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HEALTH SECURITY:
PUBLIC HEALTH THREATS AND RESPONSE
Hemispheric Security Commission
Organization American States
Panamerican
Health Organization
Cristina V. Beato, M.D.
Deputy Director
Health and security
• Global Health is a matter of
national and international
security
• Certain infectious diseases
are becoming an everincreasing global threat
• International Health
Regulations (IHR) is a
global respond to Health
Security concern
Panamerican
Health Organization
Declaration on Security in the Americas:
Clauses related to Health
•
•
•
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Clause 38: Epidemic diseases as national and
international security threat
Clause 39: Natural and man-made disaster
Clauses 40 & 41: Environmental deterioration and
global climate change
Clause 42: Strengthen the systems, institutions,
and mechanisms of the Inter-American system
Panamerican
Health Organization
Health Security Response:
International Health Regulation
Contain the
international
spread of
diseases
Panamerican
Health Organization
Maintain the
sovereignty of
states and
cause minimal
disruption to
international
flow of people
and goods
The purpose and scope of these
Regulations are to prevent,
protect, and provide a public
health response to the
international threat and
spread of diseases. Also,
avoid unnecessary disruption
of international travel and
trade
IHR: Member States commitment to
implement
• PAHO/WHO and its Member States initiated work on
activities related to the implementation of the International
Health Regulations (IHR) well before their entry into force.
• By 15 June 2009, Member States must have assessed the
ability of their existing national public health infrastructure,
to include human and financial resources, to meet core
surveillance and response capacity requirements described
in Annex A of the IHR (2005).
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Health Organization
IHR: Status Update
• Almost all Member States have successfully participated in
simulation tests of communication with PAHO
• Several Member States in the Southern Cone and Central
America are already conducting assessments of their
national capacity for surveillance and response
• PAHO has supported Member States by providing guidance
and tools for IHR implementation and by raising awareness
of the key elements of the IHR at subregional and national
meetings
Panamerican
Health Organization
Actions on HIV/AIDS, TB, malaria and other
epidemic diseases
•
The Three Ones principles, represents an approach to the organization
of the response to HIV in the countries
•
Through the Strategic Fund, PAHO has helped countries that participate
in global antiretroviral initiatives as well as Global Fund projects
•
The Regional Strategy for Tuberculosis Control for 2005–2015 was
established in order to provide a response tailored to the problems in
each country
•
PAHO is working with countries to fight against malaria in endemic
regions. Malaria has declined in the Region in recent years, but the
disease continues to be a public health problem of first magnitude.
Panamerican
Health Organization
Actions on natural and man-made disaster
• PAHO has established a regional response team for
emergencies and disasters.
• PAHO has consolidated the experience gained in the
countries in the Region by producing guides and technical
materials for comprehensive management of emergencies
and disasters in the field of health
• PAHO assists the Member States by mobilizing funds and
response teams and providing technical expertise.
Panamerican
Health Organization
Actions on environmental deterioration and
global climate change
•
28% of the Member States had national policies, and nearly 55% had national plans
for solid waste management
•
PAHO organized a series of five-day training workshops to create regional
awareness and plans to control use of fossil fuels in dwellings
•
A regional publication has been prepared on the effects of air pollution
•
PAHO/WHO and the World Meteorological Organization sponsored a conference in
San Jose, Costa Rica, on August 2007 to study the potential consequences of
climate change in the Americas
•
PAHO/WHO has designated World Health Day 2008 as Health and Climate Change
Panamerican
Health Organization
Actions: Inter-American System strength
• Since 2003 PAHO has hosted the Inter American Coalition for the
Prevention of Violence (IACPV)
• PAHO/WHO and the IACPV have implemented in selected
municipalities an intersectorial-based model aimed to solve the
problem of inconsistent information on deaths from intentional or
unintentional injuries
• PAHO/WHO has implemented the Youth Development and
Violence prevention project in Nicaragua, Honduras, El Salvador,
Colombia, Peru and Argentina. The Youth Development and
Violence prevention strengthen the networks from government
and nongovernmental organizations.
Panamerican
Health Organization
Thank you!
Panamerican
Health Organization