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Annual Report: 2010/2011

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Annual Report: 2010/2011 National Infl uenza Center, National Center of Communicable Diseases, Ministry of Health, Mongolia ANNUAL REPORT: 2010/2011 covering the period from September 16, 2010 to September 15, 2011 of the Project “Developing Sustainable Infl uenza Surveillance Network” approved by the Cooperative Agreement between DHHS/CDC, USA and MoH/NCCD/NIC, Mongolia Cooperative Agreement No: IU51IP000331 PAN: B5265G1 B5265G1 Annual Report - 2010/2011 Content List of abbreviations used .......................................................................... 6 Foreword ................................................................................................... 8 One. Background ..................................................................................... 9 1.1. Geography and Climate of Mongolia ............................................... 9 1.2. Political System and Administrative Structure of Mongolia .......... 12 1.3. Demography and Main Health Indicators of Mongolia .................. 12 1.4. Health Service Delivery in Mongolia ............................................. 15 1.5. USA/Mongolia Collaboration in Health Fields .............................. 16 1.6. History of the US/Mongolia Collaboration on Infl uenza Surveillance .................................................................................... 17 Two. Infl uenza surveillance in Mongolia ............................................. 25 2.1. History ............................................................................................ 25 2.2. Current Surveillance System .......................................................... 29 2.3. Epidemiology of ILI in Mongolia ................................................... 30 2.3.1. Outpatient-based ILI surveillance ......................................... 30 2.3.2. Hospital-based pneumonia surveillance ............................... 33 Three. Cooperative Agreement Implementation ................................. 36 3.1. Project Goal .................................................................................... 36 3.2. Project Objectives ........................................................................... 36 3.3. Project Implementation in 2009-2010 ............................................ 36 3.3.1. Strengthening infl uenza epidemiological surveillance .......... 38 3.3.1.1. Outpatient-based ILI surveillance ............................. 38 3.3.1.2. Hospital-based infl uenza surveillance ...................... 40 3.3.1.3. Pandemics control activities ..................................... 42 3.3.2. Strengthening infl uenza virological surveillance ................... 45 3.3.3. Ensuring sustainable development of infl uenza surveillance network by good and transparent management ..................... 58 3.3.4. International Collaboration .................................................... 67 Conclusion ...................................................................................... 69 2 Content Four. Annexes ......................................................................................... 71 Annex 1. Recommendation from the Fifth National Infl uenza Workshop ................................................................................. 71 Annex 2. Programme of the Mongolia-IPPP re-assessment workshop, June 23-24, 2010 ...................................................................... 72 Annex 3. Participants list of the workshop on IPPP re-assessment, June 23-24, 2010 ...................................................................... 74 Annex 4. Results of IPPP re-assessment in comparison to the previous assessments .............................................................................. 76 Annex 5. Programme of the workshop for moderators on table top exercises of “Emergency Measures Implemented during infl uenza pandemics” NIW 6, October 5, 2010 ....................................... 78 Annex 6. Participants’ list of the workshop for TTX moderators on NIW-6, October 5, 2010 ........................................................................ 78 Annex 7. Program of the Sixth National Infl uenza Workshop (NIW6), October 07-08, 2010, Ulaanbaatar, Mongolia .......................... 79 Annex 8. Participants` list of the NIW5 October 7-8, 2010, Ulaanbaatar .............................................................................. 85 Annex 9. National Infl uenza Workshop 6 (NIW 6) recommendations .... 93 Annex 10. Laboratory reagents and other consumables received in Infl uenza Laboratory in the fi scal year of 2009/2010 .............................. 94 Annex 11. Laboratory and offi ce equipment received in VL/NCCD in the fi scal year of 2009/2010 ........................................................... 96 Annex 12. Laboratory and offi ce equipment received in VL/NCCD in the fi scal year of 20101/2011 ......................................................... 97 Annex 13. Laboratory reagents and other consumables received in Infl uenza Laboratory in the fi scal years of 2010/2011 ............................. 98 Annex 14. Programme of training of trainers for “Flu Information System” software, April 14, 2010......................................................... 100 Annex 15. Participants list of the training of trainers on the “Flu Information System” software April 14, 2010 ........................................... 101 Annex 16. Infl uenza Reporting Assessment tools ................................... 102 Annex 17. Programme of Training Seminar for the Team Members of Infl uenza Reporting Assessment, April 23, 2010 ................... 104 Annex 18. Participants list of Training Seminar for Infl uenza Reporting Assessment, April 23, 2010 ................................................... 104 Annex 19. The list of Assessment Team Members groups ...................... 105 Annex 20. Detailed Infl uenza Reporting Capacity Assessment results nationwide, 2010 .................................................................... 106 3 B5265G1 Annual Report - 2010/2011 Annex 21. Programme of the FIS Software training, September 22-23, 2010 .......................................................... 112 Annex 22. Participants list of the FIS Software training, September 22-23, 2010 .......................................................... 113 Annex 23. Assessment results of the FGP-based ISSSs in the capital city and provinces, in 2009 .................................................................. 115 Annex 24. Assessment results of the ISSSs of the province and district hospitals in 2009 .................................................................... 117 Annex 25. Assessment results of the I category FGP-based ISSSs in the capital city and provinces in the fi rst quarter, 2010 ............... 118 Annex 26. Assessment results of the II category FGP-based ISSSs in the capital city and provinces in the fi rst quarter, 2010 ............... 120 Annex 27. Assessment results of the III category FGP-based ISSSs in the capital city and provinces in the fi rst quarter, 2010 ............... 122 Annex 28. Assessment results of the I category ISSSs of the province and district hospitals in the fi rst quarter, 2010 .............................. 123 Annex 29. Assessment results of the II category ISSSs of the province and district hospitals in the fi rst quarter, 2010 .............................. 124 Annex 30. Assessment results of the III category ISSSs of the province and district hospitals in the fi rst quarter, 2010 .............................. 124 Annex 31. Assessment results of the Reference Centers, in 2009 .......... 125 Annex 32. Assessment results of the Reference Centers, in the fi rst quarter of 2010 ................................................................................... 125 Annex 33. Assessment results of the I category FGP-based ISSSs in the capital city and provinces in 2010/2011) ............................... 126 Annex 34. Assessment results of the II category FGP-based ISSSs in the province in 2010/2011 ........................................................... 128 Annex 35. Assessment results of the III category FGP-based ISSSs in the provinces in 2010/2011 .......................................................... 129 Annex 36. Assessment results of the I category ISSSs of the province and district hospital in 2010/2011 ................................................. 130 Annex 37. Assessment results of the II category ISSSs of the province and district hospital in 2010/2011 ................................................. 130 Annex 38. Assessment results of the III category ISSSs of the province and district hospital in 2010/2011 ................................................. 131 Annex 39. Assessment results of the I category Reference Centers in 2010/2011 ............................................................................... 131 Annex 40. Assessment results of the II category Reference Centers in 2010/2011 ............................................................................... 131 Annex 41. Participants list of the workshop on 2009 year and fi rst quarter, Content 2010 activities ISSSs in the capital city, April 16, 2010 ........ 132 Annex 42. Programm of the ISSSs training workshop 1, September 8-9,2011 ............................................................... 135 Annex 43. ParticipantsŴ list of the ISSSs training workshop 1, September 8-9, 2011 ................................................................................ 137 Annex 44. Programme of training for FIS software, Sep 9, 2011 ........... 143 Annex 45.
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