International Health Regulation
Implementation in French points of entry
Marie-Line Sauvée
Public Health Emergency Preparedness and Response Division
Directorate General of Health
International Health Regulation
French IHR National Focal Point
WHO / IHR
Public Health
Agencies
Public health
surveillance
Institut
EU / ECDC
Ministry of Health
Directorate General of Health
Public Health Emergency Preparedness
and Response Division
IHR National focal Point
Other ministries
Ministry of internal affairs
Ministry of foreign affairs
Ministry of trade
Ministry of transportation
…
CIC Interministerial crisis
management commitee
Alerts
Regional Health Agencies
Régional focal point
Alerts
Prefects
Governement’s local
representatives
International Health Regulation
International ports and airports
Capacities required in all
international ports and airports:
 Collect MDH, SSC or AGD on
a routine basis
 Designate a contact point for
exchanging with authorities
 Develop a public health
contingency plan
 Develop a vector control
program where needed
 Ensure safe environment
International airports
International ports
International Health Regulation
Designated points of entry
Criteria for designation:
 Mainland airports: more than
1 million international travelers
 Overseas airports: more than
30 000 international travelers
 Mainland ports: according to
their administrative status
 Overseas ports: more than
30 000 international travelers
1 designated port and airport in
each French overseas territories
National criteria and list are
established by French regulation
Designated airports
Designated ports
International Health Regulation
Designated points of entry
Capacities required in
designated points of entry:
 Access to a medical service
 Area for the care for affected
animals
 Space to interview suspect
or affected persons
 Area for suspect
conveyances
 Exercise every 2 years
Designated airports
Designated ports
International Health Regulation
Points of entry contingency plan
 Mandatory for each international ports and airports:
o
o
“Simplified” plan for point of entry
“Full” plan for designated point of entry
 Objectives:
o
o
o
Define how to implement PH measures listed in IHR articles 18 and 19
Define SOP to manage PH alerts
Define roles and responsibilities of stakeholders
 Role of ministry of health:
o
o
National checklists to help local representatives monitoring IHR core
capacities and developing action plans
National guidance to help local representatives developing PoE contingency
plans
International Health Regulation
Ship sanitation certificates
 Inspection system based on WHO recommendations:
o
National checklist based on WHO guidelines (French and English)
 Inspections conducted on board:
o
o
o
On request (to renew the SSC)
If a health problem is detected or suspected on board (MDH, previous
certificate…) or if a ship has not a valid certificate
SSC can be used to grant “free pratique”
 No port health authorities in France:
o
o
o
Inspection will be perform by private companies
Accreditation systems under development
Development of a legal instrument to apply only one national tariff according
to IHR article 41pecting ships (IHR, art 41)
Under development
International Health Regulation
Aircraft inspections
 Inspections conducted to check disinsection of aircrafts coming
from:
o
o
Countries at risk for yellow fever and malaria (WHO International Travel and
Health)
Countries at risk for dengue and chikungunya (French recommendations)
 No health officers in airport except:
o
o
5 airports from overseas territories
2 mainland airports
 Inspections based on WHO recommendations
International Health Regulation
Additional measures in points of entry
 Information to travelers:
o
o
o
Conveyance operators and tourism operators must inform travelers about a public
health risk at destination and explaining the protection measures (routine basis)
Public health risks are updated on a routine basis by the French MoH and
published on the Ministry of Foreign Affairs website (“Recommendations to
travelers”)
Obligation to write down on an international ticket the address of the Ministry of
Foreign Affairs website
 Control of international certificate of yellow fever vaccination:
o
o
Yellow fever vaccination is mandatory in French Guyana (oversea territory)
Conveyance operators must check the validity of the certificate before embarking
a traveler
 Specific provision for organizing contact tracing in case of alert
o
o
Conveyance operators must keep their list of passengers
Conveyance operators must collect passenger locator cards in case of alert
International Health Regulation
Conclusion
France are still developing processes to :

Implement ship sanitation certificates

Apply only one tariff for health measures (IHR article 41)

Implement in a suitable and effective manner core capacities in overseas
territories
The full implementation of the International Health Regulation is an
ongoing goal for France.
France requests a second two-year
establishing national core capacities
extension
for