?????????????? Introduction Macao SAR Progress on IHR Core Capacity Development

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?????????????? Introduction Macao SAR Progress on IHR Core Capacity Development

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Title: ?????????????? Introduction Macao SAR Progress on IHR Core Capacity Development

1
??????????????Introduction Macao SAR Progress on
IHR Core Capacity Development

??????? ???
Health Bureau, Macao SAR (China)

2
??????Location of Macao
3
??????(2013?)Outline of Macao SAR (2013)

????Population 607, 500
???Chinese 92.3 ????Pilipino 2.7???Portuguese0.9
?
??? Birth rate 11.1 /1000
????? Infant mortality rate2.9/1000
???? Life expectancy 82.4 (?M 78.9, F85.6)
?? Area 31.3 KM2
???? 189,000/km2
??GDP/capita 87187 USD
????Main industry ????? tourism and gambling

4
??????(2013?)

????Visitors
??per year 29,324,800
??per day 80,341
???? Source of Visitors
???? Mainland China 60.2
???? Hong Kong 25.2
???? Taiwan3.8
?? Others10.8

5
????Change of Population in Macao
6
???????Population pyramid
7
??????Main Disease Burden

????Main cause of deaths
?? Tumors 34.8
???? Cardio-vascular 25.7
???? Respiratory 15.5

8
?????Outline of infectious diseases

???/??/??Eradicated/Eliminated/ Controled
??/????/?? Polio/Hep B/Measles
?????? Food born diseases
?????? Continuous Challenge
???????? Emerging respiratory diseases
?????? Vector-born disease
??? HIV/AIDS

9
????1 ????????Core Capacity 1Legislation,
policy financing

2007?,??????IHR(2005)???????????On May 12, 2007,
the Government of China declared that the
IHR(2005) applied to the entire territory of
China, including Macao Special Administrative
Region.
2008?7?,IHR2005???????????????On March 7, 2008,
Chinese Portuguese translations of IHR 2005
were published in the Official Bulletin of the
MSAR under the order of CE.

10
????1 ????????Core Capacity 1 Legislation,
policy financing

??IHR(2005)?????? Administrative regulation
implementation of the IHR (2005) system
2011?6?26??
Takes effect on June 26, 2011
??????????? Establish Health
Committee for Ports of Entry
??????????????? Responsible for elaborating the
action plans at PoEs
??????????????????? Mobilizing , coordinating and
utilizing resource in carrying out plans
?????????????????????Develop all kinds of
activities and actions at PoEs

11
????3 ??Core capacity 3Surveillance

????Case-based surveillance
?????Notifiable diseases surveillance
?????Injuries and poisons surveillance
???? Event-based surveillance
????? Notifiable outbreak
?? School outbreaks surveillance
??? Day care centre outbreaks surveillance
??? Nursing home outbreak surveillance
?? Hospital outbreak surveillance
?? Media surveillance

12
????4 ??Core capacity 4 Response

Public Health Emergency rapid response mechanism
has been established
Written protocol on emergency response is in
place
Public health physician on duty is accessible by
relevant stakeholders 7/24
Rapid Response Team is available and can be
deployed within 2 hours
Continuous training and regular exercise are
provided

13
????5 ??Core capacity 5 Preparedness

Risk assessment to identify most likely source of
urgent public health event has been conducted
Surge capacity plan and stockpiling of some
critical material are in place

14
????????Core capacity Risk communication

Risk communication persons and units were
designated in each levels of government
Risk communication plans have been developed for
priority plan

15
???? ????Human resource capacity

Port health has been included in the job
description of new law for health inspectors
Recruitment and Training have been undertaken
On going training for members of multi-discipline
rapid response team is undertaken

16
???Laboratory

Public Health Laboratory was assigned as the
reference laboratory of public heath diagnosis
ISO and other accreditation were applied to the
PHL
Network with regional and international
laboratory was established
Biosafety guidelines, SOP and training are
available

17
???? Point of entry (PoE)

Inspection animal and plant product by Municipal
Affairs Bureau
Inspection of others by Health Bureau
Surveillance on travelers was undertaken
Surveillance on vector was undertaken in airport

18
??????????PoE and Community

???????????????????Emphasize on strengthen
capacity and decrease the vulnerability
??????Supplemented by PoE inspection

19
Ferry terminal ?????? ?????
Ground crossing ??
Ferry terminal ????????
Ferry terminal????
Intl Airport ??????
Ground crossing ?????
Cargo Port ??????
20
???????IHR??

2003?? ????????,????,???????????
2003????????????????
2005????????IHR

21
???IHR(2005)??????????

???????
???????
???????????????,?????????
??????????

22
2013?7??????????

???????????????????
????????????????????

23
????????Zoonotic Events

All foods are imported, majority from Mainland
Completely no agriculture or poultry industry in
Macao
Animal and plant food and food material are
strictly inspected by municipal department, which
has close collaboration with Mainland

24
????????Zoonotic Events
Information exchange of zoonotic events between
Mainland and China
25
????Food Safety

2013?10?20?,?????????,????????An Comprehensive
Food Safety Law was taken into force and Food
Safety Centre under Municipal Affairs Bureau was
established on Oct 20, 2013

26
???????????Chemical Events Radiation Emergency

The responsive departments are assigned to
variety event under the law for Emergency Public
Events Warning and Alarm Systems.
Comprehensive ionizing radiation was under
developed.
Response plan was conducted and drill was
conducted

27
??Summary

The Government of Macao SAR has placed IHR
implementation among its top priorities to
ensuring health security.
Plenty of work has to be done but the Government
is committed to take its responsibilities to
achieve international health security.

28
??
29
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30
?????????