SECURITY AGENDA (GHSA)

Larry Kerr, PhD, U.S. Department of Health and Human Services, Office of the Secretary, Office of Global Affairs LINKING GHSA TO IHR

GHSA is an implementation vehicle to assist countries in achieving core capacities agreed to in the International Health Regulations (2005) GHSA IHR (2005)  Voluntary mechanism  Binding treaty agreed upon by all WHO member among subset of WHO states member states  Takes an “all-hazards” Focused on infectious approach to health  threats threats  Original deadline passed  Five year sunset date to in 2012 with less than 20% of member states in focus and accelerate compliance (current implementation deadline of 2016 with ~30% compliant) MULTISECTORAL ACTION

Sectors Actors  Health   Agriculture  Academic/research communities  Development  Private sector  National  Non-Governmental security/defense Organizations / Civil  Foreign Affairs Society  International Organizations THE ACTION PACKAGES

 Action Package Activities Purpose Emphasis on incentivizing APs activities Organizationas an accelerator to IHR implementation/filling the gaps identified through IHR monitoring activities • Focus international • Five-Year Targets discussion toward specific, coordinated • Measures action • Desired Impacts • Highlight measurable approaches countries can • Country Commitments (Lead adopt or Contribute) • Provide a mechanism for • Five-Year Action Items collaboration and sharing of best practices

4 GHSA Structure

Annual Ministerial Meeting

GHSA Steering Gr oup Advisors

Action Packages Prevent Detect Respond Emergency National Lab AMR Operation Systems Centres

Multi- / Real-Time Sectoral Biosafety Surveillance Response

MCM/ Zoonotic Reporting Personnel Deployment

Workforce Immunization Development 5 GHSA MULTILATERAL STRUCTURE

 Chairmanship and “Troika” Concept  Previous Chair: Indonesia  Current Chair: The Republic of Korea  Incoming Chair: Italy  Steering Group  Steering Group members: Canada, Chile, Finland, Indonesia, , Italy, Kenya, Kingdom of Saudi Arabia, Republic of Korea, the United Kingdom, and the  Advisory Body to Steering Group: World Health Organization (WHO), Food and Agriculture Organization (FAO), Organization for Animal Health (OIE), World Bank, ECOWAS, EU, AU, INTERPOL MULTILATERAL INSTITUTIONS

IHR

WHO One Health

OIE FAO

Various PVS Assessments GHSA ACTION PACKAGES IN PRACTICE

 Antimicrobial  National  Emergency Resistance Laboratory Operations Centers  Zoonotic Disease Systems  Real-Time  Multisectoral  Biosafety and Response / Biosurveillance Biosecurity Linking Public  Immunizations  Reporting Health with Law  Workforce Enforcement Development  Medical Countermeasures and Personnel Deployment GHSA ACTION PACKAGES AND PREPAREDNESS

 Antimicrobial  National  Emergency Resistance Laboratory Operations Centers  Zoonotic Disease Systems  Real-Time  Multisectoral  Biosafety and Response / Biosurveillance Biosecurity Linking Public  Immunizations  Reporting Health with Law  Workforce Enforcement Development  Medical Countermeasures and Personnel Deployment SYNERGIES

 GHSA investments in the Emergency Operations Action Package led to the development of an Emergency Operations Center in Cameroon.  Our global Pandemic Preparedness efforts is a foundation stone for global health security. WHO JOINT EXTERNAL EVALUATION (JEE)

 On September 26, 2014, countries agreed that there was a need to be able to measure progress. A pilot tool was developed and several countries volunteered for the external pilot assessment process: Georgia, Peru, Uganda, Portugal, the United Kingdom, and Ukraine  WHO then developed the new IHR Joint External Evaluation which includes all elements of the GHSA assessment. We are now leveraging the GHSA mechanism to support JEE implementation, working with WHO and other partners.  So far, 37 countries have completed a JEE, 31 more are scheduled, and an additional 28 have expressed interest in undergoing a JEE U.S. & G7 COMMITMENTS

 G7 partners and EU made a collective commitment to assist 76 countries in IHR implementation  ROK, the Nordic Countries, and others have all made separate commitments to health security

 U.S. committed to assist 32 countries to achieve the 11 GHSA targets for IHR implementation  Develop country-owned, five-year GHSA roadmaps  Specific annual milestones toward all GHSA & JEE targets  Work plans to guide project implementation and donor coordination  Work with G7 partners for shared commitments

 GHSAgenda.org  Facilitates full and transparent information sharing, progress measurements, and coordination EXTRA SLIDES WHO JEE ASSESSMENT AND INVESTMENT CYCLE

JEE Technical Area Targets guide the country capacity assessment, and inform country plans and partner commitments to improve health security.

• Host Country Self- Assessment Joint • External Assessment External Partner Team Validation Evaluations Commitments • Open Dissemination of • Funding and Country Improved Results • Training investment • Infrastructure Health Security • Technical Assistance Capability

Country Plans for • Country Plan for Meeting Health Security Capacity Gaps and JEE Capacity Building Technical Area Targets

The process toward improving health security capacity requires continuous assessment of capabilities and (re)alignment of resources to address gaps. THE ALLIANCE FOR COUNTRY ASSESSMENTS

International Member States Organizations Alliance for Country Assessments

Development NonNon----GovernmentalGovernmental Partners/ Foundations Organizations

Plan and conduct Develop and Help connect JEE JEE assessments maintain an results with plan and promote international roster development and transparency of of experts gap filling results

15 THE US IS COMMITTED TO SUPPORTING GHSA IN 32 PARTNER COUNTRIES AND REGIONS 5-YEAR ROADMAPS

 USG commitment to 31 countries + CARICOM

 Interagency USG team working with host

 Specific annual milestones toward all GHSA & JEE targets

 Work plan to guide project implementation

 Partnerships and coordination with donors, government, and non-governmental entities