Región del sudeste asiático (SEAR) de la OMS 2012-2013

Six of the eight countries ( Bangladesh [802 KB, 2 páginas] , India [787 KB, 2 páginas] , Indonesia [1.2 MB, 2 pages] , Nepal [834 KB, 2 páginas] , Sri Lanka [821 KB, 2 páginas] y Thailand [848 KB, 2 pages] ) were awarded sustainability grants and are in varying stages of completion. These grants support the countries for additional five years. Bhutan [531 KB, 1 page] y Maldives [531 KB, 1 page] were awarded their first influenza capacity building grants in September 2013. Countries are expected to do the following: develop and maintain a surveillance system that allows countries to rapidly detect, identify and respond to seasonal, novel and pandemic influenza, participate in the World Health Organization's (WHO) Global Influenza Surveillance and Response System (GISRS), and create and implement a sustainability plan that phases out U.S. government funding.

Core activities include improving laboratory and epidemiologic capacity and infrastructure for influenza virologic and disease surveillance; developing and maintaining sentinel hospital-based surveillance for influenza-like illness and severe acute respiratory infections; integrating laboratory and epidemiologic influenza surveillance; developing and maintaining surveillance for cases and clusters of respiratory illnesses; and training local rapid response and containment teams.

Karen Siener, Máster en Salud Pública
Asesor de salud pública
Programa externo
División de Influenza, NCIRD
Centros para el Control y la Prevención de Enfermedades de los EE. UU.
Correo electrónico: ksiener@cdc.gov

Dra. Fatimah Dawood
Director Médico/Epidemiólogo
International Epidemiology and Response Team
División de Influenza, NCIRD
Centros para el Control y la Prevención de Enfermedades de los EE. UU.
Correo electrónico: hgj0@cdc.gov

Danielle Luliano, MPH, PhD
Research Scientist
International Epidemiology and Response Team
División de Influenza, NCIRD
Centros para el Control y la Prevención de Enfermedades de los EE. UU.
Correo electrónico: aoi0@cdc.gov

Katie Lafond, Máster en Salud Pública
Epidemiólogo
International Epidemiology and Response Team
División de Influenza, NCIRD
Centros para el Control y la Prevención de Enfermedades de los EE. UU.
Correo electrónico: gmj3@cdc.gov

Un mapa de la región del sudeste asiático (SEAR) de la OMS que muestra los 11 estados/países miembro de la SEAR. Los países miembro, resaltados con límites en gris, incluyen Bangladesh, India, Indonesia, Nepal, Sri Lanka, Tailandia, Bután, República Popular Democrática de Corea, Myanmar, Maldivas y Timor Oriental.

Los países sombreados son aquellos a los que la División de Influenza otorga fondos para el proyecto y asistencia técnica a través de acuerdos cooperativos. Bhutan and the Maldives are shaded yellow to indicate Capacity Building Cooperative Agreements. Bangladesh, India, Indonesia, Nepal, Sri Lanka, and Thailand are shaded green to indicate Sustainability Cooperative Agreements. Bangladesh and India also have yellow diagonal stripes across the country to indicate Research Cooperative Agreements.

CDC Field Staff, indicated by a yellow dot outlined in red, are located in the following cities: Bangkok, Dhaka, Jakarta and New Delhi.

The Global Disease Detection [GDD] Sites, indicated by red X’s, are located in Bangkok, Thailand and New Delhi, India.

Los Centros Nacionales para la Influenza (NIC, por sus siglas en inglés) de la OMS, señalados con un punto púrpura, se encuentran en estas ciudades: Colombo, Dhaka, Jakarta, Katmandú, Nonthaburi, Pune, Pyongyang y Yangon.

La Oficina Regional de la OMS en el Sudeste Asiático (SEARO), indicada con una estrella azul, se encuentra en Nueva Delhi, India.

• Provided leadership and guidance during the recent H7N9 outbreak by updating member states on the status of the outbreak, issuing interim guidelines, and looking into stockpiling antivirals and creating vaccine deployment plans.
• Provided guidance to countries regarding seasonal influenza vaccinations.
• Conducted an Influenza Data Management Training for SEAR member states, in collaboration with CDC, to assist data managers and epidemiologists in improving influenza surveillance systems and analytical skills.

Apoyo de los CDC de los EE. UU.

In September 2006, WHO Regional Office for South-East Asia (SEARO) was awarded their first five-year influenza cooperative agreement, and is currently in their second five year agreement which began in 2012.

SEARO is located in New Delhi, India. The Office serves 11 countries; together their population exceeds 1.7 billion people. Member countries include Bangladesh, Bhutan, DPR Korea, India, Indonesia, Maldives, Myanmar, Nepal, Sri Lanka, Thailand and Timor-Leste. Eight of the 11 countries are currently receiving CDC Influenza Division cooperative agreement funds: Bangladesh, Bhutan, India, Indonesia, Maldives, Nepal, Sri Lanka, and Thailand.

In 2012 and 2013, WHO SEARO staff provided training, support and technical assistance to member countries to strengthen preparedness, surveillance, response and laboratory capacity. WHO SEARO provides technical expertise, assistance and financial support to member states to strengthen their integrated influenza surveillance, to prepare for and effectively respond to influenza outbreaks and pandemics, to improve infrastructure and capacity of national influenza centres (NICS)/national influenza laboratories and to develop human resources. Responsibilities for these activities lay with SEARO's Disease Surveillance and Epidemiology (DSE), Blood Safety and Laboratory Technology (BLT) and Immunization and Vaccine Development (IVD) units.

SEARO with Prince Songkla University and U.S. CDC held an Influenza Data Management training for SEAR member states in February 2013 to assist data managers and epidemiologists in establishing, maintaining and improving influenza surveillance systems and analysis. The course better familiarized participants with FluNet and FluID data bases for collecting epidemiological and virological data for the Global Influenza Surveillance and Response System (GISRS).

Actividades de vigilancia

• Established two positions in the SEARO vaccine preventable disease IVD Unit that support influenza through data management, emerging vaccine preventable disease surveillance and vaccine safety and quality.
• Traveled to Bhutan and Maldives to meet with staff to explain the benefits of working with CDC and to encourage them to apply for CDC influenza grants.

WHO SEARO continued to support efforts to strengthen laboratory infrastructure and build laboratory capacities to accurately and promptly diagnose influenza and monitor antiviral resistance. Eight countries in the region have functional NICs in part due to the technical and financial support provided to the countries through the cooperative agreement. Of these NICs, two have full capacity for influenza viral sequencing, the regional reference lab for influenza in Thailand and the global reference laboratory for H5N1 in Pune, India.

Actividades de laboratorio

• Provided support to the national laboratories in Bhutan, Maldives and Timor-Leste which now have polymerase chain reaction (PCR) capability to diagnose influenza and an interest in becoming NICs. The SEARO BLT unit organized appraisals of the three laboratories to identify gaps and recommend measures to build capacity towards designating the laboratories as NICs.
• Encouraged sharing of influenza laboratory data and will continue to foster information sharing within the Region.

The recent avian influenza A/H7N9 outbreak in China provided an impetus for the South-East Asia region to direct the attention of the member states to the need for ensuring preparedness for responding to novel strains of influenza with pandemic potential. Taking a leadership role at the height of the avian influenza A/H7N9 outbreak in China, SEARO updated its member states on the status of the outbreak, convened inter-departmental meetings to discuss plans for shaping the regional response, issued interim guidelines, discussed the possibility of mobilizing financial resources from different sources including CDC and looked into stockpiling antiviral medicines in order to prepare for an effective response to possible imported cases and cases due to local transmission. Attention was focused on revising national influenza pandemic preparedness and response plans including national pandemic vaccine deployment plans.

Actividades de preparación

• Nepal - At the request of the Government of Nepal, in August 2013, a SEARO staff member traveled to Nepal to support their national response to an upsurge in outbreaks of avian influenza A/H5N1 in poultry. SEARO met with the Ministry of Health, Ministry of Agriculture, FAO, CDC influenza grantees and other partners and provided recommendations on surveillance, risk assessment, outbreak response, communications and laboratory diagnosis.
• India - In the third meeting of the SEAR Immunization Technical Advisory Group (ITAG) held in 2012 in New Delhi, technical advisors reviewed the status of implementing the recommendations related to seasonal influenza adopted in the 2nd SEAR ITAG meeting.
• Thailand - Conducted their seasonal influenza vaccination campaign.
• The Maldives - Carried out their immunization campaign for Haj/Umra pilgrims. SEARO was technically consulted for selecting the most appropriate vaccine in terms of its antigenical match to circulating influenza strains in Saudi Arabia taking into account the mass gathering of pilgrims from different parts of the world.

• Conducted an Influenza Data Management and Epidemiological Analysis Training Course, in collaboration with Prince Songkla University and CDC in Bangkok, Thailand (February 2013). Twenty three representatives from eight countries participated.
• Supported country participation in the International Conference on Human Infection with Novel Influenza Viruses in Beijing, China (August 2013).
• Conducted a joint meeting of NICs from the South-East Asia Region and the Western Pacific Region in Beijing, China (November 2013).

Sangay Thinley, MBBS, MPH
Director, Family Health and Research
Oficina Regional en el Sudeste Asiático
Organización Mundial de la Salud
Nueva Delhi, India
Correo electrónico: thinleys@searo.who.int

Arun Thapa, Licenciado en Medicina, Máster en Ciencias
Coordinator, Immunization and Vaccine Development
Oficina Regional en el Sudeste Asiático
Organización Mundial de la Salud
Nueva Delhi, India
Correo electrónico: thapaa@who.int

Patrick O’Connor, MD
Asesor regional
Immunization and Vaccine Development
Oficina Regional en el Sudeste Asiático
Organización Mundial de la Salud
Nueva Delhi, India
Correo electrónico: oconnorp@who.int

Pushpa Ranjan Wijesinghe, MD, MPH, MSc
Director médico
Emerging Vaccine Preventable Disease Surveillance
Oficina Regional en el Sudeste Asiático
Organización Mundial de la Salud
Nueva Delhi, India
Correo electrónico: wijesinghep@who.int

Dr. Rajesh Bhatia, Licenciado en Medicina, DIM, DIT
Director, Enfermedades contagiosas
Oficina Regional en el Sudeste Asiático
Organización Mundial de la Salud
Nueva Delhi, India
Correo electrónico: bhatiaraj@who.int

Richard Brown, BM, DTM&H, DA, MPH, MRCGP, MFPH
Asesor regional
Disease Surveillance and Epidemiology
Oficina Regional en el Sudeste Asiático
Organización Mundial de la Salud
Nueva Delhi, India
Correo electrónico: brownr@who.int

Aparna Singh Shah, MBBS, MD, Post-doctoral Fellowship
Regional Advisor, Blood Safety and Laboratory Technology
Oficina Regional en el Sudeste Asiático
Organización Mundial de la Salud
Nueva Delhi, India
Correo electrónico: shahap@who.int