction for Resilience (UNISDR) http://
assessment includes a review of the technical www.preventionweb.net/publications/
view/33703
• Comprehensive Safe Hospitals Framework
(WHO) http://www.who.int/hac/
techguidance/comprehensive_safe_hospital_
framework.pdf?ua=1
• Early Detection, Assessment and Response to
Acute Public Health Events: Implementation
of early warning and response with a focus on
event-based surveillance (WHO)
English: http://www.who.int/ihr/publications/
WHO_HSE_GCR_LYO_2014.4/en/
Appendix 3. French: http://www.who.int/ihr/publications/
WHO_HSE_GCR_LYO_2014.4/fr/
Russian: http://www.who.int/ihr/
publications/WHO_HSE_GCR_LYO_2014.4/ru/
assessment tools Spanish: http://www.who.int/ihr/
publications/WHO_HSE_GCR_LYO_2014.4/es/
• Framework for a Public Health Emergency
preparedness Operations Centre (WHO) http://www.who.
int/ihr/publications/9789241565134_eng/en/
• Global Action Plan on Antimicrobial
• IASC/UNDG/UNISDR Common Resistance (WHO) http://who.int/
Framework for Preparedness https:// drugresistance/global_action_plan/en/
interagencystandingcommittee.org/iasc- • Recovery toolkit: Supporting countries to
transformative-agenda/content/common- achieve health service resilience (WHO)
framework-preparedness http://www.who.int/csr/resources/
• International Health Regulations (2005) publications/ebola/recovery-toolkit/en/
http://www.who.int/topics/international_
health_regulations/en/ Regional strategies
• OIE Performance for Veterinary Services • Asia Pacific Strategy for Emerging Diseases
Pathway http://www.oie.int/support-to-oie- (SEARO/WPRO) www.wpro.who.int/
members/pvs-pathway/ emerging_diseases/APSED2010/en/
• Operational Framework for Building Climate • Disaster Risk Management: A health sector
Resilient Health Systems (WHO) strategy for the African Region (AFRO) https://
http://www.who.int/globalchange/ www.aho.afro.who.int/en/ahm/issue/18/
publications/building-climate-resilient-health- reports/disaster-risk-management-strategy-
systems/en/ health-sector-african-region

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

Through the International Health Regulations


(IHR 2005), WHO keeps countries informed about
public health risks, and works with partners to
help countries build capacity to detect, report and
respond to public health events.

The health security learning platform (HSLP)


supports the learning needs of organizations
and individuals with responsibilities in public
health and other related sectors. It is focussed on
strengthening health security by implementing
the IHR 2005 through a wide range of learning
programmes, activities and materials.

The HSLP can be accessed here:


https://extranet.who.int/hslp/

17

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