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AUSTRALIA’S NATIONAL ACTION PLANFOR HEALTH SECURITY2019-2023
The Australian Government Department of Health
in collaboration with the Department of Agriculture and Water Resources,
state and territory governments and other partners
Implementation of the recommendations from the Joint External Evaluation of IHR Core Capacities
DECEMBER 2018
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TableofContents
1 Foreword .............................................................................................. 3
2 Acknowledgement .................................................................................... 4
3 Executive Summary ................................................................................... 4
4 Introduction ........................................................................................... 5
5 NAPHS Background / Context ...................................................................... 5
5.1 The International Health Regulations (2005) .................................................... 6
5.2 International Health Regulations Monitoring and Evaluation Framework ...................... 6
5.3 Australia’s Joint External Evaluation ............................................................ 7
6 NAPHS Vision, Mission and Objectives.............................................................. 8
7 Methodology for the Development of the NAPHS .................................................. 9
8 Major Components of the NAPHS ................................................................. 10
9 Delivery of the NAPHS ............................................................................. 10
10 Appendix: Planning Matrix ......................................................................... 12
10.1 National Legislation, Policy and Financing .................................................... 12
10.2 IHR Coordination, Communication and Advocacy ........................................... 13
10.3 Antimicrobial Resistance (AMR) .............................................................. 14
10.4 Zoonotic Diseases ............................................................................. 15
10.5 Food Safety .................................................................................... 16
10.6 Biosafety and Biosecurity ...................................................................... 17
10.7 Immunisation .................................................................................. 18
10.8 National Laboratory System ................................................................... 19
10.9 Real Time Surveillance ........................................................................ 20
10.10 Reporting ................................................................................... 21
10.11 Workforce Development ................................................................... 22
10.12 Preparedness ................................................................................ 23
10.13 Emergency Response Operations .......................................................... 24
10.14 Link Public Health and Security Authorities ................................................ 25
10.15 Medical Countermeasures and Personnel Deployment ..................................... 26
10.16 Risk Communication ....................................................................... 27
10.17 Points of Entry ............................................................................. 28
10.18 Chemical Events ............................................................................ 29
10.19 Radiation Emergencies ..................................................................... 30
10.20 Acronym List ............................................................................... 31
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1 Foreword
In today’s global community, all countries are susceptible to infectious diseases and a wide range of other public health risks. Public health threats are inevitable and our first line of defence against them is a strong health security capacity.
The majority of emerging epidemics are zoonoses, that is, infectious diseases that spread between animals and people. Antimicrobial resistance also presents an ongoing challenge for both human and animal health. These threats need to be tackled with a One Health approach that combines the expertise within human, animal and environmental health for a multidisciplinary response.
This document, Australia’s National Action Plan for Health Security (NAPHS), represents a commitment to take action to strengthen our defences against acute public health threats. It was developed in response to the recommendations from Australia’s Joint External Evaluation (JEE) of the implementation of the International Health Regulations (2005) (IHR) conducted from 24 November to 1 December 2017.
The WHO-led international team of experts that assessed our country’s capabilities took a great amount of time and careful consideration to supply us with suitable recommendations to further strengthen our already strong capacities. These recommendations are now prioritised for action across the five year time period of the NAPHS.
The Department of Health (Health) will oversee implementation of the NAPHS, but it is important to note that the plan is not only a responsibility of the health sector. Realisation of the NAPHS depends on partnerships extending to many other sectors, including organisations involved in food safety, agriculture, chemical and radiation safety, security and border agencies. All levels of government, private organisations and research institutions, and the general community have a part to play in the NAPHS. Given the dual responsibility for many priorities, Health and the Department of Agriculture and Water Resources (Agriculture) will partner in overseeing the governance and delivery of the NAPHS.
It is critical that Australia’s high standards of health security are maintained. Diseases can spread faster and more unpredictably than ever before due to our increasingly interconnected world. New pathogens, rapid epidemics, misuse of harmful biological substances and antimicrobial resistance all demand agile and sophisticated systems and measures of prevention, preparedness, detection and response. It will be important to build on the momentum of cross-sectoral dialogue and dedication seen in the JEE.
Maintaining connections to our international partners, including the WHO and the World Organisation for Animal Health and our fellow Member States, is also central to strengthening global health security. It is in the best interests of the global community, and a moral imperative, to build the capacities of other countries to respond to public health threats.
We are confident that this NAPHS provides a solid framework for the coordination of efforts to continue to improve Australia’s already robust capacities to prevent, prepare for, detect and respond to public health threats.
Professor Brendan Murphy Dr Mark Schipp Chief Medical Officer Chief Veterinary Officer
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2 Acknowledgement
The efforts and dedication of a multitude of people and organisations made the Joint External Evaluation (JEE) of Australia’s IHR implementation in 2017 a highly valuable and constructive exercise. The recommendations from the JEE ultimately formed the basis of Australia’s National Action Plan for Health Security (NAPHS). The contributions of all those involved in the JEE and NAPHS processes are greatly appreciated:
The staff within the Australian Government.
State and territory governments and the expert committees and organisations across Australia.
The following WHO entities: the JEE Secretariat of the WHO, WHO Health Emergencies Programme, the Western Pacific Regional Office and the Country Health Emergency Preparedness and IHR Department at WHO Headquarters.
The governments of Canada, China, Finland, Japan, New Zealand and the United States of America for providing technical experts to Australia’s JEE.
The Food and Agriculture Organization of the United Nations (FAO), the World Organisation for Animal Health (OIE) for their contribution of experts and expertise to Australia’s JEE.
3 Executive Summary
Australia completed a JEE of IHR implementation in 2017. Australia was the sixth Member State in the WHO Western Pacific Region and the first country in the Pacific to undertake a JEE.
The JEE provided a unique opportunity to cultivate relationships at both international and national levels to strengthen health security. It was clear that Australia’s health security cannot be safeguarded by the health sector alone, and hence collaboration occurred across many sectors, such as agriculture, food and chemical safety, radiation, disaster response, defence, security and foreign affairs.
Australia demonstrated strong regional and global leadership in IHR implementation and a robust capacity to prevent, prepare for, detect and respond to public health threats. However, the JEE highlighted the need to maintain such a high operational functionality, and produced 66 recommendations (in the final JEE Mission Report) to further improve public health capacities.
The purpose of the NAPHS is to provide a high-level framework to guide implementation of the recommendations born out of Australia’s JEE. Australia’s health security more broadly is guided by a range of existing strategies, plans and legislation.
The multisectoral and multidisciplinary dialogue present in the JEE continued throughout the development of the NAPHS. Ongoing dialogue is essential in obtaining commitment to the realisation of the NAPHS. Collaboration during development of the NAPHS has been, and will continue to be, crucial for avoiding duplication of efforts throughout the five-year lifespan of the plan. Instead, the NAPHS is embedded in existing plans, mechanisms and governance structures.
Prioritisation of the recommendations is central to the NAPHS. Agreeing on priorities for such broad and numerous activities enables resource allocation and planning to be prudent and transparent.
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4 Introduction
Following the completion of a JEE Mission, the WHO recommends that countries develop a NAPHS to address the recommendations in the JEE Mission Report. In keeping with the JEE ideology, the NAPHS is developed collaboratively across multiples sectors, with the aim of prioritising the implementation of recommendations to improve IHR compliance and national health security.
Australia’s NAPHS outlines the:
background and purpose;
vision, mission and objectives;
methodology for the development of the NAPHS;
major components of the NAPHS, including top priorities; and
delivery of the NAPHS, including stakeholder management and project governance.
To enable coordinated implementation across sectors and government, the Planning Matrix (see Appendix):
ranks the recommendations from the JEE Mission Report;
tracks implementation status;
assigns responsibility for progress;
includes key stakeholders; and
describes implementation platforms.
5 NAPHS Background / Context
Australia’s population experiences relatively good health, with high life expectancy rates and relatively low rates of communicable diseases. The country’s geographical isolation, strong public health system and biosecurity measures contribute to the absence of many serious communicable diseases found in the Western Pacific Region, such as malaria, yellow fever, typhoid fever and cholera. The National Immunisation Program is very strong, with Australia being declared polio free in 2000, free of endemic measles in 2014, and to have eliminated the transmission of endemic rubella in 2018. Foodborne disease is an ever-present concern in Australia. The leading causes of death in the country are due to non-communicable diseases.
Universal access to health-care in Australia is provided though a system known as Medicare. Medicare is based on principles of choice, access and universality, and combines free access to public hospital services and subsidised access to medical services and pharmaceuticals, with higher subsidies for those using a higher volume of services and people with low incomes. Australia’s health system provides targeted assistance for particular groups, such as funding of community-controlled health services for Aboriginal and Torres Strait Islander people.
Responsibility for health lies across all levels of government (federal, state and territory and local), with different, and often shared, roles as funders, policy developers, regulators and service deliverers. Health manages responses to national health emergencies, including how the public health sector will manage and respond to communicable disease outbreaks, epidemics or pandemics. Health manages the National Focal Point (IHR NFP) through the National Incident Room which provides the national coordination function of incident management and
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communication for health security. State and territory government health departments have primary operational responsibility for responding to an incident in their jurisdiction.
The governance of Australia’s public health system is complex with numerous actors at different levels of government and in different sectors. The JEE highlighted that despite its complexity, the network of committees and institutional actors is highly functional and cohesive in its operations. Strong linkages and coordination mechanisms also exist between the human and animal public health systems.
The Australia-WHO Country Cooperation Strategy 2018-2022 represents Australia’s commitment to strongly supporting global efforts to strengthen health security. Australia is a contributor of voluntary flexible funds to WHO, and a strong contributor to shaping the global and regional health agendas. Sharing experiences and learning from other countries are highly valued by the nation for addressing health challenges and leveraging new technologies in cost-effective ways.
Australia is committed to supporting health security through regional investments in the broader Asia Pacific region. Over the next five years, the Australian Government’s Health Security Initiative for the Indo-Pacific will contribute to the prevention and containment of communicable disease outbreaks with the potential to cause adverse economic impacts on a national, regional or global scale through assisting countries to implement the IHR. The initiative will accelerate research on new drugs and diagnostics and develop strategic partnerships and people-to-people connections to build health security capacity.
As a member of the WHO Western Pacific Region, Australia uses the Asia Pacific Strategy for Emerging Diseases and Public Health Emergencies as the action framework to achieve implementation of IHR core capacities.
5.1 The International Health Regulations (2005)
The IHR is an international legal agreement that is binding on 196 State Parties, including all WHO Member States. The IHR was adopted at the 58th World Health Assembly in May 2005, and subsequently entered into force on 15 June 2007.
The purpose and scope of the IHR are “to prevent, protect against, control and provide a public health response to the international spread of disease in ways that are commensurate with and restricted to public health risks, and which avoid unnecessary interference with international traffic and trade”. State Parties are required by the IHR to develop certain minimum core public health capacities. Australia has been compliant with the IHR since their commencement.
5.2 International Health Regulations Monitoring and Evaluation
Framework
The JEE forms one component of the IHR Monitoring and Evaluation Framework, which provides guidance for reviewing the implementation of country core public health capacities under the IHR. The Framework was developed in 2016, in collaboration with related initiatives such as the Global Health Security Agenda and the Performance of Veterinary Services (PVS) Pathway. A key tenet is mutual accountability of State Parties and the IHR Secretariat for global public health security through ongoing communication and transparent reporting.
The remaining three components of the Framework consist of:
Annual Reporting to the World Health Assembly (mandatory):
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Australia has participated in the annual reporting component since its inception in 2010, and recently participated in the consultation processes for the new IHR Self-Assessment Annual Reporting Tool.
Simulation Exercises:
Australia participates in WPRO’s annual IHR Crystal communications exercise, with the objectives of practising the NFPs’ assessment of public health events and the use of the decision-making tool instrument in Annex 2 of the IHR. Other multisectoral and multidisciplinary coordination and communication mechanisms are tested regularly through exercises within Health as well as whole of government exercises.
After-action Review:
Whole-of-government after action reviews are conducted for significant events, with recommendations made on potential improvements.
5.3 Australia’s Joint External Evaluation
Australia’s JEE process took place throughout 2017, and follows a PVS Evaluation of Australia by the OIE in 2015. The JEE self-evaluation phase occurred between January and October 2017, and included consultation with over 25 Australian Government agencies, expert committees and organisations, as well as all eight state and territory governments. Australia’s JEE Self-Evaluation Report was finalised and submitted to the WHO approximately three weeks before the JEE Mission.
Australia’s JEE Mission was conducted between 24 November and 1 December 2017. It consisted of eight site visits to key public health preparedness and response facilities, and 19 technical panel discussions in Melbourne and Canberra. More than 100 subject matter experts from across Australia gathered in Canberra to participate in the technical panel sessions. This demonstrated both the high-level of interest built over the self-evaluation process and the breadth of expertise across a variety of agencies and organisations. The external evaluation team comprised experts from Finland, Canada, China, Japan, New Zealand, United States of America, representatives from the WHO and the World Organisation for Animal Health, as well as observers from Canada and New Zealand.
The 66 recommendations from Australia’s JEE can be found in the Appendix: Planning Matrix.
Australia’s capabilities were particularly noteworthy in the following technical areas:
Points of Entry:
A comprehensive system of border and biosecurity measures at international airports and sea ports reduces the risks of pathogens and pests being imported.
Microbiological Laboratory Capacity:
Cutting edge laboratories ensure a high level of preparedness for emerging diseases.
Biorisk Management:
The country remains a benchmark for other countries in the management of biorisks, both of natural and intentional causes.
Although the JEE recognised the outstanding progress made for IHR requirements, a number of observations were made to further strengthen public health capacities.
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Opportunities remain for greater coordination of activities between the human and animal health sectors, although steps have been taken to ensure a collaborative approach. Genomics for infectious disease surveillance could be better harnessed, considering Australia is currently leading the research field in complete genome based laboratory techniques. Recommendations were also made to ensure the longevity of a skilled public health workforce, to develop an all-hazards protection framework and to strengthen joint training and exercising across sectors, agencies and jurisdictions, including sharing and implementation of lessons.
6 NAPHS Vision, Mission and Objectives
Vision: A nation that is effective in its ability to prepare for, detect, prevent and respond to any acute public health event. A nation that has coordinated, adaptable and resilient systems that evolve with changes in disease, society, technology and information.
Mission: To build upon national strengths and continue to develop systems for health security across the IHR core capacities.
Goal: To reduce human morbidity and mortality associated with public health events.
Objectives:
1. To strengthen and maintain capacity to PREVENT and reduce the likelihood of disease outbreaks and other public health events through regulation; activities at points of entry; immunisation; surveillance; biosafety; and other activities.
2. To strengthen and maintain capacity to PREPARE for public health events by reviewing, updating and testing emergency response plans for relevant biological, chemical, radiological and nuclear hazards; mapping of potential hazards, resources and capacities; and provision of medical countermeasures.
3. To strengthen and maintain capacity to rapidly and accurately DETECT and assess disease outbreaks and public health events through surveillance; laboratory testing; communication; and risk assessment.
4. To strengthen and maintain capacity to rapidly and appropriately RESPOND to and RECOVER from emerging diseases and public health events through comprehensive preparedness and coordination mechanisms; and personnel deployment.
5. To build, strengthen and maintain STRATEGIC PARTNERSHIPS under a One Health, all-hazards, whole of government and whole of society approach. This includes sharing and incorporating lessons learnt into multisectoral coordination and communication mechanisms and national plans to continuously improve systems.
6. To practise LEADERSHIP in IHR implementation at the regional and global levels. This includes leading by example and actively supporting other Member States in achieving their core capacities under IHR.
Guiding Principles:
Country Ownership: The Australian Government leads and coordinates the NAPHS, its progress and implementation, to ensure that all activities align with national plans, strategies and guidelines.
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Human Rights Principles: NAPHS activities will be consistent with the IHR with regard to protecting the human rights of all persons and travellers. Policies and programs will be non-discriminatory and equitable.
Community Engagement: People and communities are central in addressing health security. Dynamic listening and involving communities during emergencies and post-emergencies is important for sharing lessons learnt.
Partnerships and Collaboration: Health security is a shared responsibility that cannot be achieved by a single government agency or actor. Strong partnerships between different sectors, disciplines, government agencies, the private sector, research and academic institutions are essential, as well as timely and transparent collaboration.
WHO Partnership: The NAPHS upholds Australia’s long-standing partnership with the WHO to protect and promote health security for Australia and other countries.
Alignment with Other Strategies: The NAPHS will be implemented synergistically, through integration into existing plans and strategies of policy and technical areas where appropriate. The NAPHS is in keeping with the Asia Pacific Strategy for Emerging Diseases and Public Health Emergencies.
Evidence-led: Activities under the NAPHS will be forward-looking and informed by objective evidence, including data and information on emerging trends, risks and health innovations. Information shared via inter-country, regional, sub-regional and cross-border partnerships will also be considered.
Continuous Improvement: Activities, plans and strategies are to be reviewed and improved based on lessons learnt, new evidence, or changes in health threats, policy and legislation. Some NAPHS activities build upon others, therefore flexibility in their implementation is required.
7 Methodology for the Development of the NAPHS
Following the completion of the JEE program, Health developed a Planning Matrix that details all 66 recommendations (see Appendix). For each recommendation, the matrix describes its implementation status, implementation mechanisms, lead stakeholders responsible for driving actions and a ranking for implementation.
Careful thought was given to the ranking of each recommendation. Each recommendation was ranked high, medium or low after consideration of several factors, as follows.
Scope, impact and efficiencies gained by implementation.
Stakeholder involvement level.
Current project status, including whether the project had commenced.
Timeframe for completion.
Resourcing.
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As the coordinator of the NAPHS, Health will continue to cultivate the relationships established and built on during the JEE process. Given the multisectoral nature of the recommendations, it will be important for all relevant organisations to be consulted on the priorities and the steps for achieving them. As the JEE recognised Australia’s governance and committee structures as a key strength, these will be leveraged to address the recommendations.
The timing of the development of the Planning Matrix aligned with the business planning cycle at Health, which allowed the recommendations to be integrated into business plans, and available resources are used to maximum efficiencies.
8 Major Components of the NAPHS
Some of the highest priority recommendations from the JEE to be progressed in the NAPHS include:
Creating an all-hazards health protection framework, by building on the existing national framework for communicable disease control.
Developing a strategy for the use of full genome microbial data for national disease surveillance.
Strengthening animal and human health linkages by improving the coordination of activities. This includes the following.
o Creating a mechanism for routine communication, coordination and collaboration for AMR-related assessment, planning and response across all jurisdictions and sectors (animal, human, food and environment).
o Establishing an interoperable, interconnected electronic disease surveillance system for both human and animal sectors, coordinated at the national level and incorporating an outbreak management system, to ensure a consistent platform across and within jurisdictions.
Strengthening risk communications activities by introducing a training program for relevant staff, improving guidance for the use of social media during emergencies, monitoring community engagement activities and sharing lessons learnt with other sectors and stakeholders.
Key stakeholders are identified for each action in the Planning Matrix. Various areas within Health and Agriculture will be pivotal for driving implementation of many actions, as well as other agencies and all states and territories.
A large proportion of the priority actions in the NAPHS are consistent with those marked for priority action in other national work plans.
9 Delivery of the NAPHS
The NAPHS is a multisectoral plan with multisectoral ownership for action. Lead areas, mainly within Health, will be responsible for monitoring progress through a 6-monthly reporting process within the Planning Matrix described earlier. There are a significant number of actions that build on the results achieved through implementation of other recommendations. It will be
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important to monitor the implementation of recommendations that impact the manner in which others are progressed, so that adjustments occur as appropriate.
One of the Guiding Principles of the NAPHS is alignment with other strategies. Further strengthening of Australia’s health security system will be undertaken within existing strategies, plans and legislation, including but not limited to the following:
Australian Government Crisis Management Framework
Biosecurity Act 2015
National Health Security Act 2007
National Health Emergency Response Arrangements
Emergency Response Plan for Communicable Disease Incidents of National Significance
Australian Health Management Plan for Pandemic Influenza
National Antimicrobial Resistance Strategy
National Immunisation Strategy
Australia’s Foodborne Illness Reduction Strategy 2018-2021+
Governance of the NAPHS will occur through existing mechanisms, including the Australian Health Protection Principal Committee, which provides health protection policy oversight and manages responses to national health emergencies. Regular progress reports will be provided to the committee to harness its strategic leadership, advice and assistance in the implementation of the five year plan. Given the dual responsibility for many priorities, Agriculture will also be a valued partner for overseeing the delivery of the NAPHS. Formal meetings between Agriculture and Health will provide an opportunity to discuss progress and identify issues and opportunities. Utilising existing committees and structures within Health and Agriculture will be important for ensuring both the successful implementation of recommendations and keeping appropriate stakeholders informed of progress.
The Senior Executive Service of the Office of Health Protection, Health, will be the first points of contact for governance-related issues of the NAPHS.
Costing of activities will occur on a case-by-case basis, but for the most part will be funded through existing budget processes and allocations.
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ns
ide
ntifi
ed a
re a
cces
sibl
e vi
a S
hare
poin
t (in
tern
al
colla
bora
tive
web
site
).
Impl
eme
nt m
onth
ly r
evie
w o
f lis
t. 8
For
mal
ise
ann
ual f
eedb
ack
on
the
stat
us o
f IH
R
impl
emen
tatio
n to
rel
evan
t sta
keho
lder
s th
roug
h st
akeh
old
er m
eetin
gs a
nd
annu
al r
epor
t.
Hea
lth E
mer
genc
y M
ana
gem
ent
B
ranc
h/ B
ord
er
Hea
lth S
ectio
n
Hig
h
Not
Yet
C
omm
ence
d
OH
P, A
HP
PC
, A
gric
ultu
re.
NF
P, A
HP
PC
.
9 F
urth
er e
mpo
wer
the
IHR
NF
P in
dis
sem
inat
ing
info
rmat
ion
to, a
nd c
onso
lidat
ing
inpu
t fro
m r
elev
ant
sect
ors.
Hea
lth E
mer
genc
y M
ana
gem
ent
B
ranc
h/
Em
erge
ncy
Pre
pare
dnes
s an
d R
esp
onse
Sec
tion
Med
ium
U
nder
way
S
&T
, AH
PP
C,
Agr
icul
ture
, DF
AT
, D
epar
tmen
t of H
ome
Affa
irs.
NF
P.
Page
14
of 3
3
10.3
A
nti
mic
rob
ial R
esis
tan
ce (
AM
R)
No
. R
eco
mm
end
atio
ns
Lea
d B
ran
ch/S
ecti
on
(Dep
artm
ent
of
Hea
lth
) P
roje
ct
Pri
ori
ty
Pro
gre
ss
Tra
cker
K
ey S
take
ho
lder
s P
latf
orm
fo
r im
ple
men
tati
on
10
Ext
end
det
ectio
n, s
urve
illa
nce,
infe
ctio
n pr
eve
ntio
n an
d c
ontr
ol (
IPC
), a
nd s
tew
ard
ship
to
non-
hosp
ital (
prim
ary
care
an
d co
mm
unity
) se
tting
s.
Hea
lth P
rote
ctio
n P
olic
y B
ranc
h/ C
omm
unic
able
D
isea
se a
nd
AM
R P
olic
y S
ectio
n
Med
ium
U
nder
way
A
CS
QH
C, A
gric
ultu
re,
S&
T, A
ustr
alia
n C
olle
ge
of R
ural
and
Rem
ote
Med
icin
e, R
AC
GP
, N
atio
nal C
entr
e fo
r A
ntim
icro
bia
l S
tew
ard
ship
(N
CA
S),
A
ustr
alas
ian
Col
lege
for
Infe
ctio
n P
reve
ntio
n a
nd
Con
tro
l.
Not
yet
iden
tifie
d. T
he A
ustr
alia
n G
over
nme
nt h
as e
stab
lish
ed a
G
P A
MR
Exp
ert G
roup
to a
dvis
e th
e D
epar
tmen
t of H
ealth
on
activ
ities
to im
prov
e an
timic
robi
al s
tew
ards
hip
in
prim
ary
care
and
com
mu
nity
se
tting
s.
11
Alig
n an
timic
robi
al s
usce
ptib
ility
test
ing
met
hod
olo
gy
acr
oss
the
coun
try,
incl
udin
g a
bala
nce
of te
stin
g by
gen
ome
sequ
enci
ng a
nd
Pol
ymer
ase
Cha
in R
eact
ion
(PC
R)
with
tr
aditi
ona
l cu
lture
and
se
nsiti
vity
.
Hea
lth P
rote
ctio
n P
olic
y B
ranc
h/ C
omm
unic
able
D
isea
se a
nd
AM
R P
olic
y S
ectio
n
Med
ium
N
ot Y
et
Com
men
ced
P
ublic
hea
lth
labo
rato
ries,
S&
T,
AC
SQ
HC
, RC
PA
, AG
AR
, A
gric
ultu
re, A
ST
AG
, N
AT
A.
Not
yet
iden
tifie
d.
12
Est
ablis
h a
pla
n fo
r A
MR
sur
veill
ance
an
d an
timic
robi
al s
usce
ptib
ility
test
ing
and
rep
ortin
g in
th
e an
imal
hea
lth s
ecto
r ba
sed
on r
isk
asse
ssm
ent,
and
follo
win
g fu
rthe
r as
sess
men
t, co
nsid
er in
clud
ing
food
. In
clud
e in
the
plan
a
requ
irem
ent
an
d m
echa
nism
s fo
r:
o r
epor
ting
of A
MR
in m
icro
bia
l ag
ents
from
an
imal
s to
sub
natio
nal l
eve
l and
De
part
men
t of
A
gric
ultu
re a
nd
Wat
er R
esou
rces
(A
gric
ultu
re);
an
d
o in
form
atio
n sh
arin
g be
twe
en
Agr
icu
lture
and
th
e D
epar
tmen
t of H
ealth
(H
ealth
).
Hea
lth P
rote
ctio
n P
olic
y B
ranc
h/ C
omm
unic
able
D
isea
se a
nd
AM
R P
olic
y S
ectio
n
Med
ium
N
ot Y
et
Com
men
ced
A
gri
cult
ure
- jo
intl
y le
d
by
Ag
ricu
ltu
re a
nd
H
ealt
h. S
&T
, Pub
lic
Hea
lth L
abo
rato
ries,
D
oEE
, Prim
ary
Indu
strie
s, F
SA
NZ
.
Not
yet
iden
tifie
d.
13
Cre
ate
a m
ech
anis
m fo
r ro
utin
e co
mm
uni
catio
n,
coor
din
atio
n, a
nd c
olla
bor
atio
n fo
r A
MR
-rel
ated
as
sess
men
t, pl
anni
ng, a
nd r
espo
nse
(incl
udin
g ou
tbre
aks)
acr
oss
all j
uris
dic
tions
an
d se
ctor
s (a
t le
ast a
nim
al, h
uman
, foo
d, a
nd
envi
ronm
ent
).
Hea
lth P
rote
ctio
n P
olic
y B
ranc
h/ C
omm
unic
able
D
isea
se a
nd
AM
R P
olic
y S
ectio
n
Hig
h
Und
erw
ay
AC
SQ
HC
, Agr
icul
ture
, S
&T
, FS
AN
Z, P
ublic
H
ealth
La
bora
torie
s,
DoE
E, C
DN
A,
AH
PP
C,
AS
TA
G, F
RS
C, p
rimar
y in
dus
trie
s an
d fo
od
ind
ustr
ies.
Not
yet
iden
tifie
d.
Page
15
of 3
3
10.4
Z
oon
otic
Dis
ease
s
No
. R
eco
mm
end
atio
ns
Lea
d
Bra
nch
/Sec
tio
n
(Dep
artm
ent
of
Hea
lth
)
Pro
ject
P
rio
rity
Pro
gre
ss
Tra
cker
Key
Sta
keh
old
ers
Pla
tfo
rm f
or
imp
lem
enta
tio
n
14
Intr
oduc
e a
form
al p
roce
ss th
roug
h co
mm
ittee
st
ruct
ures
bet
wee
n H
ealth
and
Agr
icul
ture
to r
egu
larl
y re
vie
w a
join
t lis
t of p
riorit
y zo
onot
ic d
ise
ase
s.
Con
side
r d
esig
natin
g zo
ono
tic d
isea
ses
of p
ubl
ic
hea
lth im
port
anc
e in
Aus
tra
lia a
s na
tiona
lly n
otifi
abl
e in
an
imal
s.
Hea
lth P
rote
ctio
n P
olic
y B
ranc
h/
Com
mun
ica
ble
D
isea
se
Epi
dem
iolo
gy
and
Sur
veill
ance
S
ectio
n
Med
ium
U
nder
wa
y A
gri
cult
ure
- jo
intl
y le
d
by
Ag
ricu
ltu
re a
nd
H
ealt
h, C
DN
A, N
AM
AC
, A
SID
, sta
te a
nd te
rrito
ry
agric
ultu
re d
epar
tmen
ts,
AH
C.
Not
yet
iden
tifie
d.
15
Est
ablis
h a
dedi
cate
d m
ultis
ect
oral
nat
ion
al z
oon
osis
co
mm
ittee
or
ens
ure
reci
proc
al a
nim
al a
nd h
uman
se
ctor
rep
rese
ntat
ion
on
thei
r re
spec
tive
nat
iona
l zo
onot
ic d
isea
se-r
elat
ed c
omm
ittee
s to
enh
ance
co
mm
unic
atio
ns,
brid
ge k
no
wle
dge
gaps
an
d
stre
ngth
en
colla
bora
tive
resp
onse
s.
Hea
lth P
rote
ctio
n P
olic
y B
ranc
h/
Com
mun
ica
ble
D
isea
se
Epi
dem
iolo
gy
and
Sur
veill
ance
S
ectio
n
Med
ium
U
nder
wa
y A
gri
cult
ure
- jo
intl
y le
d
by
Ag
ricu
ltu
re a
nd
H
ealt
h, C
DN
A, P
HLN
, A
HP
PC
, AH
C.
AH
PP
C, A
HC
and
su
bcom
mitt
ees
of b
oth.
16
Con
side
r st
and
ardi
sing
/alig
nin
g la
bor
ator
y ca
se
defin
ition
s an
d ty
ping
bet
we
en h
uman
and
an
imal
he
alth
sec
tors
to e
nhan
ce d
ata
com
pari
son
of th
eir
surv
eilla
nce
syst
ems.
Hea
lth E
mer
genc
y M
ana
gem
ent
B
ranc
h/ H
eal
th
Em
erge
ncy
Cou
nter
mea
sure
s S
ectio
n
Low
N
ot Y
et
Com
men
ced
P
HLN
, AH
C.
PH
LN.
Page
16
of 3
3
10.5
F
ood
Saf
ety
No
. R
eco
mm
end
atio
ns
Lea
d B
ran
ch/S
ecti
on
(D
epar
tmen
t o
f H
ealt
h)
Pro
ject
Pri
ori
ty
Pro
gre
ss
Tra
cker
K
ey S
take
ho
lder
s P
latf
orm
fo
r im
ple
men
tati
on
17
Wor
k to
war
ds a
n in
tegr
ate
d m
ultis
ecto
ral
and
mu
ltidi
scip
linar
y el
ectr
oni
c su
rvei
llanc
e a
nd
outb
reak
ma
nag
emen
t sy
stem
, coo
rdin
ated
by
Hea
lth th
at
incl
ude
s d
iagn
ostic
and
epi
dem
iolo
gica
l da
ta fr
om fo
od a
nim
als,
food
pro
duct
s,
and
hum
ans
.
Hea
lth P
rote
ctio
n P
olic
y B
ranc
h/
Com
mun
ica
ble
Dis
ease
E
pid
emio
log
y an
d S
urve
illa
nce
S
ectio
n
Hig
h
Und
erw
ay
CD
NA
, AH
C,
Agr
icul
ture
, PH
LN,
enH
ealth
, FS
AN
Z
and
ind
ustr
y gr
oups
.
OzF
oodN
et.
18
Iden
tify
and
prio
ritis
e fo
od
safe
ty/fo
od
chai
n is
sues
of
spec
ific
conc
ern
(e.
g.
salm
one
llosi
s) t
hat r
equi
re w
ork
ing
acro
ss
sect
ors
to d
ecre
ase
inci
den
ce.
Pre
vent
ive
He
alth
Pol
icy
Bra
nch/
F
ood
and
Nut
ritio
n P
olic
y S
ectio
n
Med
ium
C
ompl
ete
C
DN
A, F
SA
NZ
, F
RS
C, I
SF
R a
nd
indu
stry
gro
ups.
FR
SC
and
AH
PP
C.
19
Est
ablis
h a
me
chan
ism
to e
ngag
e in
dust
ry in
mon
itorin
g an
d re
spon
se.
P
reve
ntiv
e H
eal
th P
olic
y B
ranc
h/
Foo
d an
d N
utri
tion
Pol
icy
Sec
tion
Low
U
nder
way
F
RS
C, I
SF
R,
FS
AN
Z.
FR
SC
.
20
Est
ablis
h st
and
ard
natio
nal
pro
toco
ls to
en
sure
som
e p
ropo
rtio
n of
cul
ture
bas
ed
test
ing.
Hea
lth E
mer
genc
y M
ana
gem
ent
Bra
nch/
H
ealth
Em
erge
ncy
Cou
nter
mea
sure
s S
ectio
n
and
H
ealth
Pro
tect
ion
Pol
icy
Bra
nch/
C
omm
unic
abl
e D
isea
se
Epi
dem
iolo
gy
and
Sur
veill
an
ce
Sec
tion
Low
N
ot Y
et
Com
men
ced
O
zFoo
dNet
, CD
NA
, P
HLN
, AR
PA
NS
A.
Not
yet
iden
tifie
d.
Page
17
of 3
3
10.6
B
iosa
fety
an
d B
iose
curi
ty
No
. R
eco
mm
end
atio
ns
Lea
d B
ran
ch/S
ecti
on
(D
epar
tmen
t o
f H
ealt
h)
Pro
ject
Pri
ori
ty
Pro
gre
ss
Tra
cker
Key
Sta
keh
old
ers
Pla
tfo
rm f
or
imp
lem
enta
tio
n
21
Con
side
r co
nsol
idat
ing
insp
ect
ions
an
d au
dits
und
erta
ken
into
sin
gle
join
t as
sess
me
nt v
isits
for
faci
litie
s op
erat
ing
und
er d
iffer
ent
reg
ula
tory
fram
ew
orks
and
se
ctor
s (i.
e. th
e S
ecur
ity S
ensi
tive
Bio
logi
cal
Sch
eme
Reg
ulat
ory
Sch
eme,
Offi
ce o
f the
G
ene
Tec
hnol
ogy
Re
gula
tor,
Agr
icul
ture
).
Reg
ulat
ory
Po
licy
Bra
nch/
B
est P
ract
ice
Sec
tion
N/A
C
ompl
ete
HE
CS
, OG
TR
, Agr
icul
ture
, N
AT
A, P
HLN
. S
SB
A R
egul
ator
y S
chem
e.
22
Con
side
r re
vie
win
g th
e re
gul
ato
ry fr
ame
wo
rk
to ta
ke in
to a
ccou
nt r
isks
of s
ynth
etic
bio
logy
. H
ealth
Em
erge
ncy
Man
age
me
nt B
ranc
h/
Hea
lth E
mer
genc
y C
ount
erm
easu
res
Sec
tion
Low
N
ot Y
et
Com
men
ced
O
GT
R, A
IC a
genc
ies,
In
dust
ry.
SS
BA
Reg
ulat
ory
Sch
eme.
Page
18
of 3
3
10.7
Im
mu
nis
atio
n
No
. R
eco
mm
end
atio
ns
Lea
d B
ran
ch/S
ecti
on
(D
epar
tmen
t o
f H
ealt
h)
Pro
ject
Pri
ori
ty
Pro
gre
ss
Tra
cker
Key
Sta
keh
old
ers
Pla
tfo
rm f
or
imp
lem
enta
tio
n
23
Mai
nta
in a
nd
impr
ove
me
asle
s im
mun
isat
ion
cove
rage
for
all p
opul
atio
ns, i
n pa
rtic
ula
r ha
rd-
to-r
each
pop
ulat
ions
(su
ch a
s th
ose
in r
emot
e ar
eas,
indi
gen
ous
popu
latio
ns
and
mig
rant
gr
oups
) an
d th
ose
in a
reas
with
low
er c
over
age
, to
ach
ieve
202
0 ta
rget
of 9
5%.
Imm
unis
atio
n B
ranc
h/
Imm
unis
atio
n P
rogr
ams
Sec
tion
Hig
h
Und
erw
ay
Sta
te a
nd te
rrito
ry h
ealth
de
par
tmen
ts, i
mm
unis
atio
n pr
ovid
ers
and
key
imm
unis
atio
n st
akeh
old
ers.
Nat
iona
l Im
mu
nisa
tion
Pro
gram
, N
atio
nal P
artn
ersh
ip o
n E
ssen
tial V
acci
nes.
24
Pro
mot
e co
mm
unity
con
fide
nce
in th
e N
atio
nal
Im
mun
isat
ion
Pro
gram
(N
IP)
thro
ugh
effe
ctiv
e co
mm
unic
atio
n s
trat
egie
s th
at s
uppo
rt
imm
unis
atio
n a
nd o
verc
ome
vacc
ine
hesi
tan
cy.
Imm
unis
atio
n B
ranc
h/
Imm
unis
atio
n P
rogr
ams
Sec
tion
Med
ium
U
nder
wa
y S
tate
s an
d te
rrito
ry h
ealth
de
par
tmen
ts, i
mm
unis
atio
n pr
ovid
ers
and
key
imm
unis
atio
n st
akeh
old
ers.
Nat
iona
l Im
mu
nisa
tion
Pro
gram
, N
atio
nal P
artn
ersh
ip o
n E
ssen
tial V
acci
nes,
'G
et th
e fa
cts
abou
t im
mun
isat
ion'
cam
paig
n.
25
Est
ablis
h a
sin
gle
Nat
ion
al V
acc
inat
ion
Re
gist
ry
that
allo
ws
for
deta
iled
pop
ula
tion-
bas
ed
ana
lysi
s an
d re
port
ing
of v
acci
natio
n co
vera
ge
for
all a
ges
and
at n
atio
nal,
stat
e, te
rrito
ry a
nd
lo
cal l
eve
ls.
Imm
unis
atio
n B
ranc
h/
Imm
unis
atio
n R
egis
ters
S
ectio
n
Hig
h
Und
erw
ay
Sta
te a
nd te
rrito
ry h
ealth
de
par
tmen
ts, i
mm
unis
atio
n pr
ovid
ers
and
key
imm
unis
atio
n st
akeh
old
ers,
D
epar
tmen
t of H
uman
S
ervi
ces.
Aus
tral
ian
Imm
unis
atio
n R
egis
ter
(AIR
).
26
Mon
itor
vari
atio
ns in
vac
cine
sup
ply
to m
inim
ise
the
impa
ct o
n th
e de
liver
y of
the
NIP
. Im
mun
isat
ion
Bra
nch/
Im
mun
isat
ion
Pro
cure
men
t and
C
ontr
act M
ana
gem
ent
S
ectio
n
Med
ium
U
nder
wa
y P
harm
aceu
tica
l co
mpa
nies
, sta
te a
nd
terr
itory
hea
lth
dep
artm
ents
.
Con
trac
tual
arr
ang
emen
ts
with
com
pan
ies.
27
Iden
tify
and
miti
gate
fact
ors
lead
ing
to v
acci
ne
wa
stag
e to
ens
ure
effic
ient
use
of v
acci
nes.
Im
mun
isat
ion
Bra
nch/
Im
mun
isat
ion
Pro
gram
s S
ectio
n
Med
ium
U
nder
way
S
tate
and
terr
itory
hea
lth
dep
artm
ents
, im
mun
isat
ion
prov
ider
s.
Nat
iona
l Par
tner
ship
on
Ess
entia
l Vac
cine
s.
Page
19
of 3
3
10.8
N
atio
nal
Lab
orat
ory
Syst
em
No
. R
eco
mm
end
atio
ns
Lea
d B
ran
ch/S
ecti
on
(D
epar
tmen
t o
f H
ealt
h)
Pro
ject
Pri
ori
ty
Pro
gre
ss
Tra
cker
K
ey S
take
ho
lder
s P
latf
orm
fo
r im
ple
men
tati
on
28
Con
side
r d
eve
lopi
ng a
One
He
alth
Nat
ion
al
Str
ateg
y to
gui
de p
ubl
ic h
ealth
lab
orat
ory
test
ing
and
dis
eas
e su
rvei
llanc
e, e
ngag
ing
the
vete
rinar
y liv
esto
ck, z
oono
sis
and
foo
d sa
fety
on
all
juris
dict
iona
l lev
els
.
Hea
lth P
rote
ctio
n P
olic
y B
ranc
h/
Com
mun
ica
ble
Dis
ease
E
pid
emio
log
y an
d S
urve
illa
nce
Sec
tion
an
d
Hea
lth E
mer
genc
y M
ana
gem
ent
Bra
nch/
H
ealth
Em
erge
ncy
Cou
nter
mea
sure
s S
ectio
n
Med
ium
N
ot Y
et
Com
men
ced
H
EC
S, P
HLN
, C
DN
A,
AH
C, A
gric
ultu
re.
Not
yet
iden
tifie
d.
29
Dev
elop
a s
trat
egy
for
the
syst
emat
ic u
se o
f ful
l ge
nom
e m
icro
bial
dat
a fo
r na
tiona
l dis
eas
e su
rvei
llanc
e.
Hea
lth E
mer
genc
y M
ana
gem
ent
Bra
nch/
H
ealth
Em
erge
ncy
Cou
nter
mea
sure
s S
ectio
n
Hig
h
Und
erw
ay
CD
ES
S, P
HLN
, CD
NA
, A
HP
PC
. U
sing
mod
el o
f Hum
an
Gen
omic
s F
ram
ew
ork,
ran
ge
of e
xist
ing
expe
rt
com
mitt
ees.
30
Con
side
r d
eve
lopi
ng m
ech
anis
ms
to s
uppo
rt
tran
spor
t of v
eter
inar
y sa
mpl
es
for
publ
ic h
ealth
pu
rpos
es.
Hea
lth E
mer
genc
y M
ana
gem
ent
Bra
nch/
H
ealth
Em
erge
ncy
Cou
nter
mea
sure
s S
ectio
n
Low
N
ot Y
et
Com
men
ced
A
gric
ultu
re, A
HC
, PH
LN.
Exi
stin
g re
gula
tion
and
accr
edita
tion
syst
ems.
Page
20
of 3
3
10.9
R
eal T
ime
Surv
eilla
nce
No
. R
eco
mm
end
atio
ns
Lea
d B
ran
ch/S
ecti
on
(D
epar
tmen
t o
f H
ealt
h)
Pro
ject
Pri
ori
ty
Pro
gre
ss
Tra
cker
K
ey S
take
ho
lder
s P
latf
orm
fo
r im
ple
men
tati
on
31
Est
ablis
h an
inte
rop
erab
le, i
nter
con
nect
ed
elec
tro
nic
dise
ase
surv
eill
ance
sys
tem
for
both
hum
an a
nd
anim
al s
ecto
rs,
coor
din
ate
d at
the
natio
nal l
evel
an
d in
corp
orat
ing
an
outb
reak
ma
nag
emen
t sy
stem
, to
ensu
re a
con
sist
ent p
latfo
rm
acro
ss a
nd
with
in ju
risd
ictio
ns.
Hea
lth P
rote
ctio
n P
olic
y B
ranc
h/ C
omm
unic
able
D
isea
se E
pide
mio
log
y an
d S
urve
illa
nce
Sec
tion
Hig
h
Und
erw
ay
CD
NA
, en
Hea
lth, A
HP
PC
, A
gric
ultu
re, A
HC
. N
atio
nal H
ealth
Sec
urity
Act
20
07,
Nat
iona
l Hea
lth
Sec
urity
Agr
ee
men
t.
32
Enh
anc
e co
nsis
tent
col
lect
ion
and
an
aly
sis
of la
bor
ator
y da
ta b
y es
tabl
ishi
ng
or s
tren
gthe
nin
g m
echa
nism
s to
impr
ove
qua
lity
of d
eno
min
ator
dat
a a
nd s
hare
da
ta o
n ov
era
ll la
bora
tory
test
ing
(wh
ere
rele
vant
) at
nat
ion
al, s
tate
and
terr
itory
le
vel.
Hea
lth P
rote
ctio
n P
olic
y B
ranc
h/ C
omm
unic
able
D
isea
se E
pide
mio
log
y an
d S
urve
illa
nce
Sec
tion
Med
ium
N
ot Y
et
Com
men
ced
H
EC
S, P
HLN
, en
Hea
lth,
CD
NA
P
HLN
, CD
NA
.
33
Pro
mot
e in
nova
tive
surv
eill
ance
met
hods
, in
clu
ding
wh
ole
gen
ome
seq
uenc
ing.
H
ealth
Pro
tect
ion
Pol
icy
Bra
nch/
Com
mun
icab
le
Dis
ease
Epi
dem
iolo
gy
and
Sur
veill
anc
e S
ectio
n
Hig
h
Com
plet
e H
EC
S, e
nHea
lth, P
HLN
. O
zFoo
dNet
, CD
NA
.
Page
21
of 3
3
10.1
0 R
epor
tin
g
No
. R
eco
mm
end
atio
ns
Lea
d B
ran
ch/S
ecti
on
(D
epar
tmen
t o
f H
ealt
h)
Pro
ject
Pri
ori
ty
Pro
gre
ss
Tra
cker
K
ey S
take
ho
lder
s P
latf
orm
fo
r im
ple
men
tati
on
34
Str
engt
hen
com
mun
icat
ion
bet
we
en
the
IHR
NF
P a
nd th
e W
orld
Org
ani
satio
n fo
r A
nim
al H
ealth
(O
IE)
Nat
iona
l Del
ega
te,
chem
ical
sec
tor
and
rad
iatio
n se
ctor
, am
ong
othe
rs,
thro
ugh
a fo
rmal
ize
d m
echa
nism
on
pote
ntia
l pub
lic h
ealth
ris
ks
repo
rtin
g a
nd in
form
atio
n sh
arin
g.
Hea
lth E
mer
genc
y M
ana
gem
ent
Bra
nch/
E
mer
genc
y P
repa
redn
ess
and
Res
pon
se S
ectio
n
Med
ium
N
ot Y
et
Com
men
ced
A
gric
ultu
re, S
&T
, A
RP
AN
SA
, enH
ealth
. N
ot y
et id
entif
ied
- H
ealth
to
liais
e w
ith A
gric
ultu
re.
35
Impr
ove
unde
rsta
ndin
g of
inte
rnat
iona
l ob
ligat
ions
to m
eet W
HO
and
OIE
re
quire
me
nts
on IH
R e
vent
s a
nd a
nim
al
dise
ases
not
ifica
tion
amon
g na
tiona
l, st
ate
and
loca
l sta
keho
lder
s th
roug
h m
ultis
ecto
ral d
iscu
ssio
ns.
Hea
lth E
mer
genc
y M
ana
gem
ent
Bra
nch/
E
mer
genc
y P
repa
redn
ess
and
Res
pon
se S
ectio
n
Low
N
ot Y
et
Com
men
ced
A
gric
ultu
re, S
&T
, CD
ES
S.
Not
yet
iden
tifie
d -
Hea
lth to
lia
ise
with
Agr
icul
ture
.
36
Enh
anc
e m
ulti
sect
oral
join
t ass
essm
ent
amon
g ag
enci
es o
n P
ublic
Hea
lth
Em
erge
ncie
s of
Inte
rnat
iona
l Con
cern
(P
HE
IC)
notif
icat
ions
to W
HO
and
ani
ma
l di
seas
e no
tific
atio
ns to
OIE
Hea
lth E
mer
genc
y M
ana
gem
ent
Bra
nch/
E
mer
genc
y P
repa
redn
ess
and
Res
pon
se S
ectio
n
Med
ium
N
ot Y
et
Com
men
ced
A
gric
ultu
re, S
&T
, CD
ES
S,
CD
NA
, en
Hea
lth.
Not
yet
iden
tifie
d -
Hea
lth to
lia
ise
with
Agr
icul
ture
.
Page
22
of 3
3
10.1
1 W
orkf
orce
Dev
elop
men
t
No
. R
eco
mm
end
atio
ns
Lea
d B
ran
ch/S
ecti
on
(D
epar
tmen
t o
f H
ealt
h)
Pro
ject
Pri
ori
ty
Pro
gre
ss
Tra
cker
K
ey S
take
ho
lder
s P
latf
orm
fo
r im
ple
men
tati
on
37
Use
exi
stin
g d
ata
sour
ces,
incl
udin
g re
leva
nt
accr
edita
tion
sche
mes
, to
defin
e th
e pu
blic
he
alth
wor
kfor
ce fo
r co
nduc
ting
forw
ard
pl
ann
ing,
rec
ruitm
ent o
f app
ropr
iate
ca
tego
ries
of s
taff
(incl
udin
g to
xico
logy
and
ra
diat
ion
spec
ialis
ts)
and
deve
lopm
ent o
f fu
ture
cre
dent
ialin
g sc
hem
es.
Aus
tral
ian
He
alth
P
rote
ctio
n P
rin
cipa
l C
omm
ittee
Low
N
ot Y
et
Com
men
ced
H
WD
, HE
MB
, HP
PB
, A
RP
AN
SA
, Rad
iatio
n H
ealth
Com
mitt
ee,
enH
ealth
, S&
T, m
edic
al
colle
ges,
lear
ned
soci
etie
s.
Not
yet
iden
tifie
d.
38
Wor
k w
ith s
tate
s an
d te
rrito
ries
to e
nsur
e su
stai
nab
le m
ech
anis
ms
for
epid
emio
log
ists
an
d ot
her
pu
blic
hea
lth p
rofe
ssio
nal
s at
st
ate,
terr
itory
and
loca
l lev
el.
Aus
tral
ian
He
alth
P
rote
ctio
n P
rin
cipa
l C
omm
ittee
Low
N
ot Y
et
Com
men
ced
H
WD
, HE
MB
, HP
PB
, A
RP
AN
SA
, Rad
iatio
n H
ealth
Com
mitt
ee,
enH
ealth
, S&
T, m
edic
al
colle
ges,
lear
ned
soc
ietie
s,
Agr
icul
ture
, NC
EP
H.
Not
yet
iden
tifie
d.
39
Dev
elop
a lo
ng
-ter
m s
trat
egy
that
use
s cu
rren
t an
d ne
w c
han
nels
to in
crea
se th
e in
tern
atio
nal e
xper
ienc
e of
the
publ
ic h
ealth
w
ork
forc
e.
Aus
tral
ian
He
alth
P
rote
ctio
n P
rin
cipa
l C
omm
ittee
Low
N
ot Y
et
Com
men
ced
N
ot y
et id
entif
ied.
N
ot y
et id
entif
ied.
Page
23
of 3
3
10.1
2 P
rep
ared
nes
s
No
. R
eco
mm
end
atio
ns
Lea
d B
ran
ch/S
ecti
on
(D
epar
tmen
t o
f H
ealt
h)
Pro
ject
Pri
ori
ty
Pro
gre
ss
Tra
cker
K
ey S
take
ho
lder
s P
latf
orm
fo
r im
ple
men
tati
on
40
Col
late
an
d re
gul
arly
upd
ate
the
natio
nal p
ublic
hea
lth r
isk
prof
ile to
in
clu
de b
oth
infe
ctio
us h
azar
ds
and
othe
r IH
R-r
ele
vant
haz
ards
bu
ilt o
n th
e ex
istin
g ris
k as
sess
men
t on
com
mun
icab
le d
ise
ases
.
Hea
lth E
mer
genc
y M
ana
gem
ent
Bra
nch/
Em
erg
ency
P
repa
redn
ess
and
Res
pon
se
Sec
tion
Hig
h
Und
erw
ay
HE
CS
, CD
ES
S, G
HP
EH
C,
Bor
der
Hea
lth S
ectio
n (H
ealth
).
Inte
rnal
pro
cess
(H
ealth
).
41
Incl
ude
Ra
pid
Res
pon
se T
eam
s an
d st
ockp
iles
into
res
ourc
e m
app
ing
to
rela
tivel
y an
d ra
pidl
y ad
dres
s th
e ga
ps
ide
ntifi
ed a
t nat
ion
al, s
tate
and
terr
itory
le
vels
bas
ed o
n ris
k as
sess
men
t of a
ll IH
R r
elev
ant h
azar
ds.
Hea
lth E
mer
genc
y M
ana
gem
ent
Bra
nch/
Em
erg
ency
P
repa
redn
ess
and
Res
pon
se
Sec
tion
Med
ium
N
ot Y
et
Com
men
ced
H
EC
S, N
MS
AG
, AH
PP
C,
CD
ES
S.
Inte
rnal
pro
cess
(H
ealth
).
42
Ens
ure
pub
lic h
ealth
em
erge
ncy
resp
onse
pla
ns a
t mul
tiple
leve
ls a
nd
mul
tiple
sec
tors
are
link
ed
appr
opri
atel
y a
nd e
ffici
ent
ly t
o fa
cilit
ate
a co
ord
inat
ed r
espo
nse
acro
ss th
e co
untr
y an
d ac
ross
the
age
ncie
s.
Hea
lth E
mer
genc
y M
ana
gem
ent
Bra
nch/
He
alth
Em
erge
ncy
Cou
nter
mea
sure
s S
ectio
n
Med
ium
U
nder
wa
y P
HLN
, CD
NA
, N
HE
MS
, en
Hea
lth, A
HP
PC
, Hom
e A
ffairs
(E
MA
), D
FA
T,
AR
PA
NS
A, V
SP
N.
We
aim
to e
nsur
e he
alth
se
ctor
pla
ns a
re
com
plem
enta
ry to
an
d co
nsis
tent
with
oth
er
age
ncie
s’ a
nd
Who
le o
f G
over
nmen
t pla
ns.
Page
24
of 3
3
10.1
3 E
mer
gen
cy R
esp
onse
Op
erat
ion
s
No
. R
eco
mm
end
atio
ns
Lea
d B
ran
ch/S
ecti
on
(D
epar
tmen
t o
f H
ealt
h)
Pro
ject
Pri
ori
ty
Pro
gre
ss
Tra
cker
K
ey S
take
ho
lder
s P
latf
orm
fo
r im
ple
men
tati
on
43
Enh
anc
e th
e e
xist
ing
pub
lic h
ealth
exe
rcis
e pr
ogra
m to
add
ress
all
IHR
-re
leva
nt
haza
rds
and
to in
tegr
ate
mu
ltise
ctor
al a
nd
mul
tijur
isdi
ctio
nal e
lem
ent
s.
Hea
lth E
mer
genc
y M
ana
gem
ent
Bra
nch/
He
alth
E
mer
genc
y C
ount
erm
easu
res
Sec
tion
Med
ium
U
nder
wa
y E
PR
S, B
orde
r H
ealth
S
ectio
n, A
RP
AN
SA
, oth
er
Aus
tral
ian
Gov
ernm
ent
age
ncie
s.
Exi
stin
g 2
year
exe
rcis
e pr
ogra
m
44
Dev
elop
pol
icie
s an
d pr
oced
ures
to e
nsur
e th
e tim
ely
rele
ase
of s
urge
sta
ff du
ring
times
of r
espo
nse.
Hea
lth E
mer
genc
y M
ana
gem
ent
Bra
nch/
E
mer
genc
y P
repa
redn
ess
and
Res
pon
se S
ectio
n
Hig
h
Und
erw
ay
OH
P, H
ealth
. C
once
pt o
f Ope
ratio
ns
Doc
umen
t un
der
wa
y.
45
Ass
ess
the
fea
sibi
lity
of u
sing
the
Inci
dent
M
ana
gem
ent
Sys
tem
for
daily
use
acr
oss
the
prep
are
dne
ss c
ycle
.
Hea
lth E
mer
genc
y M
ana
gem
ent
Bra
nch/
E
mer
genc
y P
repa
redn
ess
and
Res
pon
se S
ectio
n
Hig
h
Und
erw
ay
OH
P.
OC
A (
we
b-b
ased
inci
dent
m
ana
gem
ent
sys
tem
)
Page
25
of 3
3
10.1
4 L
ink
Pu
blic
Hea
lth
an
d S
ecu
rity
Au
thor
itie
s
No
. R
eco
mm
end
atio
ns
Lea
d B
ran
ch/S
ecti
on
(D
epar
tmen
t o
f H
ealt
h)
Pro
ject
Pri
ori
ty
Pro
gre
ss
Tra
cker
K
ey S
take
ho
lder
s P
latf
orm
fo
r im
ple
men
tati
on
46
Dev
elop
and
impl
eme
nt a
n a
nne
x u
nder
th
e M
emor
and
um o
f Und
erst
and
ing
(Mo
U)
betw
een
Hea
lth a
nd A
gric
ultu
re to
cle
arly
ar
ticul
ate
role
s an
d re
spo
nsib
ilitie
s of
ag
enc
ies
duri
ng
times
of e
sca
late
d p
ublic
he
alth
act
ivity
at p
oint
s of
ent
ry, i
n co
nsu
ltatio
n w
ith C
hief
Hum
an B
iose
curit
y O
ffice
rs fr
om e
ach
stat
e an
d te
rrito
ry.
Hea
lth E
mer
genc
y M
ana
gem
ent
Bra
nch/
Bor
der
H
ealth
Sec
tion
Hig
h
Und
erw
ay
Agr
icul
ture
, CH
BO
s, O
HP
. C
HB
Os
47
Est
ablis
h cl
ear
mec
hani
sms
for
coor
din
atin
g re
gula
r in
form
atio
n sh
arin
g an
d jo
int r
isk
ass
essm
ents
acr
oss
hea
lth
and
secu
rity
agen
cies
at t
he A
ustr
alia
n G
over
nmen
t, st
ate
and
terr
itory
leve
ls.
Hea
lth E
mer
genc
y M
ana
gem
ent
Bra
nch/
He
alth
E
mer
genc
y C
ount
erm
easu
res
Sec
tion
Low
N
ot Y
et
Com
men
ced
A
IC a
genc
ies,
DF
AT
. M
oU w
ith th
e D
epar
tmen
t of
Hom
e A
ffairs
, MoU
with
AF
P
48
Est
ablis
h a
join
t exe
rcis
e pr
og
ram
and
jo
int t
rain
ing
acro
ss h
ealth
and
sec
urity
ag
enc
ies,
eng
agi
ng
all l
evel
s of
go
vern
men
t (in
clud
ing
stat
e a
nd te
rrito
ry,
and
loca
l gov
ernm
ent)
an
d en
sure
less
ons
are
shar
ed w
ith a
ll p
artie
s a
nd
refle
cted
in
wo
rk p
rogr
ams.
Hea
lth E
mer
genc
y M
ana
gem
ent
Bra
nch/
He
alth
E
mer
genc
y C
ount
erm
easu
res
Sec
tion
Low
N
ot Y
et
Com
men
ced
A
IC a
genc
ies.
A
NZ
CT
C, C
AC
. Lin
ks to
re
com
me
ndat
ion
43
Page
26
of 3
3
10.1
5 M
edic
al C
oun
term
easu
res
and
Per
son
nel
Dep
loym
ent
No
. R
eco
mm
end
atio
ns
Lea
d B
ran
ch/S
ecti
on
(D
epar
tmen
t o
f H
ealt
h)
Pro
ject
Pri
ori
ty
Pro
gre
ss
Tra
cker
K
ey S
take
ho
lder
s P
latf
orm
fo
r im
ple
men
tati
on
49
Fur
ther
dev
elop
, for
mal
ise
and
test
ar
ran
gem
ent
s an
d pr
oce
dure
s to
acc
ept
inte
rnat
ion
al h
ealth
per
sonn
el i
nto
Aus
tral
ia d
urin
g a
disa
ster
in a
man
ner
co
nsis
tent
with
Aus
tral
ia’s
reg
ulat
ory
stan
dard
s.
Hea
lth E
mer
genc
y M
ana
gem
ent
Bra
nch/
E
mer
genc
y P
repa
redn
ess
and
Res
pon
se S
ectio
n
Low
N
ot Y
et
Com
men
ced
E
PR
S, N
CC
TR
C, H
ome
Affa
irs (
EM
A),
sta
te a
nd
terr
itory
hea
lth
dep
artm
ents
(N
HE
MS
),
DF
AT
, Def
ence
, A
RP
AN
SA
, AH
PR
A.
NH
EM
S, A
HP
PC
50
Eng
age
with
re
leva
nt d
epar
tmen
ts a
nd
stak
eho
lder
s o
n gu
ida
nce
to c
onfe
r lia
bili
ty p
rote
ctio
n in
re
latio
n to
the
man
ufac
ture
, tes
ting,
dev
elop
men
t, di
strib
utio
n, a
dm
inis
trat
ion,
and
use
of
med
ical
cou
nte
rmea
sure
s du
ring
a
resp
onse
.
Hea
lth E
mer
genc
y M
ana
gem
ent
Bra
nch/
He
alth
E
mer
genc
y C
oun
term
eas
ures
S
ectio
n
Low
N
ot Y
et
Com
men
ced
A
GS
, S
&T
- N
MS
AG
, A
HP
PC
. N
atio
nal M
edic
al S
tock
pile
P
olic
y
51
Dev
elop
a p
olic
y d
efin
ing
par
amet
ers
on
how
and
wh
en A
ustr
alia
wou
ld c
onsi
der
sh
arin
g m
edic
al c
ount
erm
easu
res
with
ot
her
cou
ntrie
s.
Hea
lth E
mer
genc
y M
ana
gem
ent
Bra
nch/
He
alth
E
mer
genc
y C
oun
term
eas
ures
S
ectio
n
Low
N
ot Y
et
Com
men
ced
D
FA
T, A
HP
PC
, Def
ence
, A
RP
AN
SA
. In
tern
al p
olic
y de
cisi
on.
52
Con
side
r pr
oact
ive
eng
agem
ent
with
the
pub
lic to
con
vey
rele
vant
info
rmat
ion
abo
ut m
edic
al c
ount
erm
easu
res
as a
ke
y co
mpo
nent
of p
repa
redn
ess
.
Hea
lth E
mer
genc
y M
ana
gem
ent
Bra
nch/
He
alth
E
mer
genc
y C
oun
term
eas
ures
S
ectio
n
Low
N
ot Y
et
Com
men
ced
C
DE
SS
, CD
NA
, AH
PP
C,
Def
ence
. N
ot y
et id
entif
ied.
53
Con
side
r d
eve
lopi
ng a
pol
icy
on
eng
agin
g a
ltern
ativ
e so
urce
s fo
r m
edic
al
coun
term
easu
res
from
ove
rse
as
man
ufac
ture
rs, a
long
with
sup
port
to
loca
l dev
elo
pmen
t of m
edic
al
coun
term
easu
res.
Hea
lth E
mer
genc
y M
ana
gem
ent
Bra
nch/
He
alth
E
mer
genc
y C
oun
term
eas
ures
S
ectio
n
Low
U
nder
wa
y In
dust
ry, N
MS
AG
, C
DN
A, A
HP
PC
, Def
ence
. O
ngoi
ng r
egu
lar
activ
ity,
curr
ent i
nves
tigat
ions
aro
und
he
alth
pro
tect
ion
phar
mac
eutic
als
supp
ly
optio
ns.
Page
27
of 3
3
10.1
6 R
isk
Com
mu
nic
atio
n
No
. R
eco
mm
end
atio
ns
Lea
d B
ran
ch/S
ecti
on
(D
epar
tmen
t o
f H
ealt
h)
Pro
ject
Pri
ori
ty
Pro
gre
ss
Tra
cker
K
ey S
take
ho
lder
s P
latf
orm
fo
r im
ple
men
tati
on
54
Impl
eme
nt a
ris
k co
mm
unic
atio
n tr
aini
ng
prog
ram
for
com
mun
icat
ions
sta
ff,
emer
gen
cy r
espo
nse
empl
oye
es, s
enio
r m
ana
gem
ent
dec
isio
ns-m
aker
s an
d ot
her
re
leva
nt s
taff
to e
stab
lish
a co
mm
on
und
erst
andi
ng
and
exp
ertis
e.
Hea
lth E
mer
genc
y M
ana
gem
ent
Bra
nch/
E
mer
genc
y P
repa
redn
ess
and
Res
pon
se S
ectio
n
Hig
h
Not
Yet
C
omm
ence
d
OH
P, M
edia
Uni
t and
C
omm
unic
atio
n an
d C
hang
e B
ranc
h (H
ealth
),
Min
iste
r's O
ffice
, A
RP
AN
SA
.
WH
O O
pen
Lear
ning
an
d B
ranc
h E
xerc
ises
.
55
Dev
elop
gui
danc
e fo
r th
e st
rate
gic
use
of
soci
al m
edia
in e
mer
genc
ies
that
incl
udes
pr
otoc
ols
for
coor
din
atio
n am
ong
juris
dic
tions
, sec
tors
and
sta
keho
lder
s.
Hea
lth E
mer
genc
y M
ana
gem
ent
Bra
nch/
E
mer
genc
y P
repa
redn
ess
and
Res
pon
se S
ectio
n
Hig
h
Not
Yet
C
omm
ence
d
NH
EM
S, S
&T
, enH
ealth
, D
WG
, AR
PA
NS
A,
Com
mun
icat
ion
and
Cha
nge
Bra
nch
(Hea
lth).
AH
PP
C.
56
Est
ablis
h a
me
chan
ism
that
mon
itors
co
mm
unity
eng
agem
ent a
ctiv
ities
acr
oss
juris
dic
tions
an
d sh
ares
less
ons
lear
ned
to in
form
ris
k co
mm
unic
atio
n pl
ann
ing
and
mes
sag
e de
velo
pmen
t in
em
erg
enci
es.
Hea
lth E
mer
genc
y M
ana
gem
ent
Bra
nch/
E
mer
genc
y P
repa
redn
ess
and
Res
pon
se S
ectio
n
Hig
h
Not
Yet
C
omm
ence
d
S&
T, N
HE
MS
, enH
ealth
, C
omm
unic
atio
n an
d C
hang
e B
ranc
h (H
ealth
).
AH
PP
C, F
ocus
Gro
ups.
Page
28
of 3
3
10.1
7 P
oin
ts o
f E
ntr
y
No
. R
eco
mm
end
atio
ns
Lea
d B
ran
ch/S
ecti
on
(D
epar
tmen
t o
f H
ealt
h)
Pro
ject
Pri
ori
ty
Pro
gre
ss
Tra
cker
K
ey S
take
ho
lder
s P
latf
orm
fo
r im
ple
men
tati
on
57
Dev
elop
an
all-
haza
rds
mul
tisec
tora
l ex
erci
se p
rogr
amm
e fo
r de
sign
ate
d an
d no
n-de
sign
ate
d P
oEs,
eng
agin
g st
ates
an
d te
rrito
ries
and
exte
rnal
sta
keho
lder
s.
Hea
lth E
mer
genc
y M
ana
gem
ent
Bra
nch/
B
orde
r H
ealth
Sec
tion
Low
N
ot Y
et
Com
men
ced
P
oEs,
sta
te a
nd t
errit
ory
hea
lth d
epa
rtm
ents
, A
gric
ultu
re, D
epa
rtm
ent
of H
ome
Affa
irs.
CH
BO
s, M
oU w
ith A
gric
ultu
re,
CD
NA
, AH
PP
C, W
hole
-of-
Gov
ernm
ent E
mer
genc
y R
esp
onse
Pla
n fo
r C
omm
unic
abl
e D
isea
se
Inci
dent
s of
Na
tiona
l S
ign
ifica
nce.
58
Est
ablis
h el
ectr
onic
sys
tem
s fo
r st
orin
g a
nd
tran
smitt
ing
info
rmat
ion
betw
een
all
rele
vant
st
akeh
old
ers
rela
ted
to th
e a
sses
smen
t of i
ll tr
avel
lers
at t
he b
ord
er a
nd
the
prov
isio
n of
pa
ssen
ger
info
rmat
ion
for
cont
act t
raci
ng
purp
oses
.
Hea
lth E
mer
genc
y M
ana
gem
ent
Bra
nch/
B
orde
r H
ealth
Sec
tion
Hig
h
Und
erw
ay
Sta
te a
nd te
rrito
ry h
ealth
de
par
tmen
ts, A
gric
ultu
re,
Dep
artm
ent o
f Hom
e A
ffairs
.
CH
BO
s, M
oU w
ith A
gric
ultu
re,
Dig
itisa
tion
of th
e T
rave
ller
with
Illn
ess
Ch
eckl
ist a
nd
the
Dec
eas
ed T
rave
ller
Rep
ort,
Dep
artm
ent o
f Hom
e A
ffairs
' In
com
ing
Pas
seng
er C
ard
(IP
C)
deco
mm
issi
on p
roje
ct,
BIIS
A.
59
Dev
elop
and
impl
eme
nt a
su
stai
nabl
e m
echa
nism
of t
rain
ing
for
bios
ecur
ity
offic
ers
on p
ubl
ic h
ealth
asp
ects
of P
oEs.
Hea
lth E
mer
genc
y M
ana
gem
ent
Bra
nch/
B
orde
r H
ealth
Sec
tion
Med
ium
N
ot Y
et
Com
men
ced
S
tate
and
terr
itory
hea
lth
dep
artm
ents
, A
gric
ultu
re.
MoU
with
Agr
icul
ture
, A
gric
ultu
re w
ork
inst
ruct
ions
, H
ealth
bio
secu
rity
polic
ies.
60
In fu
ture
rev
iew
s of
nat
ion
al P
oE s
tand
ards
, co
nsid
er r
evis
ing
req
uire
men
ts fo
r ill
tr
avel
ler
asse
ssm
ent f
acili
ties,
to in
clud
e si
ze o
f fac
ility
and
furt
her
iden
tifie
d ar
eas
for
appr
opri
ate
ma
nag
emen
t of p
ublic
hea
lth
risks
.
Hea
lth E
mer
genc
y M
ana
gem
ent
Bra
nch/
B
orde
r H
ealth
Sec
tion
Low
N
ot Y
et
Com
men
ced
P
oE, A
gric
ultu
re,
Dep
artm
ent o
f In
fras
truc
ture
, Reg
iona
l D
evel
opm
ent a
nd C
ities
.
Airp
ort O
pera
tors
Gui
de,
NP
FC
, NS
PF
C.
Page
29
of 3
3
10.1
8 C
hem
ical
Eve
nts
No
. R
eco
mm
end
atio
ns
Lea
d B
ran
ch/S
ecti
on
(Dep
artm
ent
of
Hea
lth
) P
roje
ct P
rio
rity
P
rog
ress
T
rack
er
K
ey S
take
ho
lder
s P
latf
orm
fo
r im
ple
men
tati
on
61
Dev
elop
a r
epo
rtin
g sc
hem
a fo
r P
oiso
n In
form
atio
n C
entr
es /
Poi
son
Tre
atm
ent
Cen
tres
to p
rovi
de e
arly
war
nin
g of
ch
emic
al e
xpo
sure
s.
Reg
ulat
ory
Po
licy
Bra
nch/
C
hem
ical
s P
olic
y S
ectio
n
Low
N
ot Y
et
Com
men
ced
S
&T
(P
oiso
ns In
form
atio
n C
entr
es),
Offi
ce o
f C
hem
ical
Saf
ety,
FS
AN
Z,
TG
A,
Agr
icul
ture
/AP
VM
A,
enH
ealth
.
Not
yet
iden
tifie
d.
62
Inte
grat
e al
l ch
emic
al m
oni
tori
ng a
nd
surv
eilla
nce
repo
rtin
g fr
om th
e di
ffere
nt
sect
ors
into
a n
atio
nal
com
mo
n op
erat
ing
pict
ure
of c
hem
ical
exp
osur
es.
Reg
ulat
ory
Po
licy
Bra
nch/
C
hem
ical
s P
olic
y S
ectio
n
Low
N
ot Y
et
Com
men
ced
O
ffice
of C
hem
ical
S
afet
y, R
PB
, DoE
E,
Com
mon
wea
lth r
isk
man
age
rs, s
tate
and
te
rrito
ry r
isk
man
ager
s,
enH
ealth
.
Not
yet
iden
tifie
d.
63
Enh
anc
e m
ech
anis
ms
for
resp
onsi
ble
age
ncie
s to
co
nsis
tent
ly a
pply
ch
emic
al
man
age
me
nt s
tand
ards
an
d g
uid
elin
es.
Reg
ulat
ory
Po
licy
Bra
nch/
C
hem
ical
s P
olic
y S
ectio
n
Low
U
nder
way
O
ffice
of C
hem
ical
S
afet
y, R
PB
, DoE
E,
Com
mon
wea
lth r
isk
man
age
rs, s
tate
and
te
rrito
ry r
isk
man
ager
s,
enH
ealth
.
1) T
he r
efor
ms
to N
ICN
AS
will
cl
arify
the
rela
tions
hip
bet
wee
n A
ICIS
and
ris
k m
ana
gers
and
a
natio
nal r
isk
man
age
me
nt
com
mitt
ee w
ill b
e es
tab
lishe
d to
faci
litat
e th
e in
tera
ctio
n be
twe
en A
ICIS
and
ris
k m
ana
gers
acr
oss
the
broa
d fr
ame
wor
k of
wor
ker
heal
th
and
safe
ty, p
ubl
ic h
ealth
, en
viro
nmen
t, tr
ansp
ort a
nd
cons
umer
saf
ety.
2)
DoE
E is
pro
gres
sing
wor
k on
the
Nat
ion
al S
tand
ard
for
the
Env
ironm
ent
al R
isk
Man
age
me
nt o
f Ind
ustr
ial
Che
mic
als
and
will
intr
odu
ce
legi
slat
ion
to im
plem
ent
a
fram
ew
ork
wh
ich
addr
esse
s th
e re
com
me
nda
tion.
Page
30
of 3
3
10.1
9R
adia
tion
Em
erge
nci
es
No
. R
eco
mm
end
atio
ns
Lea
d
Pro
ject
P
rio
rity
P
rog
ress
T
rack
er
K
ey S
take
ho
lder
s P
latf
orm
fo
r im
ple
men
tati
on
64
Enh
anc
e th
e in
tero
pera
bilit
y of
fe
dera
l an
d st
ate/
terr
itory
ra
diat
ion
ope
ratio
ns
thro
ugh
bro
ad
mul
tisec
tora
l/mul
tijur
isd
ictio
nal e
xerc
ises
.
Aus
tral
ian
Ra
diat
ion
Pro
tect
ion
and
Nuc
lear
S
afet
y A
genc
y
Hig
h
Und
erw
ay
NH
EM
S, A
HP
PC
, V
SP
N, S
&T
res
pond
ers,
A
ustr
alia
n N
ucle
ar
Sci
ence
an
d T
echn
olog
y O
rgan
isat
ion,
Rad
iatio
n H
ealth
Com
mitt
ee,
enH
ealth
.
Rad
iatio
n sc
enar
ios
hav
e b
een
incl
ude
d in
HE
MB
exe
rcis
e pr
ogra
m.
AR
PA
NS
A c
ondu
cts
its o
wn
inte
rna
l exe
rcis
es to
ens
ure
ade
qua
te
prep
ared
ness
for
a r
adio
logi
cal o
r nu
clea
r e
mer
genc
y an
d al
so fa
cilit
ates
N
ucle
ar P
ow
ere
d W
arsh
ip r
elat
ed e
xerc
ises
thr
oug
h its
invo
lvem
ent
in th
e in
terd
epar
tme
nta
l com
mitt
ee, V
SP
N.
The
CB
RN
SS
C c
ond
ucts
exe
rcis
es
for
resp
onde
rs t
hat b
ring
toge
ther
em
erge
ncy
serv
ices
an
d d
efen
ce fo
r se
curit
y re
late
d s
cena
rios
but
no
equi
vale
nt p
rogr
am e
xist
s fo
r sa
fety
sc
enar
ios.
AR
PA
NS
A is
not
res
ourc
ed to
co
ordi
nate
or
con
duct
bro
ade
r m
ulti-
juri
sdic
tiona
l exe
rcis
es -
fur
ther
res
ourc
ing
wo
uld
be r
equ
ired
to
und
erta
ke th
is a
ctiv
ity. A
ddi
tiona
lly n
o co
ordi
nate
d pr
ogra
m e
xist
s to
in
volv
e al
l rel
eva
nt r
oles
from
firs
t res
pond
er th
roug
h to
se
nio
r po
licy
and
deci
sion
mak
ers
in e
xerc
ises
. It i
s lik
ely
that
this
issu
e m
ay a
lso
be
rais
ed
as a
n ou
tcom
e in
the
upco
min
g In
tegr
ate
d R
egu
lato
ry R
evie
w S
ervi
ce
(IR
RS
) m
issi
on in
Nov
embe
r 2
018.
65
D
evel
op fe
dera
l gu
idan
ce fo
r ju
risdi
ctio
nal f
irst
resp
ond
er
occu
pat
iona
l ex
posu
res.
Aus
tral
ian
Ra
diat
ion
Pro
tect
ion
and
Nuc
lear
S
afet
y A
genc
y
Med
ium
U
nder
wa
y N
HE
MS
, AH
PP
C,
VS
PN
, S&
T r
espo
nder
s,
Aus
tral
ian
Nuc
lear
S
cien
ce a
nd
Tec
hnol
ogy
Org
anis
atio
n, R
adia
tion
Hea
lth C
omm
ittee
, en
Hea
lth.
The
Dra
ft A
RP
AN
SA
Rad
iatio
n P
rote
ctio
n S
erie
s R
PS
G-3
- E
mer
gen
cy
Exp
osur
e G
uid
e pr
ovid
es a
co
nsis
tent
set
of d
ose
crite
ria fo
r em
erge
ncy
wo
rker
s w
hic
h sa
tisfie
s th
is r
eco
mm
enda
tion
. Thi
s is
cur
ren
tly u
nder
pu
blic
con
sulta
tion
and
is e
xpec
ted
to b
e fin
alis
ed b
y th
e en
d of
201
8. T
he
ado
ptio
n of
the
reco
mm
ende
d v
alue
s w
ill n
eed
furt
her
enga
gem
ent
with
th
e re
leva
nt s
take
hol
der
s an
d is
pla
nned
to c
omm
ence
in 2
018-
19.
With
reg
ard
to in
form
ing
and
prot
ectin
g m
edic
al w
orke
rs, t
he A
ustr
alia
n C
linic
al G
uid
elin
es fo
r R
adio
logi
cal E
mer
gen
cies
(20
12)
shou
ld b
e re
vie
we
d a
nd u
pdat
ed
for
con
sist
ency
with
G-3
and
bes
t pra
ctic
e.
66
Con
duct
a n
atio
nal
haza
rd a
sses
smen
t, to
incl
ude
cre
atin
g an
inve
ntor
y of
ra
diat
ion
sour
ces,
an
d es
tabl
ish
a
natio
nal r
adi
atio
n ca
pabi
lity
regi
ster
.
Aus
tral
ian
Ra
diat
ion
Pro
tect
ion
and
Nuc
lear
S
afet
y A
genc
y
Hig
h
Und
erw
ay
NH
EM
S, A
HP
PC
, V
SP
N, C
BR
NS
SC
, A
ustr
alia
n N
ucle
ar
Sci
ence
an
d T
echn
olog
y O
rgan
isat
ion,
enH
eal
th,
Rad
iatio
n H
eal
th
Com
mitt
ee.
Nat
iona
l Haz
ard
Ass
essm
ent i
s in
clud
ed in
RP
S G
-3: G
uide
for
Rad
iatio
n P
rote
ctio
n in
Em
erge
ncy
Exp
osur
e S
ituat
ion
s–T
he F
ram
ew
ork
(to
be
pub
lish
ed b
y e
nd 2
018
).
A n
atio
nal
se
aled
sou
rce
regi
ster
was
pre
vio
usly
est
ablis
he
d bu
t has
bee
n
disc
ontin
ued.
If th
is is
to b
e re
-est
ablis
hed
then
furt
her
reso
urci
ng
wou
ld
be r
equi
red.
A
RP
AN
SA
an
d H
ealth
are
inve
stig
atin
g w
het
her
ther
e ar
e b
road
er
gove
rnm
ent (
all-h
azar
d) r
egis
ters
in o
per
atio
n or
und
er c
onst
ruct
ion
wh
ich
m
ay b
e ex
pan
ded
to in
clud
e ra
diat
ion
sour
ces,
but
if th
is is
not
pos
sib
le a
se
para
te r
egis
ter
for
radi
atio
n so
urce
s w
oul
d ne
ed
to b
e es
tabl
ishe
d.
An
all-
haza
rds
natio
nal c
apa
bilit
y re
gist
er m
ay
alre
ad
y be
an
initi
ativ
e un
derw
ay
by H
ome
Affa
irs -
EM
A o
r th
e C
BR
NS
SC
. If s
o, A
RP
AN
SA
co
uld
cont
ribut
e to
war
ds th
e ra
diat
ion-
spec
ific
elem
ent
s. T
his
alig
ns w
ith
our
role
as
Nat
iona
l Cap
abili
ty A
dvis
or fo
r R
AN
ET
, ho
we
ver
an
appr
opria
te s
yste
m to
col
late
thi
s in
form
atio
n is
yet
to b
e id
ent
ified
or
esta
blis
hed.
Page 31 of 33
10.20 Acronym List
acronym meaning
ACSQHC Australian Commission on Safety and Quality in Health Care
AFP Australian Federal Police
AGAR Australian Group on Antimicrobial Resistance
AGD Attorney-General's Department
Agriculture Department of Agriculture and Water Resources
AGS Australian Government Solicitor
AHC Animal Health Committee
AHPPC Australian Health Protection Principal Committee
AHPRA Australian Health Practitioner Regulation Agency
AIC Australian Intelligence Communities
AICIS Australian Industrial Chemicals Introduction Scheme
AMR Antimicrobial resistance
ASID Australasian Society for Infectious Diseases
ASTAG The Australian Strategic and Technical Advisory Group on AMR
ANZCTC Australia-New Zealand Counter-Terrorism Committee
APVMA Australian Pesticides and Veterinary Medicine Authority
ARPANSA Australian Radiation Protection and Nuclear Safety Agency
BIISA Biosecurity Integrated Information and Analytics System
CAC Crisis Arrangements Committee
CBRN Chemical, Biological, Radiological, Nuclear (hazards)
CBRNSSC Chemical, Biological, Radiation and Nuclear Security Safety Committee
CDAMR Communicable Disease and Antimicrobial Resistance Policy Section, Department of Health.
CDESS Communicable Disease Epidemiology and Surveillance Section, Department of Health
CDNA Communicable Diseases Network Australia
CHBOs Chief Human Biosecurity Officers
DFAT Department of Foreign Affairs and Trade
DoEE Department of Environment and Energy
DWG Deployment Working Group
EMA Emergency Management Australia Division, Department of Home Affairs
enHealth Environmental Health Standing Committee
EPRS Emergency Preparedness and Response Section, Department of Health
FRSC Food Regulation Standing Committee
FSANZ Food Standards Australia New Zealand
GHPEHC Global Health Protection and Environmental Health Coordination Section, Department of Health
Health Department of Health
Page 32 of 33
acronym meaning
HECS Health Emergency Countermeasures Section, Department of Health
HEMB Health Emergency Management Branch, Department of Health
HPPB Health Protection Policy Branch, Department of Health
HPV Human papillomavirus
HWD Health Workforce Division, Department of Health
ISFRA Implementation Subcommittee for Food Regulation
LEADDR Laboratories for Emergency Animal Disease Diagnosis and Response network
LSB Legal Services Branch, Department of Health
MoU Memorandum of Understanding
NAMAC National Arbovirus and Malaria Committee
NAPHS National Action Plan for Health Security
NATA National Association of Testing Authorities
NCCTRC National Critical Care and Trauma Response Centre
NCEPH National Centre for Epidemiology and Population Health, Australian National University
NFP National Focal Point
NHEMS National Health Emergency Management Standing Committee
NICNAS National Industrial Chemicals Notification and Assessment Scheme
NMSAG National Medical Stockpile Advisory Group
NPFC National Passenger Facilitation Committee
NSC National Security Committee (of cabinet)
NSPFC National Sea Passenger Facilitation Committee
OECD EPRs Organisation for Economic Co-operation and Development Environmental Performance Reviews
OGTR Office of the Gene Technology Regulator
OHP Office of Health Protection, Department of Health
OIE World Organisation for Animal Health
PHLN Public Health Laboratory Network
PoE Points of Entry
RACGP The Royal Australian College of Practitioners
RANET Response and Assistance Network (maintained by the International Atomic Energy Agency)
RCPA Royal College of Pathologists of Australasia
RPB Regulatory Policy Branch, Department of Health
S&T state and territory government departments
SSBA Security Sensitive Biological Agents
TGA Therapeutic Goods Association
VSPN Visiting Ships Panel (Nuclear)
WHO World Health Organization
www.health.gov.au All information in this publication is correct as at December 2018
12343 Decem
ber 2018
