AIRSAN Guidance Document

Transcription

1 AIRSAN Guidance Document Contact Tracing Collaboration between Public Health and Aviation Sector Juliane Seidel Robert Koch Institute AIRSAN 24-Month Meeting Amsterdam, Schiphol Airport 25 March 2015

2 Introduction Outcome of AIRSAN Prioritization Survey: Contact Tracing Collaboration between Public Health and Aviation Sector topic, where guidance most needed 2 Aim: create a better understanding on diverging and joint positions of public health authorities (PHA) and airlines in area of passenger contact tracing in order to positively contribute to inter-sectoral cooperation and offer a common best practice of performing contact tracing Source: jmco.net

3 Recently happened in Germany Notification: a case of measles onboard an aircraft Local PH-authority asked airline for a passenger list Lengthy discussions over days & uncertainties about legal background and conditions for sharing passenger data Finally a passenger list provided as a sign of good will Passenger data insufficient for contact tracing Opportunity for post exposure prophylaxis missed 3

4 Timeline for post exposure prophylaxis Day 1 Exposure Measles Day 2 Confirmed diagnosis PHA starts with investigation & contact tracing ; contact airline Active immunisation possible Day 3 Discussions between local PHA & airline regarding passenger data Active immunisation still possible Day 4 Discussions between local PHA & airline regarding passenger data No active immunisation possible Passive immunisation 4 Day 7 PHA informs contacts of measles case No more actions for PEP possible Day 6 Passenger list becomes available; passenger data not sufficient for contact tracing Further investigations necessary Last chance for passive immunisation Day 5 Discussions between local PHA & airline regarding passenger data Passive immunisation still possible

5 Answers given in AIRSAN Guidance Document Contact Tracing Collaboration between Public Health and Aviation Sector, e.g. it captures: Which data do PHA need to perform contact tracing? How quickly do PHA need the data to perform contact tracing? What passenger data do airlines have? How long do airlines store passenger data? How quickly can airlines provide the requested data? How should the PHA contact an airline in order to collect passenger data for contact tracing? 5

6 Methods Done: Development of list of relevant questions Answers drafted with the means of: o Using AIRSAN Bibliography (search for keyword Contact tracing ) o Using the input from discussions with AIRSAN Partners and own expertise 6

7 AIRSAN Guidance Document: Contact tracing 4.1. Perspective of Public Health Authorities 4.2. Perspective of Airlines 4.1. Joint perspective of public health authorities, airlines and airports 7

8 AIRSAN Guidance Document: Contact tracing What is new? o It covers the perspectives of different players, i.e. the public health authorities and the airlines. o It emphasizes that each situation differs and should be differently assessed depending on the circumstances as well as country epidemiology. 8

9 FAQs - Perspective of public health authorities Why do public health authorities perform contact tracing? What criteria do public health authorities consider before initiating contact tracing? Which travellers on board an aircraft carrying an ill traveller need to be traced? Which data do public health authorities need to perform contact tracing? Why is the use of the passenger locator form recommended? Who has access to the passenger locator form templates? Who will have access to the completed passenger locator forms? How quickly do public health authorities need the data to perform contact tracing? How do public health authorities handle personal data? 9

10 FAQs - Perspective of airlines What passenger data do airlines have? How long do airlines store passenger data? How quickly can airlines provide the requested data? How should the public health authority contact an airline in order to collect passenger data for contact tracing? Where are template paper forms of the passenger locator forms stored? 10 10

11 Joint perspective of public health authorities, airlines and airports 5.1. Joint mission statement 5.2. General points 5.3. Ad-hoc contact tracing 5.4. Retrospective contact tracing 11

12 Next steps Finalizing the Guidance Document based on the feedback from pilot exercises Publication on the AIRSAN Website 12

13 Lesson learned Be prepared for contact tracing Cooperation between public health authorities & operating airlines needs to be established BEFORE need for contact tracing occurs! 13

14 Our thanks go: To all AIRSAN Partners for their highly valued contribution to the development of the AIRSAN Guidance Documents To the European Commission for their funding 14

15 This document arises from the AIRSAN project which has received funding from the European Union, in the framework of the Health Programme. Sole responsibility lies with the author. The Consumers, Health and Food Executive Agency is not responsible for any use that may be made of the information contained therein.