Region
Eastern Mediterranean Region
Country
Qatar
Status
Assessment Date
P.3.1 National IHR Focal Point functions
3
P.6.1 Surveillance of foodborne diseases and contamination
3
P.5.1 Surveillance of zoonotic diseases
3
P.4.3 Prevention of Prevention of multidrug resistant organism (MDRO)
3
P.4.2 Surveillance of AMR
3
P.4.1 Multisectoral coordination on AMR
3
P.3.4 Antimicrobial stewardship activities
2
P.3.3 Strategic planning for IHR, preparedness or health security
3
P.3.2 Multisectoral coordination mechanisms
3
P.2.1 Financial resources for IHR implementation
3
P.7.1 Whole-of-government biosafety and biosecurity system is in place for human, animal and agriculture facilities
5
P.1.2 Gender equity and equality in health emergencies
3
P.1.1 Legal instruments
4
D.4.3 In-service trainings are available
3
D.4.2 Human resources are available to effectively implement IHR
3
D.4.1 An up-to-date multi-sectoral workforce strategy is in place
4
D.2.4 Syndromic surveillance systems
4
P.6.2 Response and management of food safety emergencies
3
P.7.2 Biosafety and biosecurity training and practices in all relevant sectors (including human, animal and agriculture)
4
D.2.2 Event verification and investigation
3
Recommendation P6
Implement national biosafety and biosecurity legislation.
Undertake an inventory of agents/pathogens of concern, perform risk assessments and implement mitigation plans in the facilities housing those agents.
Establish a national biosafety and biosecurity team to enhance collaboration and information sharing about best practices, and to develop and implement biosafety and biosecurity policies and guidelines at all levels throughout the country, including at private sector laboratories.
Improve training in biosecurity for all laboratories.
Recommendation Re1
Strengthen cross-sector, regional, and international coordination in areas relevant to radiation emergencies.
Train health workers to strengthen the following capacities: awareness, diagnosis of a radiation injury, medical care to injured or contaminated patients; and advanced clinical management of persons exposed to high-dose radiation (acute radiation syndrome, local injuries, internal contamination, combined injuries).
Develop individual dosimetry laboratory capacity (national or regional), including cytogenetic biodosimetry, internal contamination assessment, and dose reconstruction.
Develop a national strategic stockpile (or arrangements for regional sharing) for radiation emergencies: update for agents used for treatment of internal contamination (calcium-Diethylenetriamine pentaacetate; Ca-DTPA, zinc-Diethylenetriamine pentaacetate; Zn-DTPA, Prussian blue etc.).
Establish links with global expert networks for access to expertise, knowledge, exchange of information, learning and cooperation opportunities (WHO Radiation Emergency Medical Preparedness And Assistance Network; REMPAN, WHO-BioDoseNet).
Recommendation R5
Develop a health sector risk communication strategy that includes dedicated staff, sustained budget and contingency budget for emergency materials development; coordinated plans to address all public audiences through preferred/trusted channels with consistent messaging; connection with EOC structure as an activated Joint Information Centre that monitors and evaluates its response; surge capacity for emergencies; and a strengthened hotline, website, and social media for emergencies and non-emergencies
Create a risk communication response unit within the MoPH that echoes the above strategy and includes dedicated full-time staff with education and experience in risk communication, programme evaluation and health communication/education; ongoing competency based training programme; temporary surge staff from other communication units, universities and external partners to be activated to the Joint Information Centre during emergencies.
Test risk communication response through health sector and national emergency exercises.
Map Qatar’s target audiences including the nearly 70% of non-native population with existing community engagement capacities. Following this mapping process, continue to address public communication and community engagement measures to identify population segments that lack access to health information due to language, literacy, work/life circumstances, etc.; conduct audience analysis research to ensure audiences are receiving information in ways that allow them to make informed decisions and take action; address systematic gaps by using best practices from other or new health information programmes /campaigns.
Strengthen Qatar’s community engagement outreach efforts by training field epidemiologists on community engagement processes; partnering with a local university to conduct audience research; providing a certificate programme for community engagement volunteers for emergencies.
Recommendation R4
Sending and receiving medical countermeasures during public health emergencies • Create an inventory and map of countermeasure resources locally, regionally, and internationally for the country’s access in times of need. • Develop national health policies/guidelines/SOPs to govern the countermeasure management system, such as memoranda of understanding, especially with external partners. • Establish a national stockpile for health to include countermeasures for IHR-related hazards like CBRN. • Establish integrated stockpiling of CBRN-related logistics among health sector members. • Develop policy/ guidelines for the management and utilization of a CBRN-related stockpile. • Develop a formal policy on the management of foreign donations.
Sending and receiving health personnel during public health emergencies • Develop a national deployment policy and plan regarding sending local and receiving foreign teams for humanitarian response during public health emergencies of national and international concern. • Organize an integrated, trained and equipped multidisciplinary national response team (contingent team) for national, external or international deployment purposes. • Strengthen partnerships with the WHO Global Outbreak Alert and Response Network and other foreign or international humanitarian response organizations. • MOPH should take the lead in coordination, collaboration, network building and interoperability with local and international partners and systems especially in the area of health-related CBRN management.
Recommendation R2
Capacity to activate emergency operations • MoPH shall initiate and promote the institutionalization of EOCs with policy, guidelines, protocols, trained human resources, dedicated facilities, organized EOC staff/response teams, information and communication systems, technologies, lifelines, as well as resources including financial to support operations. • Recruit additional trained staff. • Establish and strengthen the integrated information management system. • Improve coordination and information sharing between health sectors and other sectors.
Capacity to activate and operationalize EOC • Improve coordination and information sharing between health sector and others such as the animal health sector • Review EOC personnel complementarity and hire additional trained staff if necessary. • Strengthen the information management system.
Emergency Operations Programme • Develop training programmes for EOC staff, responders and managers to enhance their capacities in handling data and information, immediate response to emergencies, and managing disaster risks. • Enhance the capacity of staff in managing exercises and optimizing lessons for updating and strengthening the Response Plan.
Case management procedures for IHR-relevant hazards • Develop a CBRN programme with policy, structure, facility development, human resources, technology, standard case management procedures and other support to operations. • Train appropriate staff and improve resources for management of IHR-related emergencies. • Improve coordination and sharing of best practices and information between the health and other sectors. • Enhance the Response Plan in its surge capacity management.
Recommendation R1
Plan review and updating • the plans should be reviewed and updated taking into account current changes such as the terminologies; the new brands of organizations; the organizational restructuring, new leadership, new systems, and its compliance to IHR 2005 core capacities development.
Plan advocacy • Advocate the EPR plan and National Health Emergency Management Plan or Public Health Emergency Management Plan to leaders, especially new ones, to gain their approval, as well as their signature to legitimize their operationalization and implementation. • The MoPH should take the lead in advocating and supporting the development, signing, approving, testing and regular updating of the organizational plans, integrating strategies, activities and their roles in managing public health emergencies of national and/or international concern. • The MoPH should also take the lead in conducting sectoral drills to heighten awareness across the health sector of the need to develop a National Public Health Emergency Management Plan, or integrate this Plan in their organizational plans; to test the functioning of sectoral plans and the interoperability of systems; and to optimize the results of the post-drill/exercise evaluations for updating the Plan.
Implement the National Logistics Management System • Establish and regularly monitor stockpiles based on updates from risk assessments, experience from actual emergency response operations, and the needs of end-users. • Create an inventory of CBRN-related stockpiles and develop guidelines for their use and mobilization.
More inclusive health sector network • Include the private sector with delegated tasks, clear roles, and functions in emergency and disaster management. • Explore the possibility of providing technical assistance to the private sector based on their capacitybuilding needs in the field of public health emergency management (training, drills, logistical support, etc.) • Improve coordination.
Policy development • Develop IHR legislation. • Encourage joint (cross-sectoral) emergency planning/testing.
Recommendation POE1
Approve the National Health Emergency Plan, test and disseminate it to all key stakeholders, and integrate it within other plans to provide an effective all-hazards response when required.
Leading from this, identify any lack of resources necessary to tackle surge capacity, considering not just public health emergencies but other health events that may put pressure on resources (e.g. a norovirus outbreak on a cruise ship).
The IHR NFP should notify WHO of all ports designated under IHR and notify all key stakeholders of this decision. There is no technical reason why the four ports inspected cannot meet the core capacities.
Separately, the IHR NFP should notify WHO of seaports for which they wish to receive Ship Sanitation Certificates (SSCs) and which type of certificate each port will be authorized to issue.
Authorizations based on the national legislation should be given to appropriate ports and stakeholders to issue SSCs.
Risk assess PoEs for likely vector reservoirs, and implement a suitable inspection programme to control the assessed risks.
The MoPH should enhance its oversight functions at PoEs to ensure implementation of the international and national health regulations and recommendations. Although Qatar PoE operators have a wellestablished system for IHR implementation, the Government should assume the regulatory and supervisory role. Therefore, availability of sufficient qualified and trained staff is essential.
MoPH to request WHO to assign designated Qatari ports to issue SSCs/sanitation exemption or extension certificates, and to approve the designated ports to delegate Qatari companies that are recognized by MoPH to issue such certificates.
Enhance the regulatory and supervisory role of the MoPH to implement IHR in ports.
Provide basic and recurrent training to MoPH personnel involved in PoE inspection and oversight.
The WHO recommended exit screening in addition to entry screening for travellers with a suspected communicable disease could be interim conditions as and when needed.
Recommendation P7
Develop an electronic central vaccination registry linked to the population and immigration data covering all vaccines administered in Qatar.
Continue improving population-level vaccination coverage: a. Define non- and under-vaccinated populations using appropriate methods such as vaccination and sero-epidemiological surveys as well as estimation of vaccine wastage, and establish outreach immunization services to reach these populations. b. Enforce a mandatory vaccination policy prior to day-care and school entry in the public and private sectors. c. Develop a policy to obtain vaccination certificates from Gulf Cooperation Council Approved Medical Centres Association or other authorization bodies for foreign citizens seeking a work visa to Qatar.
Continue improving outbreak investigation of VPDs with clear roles and responsibilities of outbreak investigation and Expanded Programme on Immunization teams.
Develop collaboration between all stakeholders to improve forecasting of vaccine demand and supply chain management.
Recommendation P5
Accelerate endorsement of the new food law and related administrative measures.
Establish the national food authority including a 5-year action plan with allocated resources.
Reinforce intersectoral collaboration for implementation of food safety and hygiene programmes along the food chain.
Consider the appointment of intersectoral liaison officers.
Consider a process for formal sharing of illness and outbreak data to inform risk-based “entry port-totable” assessments and risk management.
Harmonize outbreak investigation policy and practice between MoPH and MoME, e.g. standard detaining for proof of product or closing food establishments.
Consider routine after-action reviews of MoPH and MoME outbreak responses.
Establish interdisciplinary training for outbreak investigation and other collaborative food safety activities.
R.1.1 Emergency risk assessment and readiness
4
Recommendation p4
Establish formal intersectoral mechanisms for joint surveillance, risk assessment and response to priority zoonotic diseases (One Health).
Develop written joint surveillance and response plans for identified priority diseases.
Strengthen capacity for epidemiology, surveillance and outbreak investigations for zoonotic diseases and integrate veterinary staff in joint training programmes such as FETP.
Develop a monitoring and surveillance system for AMR in the veterinary sector in harmony with activities conducted in the public health sector and to complement priority actions presented in the AMR section of this report.
Upgrade veterinary quarantine infrastructure and border security procedures.
Engage with the OIE Performance of Veterinary Services (PVS) follow-up evaluation and gap analysis.
Recommendation P3
Convene a national AMR committee through engagement of all sectors and stakeholders including human health, agriculture, animal health, food, environment, and industry. This committee should conduct a national AMR evaluation and subsequently develop an integrated AMR action plan for approval by national authorities.
Consider assigning an HMC laboratory to function as the national AMR reference laboratory for Qatar.
Formalize the development of the national AMR/IPC (AMS is part of the AMR programme) unit with defined roles and responsibilities to develop national IPC and AMR plans.
Strengthen AMR laboratory capacity for detection and establish surveillance within the animal health and food sectors.
Implement AMR programmes within both the animal and public health sectors.
Recommendation P2
Reactivate the IHR Multisectoral Committee and expand representation to other sectors such as trade, transportation, tourism, commerce and maritime.
Evaluate the functionality and effectiveness of the IHR NFP.
Develop and widely disseminate biannual reports on implementation of the IHR capacities among the relevant sectors.
Conduct advocacy activities targeting different audiences to raise awareness and obtain commitment of the different sectors for developing IHR capacities.
Develop a national plan of action to accelerate implementation and ensure sustainability of IHR capacities with an allocated budget.
Recommendation P1
Reactivate the IHR Committee established by the Cabinet. • According to Article 2 of Cabinet decision 18/2015, the specific goals of the Committee are: (a) to establish the executive plan of implementation of IHR; (b) to review and develop the preventive strategies and mechanisms required to respond to risks that could potentially threaten public health; and (c) to submit an annual report to WHO related to the implementation of the IHR.
Draft a national framework law and bylaws. • Considering the legal provisions and annexes of the IHR to be implemented by public sector employees and private companies, a national framework law could include all the procedures required in a single legal, official document to facilitate coordination and exchange of information among all parties.
Develop or review laws, decrees or Cabinet decisions to support implementation of IHR. • Qatar engages in significant efforts to conduct studies and to endorse laws and decrees related to aspects of the IHR, e.g. Law 8/1990 on regulation and monitoring of food intended for human consumption; Law 17/1990 on the prevention of diseases; Law 1/1985 related to animal health; and Law 14/2003 related to quarantine. • The provisions of IHR require each State to review their national legislation and adapt it if necessary to meet the IHR provisions. Following meetings with the persons in charge, new legislation has now been drafted for food safety and related sectors (interior, environment, public health, Qatar petroleum).
R.3.1 Case management
5
R.2.4 Case management procedures are implemented for IHR relevant hazards
3
R.2.3 Emergency Operations Program
3
R.2.2 Emergency Operations Center Operating Procedures and Plans
4
R.2.1 Public health and security authorities (e.g. law enforcement, border control, customs) are linked during a suspect or
4
R.1.2 Public health emergency operations centre (PHEOC)
4
D.2.3 Analysis and information sharing
3
D.2.1 Early warning surveillance function
4
D.1.4 Effective national diagnostic network
3
R4: Average Capacities Score(%)
46
R5: Average Capacities Score(%)
60
PoE: Average Capacities Score(%)
60
CE: Average Capacities Score(%)
60
RE: Average Capacities Score(%)
60
Recommendation Ce1
Improve information sharing between different stakeholders, MoME and MoPH.
Develop chemical incident surveillance and monitoring.
Enhance laboratory capacity for detection and analysis of hazardous chemicals affecting human and environmental health.
Recommendation D1
Set up a national laboratory coordination unit.
Set up an official laboratory system: a public health laboratory OR public health functions.
Assessment End Date
Recommendation D3
Establish formal protocols for the reporting mechanism, and information exchange between the IHR NFP and FAO, OIE and IAEA contact points.
Ensure sufficient capacity of human resources to carry out risk assessments for events of unknown origin, particularly nuclear and radiological events.
Train and expand the use of the decision instrument (Annex 2 of IHR) to identify potential public health emergencies of international concern.
Ensure availability of reporting capacity on public health events of potential international concern of non-infectious origin to WHO.
Conduct simulation exercises to test the capacity for early detection, risk assessment and timely reporting of chemical and radiation events to WHO through the IHR NFP.
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Recommendation D4
Develop a strategy to attract and retain experts, including a career path.
Establish a training programme focused on disease surveillance and outbreak response.
Establish a ore structured form of communication among epidemiologists and public health officials
CE.1 Mechanisms are established and functioning for detecting and responding to chemical events or emergencies
3
R.4.1 IPC programmes
4
Recommendation R3
Endorse the national contingency plan and ensure integration of sector-specific emergency preparedness and response plans.
Ensure access to national and sector-specific plans and joint assessment protocols by all concerned personnel at the different levels of seniority.
Enhance peer-to-peer and senior-to-subordinate knowledge transfer to ensure institutional capacitybuilding.
Operationalize plans at different administrative levels to ensure their functionality, when needed.
Put in place a mechanism to facilitate sharing of feedback on conducted training at the different levels.
Provide joint training for public health and security personnel at all levels on the SOPs, and on joint training exercises, drills and investigations and responses.
D.3.1 Multisectoral workforce strategy
4
R.4.2 HCAI surveillance
3
D.3.2 Human resources for implementation of IHR
4
Recommendation D2
Integrate the health and zoonotic surveillance systems.
Build capacity, hire professional staff and organize specialty training courses for current staff in surveillance and outbreak response.
Finalize and issue guidance documents, e.g. approved guidelines and bulletins, CDC case definition manual and surveillance guidelines are still awaiting review and comments by some stakeholders.
Endorse the new CDC law.
Carry out a comprehensive, in-depth evaluation of the future disease surveillance system.
R.5.1 RCCE systems for emergencies
3
R.5.2 Risk communication
3
R.5.3 Community engagement
3
R.5.4 Communication Engagement with Affected Communities
3
R.5.5 Dynamic Listening and Rumour Management
3
D.1.1 Specimen referral and transport system
4
D.1.2 Laboratory quality system
4
D.1.3 Laboratory testing capacity modalities
4
RE.2 Enabling environment in place for management of radiological and nuclear emergencies
3
RE.1 Mechanisms are established and functioning for detecting and responding to radiological and nuclear emergencies.
3
PoE.1 Core capacity requirements at all times for PoEs (airports, ports and ground crossings)
3
PoE.2 Public health response at PoEs
3
P1: Average Capacities Score(%)
70
P2: Average Capacities Score(%)
60
P3: Average Capacities Score(%)
55
P4: Average Capacities Score(%)
60
P5: Average Capacities Score(%)
60
P6: Average Capacities Score(%)
60
P7: Average Capacities Score(%)
90
D1: Average Capacities Score(%)
75
D2: Average Capacities Score(%)
70
D3: Average Capacities Score(%)
80
D4: Average Capacities Score(%)
46
R1: Average Capacities Score(%)
80
R2: Average Capacities Score(%)
70
R3: Average Capacities Score(%)
100
Overview