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WHO International Health Regulations Emergency Committee meeting today regarding Zika virus - February 1, 2016 - declares international emergency

sharon sanders

Editor-in-Chief & President
[h=1]List of Members of, and Advisers to, the International Health Regulations (2005) Emergency Committee on Zika virus and observed increase in neurological disorders and neonatal malformations[/h]
1 February 2016

[h=3]MEMBERS[/h] [h=3]Dr Fernando Althabe[/h] Director, Department of Maternal and Child Health Research, Institute of Clinical and Health Policy Effectiveness, Buenos Aires, Argentina
[h=3]Dr Kalpana Baruah[/h] Joint Director, National Vector Borne Disease Control Programme, Ministry of Health and Family Welfare, Government of India, New Delhi, India
[h=3]Dr Silvia Bino[/h] Associate Professor of Infectious Diseases; Head, Control of Infectious Diseases Department, Institute of Public Health, Tirana, Albania
[h=3]Professor David O. Freedman[/h] Professor of Medicine and Epidemiology, University of Alabama at Birmingham, United States of America
[h=3]Professor David L. Heymann[/h] Professor of Infectious Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, United Kingdom of Great Britain and Northern Ireland
[h=3]Dr Abraham Hodgson[/h] Director, Research and Development Division, Ghana Health Service, Accra, Ghana
[h=3]Dr Nyoman Kandun[/h] Program Director, Field Epidemiology Training Program, Ministry of Health, Jakarta, Indonesia
[h=3]Dr Ghazala Mahmud[/h] Former Dean, Quaid i Azam Post Graduate Medical College, Pakistan Institute of Medical Sciences; Dean, Faculty of Medicine, Quaid i Azam University, Islamabad, Pakistan
[h=3]Dr K.U. Menon[/h] Senior Consultant, Ministry of Communications and Information, Singapore
[h=3]Dr Amadou Sall[/h] Director of the WHO Collaborating Centre for Arboviruses and Viral Haemorrhagic Fevers, Institut Pasteur de Dakar, Senegal
[h=3]Dr Jennifer Staples[/h] Medical Epidemiologist, Arboviral Disease Branch, Division of Vector-borne Diseases, Centers for Disease Control and Prevention, Atlanta, United States of America
[h=3]Dr Pedro Fernando da Costa Vasconcelos[/h] Head, Department of Arbovirology and Haemorrhagic Fevers; Director, National Reference Laboratory for Arboviruses; Director, National Institute for Viral Haemorrhagic Fevers, Ananindeua, Brazil
[h=3]ADVISERS[/h] [h=3]Dr Ferechte Encha-Razavi[/h] Medical Practitioner, University Hospital of Necker-Sick Children, Paris, France
[h=3]Dr Anthony Evans[/h] Aviation Medicine Consultant, International Civil Aviation Organization, Montreal, Canada
[h=3]Dr Dirk Glaesser[/h] Director, Sustainable Development of Tourism Programme, World Tourism Organization, Madrid, Spain
[h=3]Professor Duane J. Gubler[/h] Professor and Founding Director, Signature Research Program in Emerging Infectious Diseases, Duke-Nus Graduate Medical School, Singapore
[h=3]Dr Leonard Mboera[/h] Chief Research Scientist and the Director of Information Technology and Communication, National Institute for Medical Research, Dar es Salaam,Tanzania
[h=3]Dr James Meegan[/h] National Institute of Allergy and Infectious Diseases, National Institutes of Health, Office of Global Research, Bethesda, United States of America
[h=3]Dr Maria Mercedes Mu?oz[/h] Coordinator, Public Health Surveillance Group, Department of Epidemiology and Demography, Ministry of Health and Welfare, Bogota, Colombia
[h=3]Dr Rafael Obreg?n[/h] Chief, Communication for Development Section, United Nations Children?s Fund, New York, United States of America


http://www.who.int/ihr/procedures/zika-ec-members/en/

 
From: WorldHealthOrganizationNews@who.int
To: undisclosed-recipients@null, null@null
Subject: WHO INVITATION TO A VIRTUAL PRESS CONFERENCE: Zika virus and observed increase in neurological disorders and neonatal malformations
Date: Feb 1, 2016 10:51 AM

[TABLE="class: msgbody, border: 0, cellpadding: 0, cellspacing: 0"]
[TR]
[TD]
WHO Media Advisory/03
1 February 2016
WHO INVITATION TO A VIRTUAL PRESS CONFERENCE

First meeting of the International Health Regulations (IHR)
Emergency Committee Concerning Zika virus and observed increase in neurological disorders and neonatal malformations



WHAT: First Meeting of the International Health Regulations (IHR) Emergency Committee concerning Zika virus and observed increase in neurological disorders and neonatal malformations convened by WHO Director-General, Dr Margaret Chan.

Journalists are invited to a Virtual Press Conference following today’s meeting, via teleconference, of the International Health Regulations (IHR) Emergency Committee ( EC).

A WHO statement giving an account of the meeting and its conclusions will be posted on the WHO public website and sent to the media.

WHEN: Virtual Press Briefing on Monday 1 February 2016, at 18:30 (Geneva time).

WHERE: Geneva-based journalists may participate in the India Room at WHO Headquarters. Journalists who are unable to attend or who are based outside Geneva may dial-in using the numbers listed below.

Speakers:
Dr Margaret Chan, WHO Director-General
Professor David L. Heymann, Chair of the Emergency Committee.

How to access the WHO Virtual Press Conference ?

Please try to call in at least 10 minutes before the conference begins in order to be registered correctly. From the list below, please use the number for the location closest to you. If you have problems with a number, try the toll number from a neighbouring country or call Switzerland: +41 22 580 5970, or France +33 1 70750705, or United States +1 855 402 7766. You can also use a VoIP programme such as Skype to call the US toll-free: +1 855 402 7766



International access numbers
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[TD]+85230773565[/TD]
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[TD]USA[/TD]
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Useful links:

List of the experts on the Emergency Committee can be found at: http://wwwwho.int/ihr/procedures/zika-ec-members/en/


Information about Zika is available at: http://www.who.int/csr/disease/zika/en/
Information about Zika and pregnancy can be found on the PAHO website: www.paho.org


More information about IHR and the Emergency Committee can be found at:
http://www.who.int/ihr/procedures/en...c_faq.pdf?ua=1


Media contacts:

  • Gregory H?rtl, Coordinator, News, Social Media and Monitoring, Tel: +41 22 791 4458, Mob: +41 79 203 67 15; E-mail: hartlg@who.int
  • Christian Lindmeier, Tel: +41 22 791 1948; Mob: +41 79 500 65 52; E-mail: lindmeierch@who.int
  • Tarik Jašarević: Tel: +41 22 791 5099; Mobile: +41 79 367 62 14; E-mail: jasarevict@who.int
  • Fad?la Chaib: Tel:+ 41 22 791 3228M Mobile: + 41794755556; E-mail: chaibf@who.int
  • Media hotline: +41.22.791.2222 or E-mail: mediainquiries@who.int
Best regards,
WHO Media Team
[/TD]
[/TR]
[/TABLE]
 
WHO tweets on conference. Please read from bottom up:
 
Zika virus: WHO declares global public health emergency, says causal link to brain defects ?strongly suspected?

By Ariana Eunjung Cha, Lena H. Sun and Brady Dennis February 1 at 2:33 PM

The World Health Organization on Monday designated the Zika virus a public health emergency of international concern...
...
Margaret Chan, WHO Director-General, said at a press briefing that the primary reason for the decision was that members of an 18-member advisory panel agree that a causal relationship between Zika and microcephaly is "strongly suspected" although it hasn't been scientifically proven. She said that given the seriousness of the conditions being reported, the consequences of waiting were too great.

?Even the clusters of microcephaly alone are enough to declare a public health emergency because of its heavy burden" on women, families, and the community, Chan said.
...
The declaration represents the WHO's highest level of alert and is only invoked in response to the most dire threats. The first time was in 2009 during the H1N1 influenza epidemic that is believed to have infected up to 200 million worldwide; the second in May 2014 when a paralyzing form of polio re-emerged in Pakistan and Syria; and the third in August 2014 with Ebola in West Africa.

https://www.washingtonpost.com/news...lth-emergency-given-rapid-spread-in-americas/
 
WHO Director-General summarizes the outcome of the Emergency Committee on Zika

WHO statement on the first meeting of the International Health Regulations (2005) Emergency Committee on Zika virus and observed increase in neurological disorders and neonatal malformations
1 February 2016


I convened an Emergency Committee, under the International Health Regulations, to gather advice on the severity of the health threat associated with the continuing spread of Zika virus disease in Latin America and the Caribbean. The Committee met today by teleconference.

In assessing the level of threat, the 18 experts and advisers looked in particular at the strong association, in time and place, between infection with the Zika virus and a rise in detected cases of congenital malformations and neurological complications.

The experts agreed that a causal relationship between Zika infection during pregnancy and microcephaly is strongly suspected, though not yet scientifically proven. All agreed on the urgent need to coordinate international efforts to investigate and understand this relationship better.

The experts also considered patterns of recent spread and the broad geographical distribution of mosquito species that can transmit the virus.

The lack of vaccines and rapid and reliable diagnostic tests, and the absence of population immunity in newly affected countries were cited as further causes for concern.

After a review of the evidence, the Committee advised that the recent cluster of microcephaly cases and other neurological disorders reported in Brazil, following a similar cluster in French Polynesia in 2014, constitutes an “extraordinary event” and a public health threat to other parts of the world.

In their view, a coordinated international response is needed to minimize the threat in affected countries and reduce the risk of further international spread.
Members of the Committee agreed that the situation meets the conditions for a Public Health Emergency of International Concern.

I have accepted this advice.

I am now declaring that the recent cluster of microcephaly cases and other neurological disorders reported in Brazil, following a similar cluster in French Polynesia in 2014, constitutes a Public Health Emergency of International Concern.

A coordinated international response is needed to improve surveillance, the detection of infections, congenital malformations, and neurological complications, to intensify the control of mosquito populations, and to expedite the development of diagnostic tests and vaccines to protect people at risk, especially during pregnancy.

The Committee found no public health justification for restrictions on travel or trade to prevent the spread of Zika virus.

At present, the most important protective measures are the control of mosquito populations and the prevention of mosquito bites in at-risk individuals, especially pregnant women.

http://www.who.int/mediacentre/news/...crocephaly/en/
 
WHO statement on the first meeting of the International Health Regulations (2005) (IHR 2005) Emergency Committee on Zika virus and observed increase in neurological disorders and neonatal malformations

WHO statement
1 February 2016


The first meeting of the Emergency Committee (EC) convened by the Director-General under the International Health Regulations (2005) (IHR 2005) regarding clusters of microcephaly cases and other neurologic disorders in some areas affected by Zika virus was held by teleconference on 1 February 2016, from 13:10 to 16:55 Central European Time.

The WHO Secretariat briefed the Committee on the clusters of microcephaly and Guillain-Barr? Syndrome (GBS) that have been temporally associated with Zika virus transmission in some settings. The Committee was provided with additional data on the current understanding of the history of Zika virus, its spread, clinical presentation and epidemiology.

The following States Parties provided information on a potential association between microcephaly and/or neurological disorders and Zika virus disease: Brazil, France, United States of America, and El Salvador.

The Committee advised that the recent cluster of microcephaly cases and other neurologic disorders reported in Brazil, following a similar cluster in French Polynesia in 2014, constitutes a Public Health Emergency of International Concern (PHEIC).

The Committee provided the following advice to the Director-General for her consideration to address the PHEIC (clusters of microcephaly and neurologic disorders) and their possible association with Zika virus, in accordance with IHR (2005).

Microcephaly and neurologic disorders
  • Surveillance for microcephaly and GBS should be standardized and enhanced, particularly in areas of known Zika virus transmission and areas at risk of such transmission.
  • Research into the etiology of new clusters of microcephaly and neurologic disorders should be intensified to determine whether there is a causative link to Zika virus and/or other factors or co-factors.
As these clusters have occurred in areas newly infected with Zika virus, and in keeping with good public health practice and the absence of another explanation for these clusters, the Committee highlights the importance of aggressive measures to reduce infection with Zika virus, particularly among pregnant women and women of childbearing age.
As a precautionary measure, the Committee made the following additional recommendations:

Zika virus transmission
  • Surveillance for Zika virus infection should be enhanced, with the dissemination of standard case definitions and diagnostics to at-risk areas.
  • The development of new diagnostics for Zika virus infection should be prioritized to facilitate surveillance and control measures.
  • Risk communications should be enhanced in countries with Zika virus transmission to address population concerns, enhance community engagement, improve reporting, and ensure application of vector control and personal protective measures.
  • Vector control measures and appropriate personal protective measures should be aggressively promoted and implemented to reduce the risk of exposure to Zika virus.
  • Attention should be given to ensuring women of childbearing age and particularly pregnant women have the necessary information and materials to reduce risk of exposure.
  • Pregnant women who have been exposed to Zika virus should be counselled and followed for birth outcomes based on the best available information and national practice and policies.
Longer-term measures
  • Appropriate research and development efforts should be intensified for Zika virus vaccines, therapeutics and diagnostics.
  • In areas of known Zika virus transmission health services should be prepared for potential increases in neurological syndromes and/or congenital malformations.
Travel measures
  • There should be no restrictions on travel or trade with countries, areas and/or territories with Zika virus transmission.
  • Travellers to areas with Zika virus transmission should be provided with up to date advice on potential risks and appropriate measures to reduce the possibility of exposure to mosquito bites.
  • Standard WHO recommendations regarding disinsection of aircraft and airports should be implemented.
Data sharing
  • National authorities should ensure the rapid and timely reporting and sharing of information of public health importance relevant to this PHEIC.
  • Clinical, virologic and epidemiologic data related to the increased rates of microcephaly and/or GBS, and Zika virus transmission, should be rapidly shared with WHO to facilitate international understanding of the these events, to guide international support for control efforts, and to prioritize further research and product development.
Based on this advice the Director-General declared a Public Health Emergency of International Concern (PHEIC) on 1 February 2016. The Director-General endorsed the Committee’s advice and issued them as Temporary Recommendations under IHR (2005). The Director-General thanked the Committee Members and Advisors for their advice.
For further information please contact:

Gregory Hartl
Telephone: +41 22 791 4458
Mobile: +41 79 203 6715
E-mail: hartlg@who.int

Christian Lindmeier
Telephone: +41 22 791 1948
Mobile: +41 79 5006552
E-mail: lindmeierch@who.int

Tarik Jasarevic
Telephone: +41 22 791 5099
Mobile: +41 79 367 6214
E-mail: jasarevict@who.int


http://www.who.int/mediacentre/news/...ittee-zika/en/
 
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