1. Project title
Development of clinical management and infection prevention and control (IPC) of Emerging
Infectious Disease among World Health Organization Western Pacific Regional Office (WPRO)
2. Country namePhilippines
3. Background
Within the WHO Western Pacific Regional Office (WPRO), there are many countries with insufficient
clinical management and infection and prevention control (IPC) capacity for emerging and reremerging infectious diseases, and there is a need to improve these capacity and respond tooutbreaks.
In 2003, a Severe Acute Respiratory Syndrome (SARS) outbreak with 8096 infected patient
including 774 deaths cases, mainly in China, was reported. Since September 2012, patients withMiddle East Respiratory Syndrome (MERS) have been reported around the world, mainly those whohave lived or traveled in the Middle East. In 2015, Korea had one MERS patient who infected inMiddle East, and then, the infection spread with a total of 186 confirmed cases, mainly at medicalinstitutions, and was reported. As of September 30, 2019, a total of 2468 confirmed cases of MERS
have been reported to WHO. Also, Antimicrobial resistance (AMR) is also a problem all over theworld, and if no measures are taken, it is estimated that approximately 10 million people worldwide
will die from AMR in 2050.
Insufficient clinical management and IPC been pointed out as one of the causes of theseoutbreaks. In Japan, we have good knowledge and expericen about clinical management and IPC. To
improve clinical management and IPC capacity for emerging and re-emerging infectious diseases in
the region can may solve human resource development, and early resolution of outbreaks.
4. Objective・To conduct the outbreak investigation and to develop the human resources, in WPRO, National, Health facility,using good skill of cinical management and IPC, Antibacterial stewardship.
・To improve the health system in WPRO, Natioanal by reporting inculding recommendation to WHO and theNational level.
5. Program outline
・May: Submit to annual report to WPRO・June: Participate the meeitng the APSED (Asia Pacific Strategy for Emerging Diseases )・June: IPC work shop in Bach Mai Hospital, Vietnam
・August: Follow up of outbreak invetigation of AMR in Gorroka Hospital, Papuwa New Guinea
・October: Participate the JEE (Joint External Evaluation) as a international evaluator
・Decemeber: Follow up of outbreak invetigation of measles and AMR in Republic of Samoa･Other: Develop and distribution of web site and pamphlet.
Conducte the outbreak investigation and work shop requested by WPRO.
6. Implementation structure
6-1. Japanese side
Program manager: Norio Ohmagari
・NCGM Disease Control and Prevention Center (Department of Infectious Disease, AMRCRC)；5
to 6 staff members
6-2. Counterpart country side

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・WHO Health Emergencies Programme, World Health Organization Western Pacific Regional
Office (WPRO)・Ministory of Health requested by WPRO・Health facility requested by WPRO

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7. Indicator① Participate in the APSED international government conference and maderecommendations.
② Participate in JEE (Joint External Evaluation) and made recommendations.

7-1. Output③ Conduct training of IPC to the Infectious disease specialists, infection control
nurses, etc. at the Bac My Hospital (Hanoi, Vietnam).
④ Conduct traiing of IPC and clinical management through the educating materials
and websites.
⑤ Conduct outbreak response based on WHO's request (e.g., AMR outbreak atGorocca Hospital in Papua New Guinea, mealses and AMR outbreak at Republic of① Submit a report including recommendations for improvement to the WHO level.
② Submit a report including recommendations for improvement to the government(Ministry of Health).

7-2. Outcome③ Submit a report including recommendations for improvement to the health carefacility level.
④ Access to the website is 100, and 10 copies of pamphlets distributed.
⑤Submit a report including recommendations for improvement of outbreak to thegovernment (Ministry of Health).
A. Expect to improve the capacity building of clinical management, IPC, andantimicrobial stewardship at the WHO level, National (Ministry of Health) level, andhealth care facility level.

7-3. Impact

B. Expect to develop guidelines for insufficient clinical management, IPC andantimicrobial stewardship.
C. These may lead to the solution and prevention of outbreaks.

8. Main activities
8-1. Outbreak investigation
1)

Conduct the outbreak investigation due to AMR in Gorroka Hospital, Papuwa New Guinea(August)8-2. Workshop and meeting1)
2)

Participate the meeitng the APSED (June)
Conduct the IPC work shop in Bach Mai Hospital, Vietnam (June)

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