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Assessment of Health Security and Crises Management Capacity Azerbaijan

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Assessment of Health Security and Crises Management Capacity Azerbaijan The WHO Regional Office for Europe The World Health Organization (WHO) is a specialized agency of the United Nations created in 1948 with the primary responsibility for international health matters and public health. The WHO Regional Office for Europe is one of six regional offices throughout the world, each with its own programme geared to the particular health conditions of the countries it serves. Member States Assessment of health Albania Andorra security and crises Armenia Austria Azerbaijan Belarus management capacity Belgium Bosnia and Herzegovina Bulgaria “New diseases are global threats to health that Croatia also cause shocks to economies and societies. Cyprus Czech Republic (the) Defence against these threats enhances our Denmark collective security. Communities also need health Estonia security. This means provision of the fundamental Finland France prerequisites for health: enough food, safe water, Georgia shelter, and access to essential health care and Germany medicines. These essential needs must also be Greece met when emergencies or disasters occur.” Hungary Iceland Azerbaijan Ireland Dr Margaret Chan Israel Director-General, WHO Italy Kazakhstan Kyrgyzstan Latvia Lithuania Luxembourg Malta Monaco Montenegro Netherlands Norway Poland Portugal Republic of Moldova Romania Russian Federation (the) San Marino Serbia Slovakia Slovenia Spain Sweden Switzerland Tajikistan The former Yugoslav ZE Republic of Macedonia World Health Organization Turkey Regional Office for Europe Supported by Turkmenistan Ukraine Scherfigsvej 8, DK-2100 Copenhagen Ø, Denmark United Kingdom (the) Tel.: +45 39 17 17 17. Fax: +45 39 17 18 18. Uzbekistan E-mail: [email protected] The European Commission Web site: www.euro.who.int ADecember 2007 E92119 Directorate-General for Original: English Health and Consumers Abstract “Support to health security and preparedness planning in EU neighbouring countries”, a WHO Regional Office for Europe project supported by the European Commission, Directorate-General for Health and Consumers, has the overall objective of assessing national capacity to respond to public health emergencies and imple- ment the International Health Regulations (IHR), in selected European Neighbourhood Policy (ENP) countries while promoting a multisectoral approach to ensure the interoperability of existing public health emergency plans and their coherence with the EU policies and strategies. After negotiation with the relevant ministries of health, Armenia, Azerbaijan and the Republic of Moldova were selected for assessment. In November–December 2007, a WHO multidisciplinary team, in cooperation with local counterparts, carried out the assessment in Azerbaijan using a newly-developed standardized assessment tool. The WHO health system framework was used as the conceptual basis for describing and analysing the health system. The report includes the conclusions of the assessment team as regards generic preparedness planning, the IHR, chemical safety and climate change and health in relation to disaster preparedness and response. Keywords Security measures Disease outbreaks Natural disasters Emergencies Civil defence Azerbaijan Address requests about publications of the WHO Regional Office for Europe to: Publications WHO Regional Office for Europe Scherfigsvej 8 DK-2100 Copenhagen Ø, Denmark Alternatively, complete an online request form for documentation, health information, or for permission to quote or translate, on the Regional Office web site (http://www.euro.who.int/pubrequest). © World Health Organization 2008 All rights reserved. The Regional Office for Europe of the World Health Organization welcomes requests for permission to reproduce or translate its publications, in part or in full. The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. The mention of specific companies or of certain manufacturers’ products does not imply that they are en- dorsed or recommended by the World Health Organization in preference to others of a similar nature that are not mentioned. Errors and omissions excepted, the names of proprietary products are distinguished by initial capital letters. All reasonable precautions have been taken by the World Health Organization to verify the information con- tained in this publication. However, the published material is being distributed without warranty of any kind, either express or implied. The responsibility for the interpretation and use of the material lies with the reader. In no event shall the World Health Organization be liable for damages arising from its use. The views expressed by authors, editors, or expert groups do not necessarily represent the decisions or the stated policy of the World Health Organization. Foreword This report describes the situation in the area of health crisis management in Azerbaijan as of December 2007. A WHO mission to the country completed its work on 8 December 2007, which is therefore the cut-off date for the information in this report and any changes in the situation that have taken place since the mission are not reflected. The report evaluates the arrangements in place and the level of health system preparedness to any crises, regardless of their cause. It also pays attention to risk prevention and mitigation initiatives in the country. While the emphasis is on the national level, some attention has been paid to crisis management capacities on the regional level and to the linkages between various levels of government. The preparation process for comprehensive health security assessments in selected Member States of the WHO European Region started in early 2007 with expert consultations to develop and define an assessment tool. The countries to be assessed also needed to belong to the group of countries falling under the so called European Neighbourhood Policy of the European Union. Azerbaijan fulfils the above mentioned criteria. Both the Ministry of Health and the Ministry of Emergency Situations welcomed the assessment team from the WHO Regional Office for Europe to pilot the newly developed assessment tool in the country. The assessment visit took place from 28 November to 8 December 2007, by a six- member team (Annex 2) representing expertise in the areas of general disaster preparedness and response, chemical safety, health effects of climate change and the International Health Regulations. During the assessment visit, the WHO team met with over 50 representatives from the key institutions involved in crisis management activities in Azerbaijan. The national contributors are acknowledged in Annex 5 of the report. This health crisis management review in Azerbaijan was carried out thanks to the support from the Ministry of Health and the Ministry of Emergency Situations of Azerbaijan. Particular thanks are also extended to the staff of the WHO country office in Azerbaijan, who supported the preparation and implementation of the mission from its inception, organized the visit, contacted all relevant sectors, provided background information and participated in the interviews. We acknowledge the grant from the European Commission, Directorate-General for Health and Consumers, which supported both the implementation of this project and the preparation of the report. Gerald Rockenschaub Jukka Pukkila Regional Adviser Desk Officer CONTENTS FOREWORD TERMINOLOGY BACKGROUND............................................................................................................................................1 CONTEXT ......................................................................................................................................................1 STANDARDIZED ASSESSMENT TOOL ................................................................................................................2 GOAL AND OBJECTIVES ..................................................................................................................................3 EXPECTED OUTPUTS ......................................................................................................................................3 COUNTRY OVERVIEW .............................................................................................................................4 GEOGRAPHY..................................................................................................................................................5 HISTORY.......................................................................................................................................................5 GOVERNMENT ...............................................................................................................................................5 ADMINISTRATIVE LEVELS ...............................................................................................................................6 POPULATION ..............................................................................................................................................6 ECONOMY .....................................................................................................................................................7 ENVIRONMENT
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