APSED

Asia Pacific Strategy for

Emerging Diseases (2010) and
Influenza Activities
Health Security and Emergencies (DSE)

WHO Western Pacific Regional Office (WPRO)

APSED Approach to Address

Capacities
One Framework: 3 in 1
Is a common strategy for countries to
strengthen national capacities
required for managing emerging
diseases
Is a common framework in the Region
to develop the IHR core capacities
Is also a framework for strengthening
the basic capacities required for
pandemic preparedness and
response

Division of Health Security and Emergencies (DSE)

WHO Western Pacific Regional Office (WPRO)

Time Difference from outbreak start

to outbreak discovery and public
communication

Fig. 4. Box plots of the median time difference from estimated outbreak start to outbreak
discovery and public communication about the outbreak for selected WHO-verified
outbreaks,19962009, across various WHO regions

Source: Emily h. Chan etc, PNAS, Dec 2010

Division of Health Security and Emergencies (DSE)

WHO Western Pacific Regional Office (WPRO)

Process of Developing APSED

(2010)
Country
Consultations

Discussion
Papers

Draft
APSED
(2010)

Bi-Regional Consultation
on APSED and Beyond

Independent Review

24-27 May 2010

5th TAG Meeting

6-9 July 2010

RCM
(Oct 2010)

Division of Health Security and Emergencies (DSE)

WHO Western Pacific Regional Office (WPRO)

Process of Developing APSED

(2010)
Voice/Outcomes of Country
and Regional Consultations

Results of APSED (2005)

Common Indicators Assessments

APSED
(2010)

Lessons learned from

Pandemic preparedness & response

Division of Health Security and Emergencies (DSE)

WHO Western Pacific Regional Office (WPRO)

Structure of APSED (2010)

Division of Health Security and Emergencies (DSE)

WHO Western Pacific Regional Office (WPRO)

APSED Five Objectives

1.

Reduce the risk of emerging

diseases

2.

Strengthen early detection

3.

Strengthen rapid response

4.
5.

Strengthen effective
preparedness
Build technical partnership

Division of Health Security and Emergencies (DSE)

WHO Western Pacific Regional Office (WPRO)

Expanded Scope: 8
Focus Areas
APSED (2010)
APSED (2005)
1. Surveillance and
Response
2. Laboratory
3. Zoonoses
4. Infection Control
5. Risk Communication

1. Surveillance, Risk
Assessment and Response
2. Laboratory
3. Zoonoses
4. Infection Prevention and
Control
5. Risk Communication
6. Public Health Emergency
Preparedness
7. Regional Preparedness,
Alert and Response
8. Monitoring and Evaluation

Division of Health Security and Emergencies (DSE)

WHO Western Pacific Regional Office (WPRO)

8 Focus Areas: Key

Components
Each focus
area contains
key
components
for actions

Division of Health Security and Emergencies (DSE)

WHO Western Pacific Regional Office (WPRO)

FOCUS AREA 1:

Surveillance, Risk Assessment and

Response
APSED (2010)
1. Surveillance, Risk
Assessment and
Response
2. Laboratory
3. Zoonoses
4. Infection Prevention and
Control
5. Risk Communication
6. Public Health Emergency
Preparedness
7. Regional Preparedness,
Alert and Response

Sensitive and timely

surveillance systems can
trigger early alerts and rapid
response to minimize the
impact of a potential outbreak.

Key components

Event-based surveillance
Indicator-based surveillance
Risk assessment capacity
Rapid response capacity
Field epidemiology training

8. Monitoring and Evaluation

Division of Health Security and Emergencies (DSE)
WHO Western Pacific Regional Office (WPRO)

10

FOCUS AREA 2:
APSED (2010)
1. Surveillance, Risk
Assessment and Response
2. Laboratory

Laboratory

Timely, accurate laboratory

diagnosis in a safe
environment is a cornerstone
of any health system for
emerging diseases

3. Zoonoses
4. Infection Prevention and
Control
5. Risk Communication
6. Public Health Emergency
Preparedness
7. Regional Preparedness,
Alert and Response
8. Monitoring and Evaluation
Division of Health Security and Emergencies (DSE)
WHO Western Pacific Regional Office (WPRO)

Key components
Accurate laboratory diagnosis
Laboratory support for
surveillance and response
Coordination and laboratory
networking
Biosafety

11

FOCUS AREA 6:

Public Health Emergency

Preparedness
APSED (2010)
1. Surveillance, Risk
Assessment and Response
2. Laboratory
3. Zoonoses
4. Infection Prevention and
Control
5. Risk Communication
6. Public Health
Emergency
Preparedness
7. Regional Preparedness,
Alert and Response
8. Monitoring and Evaluation
Division of Health Security and Emergencies (DSE)
WHO Western Pacific Regional Office (WPRO)

Comprehensive plans and

well-prepared systems can
reduce the negative health,
social and economic impacts
of public health emergencies
Key components
Public health emergency
planning
National IHR Focal Point
functions
Points of entry preparedness
Response logistics
Clinical case management
12

Conclusion
APSED (2010)
Provides a common framework for countries
to strengthen national and local capacities
required for managing all emerging infectious
diseases and public health emergencies
A road map for Member States in the Asia
Pacific Region to build up the IHR core
capacity requirements
As APSED (2005), it can incorporate influenza
activities to ensure its effective
implementation
Division of Health Security and Emergencies (DSE)
WHO Western Pacific Regional Office (WPRO)

13

Division of Health Security and Emergencies (DSE)

WHO Western Pacific Regional Office (WPRO)

14