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World Health Organization

Centers for Disease Control and prevention

Ministry of Public Health

Department of Medical Science

The National Institute of Health


Executive Summary
“Thailand’s Influenza Surveillance Network to Support
Influenza Control Policy and Improve Pandemic Preparedness”
National Institute of Health (NIH), Department of Medical Sciences (DMSc)

Since 2005, National Institute of Health (Thai-NIH) was granted by Centers for Disease Control and Prevention (US-CDC) to operate a project entitled “Development of Influenza Surveillance Networks” for 5 years on Phase 1 (2005 – 2009). There were 10 networking hospitals located in 8 provinces that participated in the project where influenza-like specimens were collected (5 samples/week) according to WHO protocol. During project closure in 2009, US-CDC further supported the second phase program named “Strengthening Thailand’s Influenza Surveillance Network to Support Influenza Control Policy and Improve Pandemic Preparedness” (2010 – 2014). The project focuses on integrating information between virological surveillance and epidemiological data. The ultimate goal is to deliver strategic information to the national authorities for policy making, disease control and capacity strengthening to improve pandemic preparedness. Currently, the influenza surveillance network has been undertaken in the last 5th year with 12 networking surveillance hospitals; Chiang San Hospital, Mae Chan Hospital, Mae Sot Hospital, Nongkhai Hospital, Prapokklao Hoapital, Hat Yai Hospital, Prachuap Khirikhan Hospital, Vachira Phuket Hospital, Bamrasnaradura Institute, Bangkok Public Health Center 17 and the 2 newly recruit hospitals under H7N9 emergency funding; Kingnarai Hospital and Aranyaprathet Hospital . Frequency of specimen collecting was adjusted from 5 samples/week to 5 children-specimens/week and 5 adult-specimens/week to cover a wider range of patients. Severe Acute Respiratory Infection (SARI) study has been conducted in Inpatient Department (IPD) with 5 specimens/week in 7 hospitals; Mae Sot Hospital, Prapokklao Hoapital, Bamrasnaradura Institute, Prachuap Khirikhan Hospital, Vachira Phuket Hospital, Kingnarai Hospital and Aranyaprathet Hospital. Project Deliverables

  1. Strategic information, provided to the national authorities and publicized via DMSc website, on emergence of seasonal influenza virus, detection of new subtype influenza, and geographical spread of influenza virus including non-subtypable virus isolates and vaccine strains, all of which contribute to the development of national seasonal and pandemic influenza vaccination policy on the timing vaccination and choices of vaccines
  2. Data integration between epidemiological data and virological surveillance data considered as a baseline to forecast potential areas of influenza outbreaks and to develop early warning system.
  3. Early influenza detection and notification system of health-threat influenza virus, for example, H3N2v,MERS-CoV and recent avian influenza H7N9
  4. Regular report on influenza virus surveillance and antiviral susceptibility of emerging influenza strains beneficial to influenza treatment effectiveness
  5. Collaboration with World Health Organization and other international sectors such as US-CDC to exchange information and technology for laboratory capacity strengthening of DMSc and networking partners
  6. Strong partnership of influenza laboratory network including DMSc, Department of Disease Control (DDC) and hospitals, playing as a role model to other emerging and re-emerging disease networks
Contact Us

Address:
National Institute of Health
Department of Medical Sciences
Ministry of Public Health
Tivanon Road, Muang District
Nonthaburi 11000, Thailand
Phone:
(662)9510000-11
Fax:
(662)9511498, (662)5899869

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