INTERNATIONAL CIVIL AVIATION ORGANIZATION SUMMARY REPORT SIXTH MEETING OF THE CAPSCA-MIDDLE EAST PROJECT (CAPSCA-MID/6)

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CAPSCA-MID/6-SUMMARY REPORT INTERNATIONAL CIVIL AVIATION ORGANIZATION COLLABORATIVE ARRANGEMENT FOR THE PREVENTION AND MANAGEMENT OF PUBLIC HEALTH EVENTS IN CIVIL AVIATION (CAPSCA) SUMMARY REPORT SIXTH MEETING OF THE CAPSCA-MIDDLE EAST PROJECT (CAPSCA-MID/6) (Khartoum, Sudan 20-22 February 2017) The views expressed in this report should be taken as those of the Collaborative Arrangement For The Prevention And Management Of Public Health Events In Civil Aviation (CAPSCA) Project and not of the Organization. This Report will, however, be submitted to the ICAO Council and any formal action taken will be published in due course as a Supplement to the Report. Approved by the Meeting and published by authority of the Secretary General

The designations employed and the presentation of material in this publication do not imply the expression of any opinion whatsoever on the part of ICAO concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontier or boundaries.

TABLE OF CONTENTS Page 1. Place and Duration... 1 2. Opening... 1 3. Attendance... 2 4. Officers and Secretariat... 2 5. Language... 2 6. Work Programme and Documentation... 2 7. General Summary... 2-3 8. Recommendations... 3-4 9. Closing of the Meeting... 4 Appendix A Work Programme Attachment A List of Participants ---------------------

CAPSCA-MID/6-SUMMARY REPORT -1- CAPSCA-MID/6 Summary Report of the Meeting 1. PLACE AND DURATION 1.1 The Sixth meeting of the Middle East Regional Collaborative Arrangement for the Prevention and Management of Public Health Events in Civil Aviation (CAPSCA-MID/6) was generously hosted by the Civil Aviation Authority of Sudan (SCAA) at the Corinthia Hotel, Khartoum, from 20 to 22 February 2017. 2. OPENING 2.1 The meeting was opened by Capt. Ahmed Satti Abdelrahman Bajouri, Director General, Sudan Civil Aviation Authority who welcomed all the participants to Sudan and wished fruitful outcomes of the CAPSCA-MID/6 meeting. Mr. Bajouri thanked ICAO for the initiatives and efforts to ensure safety and security of international air transport. He reiterated the SCAA s continued support of the CAPSCA-MID project and the active participation in all activities including the invitation for a CAPSCA Assistance visit to Khartoum International Airport. 2.2 Mr. Mohamed Rahma, Regional Director of the ICAO Middle East Regional Office thanked the SCAA Director General and all his team for hosting such important meeting and for the excellent cooperation and coordination with ICAO in preparation of this event. 2.3 Mr. Rahma reiterated that CAPSCA is the only ICAO Programme that brings different sectors together in a formalized and routine manner. The Programme offers a relatively inexpensive opportunity for ICAO to maintain cooperation with other major stakeholders and in particular with the sister UN Agency, the World Health Organization (WHO). The Programme has played an active role during the Ebola outbreak in coordination with WHO through training of aviation and public health personnel. 2.4 Dr. Johanna (Ansa) Jordaan, Chief, Aviation Medicine Section, ICAO HQ and the CAPSCA Programme Manager highlighted the progress made by the CAPSCA-MID project and encouraged the regional cooperation among MID States through appointment of additional CAPSCA Technical Advisors. 2.5 Dr. Naeema Algasseer, WHO Representative in Sudan, highlighted the importance of cooperation between health and aviation sectors on both national and international levels. WHO organized a successful Joint External Evaluation (JEE) mission to Sudan and received great cooperation from the public health and aviation authorities. 2.6 Dr. Esam Eldeen Mohamed Abd Alla, Undersecretary, Ministry of Health (MOH), Sudan thanked WHO and ICAO for the measures taken for management of public health in air travel and confirmed that MOH ensures coordination with many sectors, including aviation, to prevent the spread of communicable diseases. 2.7 The meeting was chaired by Dr. Osama Bahannan, CAPSCA-MID Chairman and the Head of Aviation Medicine, General Authority of Civil Aviation (GACA), Kingdom of Saudi Arabia. 2.8 The opening session was introduced and managed by Dr. Elhafis Abd Elraheem, SCAA official spokesman.

CAPSCA-MID/6-SUMMARY REPORT - 2-3. ATTENDANCE 3.1 The meeting was attended by a total of fifty six (56) participants from twelve (12) States (Angola, Bahrain, Benin, United Republic of Tanzania, Rwanda, Jordan, United Arab Emirates, Saudi Arabia, Nairobi, Namibia, Qatar, and Sudan) two (2) International Organizations (IATA and WHO). The list of participants is at Attachment A to this Summary Report. 4. OFFICERS AND SECRETARIAT 4.1 Dr. Ansa Jordaan, Chief Aviation Medicine from ICAO HQ has led the technical discussions supported by Dr. Jarnail Singh, CAPSCA Technical Advisor/Chairman of CAMB, Civil Aviation Authority of Singapore and Dr. Khalil Khalil, CAPSCA-MID Lead Technical Advisor. 4.2 Mr. Adel Ramlawi, CAPSCA-MID Regional Coordinator and Technical Officer, Aerodromes, ICAO HQ acted as the Secretary of the meeting. 4.3 The meeting was conducted with support from Ms. Dalia Samhouri, Epidemiologist, WHO Regional Office for Eastern Mediterranean (EMRO) and Dr. Khalid Mohamed Eltahir, National Professional Officer, Sudan. 5. LANGUAGE 5.1 Discussions were conducted in English and documentation was issued in English with availability of Arabic translation. 6. WORK PROGRAMME AND DOCUMENTATION 6.1 The Meeting Programme is attached as Appendix A to this Summary Report. All the meeting documentation and presentations related to the meeting are available on ICAO MID website: www.icao.int/mid/pages/capsca-mid.aspx. 7. GENERAL SUMMARY 7.1 The meeting was informed of the latest activities and updates of the CAPSCA Global Programme and the CAPSCA-MID Project. 7.2 The meeting was apprised of the WHO International Health Regulations (IHR) implementation and the Joint External Evaluation (JEE) conducted by WHO in the State of Qatar with support from the ICAO MID Regional Office as part of the CAPSCA-MID project activities. 7.3 The meeting received presentations on public health emergencies and aerodrome emergency plans from both regulator and operator s perspectives. Also, airlines practices and experiences were shared through presentations from different airlines. 7.4 The meeting was apprised of CAOSCA challenges and the ICAO/ WHO/ JAA TO CAPSCA Training Project. 7.5 The participants received training on coordination and implementation of public health emergency preparedness planning in the aviation sector.

CAPSCA-MID/6 SUMMARY REPORT - 3-7.6 The participants thanked Dr. Osama Bahannan for completing his term as the CAPSCA- MID chairman and elected Dr. Khalil Khalil, Head of Aviation Medicine, Civil Aviation Regulatory Commission, Jordan to be the new CAPSCA-MID Chairman. 7.7 Dr. Osama Bahnan will resume his role as the CAPSCA-MID Lead Technical Advisor and Mrs. Wegdan Yousif Eltayeb, Air Transport Senior Inspector, CAA, Sudan was selected as a new CAPSCA-MID Technical Advisor. 7.8 Bahrain expressed interest to host the next CAPSCA-MID meeting in 2018 and Qatar is considering hosting the 2019 meeting. Both offers will be confirmed by official communications to the ICAO MID Regional Office. 7.9 The meeting agreed that next meeting (CAPSCA-MID/7) will tentatively be held in Bahrain during the first quarter of 2018, subject to confirmation from Bahrain and the ICAO MID Regional Office. 8. RECOMMENDATIONS 8.1 The meeting appreciated and supported the continuous collaboration between ICAO and WHO and recommended that it should be in the format of a formal agreement. 8.2 ICAO expressed appreciation for the WHO Joint External Assessment missions which were conducted in Qatar and Sudan and encouraged other States to request similar missions. Involvement of the ICAO-MID CAPSCA team has been recommended. 8.3 The meeting noted with appreciation and supported the online training initiative for technical advisers by ICAO, WHO and JAA. Accordingly, the meeting recommended its expansion through appointment of regional and national centres to provide further training to all stakeholders. 8.4 The meeting encouraged appointment of additional CAPSCA Technical Advisors in the MID Region and activation of inter-state collaboration in order to achieve the objectives of CAPSCA. 8.5 The meeting recommended enhancement of the continuous communication and sharing of information between all relevant stakeholders is essential for sharing of best practices between States in a region. The CAPSCA focal points should play the key role in this. 8.6 The meeting highlighted the importance of performing of exercises to validate emergency plans, by all stakeholders, noting that this requires financial resources and recommended, whenever possible, observers should be invited to exercises of various stakeholders. 8.7 The meeting supported the initiative by ICAO to develop more relevant guidance material outlining roles and responsibilities and to provide practical tools to assist with implementation of CAPSCA within States. 8.8 The meeting supported the development of vector control guidance, vector control registry and vector control risk assessment decision tool by ICAO. 8.9 The meeting stressed the importance of providing training to airline personnel and other stakeholders in identification and management of passengers with potential communicable disease. In the same vein, the meeting stressed the importance of cabin crew implementing appropriate and correct procedures during spraying of aircraft with insecticides.

CAPSCA-MID/6-SUMMARY REPORT - 4-8.10 The meeting recommended extension of the ICAO GASP provisions (3.1, 8.1 8.3) related to CAPSCA and Public Health management to be included in the Regional Safety Plans. 8.11 The meeting recommended that ICAO develops familiarisation training material relevant to aviation in order to assist Public Health professionals to better understand the aviation operating environment. 9. CLOSING OF THE MEETING 9.1 Mr. Adel Ramlawi, on behalf of ICAO, thanked the Civil Aviation Authority (CAA) of Sudan for hosting the event and appreciated the active contribution from WHO regional and national teams. 9.2 All representatives from States participating in the meeting have shown keen interest to support of CAPSCA project in the MID Region. 9.3 Mrs. Wegdan Yousif Eltayeb, on behalf of the Director General of SCCA, thanked ICAO, WHO and all attendants for the active participation. ----------------------

SIXTH MEETING OF THE CASPCA-MIDDLE EAST PROJECT (CAPSCA-MID/06) CAPSCA-MID/6 APPENDIX A 08:30-09:00 Registration (Khartoum, Sudan, 20-22 February 2017) PROGRAMME Day One: Monday 20 Feb 2017 CAPSCA Management Meeting 09:00-09:45 Opening ceremony Welcome address and opening remarks And Group photo DG, SCAA RD, ICAO MID Undersecretary, Ministry, MoH, Sudan WHO Sudan 09:45-10:00 CAPSCA in Sudan (short film) Sudan 10:00-10:30 Tea/coffee break Session I: CAPSCA implementation 10:30-11:00 Self-introductions by participants Meeting objectives and CAPSCA Global Feedback Mr Adel Ramlawi, ICAO Dr Ansa Jordaan, ICAO 11:00-11:20 CAPSCA MID project update Mr Adel Ramlawi, ICAO 11:20 11:45 IHR implementation in WHO/EMRO Ms Dalia Samhouri, WHO 12:00 12:30 Sudan National Preparedness Plan for the aviation sector Sudan / CAA 13:00 13:30 Tea/coffee break 13:00 13:30 IHR implementation in aviation sector Sudan / MoH Session II: Challenges of public health emergency preparedness and response in aviation 13:30-14:00 Yellow fever - global threat Sudan / MoH 14:00 14:30 ICAO challenges in CAPSCA implementation Dr Ansa Jordaan, ICAO 14:30-15:00 ICAO/ WHO/ JAA TO CAPSCA Training Project Dr Ansa Jordaan, ICAO

15:00 End of Day 1 15:00 Lunch at Nile side restaurant (sponsored by Khartoum International Airport) 09:00-09:05 Welcome to Day 2 Day Two: Tuesday 21 Feb 2017 Continue Session II; ICAO-WHO CAPSCA Training Session III: Training: Emergency Preparedness Planning 09:05-9:30 Preparedness for public health events- Khartoum airport Sudan / CAA 09:30 10:00 Doha Airport (HIA) Emergency plan Sheila Cantos, Hamad International Airport 10:00-10:30 Public health emergencies from aerodrome regulatory perspective Mr Mohamed Yousif, GCAA UAE 10:30-11:00 Tea/coffee break 11:00-11:30 ICAO/ WHO terminology and documentation Dr. Khalil Khalil, Jordan 11:30 12:00 ICAO regulatory framework and Universal Safety Oversight Audit Mr Adel Ramlawi ICAO 12:00 12:30 Considerations in preparing a National Aviation preparedness plan for public health emergencies Dr Khalil Khalil Jordan 12:30-13:00 WHO Joint External Evaluation of the Qatar Ministry of Public Health Dr Mohammed Al Hajri Qatar 13:00 13:30 Tea/coffee break 13:30 14:00 Airline Presentation Badr Airline 14:00 14:30 Airline Presentation Taco Airline 14:30 15:00 Challenges in coordination and implementation of public health emergency preparedness planning in the aviation sector Panel discussion moderated by Dr Jarnail Singh and Dr. Khalil Khalil 15:00-15:15 Close and wrap up of Day 2 15:15 Lunch at hotel Corinthia sponsored by Badr Airlines 20:00 Dinner sponsored by Sudan Civil Aviation Authority 2

Day Three: Wednesday 22 Feb 2017 CAPSCA Training Session IV: IHR and related implementation 09:00-09:15 Update of the IHR review committee and related matters PHEIC and emergency committees (Ebola, Polio, MERS, Zika) WHO / EMRO 09:15-09:45 The IHR Core capacity assessment and airport certification under the IHR framework WHO / EMRO 09.45-10:00 Public health procedures at Point of Entry WHO / EMRO 10:00-10:30 Case Introduction : Management of public health emergency in the aviation sector) Dr Jarnail Singh 10:30 11:00 Tea/coffee break Session V: Table Top Exercise 11:00-12:30 Group work (3 groups) Dr Jarnail Singh, Dr Khalil Khalil, Mr Adel Ramlawi, Dr Ansa Jordaan 12:30-13:00 Plenary (group feedback) Dr Jarnail Singh 13:00-13:30 Tea/coffee break 13:30 14:00 Election of Chairperson and Vice-Chairperson Dates and Venues of the next CAPSCA Meeting 14:00 14:30 Meeting conclusions Closure of Meeting Adel Ramlawi Adel Ramlawi Mrs. Wegdan Babiker, Sudan CAA 14:30 Lunch at Rotana Hotel sponsored by Tarco Airlines ---------------- 3

CAPSCA-MID/6 ATTACHMENT A LIST OF PARTICIPANTS NAME TITLE & ADDRESS STATES ANGOLA Mr. Ezequiel Da Cunha Crtez BAHRAIN Mr. Helal AlSaadoon BENIN Mr. Angelo Assogba UNITED REPUBLIC OF TANZANIA Mr. Daniel N. Malanga RWANDA Mr. Ndorimana Gaspard JORDAN Dr. Khalil Mhammad Khalil UNITED ARAB EMIRATES Mr. Mohamed Yousif Officer for Training and Focal Point of Heart National Institute of Civil Aviation Angola - Condominio Sequel Cacuaco Manager - Airport Terminal Operations Bahrain Airport Company KINGDOM OF BAHRAIN Medical Assessor BENIN Civil Aviation Authority Rue de L'aeroport 01 305 COTONOU AG. Director Economic Regulation P.O. Box 2819, Dar Essalaam TANZANIA Immigration Officer P.O. Box 6229, Kigali Kigali International Airport RWANDA ICAOMID/CAPSCA Team Leader Jordan Civil Aviation Regulatory Commission P.O. Box 954344 Amman - JORDAN 11954 Aerodrome Operation Senior Inspector General Civil Aviation Authority UNITED ARAB EMIRATES

A-2 SAUDI ARABIA Mr. Osama Bahnan NAIROBI Mrs. Naomi NjambiMwangi Dr. Festus Ilako Mr. Nadmi Mwangi NAMIBIA Mr. KhibaMweti QATAR Dr. Mohd Mohd Alhajri Ms. Sheila Marie Cantos Dr. Tunde Oladele Mr. Bashir Abdel Rahman Bashir Director Aviation Medicine General Authority of Civil Aviation Jeddah - 21433 SAUDI ARABIA Manager Personnel Licensing Kenya Civil Aviation Authority P.O. Box 30163-00100 Nairobi, KENYA Chief Medical Assessor Kenya Civil Aviation Authority P.O. Box 30163-00100 Nairobi, KENYA Manager Personal licensing Kenya Civil Aviation Authority P.O. Box 30163-00100 Nairobi, KENYA Safety, Health and Environment Coordinator Namibia Airports Company P.O. Box 23061 Windhoek NAMIBIA Director of Emergency Preparedness & response Department Ministry of Public Health P.O. Box 42 Doha - QATAR Manager - Emergency Planning & Administration Hamad International Airport P.O. Box 24659 Doha QATAR Medical Assessor Qatar Civil Aviation Authority P.O. Box 3000 Doha - QATAR International Terminal Manager Sudan Airports Holding Co. Khartoum International Airport Co. Khartoum -

A-3 Mr. Ahmed Hashim Hussein Mr. Zafir Farid Mhagoub Ms. Ibtihal Eltahir Ibrahim Ms. NatiaTsakadze Mr. Hassan Hussein Hassan Ahmed Mr. Imadeldin Omer Ahmed Nassour Dr. Nabila Mohamed Osman Mr. Hatim Elfatih Ali Adawi Ms. Hiba Abdalrahim Osman Omer Mr. Hisham Abdelatif Abdalla Khalifa Mr. Mohamed Babiker Kazam Mr. Rashed Abdelgbar Mr.Awad Abdelrahman Mohammed Dr. Babiker Ahmed Ali Mr. Abdelaziz Hassan Ishag Safety Director Badr Airlines IATA TARCO Air Ground Operations Manager & Safety Officer IATA TARCO Air Cabin Crew Manager Badr Airlines Safety Manager Khartoum International Airport Co. LTD Khartoum - Airport Operation Officer, Port Sudan International Airport Sudan, Regional Airports Company Medical Director Of Airport Clinic Khartoum International Airport Airports Emergency Clinic Khartoum - Head of Ground Handling & Dangerous Good Civil Aviation Authority Health Quarantine/Khartoum Airport Manager At Health Quarantine Directorate General Health Quarantine Health Quarantine \ Red Sea Facilitation Head Section Khartoum Airport Regional Airport Company Head of National Health Quarantine Federal Ministry of Health \Khartoum Ministry of Health Quality Manager Sudan Airways P.O.BOX 253 Khartoum -

A-4 Mrs. Wegdan Yousif Eltayeb Mr. Mohamed Osman Alaata Mr. Abd Alsamed Ali Mohammed Saleh Mr. Mawia Abd Alla Mohamed Mr. Hagaz Awadalla Mr. Kamal Mohamed Ali Mr. Habeb Alla Omer Mr. Mohamed Khalid Musa Mr. Abd Elgafor Awad Elsadig Mr. Mustafa Mohi Eldin Osman Mr. Mohamed Ibrahim Arif/ Abderahman Suliman Captain/ Abdolgader A.Saied Mr. Ayman Ahmed Taher Mr. Hammad Safi Aldeen Ali Air Transport Inspector Khartoum - Environment Manager Khartoum International Airport co. ltd Khartoum - Facilitation Directorate Sudan Regional Airports Company Khartoum - Port-Sudan Airport Representative Khartoum - Elobid Airport Representative Khartoum - Elfasher Airport Representative Khartoum - Algenana Airport Representative Khartoum - Sudan Airways Khartoum - Air Transport Inspector Sudan Civil Aviation Authority Safety & Quantity Directory Nova Air Wayes Nova Flight Safety Officer Nova Airways Khartoum - Sudan Airways Inspector Flight Purser Kush Aviation Company Safety Manager Health Inspector Health Quarantine/Red Sea Sudan Civil Aviation ATC

A-5 Dr Mahmoud Mohamed Elmogadam Mr. SaifEldeen Ahmed Hamid Mr. Mirghani Mahmoud Mirghani Mr. Omer AbdElwahab Hassan Dr Salim Mohamed Nour Mr. Khidir Sheikh Edris Manager International Air Transport Agreements Department Civil Aviation Authority Operation Xiricatate - Apron Manager Systems of Quality Head Section Sudan Airways Aerodrome Safety Inspector Sudan Civil Aviation Authority Head of Epidemiology zmoh Safety officer Security Directorate Sudan Civil Aviation Authority ORGANIZATIONS/INDUSTRIES IATA Dr. Arthur John Roberts WHO Ms. Dalia Samhouri Dr. Naeema Algasseer Dr. Khalid Mohamed Eltahir ICAO HEADQUARTERS Dr. Ansa Jordaan Dr. Jarnail Singh Qatar Airways Group Medical Director Qatar Airways Doha - QATAR WHO Regional Office for Eastern Mediterranean (EMRO) Word Health Representative For Sudan National Professional Officer Chief, Aviation Medicine Section Air Navigation Bureau International Civil Aviation Organization (ICAO) Quebec - CANADA Technical Advisor CAPSCA/Chairman CAMB Civil Aviation Authority of Singapore Singapore Changi Airport P.O. Box 1 Singapore 918141 -END-