Mr. Massimo Ciotti, ECDC, at One Health Security Conference, 14-15 Oct 2019, THL, Helsinki

1. European Centre for Disease Prevention and Control
SHARP Joint Action
One Health Security Conference
October 14-15, 2019
Helsinki
Massimo Ciotti
1

2. Art 4

3. Serious Cross-Border Threats to Health: Decision
1082/2013/EU
Article 4. Preparedness and Response Planning
4.1: MS and Commission to consult each other via HSC, aimed at:
a) Sharing best practice and experience in preparedness and response planning
b) Promoting the interoperability of national preparedness planning
c) Addressing the intersectoral dimension of preparedness and response planning at the Union level; and
d) Supporting the implementation of core capacity requirements for surveillance and response as referred to in
Articles 5 and 13 of the IHR
4.2: Member States obligations to provide Commission with updates of preparedness and response planning (every 3
years). Information to include:
a) status of implementation of core capacity standards (IHR)
b) description of measures or arrangements aimed at ensuring interoperability between the health sectors
and other sectors including the veterinary sector
c) business continuity planning
3

4. Changing landscape and strategic orientations
4
o Population aging
o Emerging and re-emerging diseases
o Changes in behaviours
o Tech innovation, WGS
o Climate change

5. 5
Disease
programmes
HIV, sexually transmitted
infections and Tuberculosis
Vaccine-preventable diseases
Zoonotic,Foodborne
Emerging and vector-borne
diseases
Antimicrobial resistance and
healthcare-associated
infections
Core functions
Scientific methods and
standards
Integrated Surveillance
Preparedness and Response
Scientific advice
Public health training
Health communication
International cooperation
ECDC Strategy 2021-2027
Protect over 500 million
European citizens from
infectious disease
threats
Improve lives in Europe and
globally through scientific
excellence, empowering the
Member States, the European
Commission, and other
partners to drive public health
policy and practice.

6. Partnership outside of the EU
6

7. Partnership outside of the EU
7

8. 8
Strategic partners internationally

9. Emergency preparedness &
Response
9

10. WHO, UNISDR 10
“The knowledge and capacities
developed by governments,
response and recovery
organizations, communities and
individuals to effectively
anticipate, respond to and
recover from the impacts of
likely, imminent or current
disasters”
Emergency preparedness and Response

11. 11
Health
Emergency
Preparedness
Identification of
evidence
Dissemination of
good practice
Capacity
strengthening
Literature review
AAR/Case studies
Development of
tools
Good practice
workshops
Training
Simulation
exercises
1. Support EU
implementation of
Decision 1082/2013/EU
to enhance preparedness
for serious cross-border
threats to health
2. Support country-level
public health emergency
preparedness planning
and implementation in the
field of communicable
diseases
3. Facilitate cross-border
and intersectoral
collaboration in the field
of public health emergency
preparedness with relevant
EU and international
partners
4. Coordinate and steer
preparedness activities
within ECDC as related to
relevant disease
programmes and core
public health functions
ECDC Country Preparedness Support

12. a) Mapping, assessing and prioritising
risks and vulnerabilities
b) Conduct routine active surveillance
c) Supporting strategic preparedness
planning
d) Strengthening cross-border and cross-
sectoral collaboration
e) Simulation exercises
f) Capacity building
g) Early warning and epidemic intelligence
h) Rapid (threat-) risk assessments
i) Ad hoc technical guidance
j) Field support
k) After-event reviews (case studies)
l) Lessons learning exercises/ Response
evaluation
Anticipation – Response – Recovery
Anticipate
Respond
Recover

13. WHO, UNISDR 13
Emergency preparedness and Response

14. Emergency preparedness and Response
WHO, UNISDR 14

15. WHO, UNISDR 15
Emergency preparedness and Response

16. Capacities and Capabilities required to ensure effective Public
Health emergency response

17. Capacities and Capabilities required to ensure effective Public
Health emergency response

18. Capacities and Capabilities required to ensure effective Public
Health emergency response

19. Competency-based education and training
Competencies are combinations of knowledge and skills that are
required to perform a task effectively.
1. all learning outcomes—the required competencies—are
precisely defined, so as to be measurable.
2. the aim of competency-based education is preparation for
specific jobs or professional roles, from which the competencies
are derived.
3. trainings are typically implemented in a modular format based
on level of difficulty and/or specificity.
19
Public Health Emergency
Preparedness (PHEP) – Curriculum
Course
Cross-sectoral Biorisk Awareness
and Mitigation Training

20. Communities engagement and Decision making in Public Health
Emergencies
20
• Phase I: Theoretical
contextualization of
community and
Institutional
preparedness in Europe
and globally
• Phase II: Empirical data
gathering through
country case studies
• Phase III: Developing
guidance on how to
integrate (more)
effectively community
preparedness into the
PHEP cycle.
o Phase I: Theoretical
contextualization of use
of evidence in decision
making during health
emergencies in Europe
and globally
o Phase II: Empirical data
gathering through
country case studies
and After Action
Reviews
o Phase III: Developing
guidance on how to
effectively translate
evidence into decision
making in PHE

21. Recent and Upcoming ECDC technical publications on
PHEP
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 HEPSA tool – June 2018
 ECDC Preparedness activity report – June 2018
 Community preparedness country reports – July 2018
 One Health technical report – September 2018
 PHEP Competencies Handbook – November 2018
 Best Practice for conducting After Event Review – December 2018
 Preparedness Planning Handbook – 2019 4qt
 Training Curriculum on biorisk/biosecurity – EVA platform 2019 4qt
 ECDC Guidance on community engagement for EU/EEA public health authorities – 2019 4qt
 Practical models for the development of TABLE-TOP AND FUNCTIONAL simulation exercises –
2019 4qt
 Bioterrorism Handbook – 2019 4qt
 Repository of SIMEX with focus in public health- EVA platform - 2019

22. 22
Health
Emergency
Preparedness
Identification of
evidence
Dissemination of
good practice
Capacity
strengthening
Literature review
AAR/Case studies
Development of
tools
Good practice
workshops
Training
Simulation
exercises
ECDC Country Preparedness Support 2019 ongoing actions
Expert meeting on Indicators to measure public health emergency
preparedness, 4-6 December Stockholm
Simulation exercise to explore the coordinated response to the deliberate
release of a biological agent, 29-31 October Athens
Scoping review of ‘foresight’ studies of infectious disease threats and their
underlying drivers, describing the implicated infectious disease, drivers,
scenarios and mitigating steps
After Action Review on two outrbreaks of Legionella with focus on
evidence decision making

23. 2021 and beyond: pursuing ECDC strategy goals
o Extend molecular and genomic typing into EU surveillance and outbreak
preparedness
o Country Case Studies with a peer-review approach, to better understand the
reality of communicable disease prevention and control systems at national level
o Multi-sectorial, cross-border Simulation Exercises, focused on emerging threats
and supporting interoperability of response planning.
o Continue its support for strengthening laboratory capacities and capabilities in
countries informed by the EULabCap indicators and the results of external quality
assessments.
o Continue fostering the exchange of knowledge and good practices among
professional and organisations in Europe, including the NFP for Preparedness
and Response.
o Preparedness Training activities will continue to rely on the Fellowship
Programme, the Continuous Professional Development Portfolio (CPDP) for short
courses and e-learning through the European Virtual Academy (EVA) platform.
o Continue supporting the European Commission and the Member States with the
implementation of Art. 4 of the Decision 1082/2013/EU, particularly in key
areas, such as health emergency preparedness planning, including identification of
gaps and building system capacities and capabilities.
o Actions will be targeted to countries or groups of countries based on their needs,
and harmonised with WHO to support the full implementation of the
international health Regulation (IHR/2005).
23

24. Surveillance Early warningPreparedness
• EU Surveillance
• Support to Risk
Management
• Risk
Communication
• Epidemic Intelligence
• Risk Monitoring
• Rapid Alert
• Risk Assessment
•ER Communication
•National risk
assessments >
preparedness priorities
•Preparedness plans
•Inter-operability of
plans
•Intersectoral
collaboration
•Training & Exercising
•Crisis management
procedures
•COOP plans
•Evaluation
Outbreak
Response
Assistance
RecoverRespond
Recovery
ECDC contribution to EU health security
• Guidance on
rehabilitation/
decontamination
• Crisis Mgt and
Response Evaluation
• Lessons identified >
After Action
Review/case studies
• Update
detection/response
protocols
• Outbreak
investigation
• Mobilisation of
networks
• Deployment of OAT
• Emergency Risk
Communication
Prevention
•Scientific research and
guidance
•Health determinants
•Prevention guidance
(AMR, VPD, TB, HASH)
•Risk communication
Prevention Anticipate

25. www.ecdc.europa.eu
@ECDC_EU
@ECDC.EU
ECDC
Thank you!