PanStop: a decade of rapid containment exercises for pandemic preparedness in the WHO Western Pacific Region.

Edna Kwamboka Moturi,Lucy Breakwell,Katherine Horton,Leila Bell,Erica Dueger

doi:10.5365/wpsar.2018.9.5.012

Abstract

Member States in the Western Pacific Region (WPR) of the World Health Organization (WHO), are highly vulnerable to emerging influenza viruses that have the potential to cause global pandemics. A well-coordinated strategy for preparedness is required at national and international levels for a robust response and to mitigate the potentially dire consequences of the next influenza pandemic. Of 37 countries and areas in the region, 23 have publically available national pandemic influenza preparedness and response plans; of these, only 17% have been updated in the last five years. However, many plans are pending update and may benefit from integrating some components of the 2017 WHO pandemic influenza risk management guide. Additionally, many plans need to be operationalized to test their functionality. Since 2007, WPRO has conducted annual PanStop exercises to test pandemic containment plans and RC mechanisms in a simulated environment that imitates pandemic events as they unfold. PanStop exercises provide an opportunity for countries to validate policies, protocols and procedures involved in implementing rapid containment (RC) operations, and to identify strengths and opportunities for improvement in planning activities for pandemic influenza. By participating in exercises such as PanStop and the annual regional International Health Regulation (IHR) Crystal Exercise, and subsequently adapting national preparedness plans based on exercise outcomes, WPR continues to improve readiness for the next influenza pandemic.

Highlights

We describe the PanStop exercises conducted by the World Health Organization (WHO) Regional Office for the Western Pacific to show how they have contributed to pandemic preparedness in the Region
Participants may carry out tasks in response to outbreak information or, when time is constrained, they may be asked to describe the actions they would take. These functional exercises have been conducted in Cambodia (2007),[5] the Philippines (2008),[7] Malaysia (2009),[8] Mongolia (2010),[9] Viet Nam (2013),[11] and at the WHO Regional Office of the Western Pacific (2011),10 201412 and 201513 (Table 1)
To practise and strengthen processes within the health ministry in Viet Nam before a decision to initiate a Rapid containment (RC) for an outbreak of influenza with pandemic potential

Summary

Brief Report

PanStop: a decade of rapid containment exercises for pandemic preparedness in the WHO Western Pacific Region. The WHO Regional Office for the Western Pacific has conducted nine PanStop exercises on RC to identify strengths and opportunities to improve planning activities for containing pandemic influenza. Participants may carry out tasks in response to outbreak information (e.g. prepare a line list of cases, develop talking points for a press conference, calculate required doses of prophylaxis) or, when time is constrained, they may be asked to describe the actions they would take These functional exercises have been conducted in Cambodia (2007),[5] the Philippines (2008),[7] Malaysia (2009),[8] Mongolia (2010),[9] Viet Nam (2013),[11] and at the WHO Regional Office of the Western Pacific (2011),10 201412 and 201513 (Table 1).

Duration Participating agencies Lessons learnt

Modified functional and tabletop Modified functional