The Public Health England Global Health Strategy

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The Public Health EnglandGlobal Health Strategy
Dr Osman Dar Consultant in International Public
Health
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What we do

• provide government, local government, the NHS,
  MPs, industry, public health professionals and
  the public with evidence-based professional,
  scientific and delivery expertise and advice
• ensure there are effective arrangements in place
  nationally and locally for preparing, planning
  and responding to health protection concerns and
  emergencies, including the future impact of
  climate change
• support local authorities, and through them
  clinical commissioning groups, by providing
  evidence and knowledge on local health needs,
  alongside practical and professional advice on
  what to do to improve health, and by taking
  action nationally where it makes sense to do so

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PHE structure
Advisory Board
Chief Executive
Development Advisor
Director of Health Protection and Medical Director
Director of Health and Wellbeing
Chief Knowledge Officer
Director of Nursing
Director of Strategy
Director of Communications
Chief of Staff
Chief Operating Officer
Private Office
Secretariat
Director of Programmes
Regional Directors
Microbiology
Internal Audit
Corporate Governance
Finance and Commercial Director
Centre Directors
Legal Service
Director of Human Resources
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What we do
Health and Wellbeing Directorate improving the
populations health ? screening and immunisation
? mental and physical health ? social
determinants of health ? social marketing and
behaviour change campaigns ? promoting healthy
lifestyles Health Protection Directorate
protecting the nations health ? emergency
response ? infectious disease surveillance and
field epidemiology training programme ? public
health strategy UK and international ? Centre
for radiation, chemical and environmental hazards
(CRCE) ? global health Operations Directorate
linking local to national ? specialist and
reference microbiology services ? culture
collections ? FDA approved manufacture ?
translational research ? vaccine development ?
bio-safety training Chief Knowledge Office
Directorate knowledge and intelligence ?
disease registration ? drug treatment monitoring
? National Cancer Intelligence Network ? research
and development ? information governance
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The Public Health England Global Health Strategy
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PHEs 7 priorities for the next 5 years
1 Tackling obesity 2 Reducing smoking 3 Reducing
harmful drinking 4 Ensuring every child has the
best start in life 5 Reducing dementia risk 6
Tackling antimicrobial resistance 7 Reducing
tuberculosis Published October 2014 From
evidence into action opportunities to protect
and improve the nations health https//www.gov.uk
/government/uploads/system/uploads/attachment_data
/file/366852/PHE_Priorities.pdf
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Policy mandate (1)
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Policy mandate (2) WHO International Health
Regulations (IHR) 2005

• International legal instrument binding in 194
  countries that
• require countries to report certain disease
  outbreaks/ public health events to WHO
• define country obligations to uphold global
  public health security
• require countries to strengthen public health
  surveillance and response capacity
• PHE responsibilities
• Assess events that may be Public Health
  Emergencies of International Concern
• Notify events to WHO
• Contribute to broad IHR implementation on behalf
  of UK government

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Strategy
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Developing the strategy
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Strategy
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PHEs global health strategy - 2014

• Priorities for next 5 years
• Improving global health security focusing on
  antimicrobial resistance, mass gatherings,
  extreme events, climate change, bioterrorism,
  emergency response, new and emerging infections,
  cross border threats, and migrant and travel
  health.
• Responding to outbreaks and incidents of
  international concern, and supporting the public
  health response to humanitarian disasters.
• Building public health capacity, particularly in
  low and middle income countries, through, for
  example, a programme of staff secondments and
  global health initiatives.
• Developing our focus on, and capacity for,
  engagement on international aspects of health and
  wellbeing, and non-communicable diseases.
• Strengthening UK partnerships for global health
  activity.

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The Public Health England Global Health Strategy
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Strategy Delivery

• The strategy will be delivered through
  development of an annual delivery plan, setting
  objectives, and defining outputs in support of
  the five strategic priorities. Over the next five
  years PHEs work will include
• Providing coordination support and leadership to
  the Global Health Security Agenda, and supporting
  others in developing capacity relating to the
  International Health Regulations 2005 (for
  example in our Overseas Territories)
• Developing a robust system to enable rapid and
  appropriate response to outbreaks and incidents
  of international concern and humanitarian
  disasters, ensuring compliance with
  internationally agreed guidelines
• Assisting public health capacity building in
  priority countries
• Expanding our portfolio of global health
  engagement on NCDs
• Strengthening our global health partnerships both
  nationally and internationally

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Strategy
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Global health activities
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WHO Collaborating Centres at PHE
Mass gatherings and emergency response
Prison health
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The Public Health England Global Health Strategy
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Global health projects
Evaluation of HBsAg and anti-HCV diagnostic kits
E-learning courses (WHO public health emergency
management)
WHO chemical risk assessment/ capacity building
Evaluating tick-borne encephalitis virus quasi
species
Maintaining a functional enteric bacteriology
laboratory
Emergency preparedness and response training
Virology surveillance network
Diphtheria outbreak response
Meningococcal serology capacity building
Staff exchanges
Investigating emerging/serious infectious
diseases
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The Public Health England Global Health Strategy
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Case study Middle East Respiratory Syndrome
(MERS)

• MERS arrived in UK in September 2012
• Investigation by Health Protection Agency (now
  PHE) confirmed a new pathogenic coronavirus -
  designated MERS
• Confirmation of 1st MERS case diagnosed,
  initiated series of responses within UK and
  internationally
• Key elements of early response Define nature of
  new illness and prepare UK guidance on managing
  any future patients.
• PHE worked with WHO and Ministry of Health in
  Saudi Arabia to collect epidemiological and
  clinical information, and to put together a
  credible picture of likely impact of MERS.
• International engagement significantly improved
  guidance that PHE provided for UK clinicians, and
  contributed to earlier detection, and better
  management of subsequent patients.

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The Public Health England Global Health Strategy
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Summary

• Delivery of the PHE Global Health Strategy has
  been initiated.
• PHE will look to develop and build on
  partnerships and collaborations as it advances
  its Strategy delivery.
• We welcome enquiries from individuals and
  organisations interested in developing
  collaborations with PHE or getting involved in
  its Global Health activity.
• For further information please contact
• anthony.kessel_at_phe.gov.uk
• mark.salter_at_phe.gov.uk
• annette.luker_at_phe.gov.uk
• osman.dar_at_phe.gov.uk

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The Public Health England Global Health Strategy