1 national laboratory system

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. Action Package Membership & Governance

2. Key Milestones & Activities in 2016

3. Partnership Collaboration and Outreach for 2016

4. Highlights of the Workshop, 27-29 July 2016

–

Key Challenges

–

Regional Strategic Roadmap

–

Key Regional Activities for 2016 & 2017

–

Recommendations

• South Africa,

• Thailand [coordinating country for 2016],

• United States

Lead Countries

• Canada, China, Ethiopia, Finland, Georgia, Israel, Japan, Malaysia, Mexico, Peru, Switzerland, United Kingdom, Yemen

Contributing Countries

• 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 1

st

Workshop in July 2016

Regional Workshop: Enhancing Regional Partnership Towards Strengthening Laboratory System in Accelerating GHSA’s

Implementation: Detect 1

OBJECTIVES

To update on national strategic plans on National Laboratory System Strengthening

(LSS);

To present the regional strategic roadmap on LSS based on outputs from May 2015 Meeting; To propose key regional activities and identify implementing mechanism; and To enhance networking on LSS across

Participants

ASEAN

Cambodia Indonesia Lao PDR Malaysia Myanmar Thailand Viet Nam

SAARC &

Others

Bhutan Sri Lanka Nepal Timor Leste

Lead

Countries

USA South Africa Thailand

Contributing

Countries

Georgia Japan Malaysia Canada Yemen 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

Key Results of the Workshop

Identified key

Challenges on

national

laboratory

Strategic

Roadmap on

Laboratory

System

Strengthening

[2016-2020]

Identified on

Key Regional

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

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:

sub-optimal

- 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)

• 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

[2016-2020]

•

Page 2

•

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]

•

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

• Real-time biosurveillance with a national laboratory system and effective modern point-of-care and

laboratory- ased diagnosti s”

• 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.

• Real-time biosurveillance with a national laboratory system and effective modern point-of-care and

laboratory- ased diagnosti s”

• 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.

1.Strategic Policy Registering & licensing

1.1 Conduct JEE

1.2 Sharing/ updates National

Strategic Plan

2. Diagnostic Capacity

2.1 Develop Regional Specimen Referral

system

2.2 Training for trainers on Microbiology

2.3 IATA Training

3. Quality Management

System

3.1 Establish regional EQA

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]

CORE 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

CROSS CUTTING COMPONENTS: REGIONAL ACTIVITIES



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

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 _Thailand

2 Batches of 25 pp to be trained by 2017

- US-CDC - AFRIMS

- FAO/USAID

2. _{External Quality Assurance} Program

South Africa /Thailand

To be confirmed

- Thailand MOPH-US-CDC Collaboration - FAO/USAID

3. _{Sharing Experience on Lab} Preparedness; Lessons learned from EID outbreak

Thailand South Africa

During the 2nd

Workshop [ Dates to be confirmed]

No. Regional activities _{Lead country/} Timeline

Key Partners

4. Bioinformatics Network _Thailand

Malaysia (Dengue)

- FAO/USAID - US-CDC

4.1 Training on Influenza Sequencing & Bioinfomatic Basic

Thailand/Q 2 for 2017

WHO, FAO, DLD Thailand

5. _{Regional workshop to share} 4-way linking experiences in

implementing countries such as Indonesia / Vietnam

Indonesia / Vietnam

No. Regional activities _{Lead country/} Timeline

Key Partners

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

FAO

Thailand US CDC USAID

6.2 Regional Training on packaging and Shipping

Infectious Substances [ 2 – 3 days] [ subject to the result of activity 1]

Thailand/ March 2017

FAO & WHO USAID

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

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

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

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

DATES TO NOTE….

The next video conference will be on 23 September

2016;

Key regional activities to be implemented

The 2

nd

Regional Workshop to monitor the progress

and sharing experiences [to be confirmed]

Thank you for your kind

attention

Khob Khun Krub

Terima Kasih Banyak

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

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

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