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Aimag, the Capital City and Districts' IPPA Aimag, the capital city and districts’ IPPA 1 Aimag, the capital city and districts’ IPPA MINISTRY OF HEALTH MINISTRY OF FOOD, AGRICULTURE AND LIGHT INDUSTRY NATIONAL EMERGENCY MANAGEMENT AGENCY SPECIALIZED GENERAL INSPECTION AGENCY VETERINARY INSTITUTE NATIONAL CENTRE FOR COMMUNICABLE DISEASE STATE CENTRAL VETERINARY LABORATORY NATIONAL CENTRE FOR INFECTIOUS DISEASES WITH NATURAL FOCI “AVIAN INFLUENZA CONTROL AND HUMAN PANDEMIC INFLUENZA PREPAREDNESS AND RESPONSE’’ PROJECT INFLUENZA PANDEMIC PREPAREDNESS ASSESSMENT FINAL REPORT Ulaanbaatar 2009 2 Aimag, the capital city and districts’ IPPA INFLUENZA PANDEMIC PREPAREDNESS ASSESSMENT FINAL REPORT REPORT COMPILED BY: D.Naranzul, NCCD D.Nyamkhuu, NCCD N.Dondog, NCCD Ch.Мunkhtsetseg, NCCD L.Dashtseren, NCCD Ch.Batchuluun, NEMA R.Sodnomdarjaa, SCVL U.Munkhchuluun, “Avian Influenza Control and Human Pandemic Influenza Preparedness and Response” project CONSULTANT: Prof. P.Nymadawa, MD, PhD, DSc (Med) 3 Aimag, the capital city and districts’ IPPA TABLE OF CONTENTS: 1. Table of contents .......................................................................................................................... 4 2. Glossary of Abbreviations ............................................................................................................ 5 3. Preface .......................................................................................................................................... 8 4. Influenza Pandemic Preparedness Assessment Final Report ...................................................... 9 5. Influenza Pandemic Preparedness Assessment Team ................................................................. 10 6. Influenza Pandemic Preparedness Assessment Tools ................................................................. 11 7. Assessment Involved Organizations .......................................................................................... 12 8. Assessment Participants ............................................................................................................. 12 9. The Final Summary on Influenza Pandemic Preparedness Assessment .................................... 13 10. Summary .................................................................................................................................... 19 11. Recommendations ..................................................................................................................... 20 12. Annex 1. IPPA participants’ list ................................................................................................ 21 13. Annex2. The final summary on IPPA ....................................................................................... 43 14. Annex 3. IPPA tools outline ..................................................................................................... 47 15. Annex 4. IPPA timetable .......................................................................................................... 64 16. Annex 5. IPPA photos .............................................................................................................. 66 4 Aimag, the capital city and districts’ IPPA GLOSSARY OF ABBREVIATIONS 1. AR – Arkhangai province 2. IF - Incomplete Fellowship 3. IPPA- Influenza pandemic preparedness assessment 4. BGD – Bayangol District 5. CIDNF – Centre for Infectious Diseases with Natural Foci 6. NCIDNF – National Centre for Infectious Diseases with Natural Foci 7. BZD – Bayanzurkh District 8. BND – Baganuur District 9. ED – Environmental Department 10. DET – Department of Environment and Tourism 11. RDTC-Regional Diagnostis and Treatment Centre 12. BU –Bayan-Ulgii province 13. BUL – Bulgan province 14. DE – Department of Education 15. BHD –Bagakhangai District 16. BH –Bayanhongor province 17. GA – Gobi-Altai province 18. GS – Gobisumber province 19. DA –Darkhan-Uul province 20. DG – Dornogobi province 21. DO –Dornod province 22. DU- Dundgobi province 23. ZA –Zavkhan province 24. GAO –Governor’s Administration Office 5 Aimag, the capital city and districts’ IPPA 25. SGIA – Specialized General Inspection Agency 26. DVS –Department of Veterinary Service 27. VI - Veterinary Institute 28. ND – Nalaikh District 29. CFDF – Capital Funded Department of Factory 30. NEMA –National Emergency Management Agency 31. OR –Orkhon province 32. HOO- Housing and Operational Office 33. UV –Uvurkhangai province 34. UM – Umnugovi province 35. ChD-Chingeltei District 36. SBD- Sukhbaatar District 37. SHD – Songino Khairkhan District 38. SU- Sukhbaatar province 39. SE –Selenge province 40. TU –Tuv province 41. SOC –State Owned Company 42. ILI- Influenza Like Illnesses 43. UBP DJSC – ’’Ulaanbaatar’’ Power Distribution Joint Stock Company 44. UV – Uvs province 45. SCVH –State Central Veterinary Laboratory 46. DMH – Department of Meteorology and Hydrology 47. CMH –Centre of Meteorology and Hydrology 48. KhO – Khovd province 49. KhU – Khuvsgul province 50. NCCD –National Centre for Communicable Diseases 6 Aimag, the capital city and districts’ IPPA 51. DFASMI-Department of Food, Agriculture, Small and Medium Interprizes 52. KhUD – Khan-Uul District 53. LLC – Limited Liability Company 54. KhE- Khentii province 55. MoFALI – Ministry of Food, Agriculture and Light Industry 7 Aimag, the capital city and districts’ IPPA PREFACE Inluenza and inluenza-like illnesses (ILI) are the most common human infectious disease group in the current World. Among ILI influenza is singled out while this infection is causing periodically pan- demics causing enormous health and economic burden to the human society. It has been documented in the last century three influenza pandemics in 1918-1920, 1958-1960 and 1968-1970. The mankind is still struggling to find out reasons leading to the changes of influenza virus to evolve pandemics. However, it is now well documented scientifically the pandemic viruses are arising from in- teractions of animal, avian and human influenza viruses. Therefore the sudden change of avian influenza virus A(H5N1) in 1997 starting to be transmitted to humans causing mostly severe disease has alerted the world public health society and WHO has alerted its member countries to prepare for possible influenza pandemics. On this call the Government of Mongolia has responded in 2005 issueing a comprehensive program to prevent avian influenza and human influenza pandemics. However, the evolution and spread of new avian influenza virus A(H5N1) among wild bird populations and poultry has exceeded the expected projections are challenging the Governments of countries world- wide and requesting to review their respective influenza pandemic preparadness plans (IPPP). CDC, USA has developed an inventory tool to be used to review IPPP in the countries and has tested it in more than 40 countries of the World, including Mongolia in 2008. The results were encouraging for all involved parties. So, we have developed an inventory tool for assessment of IPPP at the subnational level in Mon- golia on the basis of the CDC tool and has conducted an assessment countrywide in March 2009 with the support of WB Project on “Avian influenza control and human pandemic influenza preparedness and response”. The assessment has been conducted by 5 teams consisting of main stakeholders of IPPP and has mobilized countrywide more than 500 officials in all provinces and 9 districts of Ulaanbaatar City. We are submitting the results of the survey to you by this compilation and hope it is the most evidence- based assessment of the current situation of IPPP throughout Mongolia. However, the influenza pandemics situation is changing very rapidly. The spread of a new influenza virus A(H1N1)swl from the North America starting from April 2009 is complicating the situation. So, we need to review and revise the country IPPP based on this assessment and the new situation as soon as possible and than to develop and implement local plans for every administrative unit of the country and the concerned ministries and agencies of the Government. Prof. P.Nymadawa, MD, PhD, DSc (Med), May 14, 2009, Ulaanbaatar, Mongolia 8 Aimag, the capital city and districts’ IPPA INFLUENZA PANDEMIC PREPAREDNESS ASSESSMENT FINAL REPORT The Influenza Pandemic Preparedness Assessment had been conducted on March 5-19, 2009, in 21 aimags and 9 districts of Mongolia within the ’’Avian Influenza Control and Human Pandemic Influenza Preparedness and Response’’ project activities being implemented and funded by the World Bank grant. The assessment had been based on the inventory tool by the CDC, U.S.A and the appointed team consisted of the project staff such as health, veterinary, emergency, technical sectors and consultants and have adapted the “Influenza Pandemic Preparedness Assessment’’ methodology for aimags and local conditions. The IPPA had been ensured by Mr. Amgalanbayar.Ts, Chief, High Commissioner and the Project Director, Head of the National Emergency Management Agency. GOAL: To assess preparedness of Pandemic influenza early warning and response. OBJECTIVES: 1. Conduct aimag, and the capital city and district-wide IPPA 2. Compile the ’’Pandemic Influenza Preparedness’’ assessment findings. 3. Develop the recommendations on further activities to strengthen the pandemic and avian influenza preparedness and distribute to the relevant (decision-making and executing) organizations. SCOPE OF WORK: 21 aimags, 9 districts of Ulaanbaatar TIMETABLE : March 5 -19, 2009 FUNDING: “Avian Influenza Control and Human Pandemic Influenza Preparedness
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