Collaborating Centres
ANNUAL REPORT
Folder eCC_00015745 is in stage Annual_Report_Review
Name of the University, Hospital, Research Institute, Academy or Ministry
National Center for Global Health and Medicine
Name of the Division, Department, Unit, Section or Area
Disease Control and Prevention Center, National Center for Global Health and Medicine Hospital
Reference Number

JPN-94

City

Shinjuku-ku

Title

WHO Collaborating Centre for Prevention, Preparedness and Response to Emerging
Infectious Diseases

Report Year04-2020 to 04-2021

1. Annual report on the agreed workplan
Describe progress made on the agreed workplan. For each activity, detail (1) the actions taken, (2) theoutputs delivered, as well as (3) any difficulties that may have been encountered. Three responses areexpected. [maximum 200 words per activity]. Indicate, if an activity has been completed previously,
has not yet started or has been placed on hold.
Activity 1
Title: To provide policy and technical advice to WHO and Member States in implementation of APSED
Description: The proposed institution will provide technical advice on the planning and implementation of IPC
and clinical management components (Focus Area 5: Prevention through Healthcare) of the Asia PacificStrategy for Emerging Diseases and Public Health Emergencies (APSED III) via APSED Technical Advisory
Group (TAG) meeting, regional consultations/meetings and country visits.
Status: ongoing
Dr. Norio OHMAGARI attended the Meeting of the Technical Advisory Group on the Asia Pacific Strategy for
Emerging Diseases and Public Health Emergencies (APSED lll): Advancing Implementation of theInternational Health Regulations (IHR) (2005) at the request of the World Health Organization (WHO) (August7, 2020, online). At the meeting, he provided technical advice on the planning and implementation of theinfection prevention and control (IPC) and clinical management components.
Activity 2Title: To provide in-country training and technical advice on infection prevention and control (IPC) and clinicalmanagement of emerging infectious diseases (EIDs)
Description: The proposed institution will provide training and technical advice on IPC or clinical managementof emerging infectious disease such as EVD, MERS, Dengue fever and Zika virus disease and antimicrobial
resistant infections, in collaboration with WHO, National Institute of Infectious Diseases in Japan (NIID) andspecialist from Asia Pacific Region, via in-country visits and on-line meetings. Through this activity, NCGM willcontribute to strengthen IPC or clinical management of emerging infectious disease as a major component of
national preparedness in the region.
Status: ongoing
Dr. Norio OHMAGARI provided an online lecture on the IPC and clinical management of COVID-19 to BachMai Hospital (Hanoi, Vietnam) (June 29, 2020).
Dr. Masahiro ISHIKANE provided an online lecture on the IPC and clinical management of COVID-19 to theMongol Infectious Disease Center (Ulan Bator, Mongol) (August 17-18, 2020).

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Collaborating Centres
ANNUAL REPORT
Activity 3Title: To participate in monitoring and assessments of in-country capacity in relation to IHR core capacities
through APSED
Description: The proposed institution will participate in the monitoring and evaluation activities of IHR
implementation, including the areas of IPC and clinical management component, upon request from the WHO.
Status: ongoing
Dr. Norio OHMAGARI attended the WHO Collaborating Center (WHO CC) Web forum and provided an
overview of the WHO CCs’ response to COVID-19 in Japan, with Dr. Norihiro KOKUDO (August 25, 2020). Atthe forum, we provided technical advice on the IPC and clinical management of COVID-19. We also publisheda scientific article from the Japanese WHO CCs on the fight against COVID-19(https://www.globalhealthmedicine.com/site/article.html?doi=10.35772/ghm.2020.01093).
Activity 4
Title: To share information and knowledge on best practices of IPC and clinical management of EIDs
Description: NCGM plans to collect and share best practices of IPC and clinical management of emerging
infectious diseases including antimicrobial resistant infections with health care professionals via workshopsand seminars at NCGM.
NCGM will share information of best practices of IPC and clinical management through e-learning and other
online channels.
Status: ongoing
The Disease Control and Prevention Center (DCC) developed teaching materials for IPC and antimicrobial
stewardship (ASP). These resources focused on hand hygiene, oral care, ASP, ASP teams, and theprevention of surgical site infections in orthopedics. These materials, which are shared through the DCC
website (http://dcc.ncgm.go.jp/en/Activities/040/index.html), are considered especially useful for resourcelimited countries.
Activity 5Title: To provide technical support in the investigation of EID outbreaks
Description: The proposed institute will provide technical supports in the investigation of emerging infectious
diseases including AMR, upon request from WHO.
Status: ongoing
The National Center for Global Health and Medicine (NCGM) provided remote technical support to theJapanese IPC and clinical management experts in charge of the COVID-19 outbreak investigation in Papua
New Guinea in 2020.
Activity 6Title: As part of outbreak response, to provide technical assistance in improving IPC and clinical managementof EIDs
Description: The proposed institute will provide on-site or remote technical assistance or training in improving
IPC and clinical management of emerging infectious diseases including AMR, upon request from WHO.
Status: ongoing
Based on the WHO Western Pacific Regional Office (WPRO)’s request, the NCGM delivered many Webinar
lectures on COVID-19 experiences and the latest evidence, including IPC and clinical management.
Dr. Norio OHMAGARI: WHO COVID-19 Clinical Network Knowledge Exchange (May 8, 2020)
Dr. Masahiro ISHIKANE: WPRO COVID-19 Science and Research Seminars, ex-pulmonary COVID-19(August 27, 2020)
Dr. Noriko KINOSHITA: WPRO COVID-19 Science and Research Seminars, pediatric COVID-19 (December18, 2020)
2. Annual report on other activities requested

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Collaborating Centres
ANNUAL REPORT
Should WHO have requested activities in addition to the agreed workplan, please describe related
actions taken by your institution [maximum 200 words]. Please do not include in this report any
activity done by your institution thatwas not requested by and agreed with WHO.
Based on a request by the WPRO, the DCC provided technical advice on the isolation policy of COVID-19
cases in Lao PDR, on November 30, 2020.
The DCC provided technical advice on the clinical management and care pathway of COVID-19 in Cambodia(March 12, 2020), Lao PDR (March 24, 2020), and Mongol (March 30, 2020), based on requests from theWPRO. Dr. Norio OHMAGARI, Dr. Masahiro ISHIKANE, and Dr. Yutaro AKIYAMA also revised and provided
technical comments for the national policy guidelines for COVID-19 in these countries.
Based on the request by WPRO, Dr. Shinichiro MORIOKA is writing a case study report detailing a historicalreview of how Japan set up its IPC surveillance system, the enablers and barriers during the process, and thekey to implementing an IPC surveillance system that is well-rooted in today’s health system.
3. Resources
Indicate staff time spent on the implementation of activities agreed with WHO (i.e. those mentioned inquestions no. 1 and no. 2 above). Do not include any data related to other activities done by yourinstitution without the agreement of WHO. Please indicate staff time using the number of “full-dayequivalents” – a day of work comprising 8 hours (e.g. 4 hours work per day for 7 days should berecorded as 3.5 full-day equivalents).
Number of staff involved (either partially or fully)
Senior staff

Mid-career staff

Junior staff, PhD students

440

Number of full-day equivalents, total for all staff involved
Senior staff

Mid-career staff

Junior staff, PhD students

700

Implementation of the agreed workplan activities (i.e. those mentioned in questions no. 1 and no. 2above) normally require resources beyond staff-time, such as the use of laboratory facilities,purchasing of materials, travel, etc. Please estimate the costs of these other resources as apercentage of the total costs incurred (e.g. if you incurred costs of USD 100 and the value of your staff
time was USD 50 which makes the total of USD 150, please report 33.3% and 66.7%).
Percentage of costs
associated with staff time

Percentage of costs associated with Totalother resources

25.00

75.00

100.004. Networking
Describe any interactions or collaboration with other WHO Collaborating Centres in the context of theimplementation of the agreed activities If you are part of a network of WHO Collaborating Centres,
please also mention the name of the network and describe your involvement in that network[maximum 200 words].

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Collaborating Centres
ANNUAL REPORTOn 29-30th October 2020, the DCC organized the first virtual Global Outbreak Alert Response Network(GOARN) Tier 1.5 workshop entitled “Infection Prevention and Control (IPC)”, in collaboration with GOARN,
WHO headquarters, and WPRO. The purpose of this training was to provide an orientation to the international
outbreak response with GOARN for IPC experts in Japan who are interested in deploying and working in thefield with GOARN. IPC at the field level is an essential element in addressing international outbreaks such as
the current COVID-19. The role of professionals involved in strengthening IPC is diversifying. It was a great
success. In total, 32 enthusiastic trainees actively participated and learned in this course.

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