Transcript Indoor Air Quality in Hong Kong

Background

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In May 2003, the Chief Executive
announced that the Government had
begun to study the establishment of a
CDC – like organisation in Hong Kong
SARS Expert Committee’s Report
released in Oct 2003 recommended the
establishment of a Centre for Health
Protection (CHP)
Health Protection

Health protection is about the measures
that public health authorities and others
take to protect the population from
communicable diseases and other public
health hazards
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(Report of the SARS Expert Committee 2003 )
What differences
will CHP make?
International
and
Mainland
authorities
Community
DH
Hospital
Authority/
Private hospitals
and
practitioners
Universities
Existing Interface Gaps
Science
Legislation
Surveillance
Effective
Health
Protection
System
Risk
Management
Programme
Development
Source:
Health Protection
for the 21st Century,
Health Canada
SCOPING
Assessment of potential building blocks of health protection
SCIENCE
SURVEILLANCE
EMERGENCY RESPONSE
LEGISLATION
• Support of a
network of
laboratories
• Strengthening of
epidemiology as the
core competency
• Review of legislation in
communicable disease
control
• Laboratory
enhancement
• Enhanced
surveillance
• Multi-disciplinary
emergency response
• Centralisation of field
epidemiology services
• Strengthening of
risk communication
• Science-based
practice
Centre
Public Health
Laboratory
Services
for
Branch
Emergency
Response ＆
Information
Branch
• Set up specialised
health protection
programmes
Review of mandate
Health
Surveillance
&
Epidemiology
PROGRAMMME
DEVELOPMENT
Protection
Public
Health
Services
Infection
Control
Branch
Programme Management and Professional Development Branch
Promotion of standards
INTERNATIONAL COLLABORATION
RESEARCH SUPPORT
EXPERTISE DEVELOPMENT
• Coordination in Pearl River Region
• Networking with international partners
• Incorporation of applied
research
• Reorganisation of public health training
• Strengthening of field epidemiology as the core business
for investigation, analysis and rapid response capability
Organisation of CHP
Director of Health
Controller, CHP
SURVEILLANCE &
EPIDEMIOLOGY
BRANCH
INFECTION
CONTROL
BRANCH
PUBLIC HEALTH
LABORATORY
SERVICES
PUBLIC HEALTH
SERVICES
PROGRAMME MANAGEMENT & PROFESSIONAL DEVELOPMENT BRANCH
EMERGENCY
RESPONSE AND
INFORMATION
BRANCH
New functional
elements
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Regional Offices
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Disease Prevention and Control Division
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Central Health Education Unit
Programme Management and
Professional Development Branch
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TB & Chest Service
Infection Control Branch
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Social Hygiene Service
Health Protection Programmes for
targeted diseases
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Special Preventive Programme
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Pathology Service
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Epidemiology Unit
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CD Surveillance Unit
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Existing services
to be incorporated
Emergency Response and
Information Branch
International &
Mainland
authorities
• Epidemic Intelligence
• Communicable Disease
Notification
• Training
• Attachment Programmes
• Risk Communication
• Standardisation of Infection
Control Practice
• Population Based
Programmes
• Health Education
Programmes
Community
CHP
Hospital
Authority /
Private
Hospitals &
Practitioners
• Communicable Disease
Information System
• Health Protection
Programmes for
targeted diseases
•Infection Control
• Multi-disciplinary
Emergency Response
• Professional
Development
• Multi-disciplinary
Emergency Response
• Appointed Collaboration
Centres
• Health Protection
Programmes for
targeted diseases
Universities
Strengths of CHP
Three Rs:
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Real-time surveillance
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Rapid intervention & resolution
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Risk communication
Functional Branches
Surveillance &
Epidemiology
Branch
FUNCTIONS
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FACILITIES
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Epidemiology Unit and
its Outbreak Teams
Data Management
Centre
Communicable Disease
Surveillance Unit
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Use contemporary IT programmes and
infrastructures to collect, collate, analyse
and disseminate surveillance data on
notifiable diseases and other communicable
diseases
Establish a central communicable disease
information system
Manage & respond to communicable
disease outbreaks and develop control
measures
Mastermind a surveillance system for
GD-HK-Macao and focus on the situation of
communicable diseases in PRDR
Priority issues
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Enhance comprehensiveness and
sensitivity of disease surveillance
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E-Notification platforms for physician
reporting
Centralised notification system for receiving
reports of institutional outbreaks
Emerging infections surveillance network
Expanded surveillance network: local and
international
Priority issues
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Strengthen Epidemiology and surge
capacities
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Epidemiology as core public health training
Set up structured Epidemiology Training
Programme for specialist development
Exchange programmes and training for
dealing with emerging pathogens
Training for supporting professionals and
public health partners
Infection
Control
Branch
FUNCTIONS
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FACILITIES
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Simulation Room
Epidemiology and
Infection Control Units
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Develop, promulgate and evaluate best
practices in infection control at health care
and non-health care settings
Coordinate, facilitate and support training
in infection control for all levels of health
care workers
Support epidemiological investigation of
nosocomial infections in hospital
Conduct surveillance on infection hazards in
health care and non-health care setting
Set up epidemiology and infection control
units in five major public hospitals
Branch Head
Senior Microbiologist
Advisory
Office
Technical Support
Division
Expert
Committees
Training
programmes
Specialist in ID
Senior Epidemiologist
Clinical Consultation
& Investigation Division
Surveillance &
Research Division
Interface in Infection CHP Infection Control Branch
Control Practices
Expert Panel on Infection Control
Recommendations
Training
programmes
Advisory Office
Training & technical
support
Coordinating body
Infection control committee
Infection control committee
Infection control committee
hospital-based
Epidemiology and
Iinfection Control Units
TMH
PWH
PMH
PMH
QEH
QMH
Epidemiology and
Infection Control Unit
Emergency
Response &
Information
Branch
FUNCTIONS
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FACILITIES
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Emergency Response
Centre
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Overall corporate planning
Co-ordinate emergency response on a
community/territory-wide basis
Contingency planning
Overall risk communication strategy
Update information system needs
Facilitate the development of preventive
strategy and cross-sector logistic support
Develop contingency plans and arrange drills
Crisis Communication Lifecycle
Precrisis
•Be prepared.
•Foster alliance.
Initial
•Acknowledge the
event with empathy.
•Explain and inform
•Develop consensus
the public in
recommendations.
simplest forms,
•Test message.
about the risks.
•Establish agency/
spokes-person
credibility.
•Provide emergency
courses if action
(including how/
where to get more
information).
•Commit to
stakeholders and
public to continued
communication.
Maintenance
Resolution
•Help public more
•Improve appropriate
accurately understand its public response in future
own risks.
similar emergencies
through education.
•Provide background
and encompassing
•Honestly examine
information to those who problems and mishaps,
need it.
and then reinforce what
worked in the recovery
•Gain understanding and
and response efforts.
support for response and
recovery plans.
•Persuade the public to
support public policy
•Listen to stakeholder
and resource allocation
and audience feedback,
to the problem.
and correct
misinformation.
•Promote the activities
and capabilities of the
•Explain emergency
agency (corporate
recommendations.
identity reinforced•Empower risk/ benefit internally, too)
decision-making.
(Source: Crisis, Emergency & Risk Communication, CDC)
Evaluation
•Evaluate
communication plan
performance.
•Document lessons
learned.
•Determine specific
actions to improve
crisis systems or the
crisis plan.
Public
Health
Services
FUNCTIONS
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FACILITIES
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Specialist Clinics
Public Health Units
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Support the control of communicable
diseases in the community (TB, HIV, STI)
Contribute to the surveillance of
communicable diseases in Hong Kong
Provide specialised clinical services
Provide communicable disease treatment
services
Consist of TB and Chest Service, Social
Hygiene Service and Special Preventive
Programme
Priority issues
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To evaluate and improve the notification and
reporting systems for STI, TB and HIV/AIDS
To explore the role of information technology
on surveillance and intersectoral coordination
in relation to the above diseases
To facilitate the training and interchange of
expertise between the public health stream
and the clinical stream
Public Health
Laboratory
Services
FUNCTIONS
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FACILITIES
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Public Health
Laboratory Centre
Provide pathology service for
communicable disease surveillance and
control
Provide laboratory support for outbreak
investigations
Develop infection control standards in
laboratory settings
Train microbiologists and infection control
professionals for laboratory services
Collaboration with laboratories in HA, AFCD,
Govt Lab, local universities and overseas
agencies
Priority issues
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To introduce new laboratories to improve
investigative capacity, including the
laboratories for antimicrobial resistance
surveillance, molecular virology, etc.
To develop and evaluate new test and
optimize current tests for earlier laboratory
confirmation of SARS CoV and shorten turn
around time
Priority issues
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To strengthen the networking and
coordination with local universities, HA
and other health care institutions on
laboratory research and support of
communicable diseases control
To enhance training for medical,
scientific and technical staff
Programme
Management
& Professional
Development
Branch
FUNCTIONS
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FACILITIES
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Library, IT facilities
Training Office
Research Office
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Coordinate and organise training activities
for medical and nursing professionals of
CHP, HA and other institutions
Liaise with local and international
institutions to arrange attachment and
exchange programmes
Carry out and coordinate research,
including research projects in collaboration
with universities, HA and other government
departments
Manage health protection programmes
Coordinate with various advisory
committees
Undertake health promotion activities
Health Protection
Programmes
Health Protection Programmes
for targeted diseases/ health hazards
Three Dimensions
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Multidisciplinary approach and
intersectoral participation
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Prevention – intervention continuum
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Sustainable development
HP Programme
organisation
S&E
Controller, CHP
ER & I
PHLS
Expert members
CHP Scientific Committee for
HP Programme B
Expert members
Hospital X
University P
Advisory
Committee
PHS
CHP Core Group for
HP Programme A
Programme lead
IC
Programme
lead
Implementation
Milestones
Dec 2003 – Jan 2004
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Consultations with stakeholders on the
establishment of CHP
Mid 2004
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To establish CHP under a transitional stage
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Appointment of Controller, CHP
Establishment of the Surveillance &
Epidemiology Branch & Infection Control Branch
Enhancement of Multi-disciplinary Emergency
Response Mechanism
Endorsement of Manpower Enrichment /
Redeployment Plan
2005
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All functional elements of CHP to
operate smoothly, including
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Implementation of CD information system
(by phases)
Implementation of manpower plan
CHP IT platform in place (e.g. enotification system, case notification
system)
Thank You