National Infl uenza Center, National Center of Communicable Diseases, Ministry of Health, Mongolia ANNUAL REPORT: 2011/2012 covering the period from September 16, 2011 to September 15, 2012 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 - 2011/2012 Content List of abbreviations used ....................................................................... 7-8 Foreword ................................................................................................... 9 One. Background ................................................................................... 10 1.1. Geography and Climate of Mongolia ........................................ 10-12 1.2. Political System and Administrative Structure of Mongolia .......... 13 1.3. Demography and Main Health Indicators of Mongolia .................. 13 1.4. Health Service Delivery in Mongolia ............................................. 16 1.5. USA/Mongolia Collaboration in Health Fields .............................. 17 1.6. History of the US/Mongolia Collaboration on Infl uenza Surveillance .................................................................................... 18 Two. Infl uenza surveillance in Mongolia ............................................. 26 2.1. History ............................................................................................ 26 2.2. Current Surveillance System .......................................................... 30 2.3. Epidemiology of ILI in Mongolia ................................................... 31 2.3.1. Outpatient-based ILI surveillance ......................................... 31 2.3.2. Hospital-based pneumonia surveillance ............................... 34 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 ......... 39 3.3.1.1. Outpatient-based ILI surveillance ...................................... 39 3.3.1.2. Hospital-based pneumonia surveillance .................. 44 3.3.1.3. Pandemics control activities .................................... 47 3.3.2. Strengthening infl uenza virological surveillance .................. 52 3.3.3. Ensuring sustainable development of infl uenza surveillance network by good and transparent management .............................. 67 3.3.4. International collaboration .................................................... 69 Conclusion ............................................................................................... 79 Four. Annexes ......................................................................................... 80 Annex 1. Recommendation from the Fifth National Infl uenza Workshop ........................................................................................ 80 Annex 2.Programme of the workshop for moderators on table top exercises 2 Content of “Emergency Measures Implemented during infl uenza pandemics” NIW 6, October 5, 2010 .................................................................. 81 Annex 3. Participants’ list of the workshop for TTX moderators on NIW-6, October 5, 2010 ............................................................ 81 Annex 4. Program of the Sixth National Infl uenza Workshop (NIW6), October 07-08, 2010, Ulaanbaatar, Mongolia ................................. 82 Annex 5. Participants` list of the NIW5 October 7-8, 2010, Ulaanbaatar ..................................................................................... 88 Annex 6. National Infl uenza Workshop 6 (NIW 6) recommendations .... 96 Annex 7. Programm of the ISSSs training workshop 1, September 8-9,2011 ........................................................................ 97 Annex 8. Participants list of the ISSSs training workshop 1, September 8-9, 2011 ....................................................................... 99 Annex 9. Programme of training for FIS software, Sept. 9, 2011 ......... 105 Annex 10. Participants’ list of the training for FIS software, Sept. 9, 2011 .................................................................................. 106 Annex 11. Program of the training for laboratory activities, Sept. 8, 2011 .................................................................................. 109 Annex 12. Participants’ list of the training for laboratory activities, Sept. 8, 2011 .................................................................................. 109 Annex 13. Program of the training for hospital-based pneumonia surveillance in cooperation with Merieux foundation, France, September 8,2011 .......................................................................... 109 Annex 14. Participants’ list of the for hospital-based pneumonia surveillance workshop in cooperation with Merieux foundation, France, September 8, 2011 ............................................................ 109 Annex 15. Program of the training for infl uenza transmission surveillance in cooperation with Tohoku University, Sendai, Japan, September 8, 2011 ......................................................................... 110 Annex 16. Participants’ list of the training workshop for infl uenza transmission surveillance in cooperation with Tohoku University, Sendai, Japan, September 8, 2011 ................................................. 110 Annex 17. List of equipment and devices transferred from the Project Team to the ISSSs in 2011 ................................................ 111 Annex 18. Program of the NIC, Mongolia-ISSS Training Workshop-2 September 20, 2012 ...................................................................... 116 Annex 19. Participants’ list of the Mongolia-ISSS Training Workshop-2 September 20, 2012 ...................................................................... 117 Annex 20. Programm of training on “Calculation of tolerent limits of ILI morbidity” May 17-19, 2012 .............................................. 120 3 B5265G1 Annual Report - 2011/2012 Annex 21. Participants’ list of the training on “Calculation of tolerent limits of ILI morbidity” May 17-19, 2012 .................................... 121 Annex 22. Programme of the Mongolia-IPPP re-assessment workshop - 2, June 23-24, 2010 .................................................... 121 Annex 23. Participants list of the workshop on IPPP re-assessment-2, June 23-24, 2010 ........................................................................... 123 Annex 24. Results of IPPP re-assessment-2 in comparison to the previous assessments .......................................................... 125 Annex 25. Programm of the Mongolia- IPPP re-assessment workshop-3, September 19, 2012 ...................................................................... 127 Annex 26. Participants’ list of the workshop on IPPP re-assessment-3, September 19, 2012 ...................................................................... 129 Annex 27. Summary of 2008, 2010 and 2012 IPPP assessment results ............................................................................................ 130 Annex 28. Program of the training for “FluLab” software, March 13, 2012 ............................................................................. 132 Annex 29. Participants’ list of training for “FluLab” software, March 13, 2012 ............................................................................. 132 Annex 30. Laboratory reagents and other consumables received in Infl uenza Laboratory in the fi scal year of 2009/2010 ................... 133 Annex 31. Laboratory and offi ce equipment received in VL/NCCD in the fi scal year of 2009/2010 ................................... 135 Annex 32. Laboratory and offi ce equipment received in VL/NCCD in the fi scal year of 2010/2011 ................................... 136 Annex 33. Laboratory reagents and other consumables received in Infl uenza Laboratory in the fi scal years of 2010/2011 .................. 137 Annex 34. Laboratory and offi ce equipment received in VL/NCCD in the fi scal year of 2011/2012 ................................... 139 Annex 35. Laboratory reagents and other consumables received in Infl uenza Laboratory in the fi scal years of 2011/2012 .................. 140 Annex 36. List of equipment, device and furniture transferred from the Project team to NCCD in 2012 ...................................... 143 Annex 37. Programme of training of trainers for “Flu Information System” software, April 14, 2010 ................................................. 147 Annex 38. Participants list of the training of trainers on the “Flu Information System” software April 14, 2010 ...................... 148 Annex 39. Infl uenza Reporting Assessment tools .................................. 149 Annex 40. Programme of Training Seminar for the Team Members of Infl uenza Reporting Assessment, April 23, 2010 ..................... 151 4 Cooperative Agreement ImplementationContent Annex 41.Participants list of Training Seminar for Infl uenza Reporting Assessment, April 23, 2010 .......................... 151 Annex 42. The list of Assessment Team Members ................................ 152 Annex 43.