ARF CROSS-SECTORAL SECURITY COOPERATION ON BIO-PREPAREDNESS AND DISASTER RESPONSE WORKSHOP

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2 Draft 14 August 2014 ARF CROSS-SECTORAL SECURITY COOPERATION ON BIO-PREPAREDNESS AND DISASTER RESPONSE WORKSHOP August 2014 InterContinental Manila, Makati City, Philippines Day 1 Tuesday, 26 August 2014 Dress: Business Suit, National Dress or Service Alpha Uniform 07:00 08:30 Registration PHL - US (DFA & MARFORPAC) 09:00 09:20 Opening Remarks PHL Under Secretary / US DCM 09:20 09:40 Workshop Introduction Mr. Welsh 09:40 10:00 Pre-workshop survey Mr. Welsh 10:00 10:15 Heads of Delegation - Photograph PHL - US (DFA & MARFORPAC) 10:15 10:45 Break 10:45 12:00 Panel Discussion: Strategic Considerations for Bio-Preparedness Panel Chairs: Dr. Irma Makalinao and Dr. Jim Campbell 12:00 13:00 Lunch/Late Registration InterContinental 13:00 13:20 Disaster Management and Bio-Preparedness Mr. Jean-Luc Tonglet, Head of Response Preparedness, UN OCHA, Philippines 13:20 13:40 IHR Compliance Dr. Julie Hall (WHO) 13:40 14:00 Bio-Surveillance Peter Emmanuel / Rohit Chitale 1

3 Draft 14 August 2014 Day 1 Tuesday, 26 August 2014 (Continued) 14:00 14:30 Best Practices PHL, Dengue Fever PHL - DOH 14:30 15:00 Best Practices SARS Hong Kong Case Study Mr. Peter Morgan Bio-Terrorism (as needed) Dr. Jim Campbell 15:00 15:30 Break Move to Small Groups 15:30 16:30 Review National Bio-Preparedness Guidelines and Prepare for TTX 16:30 17:00 Review Day 1 and Preview Day 2 PHL - DFA 18:00 21:00 Social Networking Event InterContinental Hotel Small Group Facilitators: PHL: Dr. Socorro Lupisan, Col Loi Garcia, Dr. Marilyn Go, COL Rivera, Dr. Noel Miranda US: Ms. Beth Kennedy, Ms. Allison Hinds, LTC Carol Walters, COL Joel Almosara Observers / Recorders: PHL: CPT Lino Macasaet MC, MAJ Romulo Dela Rosa MC, MAJ Jonathan Rico MC USA: Mr. Puckett, Mr. Welsh 2

4 Draft 14 August 2014 Day 2 Wednesday, 27 August 2014 Dress: Business Attire 09:00 09:30 Day 2 Introduction Dr. Love 09:30 12:00 TTX / Group Discussions Small Group Facilitators: PHL: Dr. Irma Makalinao, Dr. Lupisan, Col-Dr. Garcia, Dr. Marilyn Go, Director Daniel Espiritu, Mr. Noel Miranda US: Ms. Beth Kennedy, Ms. Allison Hinds, LTC Carol Walters, COL Joel Almosara Observers / Recorders: PHL: CPT Lino Macasaet MC, MAJ Romulo Dela Rosa MC, MAJ Jonathan Rico MC USA: Mr. Puckett, Mr. Welsh 12:00 13:00 Lunch 13:00 15:00 TTX / Group Discussions Small Group Facilitators and Observers / Recorders 15:00 15:30 Break 15:30 16:30 Prepare Group Briefs Small Group Facilitators 15:30 16:30 Executive Group Discussion Facilitated Discussion amongst Senior Participants to identify future ASEAN and Bilateral Engagements 16:30 17:00 Review Day 2 and Preview Day 3 Dr. Love 3

5 Day 3 Thursday, 28 August 2014 Dress: Business Attire 09:00 09:15 Day 3 Introduction Dr. Love 09:15 10:15 Plenary Presentations Northeast Asia Group (09:15 09:45) Southeast Asia Group (09: :15) Small Group Presenter 10:15 10:45 Break Plenary Presentations 10:45 11:30 South Asia Group (10:45 11:05) Oceania Group (09:55 10:15) Small Group Presenter 11:30 13:00 Lunch 13:00 13:30 TTX Synthesis Dr. Love 13:30 13:50 Mapping the Next Steps Commodore Middleton 13:50 14:20 Post-Event Survey Mr. Welsh 14:20 14:45 Break 14:45 15:15 Closing Ceremony PHL- US (DFA & MARFORPAC) Draft 14 August

6 ARF CROSS-SECTORAL SECURITY COOPERATION ON BIO-PREPAREDNESS AND DISASTER RESPONSE WORKSHOP August 2014 Manila, Philippines ADMINISTRATIVE ARRANGEMENTS This document contains important administrative and logistical considerations for the ARF Cross-Sectoral Security Cooperation on Bio-Preparedness Workshop on August 2014 in Manila, Philippines. Please read carefully to ensure a smooth and worryfree event. 1. Preparation for the Workshop This three-day workshop is aimed at providing the opportunity for ARF members to develop a national bio-preparedness guideline which will enhance ARF core capacities. Country delegates are requested to review the ARF-approved Best Practices for Preparedness and Response to a Biological Event document, which serves as a primary reference for ARF participants to develop their national bio-preparedness guideline. 2. Participation and Attendance The invitation list has been carefully developed to include select representatives and key officials from a number of participating institutions, including ARF members, the ARF Unit, United States Government Agencies, and the United Nations. It is advised that participants attend the entire event, which commences on Tuesday, 26 August 2014 and concludes on Thursday, 28 August The Republic of the Philippines will host the workshop and the United States will bear the administrative costs. International travel, accommodations, and other related costs necessary for participation will be borne by the participants respective host nation though some funding may be available to provide assistance with participation. 3. Meeting Venue The workshop will be held at: InterContinental Manila 1 Ayala Avenue, Makati City 1226 Philippines Tel

7 4. Confirmation and Registration In order to make the necessary preparations for this event, all delegates must submit their completed registration forms via the workshop no later than 1 August To access documents pertinent to the ARF Bio-Preparedness Workshop, go to the All Partners Access Network (APAN) located at: 5. Read Ahead The workshop s primary deliverable is to develop a national guideline template on biopreparedness response. This is a first step towards developing a national bio-preparedness program, which is one of the recommendations in enclosure 7 (see APAN website), and a Plan of Action and Milestones of follow-on activities, actions and deliverables. Your collective input to the PHL-USA provisional bio-preparedness guideline is requested no later than 26 July 2014, which will be collated in advance and discussed in detail during the workshop. Please send your input to the points of contact identified below. 6. Dress Code Business suit, national dress and Service Alpha equivalent for all uniform service members on the first day. The remainder of the workshop is business attire. 7. Accommodations The event organizers have lodging rooms blocked at the InterContinental Manila. All bookings will be on a first-come, first-served basis beginning 1 July 2014 until 31 July When booking, be sure to mention ARF 2014 in order to obtain discounted rate. Participants are solely responsible for any additional incidental expenses. It is strongly recommended that international participants arrive the day prior to the event on Monday, 25 August 2014 and depart on Friday, 29 August Travel and Visa Requirements For any international travel, it is advised that you apply for travel insurance on your own. Travelers insurance is not a reimbursable item and the event organizers will not be held liable for any claim resulting from death, injury, sickness or other disability. Similarly, participants are responsible for excess baggage charges or baggage insurance. Airport pick-up and drop-off is the delegate s responsibility. Depending on your specific flight arrival and departure times, the InterContinental Manila offers transportation services. Please coordinate directly with InterContinental representative/s. Participants who require visas are advised to contact the nearest Philippine Embassy or Consulate-General in their country to find out about visa requirements. Please note your passport must not be within six months of expiration prior to arriving in Manila, Philippines. 2

8 9. For further information, please contact the following workshop points of contact: Mr. Daniel Espiritu Ms. Elizabeth Colina Director, Office of ASEAN Affairs Executive Agent, Lead Planner Department of Foreign Affairs Marine Forces Pacific Philippines U.S.A. Tel: (+632) Tel: (808) Mr. Jahzeel Cruz LT Derek Chamberlain Principal Assistant, Office of ASEAN Affairs Executive Agent, Administrative Officer Department of Foreign Affairs Marine Forces Pacific Philippines U.S.A. Tel: (+632) Tel: (808)

9 ARF CROSS-SECTORAL SECURITY COOPERATION ON BIO-PREPAREDNESS AND DISASTER RESPONSE WORKSHOP August 2014 Manila, Philippines Name (as written in passport) Name to appear on identification badge Title Country Designation/Position/Military Rank Gender Date of Birth Passport number Passport date of expiration Organization/Agency DELEGATE REGISTRATION FORM Full Address Telephone Mobile Facsimile address Itinerary Arrival Departure Date Time Flight Number Head of Delegation Yes No Please identify which sub-group you are representing (check box). Please send completed registration on or before 1 August 2014 to: arf.bio.ws@gmail.com Countering Weapons of Mass Destruction Policy Maker Law Enforcement (Civilian or Military) Civilian-Military Defense Officials Healthcare, Public Health, Agriculture or Veterinary (Civilian or Military)

10 Version 5, 13 June 2014 National Bio-Preparedness Plan Template (Draft) Chapter 1 Introduction A. Scope and Purpose: This paragraph defines the requirement for a National Bio- Preparedness Plan, as well as the lead and supporting agencies responsible for the plan. The bottom line is we seek to achieve unity of effort amongst national political, public health, medical, law enforcement, and civil defense organizations in response to a biological hazard. B. Acronyms,Abbreviations C. Executive Summary of the National Bio-Preparedness Plan Chapter 2 Background A. Biological Threat Environment (Define the Situation):Brief assessment of the full range of biological hazards, the vulnerabilities which increase the susceptibility of the nation and community to the impact of a hazard, and the people, property, systems or elements potentially affected in hazard zones. This would include pandemics, emerging infectious diseases, and weapons.this section should also discuss bio-surveillance and public health capabilities. B. Regulatory Agreements, Conventions, and Treaties Biological Weapons Convention Chemical Weapons Convention 3. Hyogo Framework for Action : Building the Resilience of Nations and Communities to Disasters 4. World Health Organization Guidance: Public Health Response to Biological and Chemical Weapons 5. International Health Regulations (WHO, 2005) 6. Oslo Guidelines: The Use of Foreign Military Assets and Civil Defence Assets in Disaster Response Relief 7. ASEAN Agreement on Disaster Management and Emergency Response 8. Asia Pacific Strategy for Emerging Diseases (WHO, 2010) 9. Asia Pacific Regional Guidelines for the Use of Foreign Military Assets in Natural Disaster Response Operations C. National Disaster Risk Reduction Management Plan (NDRRMP) 1. Purpose: Summarizes the over-arching, multi-agency national plan. The National Bio-Preparedness Plan is subordinate to the NDRRMP. 2. National Disaster Management Organization (See NotionalDiagram)

11 Head of Government NotionalNational Disaster Management Organization 3. NDRRMP Summary a. DRRM priorities, areas and goals b. Agency Leads and Implementing Partners c. Implementation Strategies and Mechanisms d. Cross-Cutting Concerns Chapter 3 National Bio-Preparedness Plan Situation A. Assumptions and Planning Principles B. Linkages to Other Plans C. Specific National Authorities 1. Identify the laws that govern the management of biological emergencies and establish specific responsibilities for action. 2. Identify any statutory or policy gaps. 2

12 D. Stakeholder Analysis 1. Identify a focal point, the key agency with the authority and resources to coordinate execution of the bio-preparedness plan. 2. Identify partner agencies and responsibilities by phase. 3. Identify lead and supporting agencies by phase. 4. International Sources of Assistance E. Continuity of Operations Plan 1. Adapt the existing national plan to ensure continuity of operations during a biological incident. 2. Ensures unity of effort if government and health services are affected by the biological hazard. Chapter 4 National Bio-Preparedness Plan Concept of Operations A. Objectives 1. Ensure the security of the nation from biological hazards. 2. Prevent an imminent biological incident from occurring. 3. Save lives and protect the health and safety of the public and responders. 4. Protect and restore critical infrastructure and key resources. 5. Protect property and mitigate damages to individuals, communities, and the environment. B. Key Program Components 1. Global and National Surveillance and Response Plan 2. Laboratory Surveillance and Testing Capacity 3. Epidemiologic Investigation 4. Zoonotic Diseases 5. Infection Control 6. Vaccine Program 7. Risk Communications 8. Public Health Emergency Preparedness 9. Community Disease Control and Prevention Standards 10. Chain of Custody procedures 3

13 C. Operational Framework (Phasing). Explain how the Disaster Management Cycle: Preparedness, Response, Recovery, and Mitigation, fits with the WHO/IHR phasing. D. Synopsis of Priorities by Phase E. Partner Agency Tasks by Phase 1. Preparedness a. Focus on bio-surveillance and early detection. Ensure this effort includes medical, veterinary, industrial, and other relevant sectors of the community at all levels. b. Conduct threat analysis and risk assessment to strengthen surveillance efforts. c. Raise the awareness of first responders, health care workers, and public officials to possible threats. Exercise the full spectrum of biological incident responders: local through national. d. Test the national coordination, command, and control structure prior to a biological event. e. Ensure first responders and medical personnel are properly equipped and trained prior to an incident. f. Stockpile vaccines, drugs, and PPE. 4

14 g. Share laboratory capacity and resources to integrate human and animal health fields at the national level. h. Preparing public information and communication packages. i. Validate response capabilities and practice collaboration at all levels. j. Integrate WHO, UN, OIE, and other international organizations into training and education activities.this effort should include all national and local private sector entities as well, and their potential response contributions and actions. 2. Strengthening Response Actions a. Address short-term effects of a biological incident. These are the immediate actions to preserve life, property and the environment. b. Reinforce epidemiological capacity to ensure quick detection, diagnostics, and characterization. c. Develop and rehearse reporting structures to ensure rapid and accurate reporting from the local to national level. d. Continue to implement the WHO International Health Regulations as a means of strengthening global alert and response systems. e. Develop medical and veterinary surge capacity plans to deal with high volumes/large capacities of patients. f. Educate public on individual actions and preparedness steps to ensure civilians are prepared to deal with overburdened and service-limited government system during crisis. 3. Mitigation and Prevention a. Critical activities include heightened surveillance efforts to identify threats; improved surveillance and security operations; public health and agricultural surveillance and testing; immunizations, isolation or quarantine; and targeted law enforcement operations. b. Integrate local and national health agencies, emergency response groups, law enforcement agencies, customs and border agencies, military units, the private sector, and international organizations and laboratories. c. Strengthen laboratory biosafety and biosecurity to mitigate the risks of an accidental release or intentional misuse of pathogens. Protect personnel from accidental or intentional infections during a biological event. d. Create or share a biological incident best practices and information sharing data base. e. Improve information sharing and communications mechanisms. 5

15 4. Recovery a. Build back better considering the lessons gained from the biological disaster response experience. b. Take steps to improve biological disaster resiliency. c. Develop governmental resiliency plans to ensure that critical services are minimally effected during and post crisis. F. Notional Timeline (Diagram Summarizing CONOPs and lead responsibility) G. Bio-Surveillance Operations Chapter 5 Coordination, Collaboration, Command, and Control A. Explain the Multi-Agency Coordination Structure. B. Notional Structure for National Biological Preparedness Head of Government C. Describe Civilian Coordination and Collaboration Mechanisms. 1. Provincial/National/Regional Considerations 2. Interagency/International Collaboration 3. Consequence Management 6

16 4. Multi-Sectoral Considerations 5. Security Forces Assistance (Civ/Mil) D. Identify mechanisms and processes to collaborate with Military Staffs and Police Commands. E. Identify ASEAN Organizations and capacities for biological incident response. F. Plan to collaborate with International Civilian and Military Organizations. G. Plan to integrate Nongovernmental Organizations (Health Cluster) into the national response. H. Biological Response Reporting System 1. Multiple reporting frameworks exist for reporting from the local to the national level, as well as amongst nations and international organizations. Information sharing must be a priority to ensure warnings and response information are not kept in stovepipes. For example, how does a WHO warning move from the Department of Health to the National Police? 2. Respondents need to understand level within the National Disaster Management Organization I. Application of International Health Regulations J. Operational and Organizational Charts Chapter 6 Strategic Communications A. Identify Target Audiences, Partners, and Stakeholders B. Develop Communications Tools and Materials C. Media Outreach Plan D. Public Education Plan Chapter 7 Mobilization of National and Community Resources A. Logistics B. Medical Supplies C. Equipment and Health Sector Readiness D. Security Issues Annexes References 7

17 CONCEPT PAPER ASEAN Regional Forum (ARF) Cross-Sectoral Security Cooperation on Bio-Preparedness and Disaster Response Proposal The 20 th ARF Ministers approved the Best Practices for Preparedness and Response to a Biological Event as a reference paper for ARF participants to develop their own national guidelines on biological event preparedness and response system as well as the original version of this concept paper. This revised concept paper aims to include the above recommendation from the ARF ministers. The Republic of the Philippines and the United States propose to sponsor and host a project under the ARF Work Plan on Counter-terrorism and Transnational Crime (CTTC) that will focus on the Next Steps to Multilateral Security Cooperation on Bio- Preparedness and Disaster Response including recommendations the ARF participants can consider and utilize in developing their own national guidelines on biological event preparedness and response system that can be further developed into a national bio-preparedness program. This multi-year project includes a series of workshops and appropriate activities that intend to build on, plan for, develop and substantiate concrete and practical follow-on activities to implement the Best Practices and Recommendations resulting from the 2009 ARF Workshop on Biological Threat Reduction; the 2010 ARF Workshop on Bio- Risk Management; the 2011 ARF Workshop on Disease Detection and Surveillance; the 2012 ARF Workshop on Preparedness and Response for a Biological Event; and the 2013 ARF Cross-Sectoral Security Cooperation on Bio-Preparedness and Disaster Response: Inception Planning Workshop (Enclosures 1 through 7). Additionally, the Priority Areas delineated by the ARF Work Plan on CTTC, Non-Proliferation and Disarmament (NPD), Disaster Relief (DR) and other related work plans will be taken into consideration and incorporated as appropriate to the activities, concepts and products developed. A cross-sectoral endeavor that straddles both the ASEAN Political-Security Community (APSC) and ASEAN Socio-Cultural Community (ASCC) as indicated in appropriate sections of the APSC and ASCC blueprints, this project will facilitate accomplishing multiple ARF and ASEAN objectives including those outlined in Priority Area #2 (chemical, biological, radiological and nuclear) of the ARF Work Plan on CTTC, Priority Area #A (non-proliferation) of the ARF Work Plan on NPD, Priority Area #1 of the ARF Work Plan on DR (Networking and Information Sharing) and the Hanoi Plan of Action to Implement the ARF Vision Statement, as well as support the vision of Healthy ASEAN This will also contribute to the focus on preparedness and response under the Biological and Toxins Weapons Convention and serve as a useful example of advancing regional security cooperation. In order to promote efficiencies as well as ensure ASEAN consensus and centrality, the sponsors will endeavor to conduct initial consultations with ASEAN members prior to 1

18 expanding workshops and related activities to the larger and more complex ARF domain. The ARF will be updated regularly on the progress of activities and the project. Background The first ARF Workshop on Biological Threat Reduction, jointly hosted by the Republic of the Philippines and the United States in 2009, introduced four pillars of international biological threat reduction: threat assessment; prevention; detection and surveillance; and response and recovery. In 2010, Australia joined the Republic of the Philippines and the United States as cosponsors to the second ARF Workshop focused on best practices of laboratory bio-risk management to prevent accidental release and intentional misuse of pathogens. The 2011 workshop focused on enhancing human and animal health networks and communities to improve infectious disease detection and surveillance to ensure the early detection of outbreaks, whether accidental, deliberate or natural, in origin. The fourth workshop in 2012 focused on Preparedness and Response to a Biological Event. The Republic of the Philippines and the United States seek to expand this partnership with ASEAN and ARF participants to combat global biological threats arising from the nexus of terrorism, global/emerging infectious disease, and rapid expansion of dual use biological materials, technology and expertise. At the same time it will also allow participating countries, individually and collectively, to further consider the best practices and recommendations from earlier projects, further enhancing disaster risk reduction cooperation. The desired objectives and results when achieved will enhance capacity for regional preparedness and generate support for developing a collective response to a biological event. Intent is to prevent an event from expanding into a major disaster that ignores national boundaries, triggering widespread loss of life and property, and causing severe economic hardship. Project Objectives 1. The initial deliverable is to develop a national guideline template on bio preparedness. This is a first step towards developing a national bio-preparedness program which is one of the recommendations in enclosure (7) and a Plan of Action and Milestones (POA&M) of follow-on activities, actions and deliverables. 2. The co-sponsors working with ARF participants and the ARF Unit/ASEAN Secretariat will plan and develop concrete and practical follow-on activities to build upon and implement enclosure (1) the outcomes delineated in enclosures (2) to (7). 3. Develop a roadmap for practical and effective multilateral and cross-sectoral cooperation and collaboration to implement and validate bio-preparedness and disaster risk reduction best practices. 4. When practicable, consider focus areas and objectives from the various work plans ARF ISM and ADMM-Plus Experts Working Group (EWG) as well as the ASEAN Working Group on Pandemic Preparedness and Response (AWGPPR). 2

19 5. Initial focus areas that promote Multilateral Bio-Preparedness and Disaster Risk Reduction Cooperation may include: planning, capacity building, communications and sharing information, mitigation, and risk reduction. 6. Build upon previously related ASEAN and ARF security cooperation activities. 7. Enhance cooperation and coordination among foreign affairs, public and veterinary health, civilian law enforcement, and military sectors. 8. Support ASEAN related Disaster and Emergency Response Plans particularly the ASEAN Agreement on Disaster Management and Emergency Response (AADMER) Work Program , as well as the SASOP (Standard Operating Procedures for Regional Standby Arrangements and Coordination of Joint Disaster Relief and Emergency Response Operations). 9. Strengthen Regional, International, Interagency and Private Sector Response Capacity as well as coordination mechanisms including the role of the ASEAN Humanitarian Assistance (AHA) Center. 10. Enhance the Whole of Society as well as ASEAN Regional Disaster and Emergency Response. Language, Venue, Date, Duration Workshop to Develop a Template for National Bio-preparedness Guidelines and POA&M for Follow-on Activities and Deliverables. Language: English Location: Makati, Philippines First Activity Date: August 2014 First Activity Duration: 3 days Participants Desired participants and contributors to this project will include executive and directorate level leaders, strategic policymakers, civil-military defense officials, law enforcement, health, veterinary and bio-subject matter experts and practitioners. In particular, appropriate representation from the ministries of agriculture, health, law enforcement and defense would significantly add value to the technical deliberations. Details on the first and subsequent workshops or activities will be developed by the sponsors and provided via separate correspondence in due time. Administrative Arrangements The Republic of the Philippines will host the workshops and the United States will bear the administrative costs. International travel, accommodations, and other related costs necessary for participation will be borne by the participants respective host nation though some funding may be available to provide assistance with participation. Points of contact for this proposal are: 3

20 Republic of the Philippines: Executive Director Ma. Teresita Daza Office of ASEAN Affairs Department of Foreign Affairs Tel: daza.tess@gmail.com Director Daniel Espiritu ASEAN Political-Security Community Division Office of ASEAN Affairs Department of Foreign Affairs Philippines Tel: danspri2@gmail.com Dir Marita Yoro Chief, Defense Cooperation Division, Office of the Assistant Secretary for Strategy Assessment Department of National Defense Tel: Meanne.Yoro@gmail.com Dr. Joel Buenaventura Chief Health Program Officer Bureau of International Health Cooperation, DOH Tel: x 1338/ Jbuenaventura.bhic@gamil.com United States of America: Dir Christian Castro Office of Multilateral Affairs Bureau of East Asia and Pacific Affairs Department of State Fax: (202) Mr. Reynold Tagorda Deputy Chief Southeast Asia Policy USPACOM J520 Headquarters, U.S. Pacific Command Tel: Reynold.Tagorda@navy.mil Mr. John B. McCombs Strategic Plans and Policy Directorate USPACOM J571 Headquarters, U.S. Pacific Command Tel: John.Mccombs@pacom.mil Colonel James L Rubino Assistant Chief of Staff, G4 Marine Corps Forces, Pacific (EA) Tel: James.L.Rubino@usmc.mil Ms. Beth Colina Executive Agent (EA), Lead Planner Marine Corps Forces, Pacific Tel: Elizabeth.N.Colina@usmc.mil 4