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BWC Tabletop Exercise
Exercise Aims and Objectives
• Objective 1: Exercise the conduct of rapid cross-sectoral assessments and propose potential courses of action for decision makers
• Objective 2: Exercise the planning of the response activities for a deliberate bio-incident scenario at the national level
• Objective 3: Exercise the preparation of a request/offer for the delivery of assistance
• Objective 4: Exercise messaging to the public, including rumour control
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Instructions Exercise Roles:
• Teams A-C: Represent a National Advisory Committee to the government of HIGHLAND and prepare options for decision-making
• Team D: Represent your respective organization and provide advice to senior management
Exercise Rules:
• Don’t challenge the scenario
• Limited information available – don’t invent or speculate
• Be concise and provide clear advice (5-7 min)
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Lead in Scenario I
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Grassland
Lakeland
Highland
• Low income country• Many guest workers
abroad• Ethnic and religious
conflicts in the W-part of the country
• Political instability• Limited engagement
- BWC
• Upper middle income country
• Dire economic situation by the local population in the East
• Nationalistic ‘Highlanders’ first’ political party
• Limited engagement - BWC
• Well-developed country• Active neutrality
• Strong national health system and a growing biotech sector
• Active BWC State Party
Inject 1
Situation
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• Several patients received in 1 local hospital and 2 healthcare centres/East of Highland • Cough, chest pain, sputum production, difficulties in breathing and
coughing up blood; sudden onset of chills, fever, headache, generalised body pains, weakness, and chest discomfort;
• Doubts about nature of the disease among the health workers• Bacterial or viral pneumonia?• Suspicion about inhalational anthrax or pneumonic plague?• Lack of advanced diagnostic equipment/lack of first hand
experience with those diseases
• 72 hours later: • 94 patients• Local resources quickly overcome • Alert to the Ministry of Health (pneumonic plague?)• Samples sent to reference WHO laboratory in Lakeland• Mortality rate rising, +20 patients died • No response to antibiotic treatment• Medication administered preventively does not appear to protect
people in contact with patients – doubt about bacterial nature of the infection
Teams A-C: Inter-ministerial assessment to your government (briefing for 5-7 minutes)
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• Assessment of the situation:• What is your overall assessment of the situation?
• Responding to the outbreak: • Which concrete set of cross sectoral measures should be
taken at this stage at the national level? • Which are the ministries/agencies that should be involved in
this phase and what would be their roles?
• National Coordination: • Which agency should have the lead role for this response
operation?• What would be the coordination mechanism at the national
level to deal with this scenario?
Team A (National advisory committee)
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Координатор
Петкевич Александр,
Беларусь
Марс кызы Жазира,
Кыргызстан
Бейссенова Сархат,
Казахстан
Исмаилов Дастан,
КыргызстанСансызбаев Ерлан, Казахстан Актамов Нурбек, Кыргызстан
Ахадов Алишер, Узбекистан Кавракова Зубайда,
ТаджикистанХалилов Мансур, Узбекистан Волкова Татьяна,
ТаджикистанУсенбаев Нурболот,
Кыргызстан
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Team B (National advisory committee)
Координатор
Мартынюк Антон, BWC ISU
Мамадюсуфова Мену,
Таджикистан
Шадманова Наргиза,
Узбекистан
Бакиров Амангельды,
КыргызстанЛи Марина, Узбекистан Омуралиев Кенжетай,
КыргызстанЖукенова Айжан, Казахстан Уран Ахметов, Кыргызстан
Мамадалиев Сейдигапбар,
Казахстан
Воронцов Константин, РФ
Ахмедов Матин,
Таджикистан
Куклев Василий, РФ
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Team C (National advisory committee)
Координатор
Ашыралиева Дамира,
Кыргызстан
Азимбаева Дария, Казахстан
Суфиев Алимахмад,
Таджикистан
Малаев Назарбек,
КыргызстанТишкова Фарида,
Таджикистан
Жолдошов Абдилазиз,
КыргызстанНуралиев Рахмиддин,
Узбекистан
Жороев Абдыкадыр,
КыргызстанГадоев Каромиддин,
Узбекистан
Бекташев Таалай,
Кыргызстан
Джураев Олимжон,
Узбекистан
Team D: Assessment to your senior management (briefing for 5-7 minutes)
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• Information gathering and monitoring:• Which information sources do you have at the disposal
of your organization to gather further information about the event?
• Would you actively engage with the affected state and if so how?
• Information sharing:• What would be your proposals regarding the
information policy of your organization at this stage?
• Developing policy options:• Which actions would you suggest to be taken by your
organization in this phase of the outbreak?
Team D (IOs/reg. IOs)
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Coordinator
Rouzbahani Mehran, ISU BWC
Угорич Игорь, ОБСЕ
Bakanidze Lela, EU CBRN Christine Uhlenhaut, OIE
Atatrah Tasnim, WHO Исраилов Тынчтыкбек, ОБСЕ
Gmach Sabri, WHO Reizman Eran, FAO
Inject 2
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• Confirmation of pneumonic plague by WHO Lab – origin unknown• Plague not endemic to region and hospital and health care
centres are at considerable distance from each other• Occurrence of secondary infections among contact cases • Some health workers are contaminated due to insufficient
training and lack of adequate protective equipment• Limited stockpiles and counterfeited drugs hamper response• Limited impact of antibiotic therapies
• Worries that outbreak might spread out to the capital – need for a rapid decision on drastic emergency measures to contain the outbreak
• Increasingly likely that outbreak was caused by a deliberate release of airborne plague in several locations
• Speculation in the press and on social media that Grassland extremists have instigated this incident
• Your government is under high pressure to take urgent action
Teams A-C: Inter-ministerial assessment to your government (briefing for 5-7 minutes)
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• Assessment of the situation:• What is your overall assessment of the situation?
• Dealing with the crisis: • Which concrete set of emergency measures do you propose
for containing the outbreak?
• Investigating the outbreak• What concrete investigation measures do you suggest for
clarifying whether this outbreak has in fact been a deliberate event and which agencies would become involved?
• How would this change the response operation?
• Information sharing with the public:• Which concrete set of measures do you suggest for dealing
with the public?
• International collaboration:• What steps would you take in regard to neighbouring
countries, regional organisations, WHO, and the BWC?
Team D: Assessment to your senior management (briefing for 5-7 minutes)
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• Developing policy options:• In line with your mandate, which actions would you
suggest to be taken by your organization in this phase of the outbreak?
• Information gathering:• How would your organization gather further information
to obtain an independent picture of the situation?
• Engagement with Member States:• What would be the engagement with Member States at
this stage?
• Assisting in a criminal investigation:• Which mandate, role and resources does your
organization have in an investigation?
Inject 3
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• While major efforts are being undertaken to gain control over the outbreak, national assets are insufficient to address the emergency. At this stage more than 2,500 people are infected with a 40% case-fatality rate
• Grassland extremists claim responsibility for the plague outbreak and specifically indicate that they have obtained an antibiotic resistant strain of the bacteria. Initial results from the national investigation confirm the claims made by the terrorists
• Other countries are expressing serious concern about the potential disease spread beyond the national border
Teams A-C: Inter-ministerial assessment to your government (briefing for 5-7 minutes)
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• Requesting assistance: • Which partners (states, regional/international
organisations, etc.) are your first choices for requesting assistance?
• What type of assistance would you request and why?
• Which administrative and logistical issues need to be clarified in the planning and receipt of such assistance?
• Engagement with the BWC• Would you consider using the BWC as a possible
framework for action? If so, please clarify which specific steps would you consider taking and why?
Team D: Assessment to your senior management (briefing for 5-7 minutes)
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• Providing assistance:• Which mandate and role does your organization have in
an international assistance operation?
• What are the mechanisms and steps to request assistance from your organization?
• What are the resources and types of assistance that your organization could offer?
• How would the delivery of assistance be coordinated from your side?
• What are the main constraints of your organization to deliver assistance?