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PPHSN Institutional Framework

REGIONAL SURVEILLANCE: • Voluntary network of countries and PACIFIC PUBLIC organizations HEALTH • Established in 1996 by SPC and SURVEILLANCE WHO NETWORK (PPHSN) • Dedicated to the promotion of public health surveillance and appropriate Dr Salanieta T Saketa: [email protected] response to the health challenges of Oceania Planetary Health Forum 22 PICTs in a sustainable way Sofitel Resort and Spa, Nadi, Fiji

5‐6 November 2018

PPHSN SERVICES

Pacific Syndromic Epidemiology Surveillance Network: for System: for preparedness and outbreak detection response PSSS EpiNet

Pacific Network: Pacific Infection for alert and Control Network: communication for infection control PacNet PICNet

Strengthening Health Laboratory Interventions in the Network: for Pacific (Data for verification and Decision Making): for identification capacity building LabNet SHIP (DDM)

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What is disease surveillance? Weekly epidemic intelligence

Indicator‐based surveillance Event‐based surveillance

“PUBLIC HEALTH SURVEILLANCE IS THE ONGOING SYSTEMATIC COLLECTION, ANALYSIS, INTERPRETATION, AND DISSEMINATION OF HEALTH DATA.”

Steve Thacker, U.S. Centers for Disease Control and Prevention

Why we do surveillance?

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Dengue fever in the Pacific NUMBER OF PACIFIC ISLAND COUNTRIES AND TERRITORIES WITH DENGUE OUTBREAKS OR CIRCULATION FOR EACH SEROTYPE FROM 1971 TO 2014 All serotypes Den 1 - , 3,736 cases to Feb 2015, New Number of newly reported outbreaks and 12 Caledonia, Vanuatu circulation in the Pacific, 2012 - 21 August 2018 12 49 newly reported dengue fever Den 2 – Fiji 543 case Jan – Apr 2015, also outbreaks and circulation were 10 10 recorded in the region between circulation Den 3 – Fiji 28,000 cases to June 2014, Tonga 586 cases to Feb or st January 2012 and August 21 2018 . 2015, also Sol Isl, New Caledonia, Nauru 8 8 outbreak Dengue type 4 In 2012, the four serotypes of dengue DENV‐1 Dengue type 3 6 6 fever (DENV‐1, DENV‐2, DENV‐3 dengue a DENV‐2 Dengue type 2 and DENV‐4) were circulating in the with DENV‐3 Dengue type 1 4 Pacific for the first time in a given 4 DENV‐4 calendar year since 1971. This countries

of 2 occurred again in 2016 and 2017. 2

Number 0

Number of newly reported outbreaks/circulation reported newly of Number 2012 2013 2014 2015 2016 2017 21-Aug-18 0 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014

Source: SPEHIS and PacNet, published and unpublished Years - Kiedrzynski et al Pac Health Dialogue 1998 Source: Pacific Community (SPC) Epidemic Intelligence System Database -Singh et al Pac Heatlh Surv and Response 2005 -Lepers et al InformAction 2008 Source: SPC Epidemic Intelligence Database - Cao –Lormeau et al EID 2014

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ILI AND INFLUENZA ALERTS IN THE PACIFIC, 2018 (AS OF 27 AUGUST)

Yap Chuuk

Kosrae

Influenza A

Produced for the Pacific Public Health Surveillance Network (PPHSN)

MUMPS ALERTS IN THE PACIFIC, 2017‒2018 (AS OF 27 AUGUST)

HAWAII 2017-2018

2017-2018

2017

2017-2018

2017

Legend Cases reported are increasing or 2017-2018 peaking. Cases reported are decreasing or viral NEW circulation is ongoing ZEALAND Outbreak or viral circulation is reported to be over.

Compiled by the Research, Evidence and Information Programme, Public Health Division, Pacific Community (SPC) on 04 April 2018; Based on data and information collected from different sources through SPC Regional Epidemic Intelligence System.

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Guiding principles Acknowledgement

“TO PREVENT, PROTECT AGAINST, CONTROL AND • Jojo Merilles PROVIDE A PUBLIC HEALTH RESPONSE TO THE • Christelle Lepers INTERNATIONAL SPREAD OF DISEASE IN WAYS • Paul White THAT ARE COMMENSURATE WITH AND • Angela Merianos RESTRICTED TO PUBLIC HEALTH RISKS, AND • 22 Ministries and Departments of Health of the Pacific islands and territories WHICH AVOID UNNECESSARY INTERFERENCE WITH INTERNATIONAL TRAFFIC AND TRADE” –

IHR(2005), ARTICLE 2

Way forward

• Strengthen spatial epidemiology and Thank you integrate vector and environment data with Vinaka vakalevu health data • Support systems strengthening for animal and environmental health via combined capacity building initiatives eg. DDM, laboratory courses such as IATA certification training • ?Including a One Health or Planetary Health service to the PPHSN

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