Emergency Preparedness
and Response Plan - 2011
Dr. Ajay Khera
Deputy Commissioner
Ministry of Health & FW, Government of India
Outline of the Presentation

Emergency Preparedness
 Overview of actions at national, state and district level
 Current status

Emergency Response – Urgent Actions in response to
detection of wild poliovirus (WPV)
Guiding Principles
“ From now onwards, any wild polio virus from any
source will be considered a public health emergency and
responded to with urgent mop-ups”
“ Government and partners will deploy additional, highly
experienced human resources to ensure that mop-up
rounds are of the highest quality”
“ Mop-ups will target both the area of detection of the
virus in a case or in the environment and, if there is a
clear genetic link, the area of origin of the virus”
Actions at National level

Central Emergency Preparedness & Response Group
(Central EPRG)

Sufficient buffer stocks of vaccines to undertake mop
ups at short notice

Media Response plan
National Actions

Inform Union Health Minister & Secretary

Review findings of field investigation and decide:
 Area of response
 Timing of response; number of proposed rounds
 Vaccine type

Visit state/districts to review/monitor planning and
implementation (members of Central EPRG)

Urgently mobilize appropriate vaccine from buffer stocks
Actions at State level

State Emergency Preparedness & Response Group
(State EPRG) in each state

Identification of Rapid Response Team (RRT) members

Identification of high risk districts/ areas and assigning
these to senior state officials

Actions to improve SIA and RI coverage in these areas

Communication and media response plan for use
following the detection of a wild poliovirus
State Actions

Activate State EPRG within 24 hours of information

Inform Divisional Commissioners and District
Magistrates of affected area

Assign geographical areas to RRT members and senior
state officials for visit and support

Meet State Steering Committee to seek involvement of
non-health departments – Panchayati Raj, Education,
Social Welfare, others

Mobilize additional Govt. Medical Officers to mop up
districts
District Actions

Before mop up
o
Mobilize block officials immediately to start preparations for mop up
o
District Task Force (DTF) meets within 5 days of information
o
Tehsil/ Block Task Force meets within 7 days
o
Review all microplans within 10 days
o
Re-train all vaccinators and supervisors prior to mop up
o
Develop local IEC and media plan
o
Plan for intensive monitoring
District Actions (2)
During mop up

Implement under direct oversight of DM and
supervision of CMO

Intensive monitoring by all agencies

Daily review of activity at block and district level by
DM, BDOs, CMO, BMOs, central and state monitors
After mop up

Implementation report by DM to State Secretary &
State EPRG
States with Emergency Preparedness
and Response Group constituted
EPRG formed in 23 States/UTs *
(out of 35 States/UTs)
* Data as on 8 July’11
States with Rapid Response Team
Members identified
RRT members identified in 23 States/UTs *
(out of 35 States/UTs)
* Data as on 8 July’11
Trainings of RRT members

Five training programs scheduled to train the identified
RRT members across India

More than 125 RRT members will be trained during JulyAugust 2011
High risk areas identification, India
June 2011
Migrant sites
= 10 Migrant sites
~ 150,000 Migrant sites
High risk areas in
settled population
= 10 HR sites
~ 50,000 HR areas in settled population
Role of NPSP

Assist training of Rapid Response Team Members

Support state government to conduct epidemiological
investigation in WPV area in collaboration with
Immunization Division, NCDC/IDSP and UNICEF

Deploy additional experienced Medical Officers to
support planning, training and monitoring in mop up area

Support monitoring of the preparedness and response at
the district, state and national levels
Role of UNICEF

Assist training of Rapid Response Team Members on
communication and media planning

Conduct communication risk analysis in area of WPV
detection

Deploy additional experienced communication experts to
guide & support IEC/social mobilization activities

Support state to develop & implement Media strategy
Role of Rotary International

Advocacy at state and district levels

Support IEC/ social mobilization activities & media
management in coordination Govt., UNICEF and NPSP

Any other essential emergency support activities
Emergency Response (West Bengal)
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Confirmation of polio case on 7 Feb ’11
GoI communication to Chief Secy. (GoI)
: 8 Feb
Field Investigation (NCDC, NPSP, UNICEF)
: 9 Feb
Decision on mop up size, date, vaccine (GoI)
: 9 Feb
Intensified HR plan (WHO - NPSP)
: 9 Feb
Plan for Support of IEC activities (UNICEF)
: 9 Feb
14 SMOs of NPSP arrive in districts (NPSP)
: 10 Feb
Marker pens procured (Rotary)
: 10 Feb
District Task Force Mtg. (GoWB)
: 10 Feb
Coordination mtgs. with partners (Delhi)
: 11 Feb
Media plan operationalized (UNICEF)
: 11 Feb
Vaccine arrives in districts (GoI/ GoWB)
: 11 Feb
Mop up conducted from 13 Feb’11
Thank You