MDSC biennial work plan 2006-2007: area of work, epidemic alert and response

WORLD HEALTH ORGANIZATION REGIONAL OFFICE FOR AFRICA ORGA}IISATION MONDIALE DE LA SAIITE BT]REAU REGIONAL POIIR L'AFRIQUE WHO/AFRO - MULTI DISEASE STIRVEILLANCE CENTRE (MDSC) OMS/AFRO - CENTRE DE SI.IRVEILLANCE PLURIPATHOLOGIQUE Avenue Naba Zombre No1473 - 0l BP 549 OUAGADOUGOU 0l - Burkina Faso Tel. : (226) 50 34 29 53159160 - Fax : (226) 50 34 28 75 - 50 34 36 47 - Email : mdsc@oncho.oms.bf MULTI DISEA,SE SURVEILI,AiICE CENITRE OF OUAGADOUGOU Area of Work: Epidemic Alert and Response WORLD HEALTH ORGANIZATION REGIONAL OFFICE FOR AFRICA DTVISION OF PRVENTION AND CONTROL OF COMMT]NICABI-E DISEASES MDSC BIEtr{NIAL WORKPI,AT'{ 2O06-i2OO7 OMS/WHO BURKINA FASO a Amener tous les peuples au niveeu de sant6 le plus 6lev6 possrDre, June 2005 1. Introduction The African region is still confronted with a high burden of communicable diseases while non- communicable diseases are also on the increase. In order to strengthen the surveillance system in the African Region, the Regional Committee for Africa adopted in 1998 a regional strategy on Integrated Disease Surveillance and Response (IDSR) through the Resolution AFRO/RC58ru. In the same line, the Multi Disease Surveillance Centre (MDSC) was established and based in Ouagadougou in 2002 at the closure of the Onchocerciasis Control Programme (OCP), in order to preserve the gains achieved by OCP in Onchocerciasis control and, to achieve a better coordination of disease surveillance activities in the African Region. Actually MDSC is focusing on surveillance of Onchocerciasis and Meningitis. It is planned during this2006-2007 biennium to initiate and coordinate the surveillance of HIV/AIDS and Malaria through analyzing, mapping the distribution and reporting on these high priority diseases. 2. Objective The objective of the MDSC is to serve as a centre of excellence and a reference point for surveillance with the capacity to forecast epidemics, and monitor the occurrence and spread of resistant strains. 3. Strategic approaches Pursue onchocerciasis surveillance activities in order to detect and combat any recrudescence of the disease in the ex-OCP countries Provide high level technical support to countries in disease surveillance and laboratory diagnosis; Identifu and monitor causal pathogens as well as their type and sub-type Monitor the antimicrobial susceptibility of aetiological agents of priority diseases; Conduct research activities leading to a better understanding of the major priority diseases of the Region 4, Expected result and indicator of the work plan During the current 2006-2007 biennium it is expected that MDSC serves effectively as a reference centre for communicable disease surveillance in the African Region with a 'functional bacteriologlt, virologt, parasitologt and molecular biologt laboratories" as indicator. To achieve this goal, the MDSC is targeting to deliver 8 products through 26 activities. A total budget of 6 393 000 USD is planned. The available funds allotted are estimated at I 540 000 USD (with I 240 000' USD from extra budgetary funds and 300 000 USD from regular budget), with a remaining gap of 5 081 000 USD. 5. Issues and challenges The issues and challenges to be faced by MDSC in order to achieve its expected result include: 2 I Funds allotted by the Meningitis Vaccine Project (MVP): 620 000 USD per annum o Securing the functioning of the MDSC by providing required funds in order to: o Ensure the staffing of the centre o Ensure facilities costs o Ensure laboratories equipment o Maintain the infrastructures, buildings and logistics o Organize the meetings and report to the new established governance structures: the Steering Committee and the Scientific Committee. Establishing a functional onchocerciasis surveillance system through entomological and epidemiological surveillance, as well as vectors screening for parasite identification by PCR Monitoring the implementation of enhanced surveillance of meningitis in the Region Monitoring the antimicrobial sensitivity, and install a QA/QC system to strengthen the laboratory capacity and improve the regional laboratory network Developing a bio molecular epidemiology surveillance system for meningitis disease patterns and predict the risk of epidemics Set up a regional surveillance network and an information sharing hub for malaria and HIV/AIDS Supporting the MDSC technical units and countries by strengthening the data management and GlS/mapping unit as well as the library section Developing at MDSC a hub for epidemiological information sharing in the Region using the Information Technologies (IT). 6. 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