Download current situation of communicable diseases, future actions

CURRENT SITUATION OF COMMUNICABLE
DISEASES, FUTURE ACTIONS
А.Tsogtsetseg, Minister of Health, Mongolia
PhD, Clinical Professor,
Doctor Advisor
Goal, Objective
 To review and assess current situation of communicable
diseases and identify further actions based on evidence;
 Objectives
• Analyze current situation, identify challenges and
determine early warning and response actions for
emerging and re-emerging diseases
Notified Communicable Diseases, per 10,000 pop,
1952-2015
Dysentery outbreak
Measles&rubella outbreak
Viral hepatitis A outbreak
Meningitis
outbreak
Measles outbreak
Measles outbreak
Measles outbreak
Current Situation of Communicable Diseases
Notifialbe Communicable Diseases,
by percent, 2006-2010
Bloodborne
infection
2%
Other
6%
Notifiable Communicable Diseases,
by percent, 2011-2015
Bloodborne
Zoonoses
diseases
Other
1%
2%
4%
Zoonoses
1%
STI
35%
STI
36%
Respiratory
diseases
21%
Respiratory
diseases
39%
Gastrointestina
l infection
34%
Gastrointestinal
infection
19%
Measles Incidence, per 10,000 pop, Immunization
Coverage, 1958-2015
MVC1
MMR
Vaccination coverage (%)
MCV2
Sexually Transmitted Infections
Congenital Syphilis, number of cases,
per 1000 live births, 2004-2016*
Per 10.000 population
Sexually Transmitted Infections,
per 10.000 pop, 2005-2015
* First 9 months
Estimated HIV Number and Reported Cases,
Estimation for 2000-2020
Num of cases
Estimated
number
Number
of cases
Tuberculosis
TB Cases and Incidence, 1962-2015
Incidence
Year
Death
Number of cases
Newly diagnosed
Per 10.000 population
Number of cases
Num of
cases
MDR-TB Cases and Fatality, 2003-2015
Year
Zoonotic Diseases
Zoonotic Diseases, number of cases,
2011-2015
Rapid
response
team, 2010
Joint
research,
2007
One health
(animal and
human sector,
NEMA,
Laboratory
network
GASI)
Joint training,
exercise,
2010
“One health”
hub
Hepatitis
Hepatitis B Incidence and
Immunization Coverage, 1981-2015
Hepatitis A Incidence, per 10,000 pop
2000-2015
Hepatitis C Incidence,
per 10,000 pop, 2005-2015
Per 10.000 population
Influenza and Influenza-Like Diseases, per 10.000
pop, 2006-2016*
Lower tolerance limit
Upper tolerance limit
*- as of October 3, 2016
Legalization and Policy
- IHR (2005)
- APSED,
2005, 2010, 2015
- Law on Health & Immunization
Law & Law on HIV/AIDS
Prevention
-National Program for
Communicable Diseases 2006,
2010 and 2016
- National Surveillance, Diagnosis
and Treatment Standards, 68
- SOPs and Procedures, 38
Financing
Government Budget
Diagnosis & Treatment 100%
Anti Retroviral Treatment 100%
1st Line Regimen Drugs 100%
STI Treatment 30%
Health Insurance
Screening and Viral Load for Hepatitis
HBV Treatment
Immunization Financing, by Sources,
2000-2015
International organizations
Government
Communicable Diseases Surveillance System,
Results & Chronology
• Eradicated
poliomyelitis
• Decreased HAV
infection by 20
times
Immunization,
1965
ILI
surveillance
1974
• Internationally
accredited
laboratory
• Sustainable
surveillance
system
MFETP
2009
• Syndromic and
event based
surveillance
• Weekly feedback
EWAR
surveillance
system,
2007
• 97% of
graduates work
at public health
sector
• Multi sectorial
cooperation
EOP & EOC
2014
• Response action
with
organizations of
other sector
• Multi sectorial
cooperation
One healthone world
2010
• Risk assessment
• Incidence
management
system
• Risk
communication
Challenges
• Emerging, reemerging diseases as
Zika viral disease,
EVD, Mers-CoV
• Electronic
information system
• Risk communication
• Inter sectorial and
multi sectorial
collaboration
• Response
preparedness
(personnel
deployment,laboratory
capacity, financing)
• Research, evidence
based decision
• Quality and accessibility
of health service (STI,
TB, infectious disease
outbreaks)
Further Direction
To implement Asia Pacific Strategy for Emerging Diseases
and Public Health Emergencies (III)
To refer Health matters in policy and direction of all sectors
To ensure Health Security issues
To strengthen integrated early warning, rapid response and
control system
Actions
Expand EOP
& EOC
network
ANC service
package
Sample
transportation
system
Risk
communication
program
FETP
Regional
training
center
Re-establish
health lesson
to the
secondary
education
curriculum
Expanding
scientific
researches
“Glass
health”
program
New vaccine
introduction
2016-2018
Laboratory
network
Risk stock
fund
Rapid response
stock fund
Collaborative
surveillance
with
neighboring
countries
Screening for
Hepatitis B
and C, STI,
by region
Establish
electronic
information
system
network
School entry
requirement &
Adult
immunization
Establish
information
database
2019-2020
Thank you