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Atlantic Provincial Perspective on Implementation of IHR

Atlantic Provincial Perspective on Implementation of IHR. Jeff Scott Chief Medical Officer of Health Nova Scotia. Building Block to implementation. Experience with SARS Naylor report and implementation Chief Pubic Health Officer and Public Health Agency CEPR New Quarantine legislation

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Atlantic Provincial Perspective on Implementation of IHR

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  1. Atlantic Provincial Perspective on Implementation of IHR Jeff Scott Chief Medical Officer of Health Nova Scotia

  2. Building Block to implementation • Experience with SARS • Naylor report and implementation • Chief Pubic Health Officer and Public Health Agency • CEPR • New Quarantine legislation • Public Health Network

  3. Building blocks to implementation • Federal Funding $100m (Trust fund) • Health Infoway $100m (CIPHSs) • Canadian Integrated Outbreak Surveillance Centre (CIOSC) • Development of MOUs

  4. Building blocks to implementation • Foodborne Illness Outloook Protocol (FIORP) • Respiratory Illness Outbreak Protocol (RIORP) • Foreign Animal Disease Emergency Support Plan (FADES) • MOU – Provision of Mutual Aid during a PH Emergency • MOU – F/P/T Roles, Responsibilities during a Pandemic • MOU – Proccess for Information Sharing during PH Emergency

  5. Federal, Provincial and Territorial Ministers of Health LEGEND Information Reporting Decision Authority Conference of Federal, Provincial and Territorial Deputy Ministers of Health 5 Pan-Canadian Public Health Network Council 3 4 Council of Chief Medical Officers of Health World Health Organisation 2 Chief Public Health Officer of Canada 5 Deputy Minister Responsible for Public Health in the concerned jurisdiction 1 Chief Medical Officer of Health has detected a Public Health Risk within its jurisdiction and deemed it to be a Public Health Emergency. Notification process to institute information sharing among F/P/T government during a Public Health Risk/Emergency

  6. Building blocks to implementation • Exercises • Atlantic Guard • Atlantic Shield • Avian Influenza • Pandemic Influenza

  7. Obstacles to implementation • Funding - Naylor Gap • Lack of awareness at local level • Differing Provincial Legislation • CPHO role • Multiple Players • “Grey” Border areas (Nova Scotia Roles and Responsibilities of Federal Public Health Authorities related to Marine, Air and Land across Jurisdictional Boundaries.) • Deputy Minister and Minister changes

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