GLOBAL HEALTH SECURITY AGENDA
DETECT – 1: NATIONAL LABORATORY
SYSTEM ACTION PACKAGE
UPDATE
Dr. Phichet Banyati
Deputy Director General, Department of Medical Sciences,
Ministry of Public Health, Thailand
Presentation Outline
1.
2.
3.
4.
Action Package Membership & Governance
Key Milestones & Activities in 2016
Partnership Collaboration and Outreach for 2016
Highlights of the Workshop, 27-29 July 2016
–
–
–
–
Key Challenges
Regional Strategic Roadmap
Key Regional Activities for 2016 & 2017
Recommendations
5. Support needed from the Steering Group
Lead Countries
• South Africa,
• Thailand [coordinating country for 2016],
• United States
Contributing Countries
• Canada, China, Ethiopia, Finland, Georgia, Israel,
Japan, Malaysia, Mexico, Peru, Switzerland, United
Kingdom, Yemen
Contributing International Organizations:
• 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.
• Thailand works closely with Working Level Support
Team in providing secretariat function for the year
2016
Maintain Regular communication among lead
countries
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
sharing practices and tools to enhance an implementation of GHSA: Detect – 1.
4.
Promote utilization of Joint External Evaluation [JEE]
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;
• Collaborated with key development partners to
organize the 1st Workshop in July 2016
Regional Workshop: Enhancing Regional Partnership Towards
Strengthening Laboratory System in Accelerating GHSA’s
Implementation: Detect 1
27-29 July 2016, The Berkeley Hotel, Bangkok, Thailand
OBJECTIVES
To update on To present the
To propose
national
regional
key regional
strategic plans
To enhance
strategic
activities and networking
on National
roadmap on
identify
Laboratory
on LSS across
LSS based on
implementing
System
regions.
outputs from
mechanism;
Strengthening
May 2015
and
(LSS);
Meeting;
Participants
ASEAN
Cambodia
SAARC &
Others
Bhutan
Indonesia
Lao PDR
Sri Lanka
Georgia
Malaysia
South Africa
Canada
Nepal
Yemen
Thailand
Viet Nam
USA
Contributing
Countries
Japan
Malaysia
Myanmar
Lead
Countries
Timor Leste
Thailand
Switzerland
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
Guests of honored
Key Results of the Workshop
Strategic
Identified key Roadmap on
Challenges on Laboratory
System
national
laboratory Strengthening
[2016-2020]
Identified on
Key Regional
Activities
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
- Shortage of laboratory workforce
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: suboptimal
- Public-private partnership on laboratory
- Laboratory capacity (infrastructure, laboratory QA
programme & performance and bio- sample
management)
- Data sharing system (improve operability
including inter-laboratory referral system)
RECOMMENDATIONS AND SUGGESTIONS
• 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 [20162020]
• Page 2
• Page 1
Preamble
• 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]
Preamble
• 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
Formulation of Regional Roadmap
• Real-time biosurveillance with a national laboratory
system and effective modern point-of-care and
laboratory-based diagnostics”
• 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.
Formulation of Regional Roadmap
• Real-time biosurveillance with a national laboratory
system and effective modern point-of-care and
laboratory-based diagnostics”
• 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.
CORE COMPONENTS : REGIONAL
ACTIVITIES
1.Strategic Policy
Registering
& licensing
1.1 Conduct JEE
1.2 Sharing/
updates National
Strategic Plan
2. Diagnostic
Capacity
3. Quality
Management
System
2.1 Develop Regional
3.1 Establish regional
Specimen Referral
system
EQA
2.2 Training for
trainers on
Microbiology
2.3 IATA Training
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]
CROSS CUTTING COMPONENTS: REGIONAL
ACTIVITIES
5. Laboratory
Networking
5.1 Strengthen
existing
network
5.2 Establish
inter-region
linkage
6. One
Health
6.1 Sharing
best practices
6.2
7. Laboratory
workforce
7.1 Capacity
Building
7.2
 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
organisations.
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
conference scheduled on 23 September 2016
[to be confirmed]
Potential Regional activities have been identified
No.
Regional activities
Lead country/
Timeline
Key Partners
1
Bioengineering Training
- US-CDC
Thailand
2 Batches of 25 pp - AFRIMS
to be trained by
- FAO/USAID
2017
2.
External Quality Assurance
Program
South Africa
/Thailand
- Thailand MOPH-USCDC Collaboration
- FAO/USAID
To be confirmed
3.
Sharing Experience on Lab
Preparedness; Lessons
learned from EID outbreak
Thailand
South Africa
During the 2nd
Workshop [ Dates
to be confirmed]
USAID, FAO, WHO
No. Regional activities
Lead country/
Timeline
4.
Bioinformatics Network
Thailand
- FAO/USAID
Malaysia (Dengue) - US-CDC
4.1 Training on Influenza Sequencing &
Bioinfomatic Basic
Thailand/Q 2 for
2017
5.
Regional workshop to share 4- Indonesia /
way linking experiences in
Vietnam
implementing countries such as
Indonesia / Vietnam
Key Partners
WHO, FAO, DLD
Thailand
FAO/USAID
No. Regional activities
Lead country/ Key Partners
Timeline
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
6.2 Regional Training on
Thailand/ March
packaging and Shipping
2017
Infectious Substances [ 2 – 3
days] [ subject to the result
of activity 1]
FAO
Thailand US CDC
USAID
FAO & WHO
USAID
Thailand US CDC
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
2017
WHO
USAID
FAO
DLD Thailand
6.5 Training on Stepwise
laboratory development
towards National Accreditation
Thailand
To be confirmed
WHO
Key Recommendations:
• GHSA is enable platform to leverage and
maximize the existing efforts from
countries and partners
•Communication between PH & AH is key
• Coordination for partnership
• Avoiding duplication and parallel efforts
– not reinvented the wheel
• Networking the networks
Views of Lead Countries & Contributing
Countries
• This platform enhances collaboration such as
Technical experts
• Demonstrated on political leadership on Detect 1
• Appreciated on the development of Strategic
Roadmap for LSS;
• Implementation should be led by lead countries
• Communication – promote & courage the video
conference hosted by Thailand of which
contacted person is required,
Support needed from the
Steering Group
• Interface among the 11 GHSA Actions
Packages is required
• The Action Package would benefit from
Steering Group in attending face – to – face
meeting of lead countries to provide guidance
and strategic direction
Acknowledgement
• Dr. Apichai Mongkol, Director General of the
Department of Medical Science for his
leadership and dedication
• Special thanks to lead countries [USA and
South Africa] and key development partners
for their active contribution
• Thank you for great support of the
Department of Medical Sciences
DATES TO NOTE….
The next video conference will be on 23 September
2016;
Key regional activities to be implemented
The 2nd Regional Workshop to monitor the progress
and sharing experiences [to be confirmed]
Thank you for your kind
attention
Khob Khun Krub
Terima Kasih Banyak