Checklist. Has the State established a national committee for Public Health Emergency planning? IHR Annex 1, A, 3

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ICAO COOPERATIVE ARRANGEMENT FOR THE PREVENTION OF SPREAD OF COMMUNICABLE DISEASE TROUGH AIR TRAVEL (CAPSCA) STATE AND AIRPORT ASSISTANCE VISIT BY THE REGIONAL AVIATION MEDICINE AND PUBLIC HEALTH TEAM (RAMPHT) State Airport Date National Coordinator Technical Advisors Checklist Areas Reference Yes No Remarks A. ADMINISTRATIVE Which entity fulfils the function of the Competent Authority (as defined in the WHO International Health Regulations (2005) Is the airport State owned? Is the airport under the administration of the Civil Aviation Authority? Who operates the airport? Specify if there is more than one operator Does the Public Health Authority have designated personnel at the airport? IHR Article 1, Definitions Has the State established a national committee for Public Health Emergency planning? IHR Annex 1, A, 3 Is this Committee involved in airport/aerodrome Public Health Emergency Planning? Is the Civil Aviation Authority involved? Is the Public Health Authority involved? If so, under a formal contract/agreement? Are aircraft operators involved? Are the Rescue and Fire Fighting services involved?

Is the Air Navigation Services Provider involved? Are the Immigration/Customs Services involved? Are the security services involved? Are private health services involved? Are the service providers involved? (Airlines, Ground Handling Service (GHS), cargo, etc.) Are formal contracts/agreements utilised specifying the involvement of stakeholders? B. DOCUMENTATION Does the airport have in place a Plan for Public Health Emergencies? Is it part of the Airport Emergency Plan? Is it compatible with the national Aviation Preparedness Plan for Public Health Emergencies? ICAO Annex 9, 8.16 Is it compatible with the National Preparedness Plan for Public Health Emergencies? Has the Airport/Aerodrome Emergency Plan been tested by conducting full-scale exercises and/or table-top exercises? Specify what and when Are the stakeholders familiar with Annex 6, in particular Attachment B (Medical Supplies)? Are the stakeholders familiar with Annex 9, Chap. 8, Appendices 1 (General Declaration) and 13 (Public Health Passenger Locator Card)? Specify (1) who collects the General Declaration and Passenger Location Cards and (2) who processes the information on arrival. ICAO Annex 6, Attachment B ICAO Annex 9, Appendices 1, 13 Are the stakeholders familiar with Annex 11, in particular Attachment C (Material Relating to Contingency Planning)? Are the stakeholders familiar with Annex 14, Chapter 9 (Aerodrome operational services, equipment and installations) in particular paragraph 9.1 (Aerodrome Emergency Planning)? ICAO Annex 11, Attachment C ICAO Annex 14, Chapter 9

Are the stakeholders familiar with the International Health Regulations (2005)? WHO IHR (2005) Are the stakeholders familiar with ICAO Procedures for Air Navigation Services-Air Traffic Management, Doc. 4444, in particular paragraph 16.6: Notification of suspected communicable diseases on board an aircraft, or other public health risk? ICAO PANS-ATM, Doc 4444 Is there a national Preparedness Plan for a Public Health Emergency? Which stakeholders receive training concerning the national Preparedness Plan for a Public Health Emergency (airport personnel, public health authority, etc.)? WHO IHR (2005) Article 13 Is there a National Aviation Preparedness Plan for a Public Health Emergency of International Concern (PHEIC)? Is this Plan part of a National Public Health Emergency Plan? ICAO Annex 9, 8.16 Does the Preparedness Plan include phases as defined by WHO in Pandemic Influenza Preparedness and Response 2009? Is there a National Business Continuity Plan for Public Health Emergencies? Is there an Airport/Aerodrome Operator Business Continuity Plan for Public Health Emergencies? WHO Pandemic Influenza Preparedness & Response, 2009 Airport/aerodrome operator documentation C. EMERGENCY OPERATION CENTRE (EOC) Is there in place a flow chart to initiate the aviation emergency response plan process? Do Public Health Authority personnel participate in developing the aviation preparedness plan? D. RESCUE AND FIRE FIGHTING (RFF) SERVICES Do the RFF Services participate in the development and testing of the Airport Emergency Plan for Public Health emergencies?

E. IMMIGRATION Does the immigration service participate in development and testing of the Airport Emergency Plan for public health emergencies? Are there procedures for handling passengers suspected of being affected by a communicable disease? Are personnel trained about protective measures for handling from suspected passengers? F. CUSTOMS Does the customs service participate in development and testing of the airport Emergency Plan for public health emergencies? Are there special procedures for handling luggage from passengers suspected of being affected by a communicable disease? Are customs personnel trained to use appropriate protective measures for handling luggage from suspected passengers? G. CARGO AND BAGGAGE HANDLERS Do personnel handling cargo participate in development and testing of the airport Emergency Plan for public health emergencies? Are relevant personnel trained to use protective measures for handling cargo that may contain infectious substances (ICAO Annex 18 The Safe Transport of Dangerous Good by Air)? Are cargo and baggage handlers trained to use appropriate protective measures for handling luggage from suspected passengers? Airports Council International web-based airport airport aircraft Communicable; Diseases. See Cargo and Baggage Handlers aircraft Communicable; Diseases ICAO Technical Instructions for the safe transport of dangerous goods by air, Chapter 6 aircraft Communicable; Diseases

H. AIR NAVIGATION SERVICE PROVIDER (ANSP) Does the ANSP participate in development and testing of the airport Emergency Plan for public health emergencies? Does the ANSP provide training with the PANS- ATM (Doc 4444, paragraph 16.6) procedure for notifying the destination airport of a potential onboard public health emergency? PANS-ATM (Doc 4444) Is a procedure in place for transfer of information from the ANSP to the public health authority, notifying that anticipated arrival of an affected aircraft? Does the ANSP have a contingency plan for managing Public Health Emergencies? Does the ANSP have a Business Continuity Plan for managing Public Health Emergencies? I. MEDICAL SERVICES Is the airport medical service provided by the State or a private enterprise? ICAO Annex 11, Attachment C Has the service provider received training in managing public health emergencies? WHO IHR (2005) Annex 1, B Has it established a communication process with the Public Health Authority? Has ease of access to the affected aircraft by medical service providers been considered in designating an airport aircraft parking position? Are medical service providers aware of (1) 1 - ICAO PANS-ATM Notification procedure of a suspected case by the 2 -ICAO Annex 9, pilot in command (2) Health part of the aircraft Appendix 1 general declaration? WHO technical advice for Is there a procedure enabling the public health case management of authority to communicate with the affected aircraft Influenza A (H1N1) in before landing? Air Transport Does the service provider participate in the development and testing of the airport emergency plan for public health emergencies? Does it use and process (1) the General Declaration and/or (2) the Public Health Passenger Locator Card? Does it have access to the suspect or affected traveller s assessment area?

Does it have procedures for transfer of suspect or affected travellers to specialized evaluation units? Does it have procedures for aircraft disinfection? What disinfectant product(s) is used to disinfect an affected aircraft? WHO IHR (2005) Annex 1, B WHO Guide to Hygiene and Sanitation in Aviation WHO Guide to Hygiene and Sanitation in Aviation What procedure is used? How long does it normally WHO Guide to Hygiene take? and Sanitation in Aviation Is the service provider aware of relevant aspects of IHR (2005) the IHR (2005)? In the case of an affected aircraft carrying a suspected case of a communicable disease, are airport efforts made to minimize the delay to other travellers and the return to service of the aircraft? J: SECURITY Does the aviation security (AVSEC) provider participate in the development and testing of the airport emergency plan for public health emergencies? Are there procedures in place for managing aviation security in the designated passenger assessment area for suspect or affected travellers? Are personnel trained in the use of protective measures for managing suspect or affected travellers? K. INFRASTRUCTURE Are the international passenger flows mixed, on arrival and departure? Is there a designated parking position for an affected aircraft? If so, where is the designated position? Are there provisions for maintaining electricity, water supply, waste disposal, etc. at the aircraft after parking? Does the airport have a designated holding or waiting area for suspect or affected travellers? airport airport WHO IHR (2005) Annex 1, B If so, does the designated area have easy access for passengers (air bridge, ground transportation, etc.)? Does the designated area have easy access to emergency medical services? Does the designated area have power supply, lighting, air conditioning and adequate services?

Is the position of the designated area promulgated to appropriate personnel? Are screening measures available to be rapidly introduced? If so, for: 1- Entry? 2- Exit? 3- Transit? What screening measures are planned to be available? Are facilities available to enable rapid testing of biological specimens? What are they? WHO Pandemic Influenza Preparedness & Response, 2009 WHO Pandemic Influenza Preparedness & Response, 2009 L. AIRCRAFT OPERATORS: Do the aircraft operators participate in the development and testing of the airport emergency plan for public health emergencies? Are aircraft operators aware of (1) Notification procedure of a suspected case by the pilot in command (2) Health part of the aircraft general declaration? Are aircraft operators aware of IATA guidelines for: cabin crew; maintenance crew; bird-strike; cleaning crew; passenger agents? 1 - ICAO PANS ATM 2 -ICAO Annex 9, Appendix 1 aircraft Communicable; Diseases ADDITIONAL REMARKS AND RECOMMENDATIONS REMARKS RECOMMENDATIONS COMMENTS Date: Name: Signature: