Cambodia Partnership Meeting on Avian and Human Influenza

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Cambodia Partnership Meeting on Avian and Human
Influenza

• Thursday 19th October 2006
• David Nabarro
• UN System Influenza Coordinator

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(No Transcript)
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Global Avian Influenza Situation What is
happening now?

• Continued H5N1 infections in Indonesia (enzootic)
• Continued H5N1 outbreaks
• New outbreaks in the last few months of H5N1 have
  been confirmed in Thailand, Laos, China,
  Cambodia, Egypt, Nigeria, Sudan
• Human cases reported from Indonesia, Egypt and
  Thailand
• Bird Migration preparing for the next cycle
• Unregulated cross border trade
• Major response in most countries with strong
  international assistance
• Next global stock-take Bamako December 2006

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Sporadic Human Cases of Avian Influenza

• Since 2003 H5N1 has infected 256 people
• 151 have died, mostly children and young adults.
  
• Human deaths have been confirmed from
  Azerbaijan, Cambodia, China, Egypt, Indonesia,
  Iraq, Thailand, Turkey and Vietnam.
• Average deaths/month now at highest level.
• Indonesia accounts for more than 50 of the total
  deaths.
• Human infection with H5N1 is rare, and usually
  the result of virus transmission from birds to
  humans.
• No evidence of mutation to sustained human to
  human transmissibility

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Priority Areas of National Plans

• Sustained improvement in Animal Health through
  biosecurity
• Stronger Human Public Health systems for
  detection and containment of infections
• Mass mobilization of societies based on effective
  risk communication
• Preparing to mitigate an influnza pandemic
• Synergy across government and with civil society,
  private sector and media partners
• Continuity of governance, economy, access to
  basic services
• Support for Humanitarian Relief

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Financial Assistance June 2006 Review

• Donors have made substantial pledges 1.9 bn
  most are earmarked multi-donor facility now up
  and running
• Funds can be accessed by a Government (a) if they
  are available, and (b) once the national plan has
  been appraised can be routed to NGO partners
• Appraisals are being speeded up so that
  disbursement rates continue to increase.
• Overall funds available are insufficient
  especially for long term costs, also for Africa,
  and for parts of the UN system.  
• Important to have quick access to cash for
  specified urgencies when Avian Influenza is
  detected

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The Bamako Meeting

• December 6 to 8 2006
• African Union and Government of Mali
• Global Stock-take
• African Focus
• Compensation, Coordination, Communication
• Likely outcome?

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Participatory disease surveillance and
community-based responses

• Avian Influenza through the eyes of affected
  communities
• Gaps in government infrastructure
• Unpredictable compensation arrangements
• Impact of private sector poultry producers
• Vital contribution of civil society and NGOs
  watching, reporting, following up, assisting
  recovery

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Six Factors for Avian Influenza Success

• Consistent high level political engagement and
  direction,
• Procedures, systems and finance for rapidly
  scaling up implementation of priority actions,
• Strong risk analysis, information dissemination
  and communication systems to encourage compliance
  with reporting and social mobilization,
• Mechanisms to sustain vulnerable livelihoods and
  relieve distress,
• Strategic alliances across all levels of
  government, that engage private and voluntary
  sectors, and
• Management systems that involve all these
  stakeholders, encourage synergy, analyze progress
  review results and shift program emphasis when
  necessary.

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Thank you nabarro_at_un.orgwww.influenza.undg.org