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ASEAN+3 Countries Field Epidemiology Training Network
24th January 2011
Holiday Inn, Bangkok, Thailand
A Capacity Building Program in Epidemiology
and Public Health
Thailand Ministry of Public HealthWorld Health Organization
Centers for Disease Control and Prevention
F E T P
Philosophy and Focus of FETP
Monitoring and early detection of health problems
Response to disease outbreaks and others
Creating a network
“Learning by doing”
Surveillance
Investigation &Field Research
Training
Ministry of Public Health
Office of Permanent Secretary
ProvincialHealth office
Department of Disease Control
Bureau of Epidemiology
Bureau of VBD
Bureau of AIDS,STD,TB
Bureau of GCD
FETP
Department………….
Hospitals/Health Centers
Investigation of Avian Influenza Outbreak in Rural Community of Thailand, 2004
FETP Development in Thailand
1970 » Epi. Office » Office of Permanent Secretary StartedNational Notifiable Disease System (14 diseases)
1972 » Division of Epidemiology
1980 FETP established by MOPH/WHO/CDC1985 FETP approved for Board of Preventive Medicine
1998 International FETP-Thailand
2001 WHO Designated Collaborating Centre
2005 FETP for Veterinarians (FETPV)
-10
-5
0
5
10
1
5
20
2
5
30
Number of avian influenza (H5N1) cases by week of illness onset, Thailand 2004-2006
week0
1
2
3
4
1 8 15 22 29 36 43 50 5 12 19 26 33 40 47 2 9 16 23 30 37
Cases
2004 2005 2006
Source: Bureau of Epidemiology
Training Veterinarians
(N=25)
Flood-related Leptospirosis Outbreak in Nan Province, 2006
First School Outbreak of Novel H1N1 2009, Thailand
10
Distribution of FETP graduates1980-2010 (N=190)
Ministry of Health (108)• Central level (55)• Provincial level (53)
International organization (13)•UNAIDS, UNDP, WHO, US CDC
Other Ministries (20)• Universities (5)• Army/Navy (7)• Agriculture (8)
Self-employed (10)
Cambodia (7)China (6)Lao PDR (5)Malaysia (5)Myanmar (4)Vietnam (6)
Autonomous People Organization (6)
Data as of June 2010
Number of Graduates from IFETP, FETP TOT and Current Fellows by Country, 1998-2010 (n = 41)
Bhutan, 1
Cambodia, 7
China, 9
Indonesia, 1
Lao PDR., 6
Malaysia, 5
Myanmar, 5
Taiwan, 1 Vietnam, 6 Bhutan
Cambodia
China
Indonesia
Lao PDR.
Malaysia
Myanmar
Taiwan
Vietnam
36 graduates5 current trainees
Joint outbreak investigation & surveillance study
Joint outbreak investigation & surveillance study
Needs for FETP Graduates in Thailand
10-year Master Plan: – 200 FETP graduates– 2 in each province
Public Health Emergency Response Team
FETP(MD & DVM)
SRRT(Public Health/Animal
Health/Laboratory)
Public Health Volunteer/ Livestock Volunteers/Wildlife
Park Rangers
“One Health” Concept
National Level
Subnational Level(Provincial Level)
Local Level
2-year training
6-month training
ASEAN+3 Countries
Field Epidemiology Training Network for
ASEAN Community 2015
Thank you
Thank you
2. Field Epidemiology Training Network
• FET Network is a field-based epidemiology training network, based on in-service training concept among ASEAN+3countries that collectively works for the goal of “Healthy People, Healthy Region”
• Main objectives of the FET network are:
1.1 Enhance capacity of member countries in field-based epidemiology training1.2 Promote career ladders of field epidemiologists in public health service of member countries 1.3 Co-operate and synergistically respond to outbreaks or public health emergency of international or of regional concern.
Expected outcomes of Field Epidemiology Training Network
Immediate: Start the network, agree upon a draft MOU by 25 Jan. 2011, for endorsement by health ministers by 2012
Medium: Draft guiding principles and work plan (2011-2015), obtain endorsement by senior official of all member countries by 2011
Long term: Mobilize resource and implement of majorcollaborative projects/activities
Review the program annually for its progress and policy implications in disease control.
Formulation of ASEAN+3 FET NetworkMeeting, 24-25 January 2011
Meeting Objective:1. To discuss and agree on the guiding principles,
mechanisms and processes in establishing the ASEAN+3 Field Epidemiology Training Network
Expectation:1. A spirit of commitment and networking among members
in ASEAN+3 and with partners around the world2. A draft MOU of the ASEAN+3 Field Epidemiology Training
Network to be considered by their Secretaries of Health by 2012.
Formulation of ASEAN+3 FET NetworkMeeting, 24-25 January 2011
• Agenda
- Special guest speakers
- Group discussion and present results
• Participants: approx. 60 persons
- 26 persons: 2 persons for each countries (Brunei, Cambodia, Indonesia, Lao PDR, Malaysia, Myanmar, Philippines, Singapore, Thailand, Vietnam, China, Japan and South Korea)
- 15 persons from WHO (WPRO/SEARO/WR Thailand), TUC, RF, UNAIDS, FAO, UN OCHA, MBDS, NTI, COARDS
- 15-17 persons from Ministry of Foreigner Affair, MOPH Thailand, Division of Planning, Bureau of Strategic and Policy, Bureau of International Health, Bureau of Epidemiology and others.
• Field Epidemiology Training Program or FETP is a field-based training program to grow a commit and competent epidemiologist who can really serve the Ministry of Health in disease control and health protection. FETP involve directly in surveillance and investigation and study of outbreak.
• In ASEAN+3 countries, FETP in Thailand, Phillippines, Indonesia (1980s), EIP Malaysia (2004). Cambodia, Lao PDR and Vietnam (2009) and Singapore also started the program after the outbreak of SARS and H5N1. Although Myanmar and Brunei do not have conventional FETP but there is national unit responsible for providing short training for epidemiologist.
• For the plus three countries, China, Japan and Korea already established the program.
1. Background (cont.)
Joint Statement of ASEAN+3 Ministers of Health Meeting, 26 April 2003
Request Thailand, as the coordinator of the ASEAN Epidemiologic Network
to strengthen capacity building for epidemiological surveillance
Joint Statement of 4th ASEAN+3 Health Ministers Meeting , 23 July 2010
We support the development of networking Among field epidemiology training programmes in ASEAN and Plus Three Countries.
Network of Field Epidemiology
