Project Completion Report Please submit through your APEC Secretariat Program Director within 2 months of project completion. SECTION A: Project profile Project number & title: Time period covered in report: HWG 02 2013A: APEC Conference on the Innovation, Achievement and Sustainable Development in Public Health Emergency Response Systems 10 years after SARS Epidemic Date 2012/12/01-2013/08/31 2013/08/20 submitted: Committee / WG / Fora: Health Working Group Project Overseer Name / Organization / Economy: Prof. Feng-Yee Chang Centers for Disease Control, Ministry of Health and Welfare Chinese Taipei SECTION B: Project report and reflection Briefly answer each of the questions below. Section B should be a maximum of 2-3 pages, inclusive of the questions and tables provided. 1. Project description: In 3-4 sentences, describe the project and its main objectives. This project is designed to provide all APEC member economies with a platform to share and discuss the innovation, sustainable development and achievement in their respective public health emergency response system conducted after the 2003 SARS outbreak. The conference included interactive sessions that promote sharing and exchange of the successful examples and best practices implemented after SARS, including (1) Innovation and Application in Health Information Technology; (2) Public Health Human Resource and System Reform; (3)Sustainable Development in Prevention and Control of Emerging Infectious Diseases. In addition, poster presentations and site visits were arranged to demonstrate the new technologies and innovations employed by the public health emergency response system in order to improve APEC developing economies’ capacity building of the surveillance, preparedness and response of emerging infectious diseases. 2. Meeting your objectives: Were the proposed objectives of the project met? If so, please describe how. If not, please include any major changes to the proposed scope of the project. Please outline any problems you may have encountered that resulted in delays to the delivery of the activity. The conference was successfully held in Taipei during July 5-6, 2013. The conference gathered 31 delegates from 15 member economies, including Australia, Brunei Darussalam, Canada, Chile, China, Indonesia, Japan, Korea, Malaysia, Papua New Guinea, Peru, the Philippines, Thailand, the United States, and Vietnam, 1 delegate from the United Kingdom and about 90 domestic experts. There are three key objectives of the project and all of them were achieved by the end of the conference. (1) To demonstrate the latest health information technologies and innovation in public health emergency response system in order to enhance APEC developing economies’ capacity building in health emergency response---During the conference, the presentations shared the latest health information technologies in public health emergency response system, including disease surveillance system, spatial epidemiology, interoperability and data standards in public health informatics, geographic information system and etc. In addition, poster presentations demonstrated the participating APEC member economies’ ongoing progress in their public health emergency response system. At the end of the conference, the site visit to the Centers for Disease Control provided a real model that utilizes the health information technologies discussed during the conference. (2) To identify the major challenges and constraints in APEC developing economies’ public health emergency response system and mitigate the health and economic impacts of potential infectious disease pandemic---18 speakers from 11 APEC member economies and 1 from Non-APEC member economy were invited to share the successful examples and best practices in public health emergency response system. The outstanding presentations and every participant’s ardent discussion and sharing of valuable experience contributed significantly to developing more comprehensive public health emergency systems and identified the major challenges and constraints in APEC developing economies’ public health emergency response system. (3) To create an expert network to contribute to long-term and effective cooperation in terms of the APEC developing economies' capacity building in public health emergency response system--- The moderators, speakers, experts and participants’ contact information were collected and distributed to all participants. Participants can utilize this expert network for sustained sharing of information and researches with others after the conference. 3. Evaluation: Describe how you evaluated the project upon completion? Detail the results of the evaluations conducted, if any (e.g. participant evaluation, peer review of publication, measurement of indicators, statistics demonstrating use of outputs etc.). At the end of the conference, an evaluation survey had been conducted for understanding the satisfaction of both invited speakers and APEC economy participants. Not only did most of them consider this conference has achieved its objectives through the sharing of experience and information in public health emergency response system, they complimented about the arrangement of the conference and the hospitality extended to them by the conference organizer. For the results of the project evaluation, please see the attached file. 4. Key findings: Describe the main outputs delivered and any broader outcomes achieved as a result of this project. (For example have there been any capacity building outcomes, policy or operational changes, or changes to standards or systems as a result of this activity?) Describe how project outputs relate to fora/sub fora/working group strategic and medium-term priorities and strategic priorities. Please provide examples of important findings or lessons learned arising from the project. This conference has proven APEC as excellent platform for APEC members to exchange information and share experiences. Through sharing experience and information with each other, it has assisted APEC member economies to identify the major challenges and constrains and enhanced the capacity of their emergency response system. In addition, the conference has also served as a good way to learn how to avoid the mistakes other economies have made. The participants expressed that the information they gained from conference was very useful, especially in the field of new health information technologies and laboratory technologies. The type of information technology used for surveillance is an important element in detecting the occurrence of diseases. It is also very critical to utilize social media such as Facebook, twitter and telephone message for passing alert concerning potential health threats to people. The participants also expressed that they would apply what they had learned during the conference to revise and further improve their own preparedness and response plan and share their newly gained knowledge with their colleagues. Further, they would also report the good recommendations they learned from the conference to their ministries/departments. On the other hand, the participants expressed that it was a great opportunity to meet experts in the field of public health emergency response system from other APEC member economies. The contact information provided by the expert network has become extremely helpful after they returned to their hometown. They have planned to utilize the expert network to stay in touch with the experts or government officials invited to the conference for further cooperation. The project supports the declaration of the 2012 APEC Ministerial Meeting where the ministers agreed on the importance of strengthening of health systems and pandemic preparedness and response. The knowledge and information gained from the conference will enable the participants to make a better preparedness plan for future pandemic. 5. Next steps: Describe any follow-up steps or projects that are planned following the completion of the activity, such as post-activity evaluations or tracer studies planned to assess the impact of this activity. Have the results of the activity been disseminated to participants and other stakeholders and how? What are (if any) any flow-on effects from this activity? How will this activity inform any future APEC activities? The workshop documents, expert list and evaluation report were uploaded to the Health Working Group website after the conference. Chinese Taipei will continue to pay close attention to the feedback received from the participants and provide them with the necessary assistance. Moreover, the news of the conference activities and results was released to the public through Chinese Taipei CDC’s official web site after the conference. In addition, the speakers’ speeches have also been uploaded to the Chinese Taipei CDC e-learning website for participants’ further learning. 6. Feedback for the Secretariat: Do you have any suggestions for more effective management of projects in the future? Any assessment of consultants, experts or participants that you would like to share? (The Secretariat collates and examines feedback to identify trends for ongoing evaluation of our project management and/or communications systems.) Nil 7. Participant information: Please provide details, where applicable. Insert rows as needed. Economy # male # female Details Australia 0 1 Jennifer Firman Brunei Darussalam 0 2 Hajah Siti Shamsiah Abd Samad, Hajah Norlelawati Haji Johar Canada 0 1 Abla Mawudeku Chile 2 0 Victor Dezerega, Juan Hernández China 1 2 Yan Guo, Zhi-Qiang Liu, Meng Shao Indonesia 2 1 Arie Bratasena, Mohammad Nur Nasiruddin, Sri Henni Setiawati Japan 2 0 Tokuaki Shobayashi, Hiroshi Suzuki Republic of Korea 1 0 Dong-Woo Lee Malaysia 1 2 Valentine Japulee Gantul, Norhayati Rusli, Zainah Saat Papua New Guinea 1 0 Terry Maino Peru 2 0 Jose Lionel Medina Osis, Jose Perez Philippines 2 0 Alexander Oba, Vito Jr. Roque 38 Pei-Chun Chan, Chia-Kun Chang, Feng-Yee Chang, Hsiao-Ling Chang, Shan-Chwen Chang Shu-Lin Chang, Chien-Jen Chen, Yee-Chun Chen, An-Hua Cheng, Chih-Jen Cheng Wan-Chin Cheng, Yi-Jiun Cheng, PoJung Chiang, Su-Hui Chiang, Hui-Yi Chien, Ta-Jen Chien, Jih-Haw Chou, Da-Chen Chu, Jen-Hsiang Chuang,Yin-Ching Chuang, Chang-Phone Feng, Bin-Shenq Ho , Chi-Kung Ho , Li-Li Ho, Mei-Shang Ho, Chao Hsiung, Kwo-Hsiung Hsu, Yu-Chen Hsu, Bor-Shen Hu, Yun-Chi Hu Angela Huang, Ching-Ta Huang, sun-Yin Huang, Shiang-Yun Huang, Shih-Tse Huang Min-Nan Hung, Chuan-Liang Kao, Yu-Fen Ke, ChwanChuen King, Hai-Yun Ko, Hsaing-lan Kuo, Hung-Wei Kuo, Steve HsuSung Kuo, Hsin-Chun Lee, Mei-Chu Lee, Min-Shi Lee, Hsieh-Shong Leu, Shu-Chun Liao, Chia-Hong Liao, Ting Lin, Chiu-Hsiang Lin, Jih-Hui Lin, Tzou-Yie Lin, Yung-Ching Lin, Chia-Chi Liu, Ding-Ping Liu, Jien-Wei Liu, Ming-Tsan Liu, Yu-Lun Liu, Yung-Ching Liu, Daniel D.Y. Lu, Hsin-Jung Lu, Jung-Jung Mu, Sung-Ching Pan, Perng-Reury Perng, Shin-Ru Shih, IhJen Su, Chih-Fang Tien, Feng-Mei Tsai, Huai-Te Tsai, Shu-Wen Tseng, Ya-Ling Tzeng, En-Tzu Wang, Hwan-Feng Wang, Jen-Hsin Wang, KwuaYun Wang, Yi-Wen Wan, Da-Wei Wang ,Sung-His Wei, Ho-Sheng Wu, Jhy-Wen Wu, Jiunn-Shyan Julian Wu, Li-Gin Wu, Yi-Chun Wu, Dustin C.Yang, Jia-Ling Yang, Ji-Rong Yang, Jyh-Yuan Yang Shih-Yang Yang Chinese Taipei 51 Thailand 1 2 Boonchai Kijsanayotin, Woraya Luang-on, Narumol Sawanpanyalert The United States 3 0 Donald A. Henderson, Ryan Morhard, Wun-Ju Shieh Viet Nam 0 2 Linh Trinh Thi Ngoc, Lan Anh Nguyen UK(non-APEC economy) 1 0 Mark Salter Subtotal 70 Grand Total:121 51 8. Outputs: Please provide details, where applicable. Change headings or insert rows as needed. # planned # actual Details # of conference 1 1 1 1 20 19 120 120 120 120 0 120 # of site visiting # of post presentation # of publications distributed # of CDs distributed Other: The conference was Convention Center. held in gis MOTC Site visiting to Centers for Disease Control and historical spots were arranged after the conference. The posters were provided by APEC member economies and produced by the host to displayed during the conference. Conference program books were produced and distributed to all participants. The conference e-books were stored in the CDs for participants to surf. The USB HUBs were provided to all participants. SECTION C: Budget Attach a detailed breakdown of the APEC- provided project budget, including: Planned costs (using most recently approved budget figures) Actual expenditures Variance notes: An explanation of any budget line under- or over-spent by 20% or more. Items No. of Units Unit Rate Direct Labour Speaker’s Honorarium 12 speakers Consultant 3 consultant 70 / time × 2 times=6 (3 hours) Secretariat Support 3 assistants 1200 / month (200 hours) Computer Engineer 1 person × 2 days=1 day 100 / day Temporary Assistant 10 persons × 2 days=20 100 / day Self Financing (USD) Actual Expenditure 0 21,340 22,060 4,320 5,040 360 (invited 2 more speakers) × 4 months=12 420 420 14,400 14,400 200 200 2000 2000 46.584 66,348 10,584 12,348 (8 hours) (8 hours) Travel - Per Diem (Speakers/Expert s) APEC Funding (USD) 63,655 Taipei -3 days 12 persons 294 / day / person (invited 2 more speakers) Items -Airfare (Speakers/Expert s) No. of Units Unit Rate 12 trips to 4,000 × 6 2,000 × 6 Taipei APEC Funding (USD) Self Financing (USD) Actual Expenditure 36,000 54,000 (invited 2 more speakers) (business class) - Per Diem (only from traveleligible economies) 22 persons -Airfare (only from travel-eligible economies) 22 trips to Taipei 294 / person 24,255 / 3.75 days (3 days + 75% additional payment) 2,500 × 10 1,200 × 12 Funding approved and paid by APEC 39,400 Other items 6,800 20,758 20,758 Specialized equipment or materials (please describe) Printer, computer, photocopier, LCD projector, Office supplies etc. 6,000 6,000 Publication of report 120 1,200 1,200 Local transportation 2,000 2,000 Photocopying 1,058 1,058 Communications (Phone/ Fax/ Mail/ Courier) 2,000 2,000 Conference room and secretariat room rental Hosting 6,800 Meals ,receptio n site visiting etc. Total $ 70,455 Funding approved by APEC 8,500 8,500 $88,682 $109,166 (Self Financing) SECTION D: Appendices or additions Please attach any of the following. This information will help us better understand your project, support overseers of similar projects and plan for future projects. List of experts or consultants utilized, with job titles and contact details, gender disaggregated where possible. Please see attached file List of participants, with job titles and contact details Event agendas Please see attached file Links to any relevant websites or online material (e.g. reports, resources created) APEC Health Working Group Website (http://www.apechwg.org/pub/News.asp) Chinese Taipei Centers for Disease Control website (http://www.cdc.gov.tw/english/info.aspx?treeid=29b705f2fffcf0c6&nowtreeid=46ffe4052 32cbc88&tid=CEEBA42284EE6FBE) Results of participant feedback or other project evaluation (raw and/or analyzed) Please see attached file Please see attached file Any other relevant information or resources that would help us learn more about your project Nil FOR APEC SECRETARIAT USE ONLY APEC comments: Were APEC project guidelines followed? Could the project have been managed more effectively or easily by the PO? List of experts First Name Last Name Gender Economy Organization Position E-mail Donald A. Henderson male USA UPMC Center for Health Security Distinguished Scholar dahzero@aol.com Abla Mawudeku female CDA Public Health Infrastructure Branch, Public Health Agency of Canada Chief Abla.Mawudeku@phacaspc.gc.ca Boonchai Kijsanayotin male THA Health SystemResearch Institute, Ministry of Public Health Health Informatic Expert boonchai@hsri.or.th Hiroshi Suzuki male JPN Niigata Seiryo University Dean hsuzuki@n-seiryo.ac.jp Mark Salter male UK (nonAPEC) Public Health England Consultant in Public Health Strategy (Global Health ) Mark.Salter@phe.gov.uk Tzou-Yien Lin male CT Department of Health Deputy Minister adphhsu@doh.gov.tw Yan Guo female PRC Peking University School of Public Health guoyan@bjmu.edu.cn Norhayati Rusli female MAS Ministry of Health Deputy Director of Disease Control (Surveillance) Division dr_norhayati@moh.gov.my Lan Anh Nguyen female VN General Department of Medical Prevention, MOH Head of Health Communication Division drlananhmoh@gmail.com Henni Setiawati female INA Ministry of Health Chief of Center for Health Crisis Management srihenni@yahoo.com Ryan Morhard male USA UPMC Center for Health Security JD/Legal rmorhard@upmc.edu Division of Tuberculosis and Infectious Disease Control, Health Service Bureau shobayashitokuaki@mhlw.go.jp Speaker Tokuaki Shobayashi male JPN Ministry of Health, Labour and Welfare Jih-Haw Chou male CT Centers for Disease Control Deputy Director jchou@cdc.gov.tw Wun-Ju Shieh male USA US CDC Pathologist/Infectious Disease Pathology Branch wbs9@cdc.gov Dong-Woo Lee male ROK Korea Centers for Disease control and Prevention Chief Medical Research Officer dracademicus@korea.kr Jennifer Firman female AUS Australian Government Department of Health and Aging Office of Health Protection Jenny.Firman@health.gov.au Ho-Sheng Wu male CT Research & Diagnostic Center, Centers for Disease Contro Director wuhs@cdc.gov.tw Feng-Yee Chang male CT Centers for Disease Control Director General fychang@cdc.gov.tw Chien-Jen Chen male CT Academia Sinica Vice President chencj@gate.sinica.edu.tw Jen-Hsiang Chuang male CT Epidemic Intelligence Center, Centers for Disease Control Director jhchuang@cdc.gov.tw Shan-Chwen Chang male CT National Taiwan University Hospital Vice-superintendent changsc@ntu.edu.tw Distinguished Investigator and Director suihjen@nhri.org.tw Senior Advisor kuohsusung@gmail.com Moderator Ih-Jen Su male CT Division of Infectious Diseases, National Institute of Infectious Diseases and Vaccinology, National Health Research institutes Steve HsuSung Kuo male CT Taipei Economy and Cultural Representative Office in the US, Ministry of Foreign Affairs Participant List Australia Jennifer Firman Principal Medical Advisor Department of Health and Ageing Jenny.Firman@health.gov.au +61-2-6289-2705 Brunei Darussalam Hajah Siti Shamsiah Abd Samad Health Inspectors Ministry of Health +673 2381640 Hajah Norlelawati Haji Johari Public Health Officer Ministry of Health +673 2381640 Canada Abla Mawudeku Chief Public Health Infrastructure Branch, Public Health Agency of Canada Abla.Mawudeku@phac-aspc.gc.ca +61-3-957-2457 Chile Victor Dezerega Professor Chamber of Deputies of Chile jefegabinete@karlarubilar.cl +56-9-9848-3934 Juan Hernández Congresswoman Karla Rubilar’s Chief of Staff University of Chile pdirect1@hotmail.com +56-9-7589-1641 China Yan Guo Professor Peking University, School of Public Health guoyan@bjmu.edu.cn +86-10-8280-5061 Zhi-Qiang Liu Senior staff Division of Precaution, Office of Health Emergency, National Health and Family Planning Commission liuzhq@moh.gov.cn +86-10-6879-2647 Meng Shao Program Officer Division of Asia-Pacific Affairs, Department of International Cooperation , National Health and Family Planning Commission Shaomeng@moh.gov.cn +86-10-6879-2297 Indonesia Arie Bratasena Head ARI Subdirectorate at Directorate General Disease Control, Ministry of Health arie.bratasena@yahoo.com +62-21-422-3493 Mohammad Nur Nasiruddin Head of the Administration Center of Health Crisis Management, Ministry of Health moh.nurnasiruddin@gmail.com +62-21-526-5043 Sri Henni Setiawati Chief Center for Health Crisis Management, Ministry of Health srihenni@yahoo.com +62-21-526-5043 Japan Tokuaki Shobayashi Director Division of Tuberculosis and Infectious Diseases Control, Health Service Bureau, Ministry of Health, Labour and Welfare shobayashi-tokuaki@mhlw.go.jp +81-3-3595-2257 Hiroshi Suzuki Dean Faculty of Nursing, Social Welfare, and Psychology, Niigata Seiryo University hsuzuki@n-seiryo.ac.jp +81-2-5266-9577 Korea Dong-Woo Lee Chief Medical Research Officer Centers for Disease Control and Prevention, Korea dracademicus@korea.kr +82-43-719-7124 Malaysia Valentine Japulee Gantul Health Officer Lahad Datu Health Area Office ,Ministry of Health vjapulee@gmail.com +60-13-899-7267 Norhayati Rusli Deputy Director, Disease Control (Surveillance), Disease Control Division, Ministry of Health dr_norhayati@moh.gov.my +60-3-8883-4145 Zainah Saat Clinical Virologist Virology Unit, Institute for Medical Research, Ministry of Health zainah@imr.gov.my +60-3-2616-2671 Papua New Guinea Terry Maino Physician Port Moresby General Hospital mainoterry@gmail.com Peru Jose Lionel Medina Osis Team Ministry of Health of Peru jmedian@dge.gob.pe +51-1-631-4500 Jose Perez Project coordinator Universidad Peruana Cayetano Heredia jose.perez.l@upch.pe +51-1-319-0028 Philippines Alexander Oba Medical Officer V Bureau of Quarantine, Department of Health dramo3564@yahoo.com +63-2-320-9190 Vito Jr. Roque Medical Officer V, Division Chief, NEC-DOH National Epidemiology Center, Department of Health vitogroquejr@yahoo.com +63-2-651-7800 Chinese Taipei Pei-Chun Chan Medical Officer Field Epidemiology Training Program Office, Centers for Disease Control pcanita.tw@cdc.ov.tw +886-955-232-119 Chia-Kun Chang R&D Alternative Service Fourth Division, Centers for Disease Control jasperck@cdc.gov.tw +886-2-2395-9825 ext.3042 Feng-Yee Chang Director General Centers for Disease Control fychang@cdc.gov.tw +886-2-2395-9825 ext.3910 Hsiao-Ling Chang Technical Specialist Fifth Division, Centers for Disease Control hlchang@cdc.gov.tw +886-911-268-915 Shan-Chwen Chang Vice-superintendent National Taiwan University Hospital changsc@ntu.edu.tw +886-2-2356-2006 Shu-Lin Chang Professional Nurse Fifth Division, Centers for Disease Control ling@cdc.gov.tw +886-2-2395-9825 ext.3890 Chien-Jen Chen Vice President Academia Sinica chencj@gate.sinica.edu.tw Yee-Chun Chen Chief Center for Infection Control, National Taiwan University Hospital yeechunchen@gmail.com An-Hua Cheng Deputy director First Division, Centers for Disease Control anhua@cdc.gov.tw +886-2-2395-9825 ext.3011 Chih-Jen Cheng Public Health Inspector Public Health Department, New Taipei City Government AL1783@ntpc.gov.tw +886-2-2257-7155 ext.1137 Wan-Chin Cheng Branch Director Fourth Branch, Centers for Disease Control tonycwc@cdc.gov.tw +886-928-123-118 Yi-Jiun Cheng Associate Researcher Bureau of International Cooperation, Department of Health icyvonne@doh.gov.tw +886-2-8590-6413 Po-Jung Chiang Assistant Researcher Fourth Division, Centers for Disease Control james007@cdc.gov.tw +886-2-2395-9825 Su-Hui Chiang Senior Research Fellow Bureau of International Cooperation, Department of Health iclisa@doh.gov.tw +886-2-8590-6431 Hui-Yi Chien Program Coordinator First Division, Centers for Disease Control Ivy0311@cdc.gov.tw +886-2-2395-9825 ext.3007 Ta-Jen Chien Director of First Division First Division, Centers for Disease Control chientj@cdc.gov.tw +886-2-2395-9825 ext.3010 Jih-Haw Chou Deputy Director Centers for Disease Control jchou@cdc.gov.tw +886-2-2391-5203 Da-Chen Chu Superintendent Taipei City Hospital Zhongxing Branch dad57@tpech.gov.tw +886-2-2552-3234 ext.1000 Jen-Hsiang Chuang Director Epidemic Intelligence Center, Centers for Disease Control jhchuang@cdc.gov.tw +886-2-3393-8371 Yin-Ching Chuang Superintendent Chi Mei Liouying Hospital chuangkenneth@hotmail.com +886-6-622-6999 ext.72007 Chang-Phone Feng Chief Division of Infectious Diseases, Taipei Veterans General Hospital cpfung@vghtpe.gov.tw +886-932-079-329 Bin-Shenq Ho Medical Officer Research & Diagnostic Center, Centers for Disease Control vincentbsh@cdc.gov.tw +886-2-2785-0513 ext.520 Chi-Kung Ho Director-General Department of Health Kaohsiung City Government eight@kcg.gov.tw +886-7-724-3327 Li-Li Ho Section Chief Public Relations Office lilyho28@cdc.gov.tw +886-2-2395-9825 ext.3953 Mei-Shang Ho Professor Institute of Biomedical Sciences, Academia Sinica homs@ibms.sinica.edu.tw +886-925-403-398 Chao Hsiung Distinguished Investigator & Director Institute of Population Health Sciences, National Health Research Institutes hsiung@nhri.org.tw +886-37-246-166 ext.36100 Kwo-Hsiung Hsu CEO Taiwan Urbani Foundation khsu@urbani.org.tw +886-2-2356-8251 Yu-Chen Hsu Research Officer First Division, Centers for Disease Control yuchen@cdc.gov.tw +886-2-2392-0182 Bor-Shen Hu Chief Taipei City Hospital dad85@tpech.gov.tw +886-921-421-169 Yun-Chi Hu Associate Investigator National Institute of Infectious Diseases and Vaccinology, National Health Research Institutes alanhu@nhri.org.tw +886-37-246-166 ext.37845 Angela Huang Physician Field Epidemiology Training Program Office, Centers for Disease Control Huang.songen@gmail.com +886-919-404-373 Ching-Ta Huang Director Division of Infectious Diseases, Department of Internal Medicine, Chang Gung Memorial Hospital, Linkou Medical Center chingtaihuang@gmail.com +886-975-368-179 Hsun-Yin Huang Assistant Researcher First Division, Centers for Disease Control hyhuang@cdc.gov.tw +886-2-2395-9825 ext.3014 Shiang-Yun Huang Technical Specialist Epidemic Intelligence Center, Centers for Disease Control caloro@cdc.gov.tw +886-2-2395-9825 ext.3848 Shih-Tse Huang Medical Officer Field Epidemiology Training Program Office, Centers for Disease Control sthuang@cdc.gov.tw +886-955-102-970 Min-Nan Hung Medical Officer Fifth Branch, Centers for Disease Control mnhung@cdc.gov.tw +886-933-620-192 Chuan-Liang Kao Associate Professor Department of Clinical Laboratory Sciences and Medical Biotechnology, National Taiwan University College of Medicine chuanliang@ntu.edu.tw +886-2-2312-3456 ext.66903 Yu-Fen Ke Section Chief First Division, Centers for Disease Control kyf@cdc.gov.tw +886-2-2395-9825 ext.3057 Chwan-Chuen King Professor Graduate Institute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University chwanchuen@gmail.com +886-2-3366-8034 Hai-Yun Ko Technical Specialist Fourth Division, Centers for Disease Control hai@cdc.gov.tw +886-2-2395-9825 ext.3883 Hsaing-lan Kuo Chief of Disease Control Division KeeLung City Health Bureau ksl@klchb.gov.tw +886-935-868-900 Hung-Wei Kuo Section Chief Epidemic Intelligence Center, Centers for Disease Control hwkuo@cdc.gov.tw +886-2-33935071 Steve Hsu-Sung Kuo Senior Advisor Taipei Economy and Cultural Representative Office in the US, Ministry of Foreign Affairs kuohsusung@gmail.com Hsin-Chun Lee Medical Officer Field Epidemiology Training Program Office, Centers for Disease Control lhc0918@cdc.gov.tw +886-937-669-669 Mei-Chu Lee Assistant Technical Specialist Sixth Branch, Centers for Disease Control 0104@cdc.gov.tw +886-3-822-2690 Min-Shi Lee Associate Investigator National Institute of Infectious Diseases and Vaccinology, National Health Research Institutes minshi@nhri.org.tw +886-37-246-166 ext.35520 Hsieh-Shong Leu Professor Division of Infectious Diseases, Chang Gung Memorial Hospital Linkou Medical Center hsleu@cgmh.org.tw +886-37-536-0117 Shu-Chun Liao Technical Specialist Health Bureau of Taichung City hbtcm2727@taichung.gov.tw +886-928-315-234 Ting Lin General-Secretary Taiwan AIDS Foundation lint6494@taiwanaids.org.tw +886-2-2559-2059 ext.11 Chiu-Hsiang Lin Assistant Technical Specialist Epidemic Intelligence Center, Centers for Disease Control hazo@cdc.gov.tw +886-2-3393-5072 Jih-Hui Lin Assistant Researcher Research & Diagnostic Center, Centers for Disease Control Jeffy320@cdc.gov.tw +886-2-2785-0513 ext.886 Tzou-Yie Lin Deputy Minister Department of Health +886-2-8590-6666 Yung-Ching Lin Medical Officer Field Epidemiology Training Program Office, Centers for Disease Control yclin@cdc.gov.tw +886-921-147-990 Chia-Chi Liu Associate Investigator National Institute of Infectious Diseases and Vaccinology, National Health Research Institutes georgeliu@nhri.org.tw +886-37-246-166 ext.37725 Ding-Ping Liu Division Director Second Division, Centers for Disease Control dpliu@cdc.gov.tw +886-2-2395-9836 Jien-Wei Liu Chairman Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital drjwliu@yahoo.com.tw +886-7-731-7123 ext.8304 Ming-Tsan Liu Associate Researcher Research & Diagnostic Center, Centers for Disease Control mtliu@cdc.gov.tw +886-2-2653-1108 Yu-Lun Liu Medical Officer Field Epidemiology Training Program Office, Centers for Disease Control liuyl@cdc.gov.tw +886-2-2395-9825 ext.3103 Yung-Ching Liu Chief Taipei Medical University Shung Ho Hospital yungchingliuster@gmail.com +886-970-746-905 Daniel D.Y. Lu Director General Taitung County Public Health Bureau ttcbh.lu@gmail.com +886+89-323-137 Hsin-Jung Lu Assistant Technical Specialist Fourth Division, Centers for Disease Control Tmumt4009@cdc.gov.tw +886-2-2395-9825 ext.4023 Jung-Jung Mu Associate Researcher Research & Diagnostic Center, Centers for Disease Control jjmu@cdc.gov.tw +886-2-2653-1356 Sung-Ching Pan Attending Physician National Taiwan University Hospital scpbpan@gmail.com +886-972-652-654 Perng-Reury Perng Standing Director Taiwan Medical Association service@tma.tw +886-22-2752-7286 Shin-Ru Shih Director, Professor Research Center for Emerging Viral Infections, Chang Gung University srshih@mail.cgu.edu.tw +886-920-981-065 Ih-Jen Su Distinguished Investigator and Director Division of Infectious Diseases, National Institute of Infectious Diseases and Vaccinology, National Health Research Institutes suihjen@nhri.org.tw +886-6-700-0123 ext.65201 Chih-Fang Tien Technical Assistance First Division, Centers for Disease Control tcf@cdc.gov.tw +886-2-2395-9825 ext.3070 Feng-Mei Tsai Chief Public Health Bureau, Yunlin County yls238@ylshb.gov.tw +886-928-951-213 Huai-Te Tsai Medical Officer Fourth Branch, Centers for Disease Control walter@cdc.gov.tw +886-6-269-6211 ext.103 Shu-Wen Tseng Infection Doctor Miao-Li General Hospital papafin2003@pchome.com.tw +886-972-879-381 Ya-Ling Tzeng Assistant Researcher Vaccine Center, Centers for Disease Control ylt333@cdc.gov.tw +886-2-278-50513 ext.608 En-Tzu Wang Section Chief Second Division, Centers for Disease Control etwang@cdc.gov.tw +886-2-2392-3801 Hwan-Feng Wang Deputy Director First Branch, Centers for Disease Control hfwang@cdc.gov.tw +886-2-3393-5001 Jen-Hsin Wang Section Chief Sixth Branch, Centers for Disease Control jhsin@cdc.gov.tw +886-3-8242255 Kwua-Yun Wang Director Department of Nursing, Taipei Veterans General Hospital Bywang7@vghtpe.gov.tw +886-2-2875-7233 Yi-Wen Wang Science Administrator National Institute of Infectious Diseases and Vaccinology, National Health Research Institutes ywwang@nhri.org.tw +886-37-246-166 ext.35508 Da-Wei Wang Research Fellow Institute of Information Science, Academic Sinica wdw@iis.sinica.edu.tw +886-2-2789-9254 Sung-His Wei Medical Officer Third Branch, Centers for Disease Control seal@cdc.gov.tw +886-4-2473-9940 ext.203 Ho-Sheng Wu Director Research & Diagnostic Center, Centers for Disease Control wuhs@cdc.gov.tw +886-2-2653-1377 Jhy-Wen Wu Deputy Director Second Branch, Centers for Disease Control jhywen@cdc.gov.tw +886-3-3982789 ext.212 Jiunn-Shyan Julian Wu Section Chief First Branch, Centers for Disease Control delight@cdc.gov.tw +886-921-551-701 Li-Gin Wu Technical Specialist Seventh Branch, Centers for Disease Control zoe@cdc.gov.tw +886-2-2395-9825 ext.4007 Yi-Chun Wu Senior Researcher Senior Staff Office, Centers for Disease Control wuyj@cdc.gov.tw +886-921-123-611 Dustin C.Yang Advisor Centers for Disease Control dustincyang@gmail.com +886-925-564-238 Jia-Ling Yang Infectious Disease Specialist National Taiwan University Hospital Yunlin Branch Y01944@ms1.ylh.gov.tw +886-972-655-382 Ji-Rong Yang Assistant Researcher Research & Diagnostic Center, Centers for Disease Control ggyang@cdc.gov.tw +886-2-2785-0513 ext.887 Jyh-Yuan Yang Researcher Research & Diagnostic Center, Centers for Disease Control jyyang@cdc.gov.tw +886-2-2653-1375 Shih-Yang Yang Director First Branch, Centers for Disease Control yangsy@cdc.gov.tw +886-2-2395-9825 ext.5000 Thailand Boonchai Kijsanayotin Health Informatics Expert Thai Health Information Standards Development Center, Health System Research Institute, Ministry of Public Health boonchai@hsri.or.th +66-2-832-9294 Woraya Luang-on Medical Officer, Advisory Level Ministry of Public Health lworaya@hotmail.com +66-2-590-3158 Narumol Sawanpanyalert Senior Medical Officer, Advisory Level Ministry of Public Health nsawan2005@yahoo.com +66-8-842-4148 United States Donald A. Henderson Professor and Distinguished Scholar UPMC Center for Health Security & Medicine and Public Health, University of Pittsburgh dahzero@aol.com +1-443-573-3323 Ryan Morhard Associate, JD/Legal Center for Health Security, University of Pittsburgh Medical Center rmorhard@upmc.edu +1-443-573-4520 Wun-Ju Shieh Federal Medical Officer, Pathologist Infectious Disease Pathology Branch, Centers for Disease Control and Prevention wbs9@cdc.gov +1-404-639-0428 Viet Nam Linh Trinh Thi Ngoc Official International Cooperation Department, Ministry of Health Trinhlinh1984@gmail.com +84-4-6273-2195 Lan Anh Nguyen Head Health Communication Division, General Department of Medical Prevention, Ministry of Health drlananhmoh@gmail.com +84-4-3843-0040 UK (non-APEC economy) Mark Salter Consultant Public Health Strategy (Global Health), Public Health England Mark.Salter@phe.gov.uk +44-207-811-7073 Agenda 2013/7/5 Friday Time 08:30-09:15 Subject Moderator / Speaker Registration Tzou-Yien Lin 09:15-09:25 Opening Remarks Deputy Minister, Department of Health, Chinese Taipei 09:25-09:30 Group Photo (Invited Guests) Donald A. Henderson 09:30-10:00 Keynote Speech The Dawn of a New Era for Infectious Disease Challenges Distinguished Scholar, Center for Health Security, University of Pittsburgh Medical Center & Professor, Public Health and Medicine at the University of Pittsburgh, United States Moderator Chien-Jen Chen Vice President, Academia Sinica, Session I Innovation and Application In Health Information Technology Chinese Taipei Jen-Hsiang Chuang Director, Epidemic Intelligence Center, Centers for Disease Control, Chinese Taipei 10:00-10:20 The New Era of Digital Disease Detection: Opportunities and Challenges Abla Mawudeku Chief, Public Health Infrastructure Branch, Public Health Agency of Canada Boonchai Kijsanayotin 10:20-10:40 Public Health Informatics: Interoperability and Data Standards Challenges Health Informatics Expert, Thai Health Information Standards Development Center, Health Systems Research Institute, Ministry of Public Health, Thailand 10:40-11:10 Coffee Break 11:10-11:30 Health Information Technology for Disease Surveillance: H7N9 as an Example Jen-Hsiang Chuang Director, Epidemic Intelligence Center, Centers for Disease Control, Chinese Taipei Hiroshi Suzuki 11:30-11:50 Applying Spatial Epidemiology to Professor & Dean, Faculty of Nursing, Emerging Diseases Social Welfare and Psychology, Niigata Seiryo University, Japan Mark Salter 11:50-12:10 SARS: Beginning of a New, Secure Future? Consultant, Public Health Strategy (Global Health), Public Health England, United Kingdom 12:10-12:40 Panel Discussion 12:40-14:00 Lunch Break 14:00-14:30 Keynote Speech Health Reform in Chinese Taipei after SARS Outbreak in 2003 Tzou-Yien Lin Deputy Minister, Department of Health, Chinese Taipei Moderator Shan-Chwen Chang Vice-superintendent, National Taiwan University Hospital, Chinese Taipei Session II Public Health Human Resource and System Reform Ih-Jen Su Distinguished Investigator and Director, Division of Infectious Diseases, National Institute of Infectious Diseases and Vaccinology, National Health Research Institutes, Chinese Taipei Yan Guo 14:30-14:50 Health Reform in China after SARS Professor, School of Public Health, Peking University, China Norhayati Rusli 14:50-15:10 10 Years after the SARS Epidemic: Malaysia’s Experience Deputy Director, Disease Control (Surveillance), Disease Control Division, Ministry of Health, Malaysia 15:10-15:40 Coffee Break Thi Lan Anh Nguyen 15:40-16:00 Vietnam’s Experience in Public Health for SARS Fighting Head, Health Communication Division, General Department of Medical Prevention, Ministry of Health, Viet Nam 16:00-16:20 Coordination and Facilitation on Human Resource Mobilization in Public Health Emergency and Disaster Management Sri Henni Setiawati Chief, Centers for Health Crisis Management, Ministry of Health, Indonesia 16:20-16:40 Promoting Development of Medical Countermeasures for Emerging Public Health Threats 16:40-17:10 Panel Discussion 17:10-17:30 Group Photo (All Participants) 18:00-20:00 Welcome Party Ryan Morhard Associate, JD/Legal, Center for Health Security, University of Pittsburgh Medical Center, United States 2013/7/6 Saturday Time Subject 08:40-09:00 Registration 09:00-09:30 Keynote Speech Public Health Emergency Preparedness and Response in Japan (SARS & Pandemic influenza) Moderator / Speaker Tokuaki Shobayashi Director, Division of Tuberculosis and Infectious Diseases Control, Health Service Bureau, Ministry of Health, Labor and Welfare, Japan Moderator Feng-Yee Chang Director-General, Centers for Session III Sustainable Development in Prevention and Control of Emerging Infectious Diseases Disease Control, Chinese Taipei Steve Hsu-Sung Kuo Senior Advisor, Taipei Economy and Cultural Representative Office in the US, Ministry of Foreign Affairs, Chinese Taipei 09:30-09:50 The Development of the Public Health Emergency Response System in Chinese Taipei during the Post-SARS Period Jih-Haw Chou Deputy Director-General, Centers for Disease Control, Chinese Taipei Wun-Ju Shieh 09:50-10:10 A Multidisciplinary Approach of Laboratory Responses in Public Health Emergencies Federal Medical Officer, Pathologist, Infectious Disease Pathology Branch, Centers for Disease Control and Prevention, United States 10:10-10:40 Coffee Break 10:40-11:00 Response for Public Health Emergencies, in Continuing Public Interest Lee Dong-Woo Chief Medical Research Officer, Korea Centers for Disease Prevention, Korea Control and 11:00-11:20 11:20-11:40 11:40-12:10 Building Resilience: Australia's Response to Public Health Emergencies Laboratory Preparedness and Response for Emerging Infectious Diseases and Pandemics after SARS Epidemic in Chinese Taipei Jennifer Firman Principal Medical Adviser, Office and Ageing, Australia Ho-Sheng Wu Director, Research & Diagnostic Center, Centers for Disease Control, Chinese Taipei Panel Discussion Feng-Yee Chang 12:10-12:30 Closing Remarks Director-General, Centers for Disease Control, Chinese Taipei 12:30-14:00 Lunch Break 14:00-17:00 Site Visiting (Invited Only) of Health Protection, Department of Health Project Title: APEC Conference on the Innovation, Achievement and Sustainable Development in Public Health Emergency Response System 10 Years after the SARS Epidemic 1. For Moderators & Speakers (a) What were your roles before, during, and after the activity? During - a speaker. Before & After - develop Thai national health information standards I was a speaker during the conference Speaker as chief medical research officer in Korea CDC As chief of CEHBR for Health Crisis Management, MOH; coordinating all the problem inter/intra MOH & sectional in health crisis & disaster, facilitating the regional & provinces according to cycles of disaster In charge of developing communication plan/activities for public health response before/after the epidemic Moderator & speaker (b) Do you think the project achieved its objectives? What were the project’s results/achievements? Yes, I think the project achieved its objects. It successfully stimulated the awareness and discussion on the topic. The conference was the active platform of sharing knowledge. 1. Yes, the objectives of the conference were achieved. 2. It gave a boarder view of APEC Economies have improved their emergency response system since the SARS outbreak. 3. The improvements highlighted were also aligned with the IHR (2005) core capacity requirements. Achieved. The share of experience of post 10 years of looks after SARS experience enormous change has happened. Yes, it's achieved. All the participants could share & learn experiences between comments, stretching in preparedness of PHE & disaster, especially infectious disease. Yes. The conference is the forum to draw the overall situation of APEC economies (Taiwan, TL, Indo, VN, Japan….) in public health response system experiences, lessons learnt, … Yes. Sharing the experiences & achievements of public health post SARS. (c) Were the attendees the most appropriate target group? Yes Yes, the discussions were appropriate and relevant. Right person in the right place. Stake holders, academic and health services. Yes Yes (d) What is your assessment of the overall effectiveness of the project? On the scale of 10 (0=less effective - 10=highest effectiveness) , my overall assessment = 8 Very effective: 1. Reinforced the network within APEC economies. 2. Shared best practices that are relevant. 3. Highlighted areas in emergency response strategies that require more efforts Fairly good. Chance to share information and build up capacity for EID response PHE. Exactly effectiveness in time and overall project. Excellent. The outcome of the project promotes the economies to enhance capacity & lesson to constitute the public health system. Perfect (e) Was there any room for improving the project? If so, how? If the meeting venue and the hotel for participants are the same place it will be more convenience. It may have been helpful to have the participants collectively put together some recommendations to the APEC Committee for further work the APEC economies should address based on the discussion at the meeting Excellent organization for conference. We will try to contribute for better collaboration in this economy. Yes, should continue this project, such as MERS-COV now in Saudi. Collaborate with other. Associatively cooperation in another presentation. Nil No (f) Any other suggestions: Nil Nil None. Thank you. The recommendation and all experiences should be compilation with other success story in many events & always sharing by email or published. Nil Nil 2. For Participants (a) How have you or your economy benefited from the project? 1. Learnt the new & latest health information technologies 2. Learnt the major challenges & constraints of each of the effective countries 3. Create network 1. Multidisciplinary approach at handling the situation 2. Application of the procedure are similar to Brunei from all the lectures New idea on disease control, particularly digital Yes, listening to other countries experiences is always a good way to learn and avoid mistakes Learn advanced development in information collection of infectious disease such as big data, twitter Managed to learn on the preparedness of other countries and can apply some of the plan to our country preparedness plan Strongly benefited The project will help our economy to update our present public health emergency response system Yes Learning other experience of other countries Knowledge on IT technologies on surveillance & monitoring. Knowledge on laboratory technologies 1. Gain invaluable experience sharing with experts, other economies 2. Some can be initiate on considerable changes in Thailand Yes, I have learned and share experience among our network Have overall picture of public health response in APEC countries especially for SARS, H5N1, H1N1, enhance capacity & learning practical experiences Yes We have gained useful information through lectures and discussion with speakers We learned knowledge and experience form other country. A lot from other countries experiences and we think our government already do well. And of Couse, we can do better Since Chinese Taipei is the host, we can easily contact the experts in the public health field and exchange information with them. To learn the experience from other countries We learned a great deal form the preparedness experience of other economy entity, and also established linkage with them Learning experience form other economies. (b) What new skills, knowledge, or value have you gained? Viruses histopathology information 1. Enforcing and upgrading laboratory technology 2. Respect for what has been done by other countries to stop/prevent diseases Knowledge on how things are done different from other country. Specially I am very interested in the Canadian experience using social networks to detect and alert potential health threats Learn the health system improvement & reform in APEC economies each of each country has different way, this will increase the knowledge and skills of our Quite a number of new knowledge gained, but for we as laboratory person the most important was the laboratory preparedness and of a emerge infectious disease 1. Cooperation - in terms of geographical 2. Sharing information The use of informatics in disease surveillance I learned the best practices presented The use of ICT in emergency. Other health systems In area of emergency response plan from presenters Information on vaccines & drugs & rapid diagnostic tests" 1. Health information technology, lessons learned after SARS of changes 2. Health reforms after SARS, human resources Emergency preparedness and response not only SARS but also other disaster Preparedness response building. Conference or method to share and update experience among economies" Sharing experience, the importance of what we have done in the past 10 years Surveillance tool, international policies resources Timely report, improve surveillance, boarder quarantine, laboratory technology and capability Use internet and social network such as Facebook and twitter to let people know correct and rapid message about disease Use the social media to get public health information. To get more related information from other countries, especially Japan, very practical. We used to deal with infectious disease, the disaster management for us is valuable The history overview of the SARS coronavirus Multidiscipline cooperation to get the most effective measures within the shortest time and the establishment of sustainable development (c) What, if any, changes do you plan to pursue in your home economy as a result of the project? Reviewing our countries’ pandemic influenza preparedness plan & do simulation exercise (much exercise) Reviewing back for our preparedness & response plan for pandemic influenza More funding and precaution In my work in the Chilean congress I plan to sum up the experiences of other countries to adopt some of them We will make continues efforts related to this project and will be better planning To come up with a plan our laboratory can perform 1. Revise on the guidelines 2. Give recommendation of laws amendment Application of spatial epidemiology We can try to implement these new technologies, We can star with a pilot Need to establish IT technology on surveillance such as mobile phone especially for emergency response. Increase monitoring and surveillance in each provide with other modern technology 1. Different public health emergency & timely reporting system 2. Human resources/development Review emergency plan and test the plan Top experience or drill on other health emergency Public health response before pandemic is always necessary, borderless task for all economies, e.g.. Inter-governmental commitment communication to sustain thee awareness from the government and the public to sustain the platform and system developed through adequate funding support More discussion Enhance the surveillance and lab capability Stick on what we have, relocate the resources I think the conference about epidemic knowledge is useful on my work By this project, I can share the experience/information to my supervisor who can make some decisions to policy We should keep the quarantine policy as Taiwan is density To refer the advantages of other countries to our own systems Action plan for overcoming the repaid increasing HIV confirmed cases (d) What needs to be done next? How should the project be built upon? To do simulation exercise training. Enhance experiences training on risk communication; pre-crisis, during-crisis & post-crisis (since that's the lesson learn from most of the infected countries) Training for simulate exercise for APEC countries Cooperation We need to keep strengthening the relations and communication among APEC countries Because the same causes and impact on human life and the bazaar economy, there must be a joint effort within the same standard though non leave the of each country Training of laboratory staff like Taiwan CDC, or for APEC to organize a laboratory training program Best practices sharing among the members. Conduct scientific research. Projects that are also harmonized with other international regionals particularly on public health emergencies Involve all APEC countries to attend We can ask to help to expert to consulting how we can use these technologies in our economy. The project can give us the The project should of other infectious disease such as TB, malaria on how we can help each other Public health emergency training & networking 1. Table top exercise among countries in APEC's member 2. Publication our experience Public & private partnership in enhancing capacity building in public health response Have this meeting in university (more younger generation can participate) No particularly. But we need to rebuild the trust between medical care ystem and government Revise preparedness and response To think about the experience from other country and do some change about the experience use in my country 1. Prepare ourselves well and detect the problems 2. Keep alert and be humble I suggest to discuss how to face new threats, such as new pathogens or a form extreme weather Coronavirus virus surveillance to find the novel pandemic virus International cooperation against HIV needs to be done as soon as possible. This project should be built upon integrated surveillances, treatment and case management and contact trading. (e) Is there any plan to link the project’s outcomes to subsequent collective actions by fora or individual actions by economies? 1. Strengthen surveillances & be more informed 2. Refine the infectious disaster act/regulation/order 3. Fulfilled the core capacities of the IHR 2005 4. Share all information to colleagues 5. ICAD-CAPSCA-AP simulation exercise (collaboration with boarder agents) Plan to review our Public Health Emergency Operational Procedures (PHEOP) Not now I think everyone attending to the conference now has better knowledge of what to do and what not to do when facing a potential threats We are aware that this is an individual problem that resulted in the problems of society, every individual should have to do for the good of society. Need to liaise with our MOH regarding this Continue on cooperation Collective actions Yes We plan to develop a proposal in order to implement these technologies Each economy staff should visit different CDC sites in each economy to assess their set up and see how we can help each other Yes, e.g. Recommendation for PHER system improvement 1. Yes, we plan to share information among countries 2. In addition, sharing and learning experience between APEC to improve our preparedness and response 3. Publication Develop website among economies to update & share information in public health emergency response Re-exploration of the trust rebuilt process, not only what we have done over surveillance or stockpiling. Need to up-scale. (f) About public health system can be build better Please use the same scale to rate the project on an overall basis. [5] [4] [3] (Good) Result 64% [2] [1] (Poor) 32% 4% (g) What is your assessment of the overall effectiveness of the project? Effective enough to make to refine, to arrange trainings and improve our country's strategic plan in combating the new emerging diseases uses all hazards approach & others The presentation presented is based on each countries experience. The effectiveness of preventing disease is collaboration and teamwork for each sector. Good exchange of the best practice, innovation in public health emergency response system Timeliness, the number of participants is not too much Was very effective, able to gain knowledge from experiences and preparedness plan of other countries Excellent Good Overall very good, because project helps to share new ideas and technologies to enhance surveillance and monitoring Very good Excellent Good Too little discussion on H7N9 The surveillance frames of these countries were introduced, however, the practical details were limited Great, very successful Pretty well (h) Was the project content: (Check One) Just Right Result (i) Too Detailed 95% Not Detailed Enough 5% Please provide any additional comments. How to improve the project, if any? 1. Lecture would be better within time allowed 2. Outcomes of the conference need to be sent to participant through email by APEC organizer More meetings in different countries focusing on local reality For people like me, who come for a very far place, it was a little short a two days conference, considering it took me two days to get here At the preparation phase, it is better to check the slides of the speakers and work with the speakers to make sure the presentations be finished within the timeframe This project is more talk about past event and experiences, advice we need to discuss upcoming plans based on analysis of current events and possible threats to come. And cross-sector involves not only the health sector alone. If you can have a follow-up of this project and for example for laboratory, have a regular laboratory training programs a. Organizers, thank you for the well organizes conference and the hospitality b. We should enhance "communication & collaboration" if one economy is lacking in technical expertise in infectious disease surveillance & monitoring Thank you for arrange the meeting Have a meeting on H7N9 & animal influenza We could invite the people whose job is related to the topics. They can share more useful experiences Time control could be improved if possible. 2 to 3 days programs will be even better