Australia's National Action Plan for Health Security 2019-2023

AUSTRALIA’S NATIONAL ACTION PLAN FOR HEALTH SECURITY 2019-2023 The Australian Government Department of Health in collaboration with the Department of Agriculture and Water Resources, state and territory governments and other partners Implementation of the recommendations from the Joint External Evaluation of IHR Core Capacities DECEMBER 2018 Page 2 of 33 Table of Contents 1 Foreword .............................................................................................. 3 2 Acknowledgement .................................................................................... 4 3 Executive Summary ................................................................................... 4 4 Introduction ........................................................................................... 5 5 NAPHS Background / Context ...................................................................... 5 5.1 The International Health Regulations (2005) .................................................... 6 5.2 International Health Regulations Monitoring and Evaluation Framework ...................... 6 5.3 Australia’s Joint External Evaluation ............................................................ 7 6 NAPHS Vision, Mission and Objectives.............................................................. 8 7 Methodology for the Development of the NAPHS .................................................. 9 8 Major Components of the NAPHS ................................................................. 10 9 Delivery of the NAPHS ............................................................................. 10 10 Appendix: Planning Matrix ......................................................................... 12 10.1 National Legislation, Policy and Financing .................................................... 12 10.2 IHR Coordination, Communication and Advocacy ........................................... 13 10.3 Antimicrobial Resistance (AMR) .............................................................. 14 10.4 Zoonotic Diseases ............................................................................. 15 10.5 Food Safety .................................................................................... 16 10.6 Biosafety and Biosecurity ...................................................................... 17 10.7 Immunisation .................................................................................. 18 10.8 National Laboratory System ................................................................... 19 10.9 Real Time Surveillance ........................................................................ 20 10.10 Reporting ................................................................................... 21 10.11 Workforce Development ................................................................... 22 10.12 Preparedness ................................................................................ 23 10.13 Emergency Response Operations .......................................................... 24 10.14 Link Public Health and Security Authorities ................................................ 25 10.15 Medical Countermeasures and Personnel Deployment ..................................... 26 10.16 Risk Communication ....................................................................... 27 10.17 Points of Entry ............................................................................. 28 10.18 Chemical Events ............................................................................ 29 10.19 Radiation Emergencies ..................................................................... 30 10.20 Acronym List ............................................................................... 31 Page 3 of 33 1 Foreword In today’s global community, all countries are susceptible to infectious diseases and a wide range of other public health risks. Public health threats are inevitable and our first line of defence against them is a strong health security capacity. The majority of emerging epidemics are zoonoses, that is, infectious diseases that spread between animals and people. Antimicrobial resistance also presents an ongoing challenge for both human and animal health. These threats need to be tackled with a One Health approach that combines the expertise within human, animal and environmental health for a multidisciplinary response. This document, Australia’s National Action Plan for Health Security (NAPHS), represents a commitment to take action to strengthen our defences against acute public health threats. It was developed in response to the recommendations from Australia’s Joint External Evaluation (JEE) of the implementation of the International Health Regulations (2005) (IHR) conducted from 24 November to 1 December 2017. The WHO-led international team of experts that assessed our country’s capabilities took a great amount of time and careful consideration to supply us with suitable recommendations to further strengthen our already strong capacities. These recommendations are now prioritised for action across the five year time period of the NAPHS. The Department of Health (Health) will oversee implementation of the NAPHS, but it is important to note that the plan is not only a responsibility of the health sector. Realisation of the NAPHS depends on partnerships extending to many other sectors, including organisations involved in food safety, agriculture, chemical and radiation safety, security and border agencies. All levels of government, private organisations and research institutions, and the general community have a part to play in the NAPHS. Given the dual responsibility for many priorities, Health and the Department of Agriculture and Water Resources (Agriculture) will partner in overseeing the governance and delivery of the NAPHS. It is critical that Australia’s high standards of health security are maintained. Diseases can spread faster and more unpredictably than ever before due to our increasingly interconnected world. New pathogens, rapid epidemics, misuse of harmful biological substances and antimicrobial resistance all demand agile and sophisticated systems and measures of prevention, preparedness, detection and response. It will be important to build on the momentum of cross-sectoral dialogue and dedication seen in the JEE. Maintaining connections to our international partners, including the WHO and the World Organisation for Animal Health and our fellow Member States, is also central to strengthening global health security. It is in the best interests of the global community, and a moral imperative, to build the capacities of other countries to respond to public health threats. We are confident that this NAPHS provides a solid framework for the coordination of efforts to continue to improve Australia’s already robust capacities to prevent, prepare for, detect and respond to public health threats. Professor Brendan Murphy Dr Mark Schipp Chief Medical Officer Chief Veterinary Officer Page 4 of 33 2 Acknowledgement The efforts and dedication of a multitude of people and organisations made the Joint External Evaluation (JEE) of Australia’s IHR implementation in 2017 a highly valuable and constructive exercise. The recommendations from the JEE ultimately formed the basis of Australia’s National Action Plan for Health Security (NAPHS). The contributions of all those involved in the JEE and NAPHS processes are greatly appreciated:  The staff within the Australian Government.  State and territory governments and the expert committees and organisations across Australia.  The following WHO entities: the JEE Secretariat of the WHO, WHO Health Emergencies Programme, the Western Pacific Regional Office and the Country Health Emergency Preparedness and IHR Department at WHO Headquarters.  The governments of Canada, China, Finland, Japan, New Zealand and the United States of America for providing technical experts to Australia’s JEE.  The Food and Agriculture Organization of the United Nations (FAO), the World Organisation for Animal Health (OIE) for their contribution of experts and expertise to Australia’s JEE. 3 Executive Summary Australia completed a JEE of IHR implementation in 2017. Australia was the sixth Member State in the WHO Western Pacific Region and the first country in the Pacific to undertake a JEE. The JEE provided a unique opportunity to cultivate relationships at both international and national levels to strengthen health security. It was clear that Australia’s health security cannot be safeguarded by the health sector alone, and hence collaboration occurred across many sectors, such as agriculture, food and chemical safety, radiation, disaster response, defence, security and foreign affairs. Australia demonstrated strong regional and global leadership in IHR implementation and a robust capacity to prevent, prepare for, detect and respond to public health threats. However, the JEE highlighted the need to maintain such a high operational functionality, and produced 66 recommendations (in the final JEE Mission Report) to further improve public health capacities. The purpose of the NAPHS is to provide a high-level framework to guide implementation of the recommendations born out of Australia’s JEE. Australia’s health security more broadly is guided by a range of existing strategies, plans and legislation. The multisectoral and multidisciplinary dialogue present in the JEE continued throughout the development of the NAPHS. Ongoing dialogue is essential in obtaining commitment to the realisation of the NAPHS. Collaboration during development of the NAPHS has been, and will continue to be, crucial for avoiding duplication of efforts throughout the five-year lifespan of the plan. Instead, the NAPHS is embedded in existing plans, mechanisms and governance structures. Prioritisation of the recommendations is central to the NAPHS. Agreeing on priorities for such broad and numerous activities enables resource allocation and planning to be prudent and transparent. Page 5 of 33 4 Introduction Following the completion of a JEE Mission, the WHO recommends that countries develop a NAPHS to address the recommendations in the JEE Mission Report. In keeping with the JEE ideology, the NAPHS is developed collaboratively across multiples sectors, with the aim of prioritising the implementation of recommendations to improve IHR compliance and national health security. Australia’s NAPHS outlines the:  background and purpose;  vision, mission and objectives;  methodology for the development of the NAPHS;  major components of the NAPHS, including top priorities; and  delivery of the NAPHS, including stakeholder management and project governance. To enable coordinated implementation across sectors and government, the Planning Matrix (see Appendix):  ranks the recommendations from the JEE Mission Report;  tracks implementation status;  assigns responsibility for progress;  includes key stakeholders; and  describes implementation platforms. 5 NAPHS Background / Context Australia’s population experiences relatively good health, with high life expectancy rates and relatively low rates of communicable diseases. The country’s geographical isolation, strong public health system and biosecurity measures contribute to the absence of many serious communicable diseases found in the Western Pacific Region, such as malaria, yellow fever, typhoid fever and cholera. The National Immunisation Program is very strong, with Australia being declared polio free in 2000, free of endemic measles in 2014, and to have eliminated the transmission of endemic rubella in 2018. Foodborne disease is an ever-present concern in Australia. The leading causes of death in the country are due to non-communicable diseases. Universal access to health-care in Australia is provided though a system known as Medicare. Medicare is based on principles of choice, access and universality, and combines free access to public hospital services and subsidised access to medical services and pharmaceuticals, with higher subsidies for those using a higher volume of services and people with low incomes. Australia’s health system provides targeted assistance for particular groups, such as funding of community-controlled health services for Aboriginal and Torres Strait Islander people. Responsibility for health lies across all levels of government (federal, state and territory and local), with different, and often shared, roles as funders, policy developers, regulators and service deliverers. Health manages responses to national health emergencies, including how the public health sector will manage and respond to communicable disease outbreaks, epidemics or pandemics. Health manages the National Focal Point (IHR NFP) through the National Incident Room which provides the national coordination function of incident management and Page 6 of 33 communication for health security. State and territory government health departments have primary operational responsibility for responding to an incident in their jurisdiction. The governance of Australia’s public health system is complex with numerous actors at different levels of government and in different sectors. The JEE highlighted that despite its complexity, the network of committees and institutional actors is highly functional and cohesive in its operations. Strong linkages and coordination mechanisms also exist between the human and animal public health systems. The Australia-WHO Country Cooperation Strategy 2018-2022 represents Australia’s commitment to strongly supporting global efforts to strengthen health security. Australia is a contributor of voluntary flexible funds to WHO, and a strong contributor to shaping the global and regional health agendas. Sharing experiences and learning from other countries are highly valued by the nation for addressing health challenges and leveraging new technologies in cost-effective ways. Australia is committed to supporting health security through regional investments in the broader Asia Pacific region. Over the next five years, the Australian Government’s Health Security Initiative for the Indo-Pacific will contribute to the prevention and containment of communicable disease outbreaks with the potential to cause adverse economic impacts on a national, regional or global scale through assisting countries to implement the IHR. The initiative will accelerate research on new drugs and diagnostics and develop strategic partnerships and people-to-people connections to build health security capacity. As a member of the WHO Western Pacific Region, Australia uses the Asia Pacific Strategy for Emerging Diseases and Public Health Emergencies as the action framework to achieve implementation of IHR core capacities. 5.1 The International Health Regulations (2005) The IHR is an international legal agreement that is binding on 196 State Parties, including all WHO Member States. The IHR was adopted at the 58th World Health Assembly in May 2005, and subsequently entered into force on 15 June 2007. The purpose and scope of the IHR are “to prevent, protect against, control and provide a public health response to the international spread of disease in ways that are commensurate with and restricted to public health risks, and which avoid unnecessary interference with international traffic and trade”. State Parties are required by the IHR to develop certain minimum core public health capacities. Australia has been compliant with the IHR since their commencement. 5.2 International Health Regulations Monitoring and Evaluation Framework The JEE forms one component of the IHR Monitoring and Evaluation Framework, which provides guidance for reviewing the implementation of country core public health capacities under the IHR. The Framework was developed in 2016, in collaboration with related initiatives such as the Global Health Security Agenda and the Performance of Veterinary Services (PVS) Pathway. A key tenet is mutual accountability of State Parties and the IHR Secretariat for global public health security through ongoing communication and transparent reporting. The remaining three components of the Framework consist of:  Annual Reporting to the World Health Assembly (mandatory): Page 7 of 33 Australia has participated in the annual reporting component since its inception in 2010, and recently participated in the consultation processes for the new IHR Self-Assessment Annual Reporting Tool.  Simulation Exercises: Australia participates in WPRO’s annual IHR Crystal communications exercise, with the objectives of practising the NFPs’ assessment of public health events and the use of the decision-making tool instrument in Annex 2 of the IHR. Other multisectoral and multidisciplinary coordination and communication mechanisms are tested regularly through exercises within Health as well as whole of government exercises.  After-action Review: Whole-of-government after action reviews are conducted for significant events, with recommendations made on potential improvements. 5.3 Australia’s Joint External Evaluation Australia’s JEE process took place throughout 2017, and follows a PVS Evaluation of Australia by the OIE in 2015. The JEE self-evaluation phase occurred between January and October 2017, and included consultation with over 25 Australian Government agencies, expert committees and organisations, as well as all eight state and territory governments. Australia’s JEE Self-Evaluation Report was finalised and submitted to the WHO approximately three weeks before the JEE Mission. Australia’s JEE Mission was conducted between 24 November and 1 December 2017. It consisted of eight site visits to key public health preparedness and response facilities, and 19 technical panel discussions in Melbourne and Canberra. More than 100 subject matter experts from across Australia gathered in Canberra to participate in the technical panel sessions. This demonstrated both the high-level of interest built over the self-evaluation process and the breadth of expertise across a variety of agencies and organisations. The external evaluation team comprised experts from Finland, Canada, China, Japan, New Zealand, United States of America, representatives from the WHO and the World Organisation for Animal Health, as well as observers from Canada and New Zealand. The 66 recommendations from Australia’s JEE can be found in the Appendix: Planning Matrix. Australia’s capabilities were particularly noteworthy in the following technical areas:  Points of Entry: A comprehensive system of border and biosecurity measures at international airports and sea ports reduces the risks of pathogens and pests being imported.  Microbiological Laboratory Capacity: Cutting edge laboratories ensure a high level of preparedness for emerging diseases.  Biorisk Management: The country remains a benchmark for other countries in the management of biorisks, both of natural and intentional causes. Although the JEE recognised the outstanding progress made for IHR requirements, a number of observations were made to further strengthen public health capacities. Page 8 of 33 Opportunities remain for greater coordination of activities between the human and animal health sectors, although steps have been taken to ensure a collaborative approach. Genomics for infectious disease surveillance could be better harnessed, considering Australia is currently leading the research field in complete genome based laboratory techniques. Recommendations were also made to ensure the longevity of a skilled public health workforce, to develop an all hazards protection framework and to strengthen joint training and exercising across sectors, agencies and jurisdictions, including sharing and implementation of lessons. 6 NAPHS Vision, Mission and Objectives Vision: A nation that is effective in its ability to prepare for, detect, prevent and respond to any acute public health event. A nation that has coordinated, adaptable and resilient systems that evolve with changes in disease, society, technology and information. Mission: To build upon national strengths and continue to develop systems for health security across the IHR core capacities. Goal: To reduce human morbidity and mortality associated with public health events. Objectives: 1. To strengthen and maintain capacity to PREVENT and reduce the likelihood of disease outbreaks and other public health events through regulation; activities at points of entry; immunisation; surveillance; biosafety; and other activities. 2. To strengthen and maintain capacity to PREPARE for public health events by reviewing, updating and testing emergency response plans for relevant biological, chemical, radiological and nuclear hazards; mapping of potential hazards, resources and capacities; and provision of medical countermeasures. 3. To strengthen and maintain capacity to rapidly and accurately DETECT and assess disease outbreaks and public health events through surveillance; laboratory testing; communication; and risk assessment. 4. To strengthen and maintain capacity to rapidly and appropriately RESPOND to and RECOVER from emerging diseases and public health events through comprehensive preparedness and coordination mechanisms; and personnel deployment. 5. To build, strengthen and maintain STRATEGIC PARTNERSHIPS under a One Health, all-hazards, whole of government and whole of society approach. This includes sharing and incorporating lessons learnt into multisectoral coordination and communication mechanisms and national plans to continuously improve systems. 6. To practise LEADERSHIP in IHR implementation at the regional and global levels. This includes leading by example and actively supporting other Member States in achieving their core capacities under IHR. Guiding Principles:  Country Ownership: The Australian Government leads and coordinates the NAPHS, its progress and implementation, to ensure that all activities align with national plans, strategies and guidelines. Page 9 of 33  Human Rights Principles: NAPHS activities will be consistent with the IHR with regard to protecting the human rights of all persons and travellers. Policies and programs will be non-discriminatory and equitable.  Community Engagement: People and communities are central in addressing health security. Dynamic listening and involving communities during emergencies and post-emergencies is important for sharing lessons learnt.  Partnerships and Collaboration: Health security is a shared responsibility that cannot be achieved by a single government agency or actor. Strong partnerships between different sectors, disciplines, government agencies, the private sector, research and academic institutions are essential, as well as timely and transparent collaboration.  WHO Partnership: The NAPHS upholds Australia’s long-standing partnership with the WHO to protect and promote health security for Australia and other countries.  Alignment with Other Strategies: The NAPHS will be implemented synergistically, through integration into existing plans and strategies of policy and technical areas where appropriate. The NAPHS is in keeping with the Asia Pacific Strategy for Emerging Diseases and Public Health Emergencies.  Evidence-led: Activities under the NAPHS will be forward-looking and informed by objective evidence, including data and information on emerging trends, risks and health innovations. Information shared via inter-country, regional, sub-regional and cross-border partnerships will also be considered.  Continuous Improvement: Activities, plans and strategies are to be reviewed and improved based on lessons learnt, new evidence, or changes in health threats, policy and legislation. Some NAPHS activities build upon others, therefore flexibility in their implementation is required. 7 Methodology for the Development of the NAPHS Following the completion of the JEE program, Health developed a Planning Matrix that details all 66 recommendations (see Appendix). For each recommendation, the matrix describes its implementation status, implementation mechanisms, lead stakeholders responsible for driving actions and a ranking for implementation. Careful thought was given to the ranking of each recommendation. Each recommendation was ranked high, medium or low after consideration of several factors, as follows.  Scope, impact and efficiencies gained by implementation.  Stakeholder involvement level.  Current project status, including whether the project had commenced.  Timeframe for completion.  Resourcing. Page 10 of 33 As the coordinator of the NAPHS, Health will continue to cultivate the relationships established and built on during the JEE process. Given the multisectoral nature of the recommendations, it will be important for all relevant organisations to be consulted on the priorities and the steps for achieving them. As the JEE recognised Australia’s governance and committee structures as a key strength, these will be leveraged to address the recommendations. The timing of the development of the Planning Matrix aligned with the business planning cycle at Health, which allowed the recommendations to be integrated into business plans, and available resources are used to maximum efficiencies. 8 Major Components of the NAPHS Some of the highest priority recommendations from the JEE to be progressed in the NAPHS include:  Creating an all-hazards health protection framework, by building on the existing national framework for communicable disease control.  Developing a strategy for the use of full genome microbial data for national disease surveillance.  Strengthening animal and human health linkages by improving the coordination of activities. This includes the following. o Creating a mechanism for routine communication, coordination and collaboration for AMR-related assessment, planning and response across all jurisdictions and sectors (animal, human, food and environment). o Establishing an interoperable, interconnected electronic disease surveillance system for both human and animal sectors, coordinated at the national level and incorporating an outbreak management system, to ensure a consistent platform across and within jurisdictions.  Strengthening risk communications activities by introducing a training program for relevant staff, improving guidance for the use of social media during emergencies, monitoring community engagement activities and sharing lessons learnt with other sectors and stakeholders. Key stakeholders are identified for each action in the Planning Matrix. Various areas within Health and Agriculture will be pivotal for driving implementation of many actions, as well as other agencies and all states and territories. A large proportion of the priority actions in the NAPHS are consistent with those marked for priority action in other national work plans. 9 Delivery of the NAPHS The NAPHS is a multisectoral plan with multisectoral ownership for action. Lead areas, mainly within Health, will be responsible for monitoring progress through a 6-monthly reporting process within the Planning Matrix described earlier. There are a significant number of actions that build on the results achieved through implementation of other recommendations. It will be Page 11 of 33 important to monitor the implementation of recommendations that impact the manner in which others are progressed, so that adjustments occur as appropriate. One of the Guiding Principles of the NAPHS is alignment with other strategies. Further strengthening of Australia’s health security system will be undertaken within existing strategies, plans and legislation, including but not limited to the following:  Australian Government Crisis Management Framework  Biosecurity Act 2015  National Health Security Act 2007  National Health Emergency Response Arrangements  Emergency Response Plan for Communicable Disease Incidents of National Significance  Australian Health Management Plan for Pandemic Influenza  National Antimicrobial Resistance Strategy  National Immunisation Strategy  Australia’s Foodborne Illness Reduction Strategy 2018-2021+ Governance of the NAPHS will occur through existing mechanisms, including the Australian Health Protection Principal Committee, which provides health protection policy oversight and manages responses to national health emergencies. Regular progress reports will be provided to the committee to harness its strategic leadership, advice and assistance in the implementation of the five year plan. Given the dual responsibility for many priorities, Agriculture will also be a valued partner for overseeing the delivery of the NAPHS. Formal meetings between Agriculture and Health will provide an opportunity to discuss progress and identify issues and opportunities. Utilising existing committees and structures within Health and Agriculture will be important for ensuring both the successful implementation of recommendations and keeping appropriate stakeholders informed of progress. The Senior Executive Service of the Office of Health Protection, Health, will be the first points of contact for governance-related issues of the NAPHS. Costing of activities will occur on a case-by-case basis, but for the most part will be funded through existing budget processes and allocations. Pa g e 1 2 o f 3 3 10 A p p en d ix : P la n n in g M at ri x 10 .1 N at io n al L eg is la ti o n , P o li cy a n d F in an ci n g N o . R e c o m m e n d a ti o n s L e a d B ra n c h /S e c ti o n (D e p a rt m e n t o f H e a lt h ) P ro je c t P ri o ri ty P ro g re s s T ra c k e r K e y S ta k e h o ld e rs P la tf o rm f o r im p le m e n ta ti o n 1 B u ild o n t h e e xi st in g N at io na l F ra m ew or k fo r C om m un ic ab le D is ea se C on tr ol t o c re a te a n a ll h a za rd s h e a lth p ro te ct io n f ra m e w o rk . H e a lt h P ro te ct io n P o lic y B ra n ch / C o m m u n ic a b le D is e a s e a n d A M R P o lic y S e ct io n H ig h U n d e rw a y S & T , C D N A , re le va n t C o m m o n w e a lt h g o ve rn m e n t d e p a rt m e n ts . N o t ye t id e n tif ie d . 2 U n d e rt a ke a n a n a ly si s o f p o lic ie s re la te d t o t h e In te rn at io na l H ea lth R eg ul at io ns ( 20 05 ) (I H R ) to id e n tif y g a p s a n d p o te n tia l o ve rl a p in e xi st in g p o lic ie s. H e a lt h E m e rg e n c y M a n a g e m e n t B ra n ch / B o rd e r H e a lt h S e ct io n M e d iu m U n d e rw a y E P R S , C D E S S , H E C S . N o t ye t id e n tif ie d . 3 U p d a te le g is la tio n a n d p o lic ie s to a llo w f o r p ro te ct e d in fo rm a ti o n u n d e r th e B io se cu rit y A ct 2 01 5 (B io se c u ri ty A c t) t o b e s h a re d w it h t h e N a ti o n a l I H R F o ca l P o in t (I H R N F P ). H e a lt h E m e rg e n c y M a n a g e m e n t B ra n ch / B o rd e r H e a lt h S e ct io n H ig h C o m p le te A g ri cu lt u re , E P R S . B io se c u ri ty A ct 2 0 1 5 . 4 R e vi e w t h e N at io na l H ea lth S ec ur ity A ct 2 00 7 a n d t h e N a tio n a l H e a lt h S e cu ri ty A g re e m e n t to c o n si d e r p o ss ib le a m e n d m e n ts t a ki n g i n to a cc o u n t te ch n o lo g ic a l a d va n c e m e n ts i n c o m m u n ic a b le d is e a se su rv e ill a n ce a n d c o n tr o l w h ile e n su ri n g c o n si st e n c y w it h t h e B io s e c u ri ty A ct . H e a lt h E m e rg e n c y M a n a g e m e n t B ra n ch / B o rd e r H e a lt h S e ct io n M e d iu m U n d e rw a y C D E S S , H E C S , E P R S , L S B , A G D , N S C , C D N A , A H P P C . N S C , C D N A , A H P P C . 5 D o cu m e n t a n d p u b lis h a d m in is tr a tiv e a rr a n g e m e n ts a n d p o lic ie s fr o m v a ri o u s se ct o rs , in o rd e r to e n co u ra g e c ro ss s e ct o ra l c o lla b o ra tio n . H e a lt h E m e rg e n c y M a n a g e m e n t B ra n ch / B o rd e r H e a lt h S e ct io n L o w N o t Y e t C o m m e n c e d A g ri cu lt u re , H e a lth b ro a d ly , S & T , A IC a g e n ci e s. N o t ye t id e n tif ie d . 6 C o n si d e r si m u lt a n e o u s re p o rt in g t o s ta te s a n d te rr ito ri e s a n d I H R N F P f ro m n a tio n a l r e fe re n ce la b o ra to ri e s, c h e m ic a l s e ct o r a n d r a d ia ti o n s e ct o r fo r u rg e n t a n d h ig h r is k h a za rd s. H e a lt h E m e rg e n c y M a n a g e m e n t B ra n ch / E m e rg e n c y P re p a re d n e ss a n d R e sp o n se S e ct io n L o w N o t Y e t C o m m e n c e d H E C S , A R P A N S A , S & T , R P B , e n H e a lth . N o t ye t id e n tif ie d . Pa g e 1 3 o f 3 3 10 .2 IH R C o o rd in at io n , C o m m u n ic at io n a n d A d vo ca cy N o . R e c o m m e n d a ti o n s L e a d B ra n c h /S e c ti o n (D e p a rt m e n t o f H e a lt h ) P ro je c t P ri o ri ty P ro g re s s T ra c k e r K e y S ta k e h o ld e rs P la tf o rm f o r im p le m e n ta ti o n 7 U se t h e le ss o n s id e n tif ie d t h ro u g h e xe rc is e s a n d a ft e r a ct io n r e v ie w s (A A R s) t o u p d a te h e a lt h e m e rg e n c y p la n s in a t im e ly m a n n e r a n d s h a re w it h s ta ke h o ld e rs a s a p p ro p ri a te . H e a lt h E m e rg e n c y M a n a g e m e n t B ra n ch / H e a lth E m e rg e n c y C o u n te rm e a s u re s S e ct io n H ig h U n d e rw a y E P R S , B o rd e r H e a lt h S e ct io n , C D E S S , S & T , C D N A , e n H e a lt h , N H E M S , A H P P C , A R P A N S A . D e p a rt m e n t o f H e a lt h p ro ce ss , lis t o f le ss o n s id e n tif ie d a re a cc e ss ib le v ia S h a re p o in t (i n te rn a l co lla b o ra tiv e w e b si te ). Im p le m e n t m o n th ly r e vi e w o f lis t. 8 F o rm a lis e a n n u a l f e e d b a ck o n t h e s ta tu s o f IH R im p le m e n ta ti o n t o r e le va n t st a ke h o ld e rs t h ro u g h st a ke h o ld e r m e e tin g s a n d a n n u a l r e p o rt . H e a lt h E m e rg e n c y M a n a g e m e n t B ra n ch / B o rd e r H e a lt h S e ct io n H ig h N o t Y e t C o m m e n c e d O H P , A H P P C , A g ri cu lt u re . N F P , A H P P C . 9 F u rt h e r e m p o w e r th e I H R N F P in d is se m in a ti n g in fo rm a tio n t o , a n d c o n so lid a tin g in p u t fr o m r e le v a n t se ct o rs . H e a lt h E m e rg e n c y M a n a g e m e n t B ra n ch / E m e rg e n c y P re p a re d n e ss a n d R e sp o n se S e ct io n M e d iu m U n d e rw a y S & T , A H P P C , A g ri cu lt u re , D F A T , D e p a rt m e n t o f H o m e A ff a ir s. N F P . Pa g e 1 4 o f 3 3 10 .3 A n ti m ic ro b ia l R es is ta n ce ( A M R ) N o . R e c o m m e n d a ti o n s L e a d B ra n c h /S e c ti o n (D e p a rt m e n t o f H e a lt h ) P ro je c t P ri o ri ty P ro g re s s T ra c k e r K e y S ta k e h o ld e rs P la tf o rm f o r im p le m e n ta ti o n 1 0 E xt e n d d e te ct io n , su rv e ill a n c e , in fe ct io n p re ve n tio n a n d c o n tr o l ( IP C ), a n d s te w a rd s h ip t o n o n h o sp ita l ( p ri m a ry c a re a n d c o m m u n it y) se tt in g s. H e a lt h P ro te ct io n P o lic y B ra n ch / C o m m u n ic a b le D is e a s e a n d A M R P o lic y S e ct io n M e d iu m U n d e rw a y A C S Q H C , A g ri cu ltu re , S & T , A u st ra lia n C o lle g e o f R u ra l a n d R e m o te M e d ic in e , R A C G P , N a tio n a l C e n tr e f o r A n tim ic ro b ia l S te w a rd s h ip ( N C A S ), A u st ra la s ia n C o lle g e f o r In fe ct io n P re v e n tio n a n d C o n tr o l. N o t ye t id e n tif ie d . T h e A u st ra lia n G o ve rn m e n t h a s e st a b lis h e d a G P A M R E xp e rt G ro u p t o a d vi se th e D e p a rt m e n t o f H e a lth o n a ct iv iti e s to im p ro ve a n tim ic ro b ia l s te w a rd sh ip in p ri m a ry c a re a n d c o m m u n it y se tt in g s. 1 1 A lig n a n tim ic ro b ia l s u sc e p ti b ili ty t e st in g m e th o d o lo g y a cr o ss t h e c o u n tr y, in cl u d in g a b a la n ce o f te st in g b y g e n o m e s e q u e n ci n g a n d P o ly m e ra se C h a in R e a ct io n ( P C R ) w ith tr a d iti o n a l c u ltu re a n d s e n si tiv it y. H e a lt h P ro te ct io n P o lic y B ra n ch / C o m m u n ic a b le D is e a s e a n d A M R P o lic y S e ct io n M e d iu m N o t Y e t C o m m e n c e d P u b lic h e a lth la b o ra to ri e s, S & T , A C S Q H C , R C P A , A G A R , A g ri cu lt u re , A S T A G , N A T A . N o t ye t id e n tif ie d . 1 2 E st a b lis h a p la n f o r A M R s u rv e ill a n c e a n d a n tim ic ro b ia l s u sc e p ti b ili ty t e s tin g a n d r e p o rt in g in th e a n im a l h e a lt h s e ct o r b a se d o n r is k a ss e ss m e n t, a n d f o llo w in g f u rt h e r a ss e ss m e n t, co n si d e r in cl u d in g f o o d . I n cl u d e in t h e p la n a re q u ir e m e n t a n d m e ch a n is m s fo r: o re p o rt in g o f A M R in m ic ro b ia l a g e n ts f ro m a n im a ls t o s u b n a tio n a l l e ve l a n d D e p a rt m e n t o f A g ri cu lt u re a n d W a te r R e so u rc e s (A g ri cu ltu re ); a n d o in fo rm a tio n s h a ri n g b e tw e e n A g ri cu ltu re a n d th e D e p a rt m e n t o f H e a lth ( H e a lth ). H e a lt h P ro te ct io n P o lic y B ra n ch / C o m m u n ic a b le D is e a s e a n d A M R P o lic y S e ct io n M e d iu m N o t Y e t C o m m e n c e d A g ri c u lt u re j o in tl y l e d b y A g ri c u lt u re a n d H e a lt h . S & T , P u b lic H e a lt h L a b o ra to ri e s, D o E E , P ri m a ry In d u st ri e s, F S A N Z . N o t ye t id e n tif ie d . 1 3 C re a te a m e c h a n is m f o r ro u ti n e c o m m u n ic a ti o n , co o rd in a ti o n , a n d c o lla b o ra ti o n f o r A M R r e la te d a ss e ss m e n t, p la n n in g , a n d r e sp o n s e ( in cl u d in g o u tb re a ks ) a cr o ss a ll ju ri sd ic ti o n s a n d s e ct o rs ( a t le a st a n im a l, h u m a n , fo o d , a n d e n vi ro n m e n t) . H e a lt h P ro te ct io n P o lic y B ra n ch / C o m m u n ic a b le D is e a s e a n d A M R P o lic y S e ct io n H ig h U n d e rw a y A C S Q H C , A g ri cu ltu re , S & T , F S A N Z , P u b lic H e a lt h L a b o ra to ri e s, D o E E , C D N A , A H P P C , A S T A G , F R S C , p ri m a ry in d u st ri e s a n d f o o d in d u st ri e s. N o t ye t id e n tif ie d . Pa g e 1 5 o f 3 3 10 .4 Z o o n o ti c D is ea se s N o . R e c o m m e n d a ti o n s L e a d B ra n c h /S e c ti o n (D e p a rt m e n t o f H e a lt h ) P ro je c t P ri o ri ty P ro g re s s T ra c k e r K e y S ta k e h o ld e rs P la tf o rm f o r im p le m e n ta ti o n 1 4 I n tr o d u ce a f o rm a l p ro c e ss t h ro u g h c o m m itt e e st ru ct u re s b e tw e e n H e a lt h a n d A g ri cu ltu re t o r e g u la rl y re vi e w a jo in t lis t o f p ri o ri ty z o o n o tic d is e a se s. C o n si d e r d e si g n a tin g z o o n o tic d is e a s e s o f p u b lic h e a lth im p o rt a n ce in A u st ra lia a s n a tio n a lly n o tif ia b le in a n im a ls . H e a lt h P ro te ct io n P o lic y B ra n ch / C o m m u n ic a b le D is e a s e E p id e m io lo g y a n d S u rv e ill a n ce S e ct io n M e d iu m U n d e rw a y A g ri c u lt u re j o in tl y l e d b y A g ri c u lt u re a n d H e a lt h , C D N A , N A M A C , A S ID , st a te a n d t e rr ito ry a g ri c u ltu re d e p a rt m e n ts , A H C . N o t ye t id e n tif ie d . 1 5 E st a b lis h a d e d ic a te d m u lt is e ct o ra l n a ti o n a l zo o n o si s co m m itt e e o r e n su re r e c ip ro c a l a n im a l a n d h u m a n se ct o r re p re s e n ta tio n o n t h e ir r e sp e ct iv e n a ti o n a l zo o n o tic d is e a se r e la te d c o m m itt e e s to e n h a n ce co m m u n ic a tio n s, b ri d g e k n o w le d g e g a p s a n d st re n g th e n c o lla b o ra tiv e r e sp o n se s. H e a lt h P ro te ct io n P o lic y B ra n ch / C o m m u n ic a b le D is e a s e E p id e m io lo g y a n d S u rv e ill a n ce S e ct io n M e d iu m U n d e rw a y A g ri c u lt u re j o in tl y l e d b y A g ri c u lt u re a n d H e a lt h , C D N A , P H L N , A H P P C , A H C . A H P P C , A H C a n d su b co m m itt e e s o f b o th . 1 6 C o n si d e r st a n d a rd is in g /a lig n in g la b o ra to ry c a se d e fin iti o n s a n d t yp in g b e tw e e n h u m a n a n d a n im a l h e a lth s e ct o rs t o e n h a n c e d a ta c o m p a ri so n o f th e ir su rv e ill a n ce s ys te m s. H e a lt h E m e rg e n c y M a n a g e m e n t B ra n ch / H e a lth E m e rg e n c y C o u n te rm e a s u re s S e ct io n L o w N o t Y e t C o m m e n c e d P H L N , A H C . P H L N . Pa g e 1 6 o f 3 3 10 .5 F o o d S af et y N o . R e c o m m e n d a ti o n s L e a d B ra n c h /S e c ti o n (D e p a rt m e n t o f H e a lt h ) P ro je c t P ri o ri ty P ro g re s s T ra c k e r K e y S ta k e h o ld e rs P la tf o rm f o r im p le m e n ta ti o n 1 7 W o rk t o w a rd s a n in te g ra te d m u lti se ct o ra l a n d m u lti d is c ip lin a ry e le ct ro n ic su rv e ill a n ce a n d o u tb re a k m a n a g e m e n t s ys te m , co o rd in a te d b y H e a lth t h a t in cl u d e s d ia g n o st ic a n d e p id e m io lo g ic a l d a ta f ro m f o o d a n im a ls , fo o d p ro d u ct s, a n d h u m a n s. H e a lt h P ro te ct io n P o lic y B ra n ch / C o m m u n ic a b le D is e a s e E p id e m io lo g y a n d S u rv e ill a n ce S e ct io n H ig h U n d e rw a y C D N A , A H C , A g ri cu lt u re , P H L N , e n H e a lth , F S A N Z a n d i n d u st ry g ro u p s. O zF o o d N e t. 1 8 Id e n tif y a n d p ri o ri tis e f o o d s a fe ty /f o o d ch a in is su e s o f sp e ci fic c o n c e rn ( e .g . sa lm o n e llo si s) t h a t re q u ir e w o rk in g a cr o ss se ct o rs t o d e cr e a se i n ci d e n c e . P re ve n tiv e H e a lth P o lic y B ra n ch / F o o d a n d N u tr it io n P o lic y S e ct io n M e d iu m C o m p le te C D N A , F S A N Z , F R S C , IS F R a n d in d u st ry g ro u p s. F R S C a n d A H P P C . 1 9 E st a b lis h a m e ch a n is m t o e n g a g e in d u st ry in m o n ito ri n g a n d r e sp o n s e . P re ve n tiv e H e a lth P o lic y B ra n ch / F o o d a n d N u tr it io n P o lic y S e ct io n L o w U n d e rw a y F R S C , IS F R , F S A N Z . F R S C . 2 0 E st a b lis h s ta n d a rd n a ti o n a l p ro to co ls t o e n su re s o m e p ro p o rt io n o f cu lt u re b a se d te st in g . H e a lt h E m e rg e n c y M a n a g e m e n t B ra n ch / H e a lt h E m e rg e n c y C o u n te rm e a s u re s S e ct io n a n d H e a lt h P ro te ct io n P o lic y B ra n ch / C o m m u n ic a b le D is e a s e E p id e m io lo g y a n d S u rv e ill a n ce S e ct io n L o w N o t Y e t C o m m e n c e d O zF o o d N e t, C D N A , P H L N , A R P A N S A . N o t ye t id e n tif ie d . Pa g e 1 7 o f 3 3 10 .6 B io sa fe ty a n d B io se cu ri ty N o . R e c o m m e n d a ti o n s L e a d B ra n c h /S e c ti o n (D e p a rt m e n t o f H e a lt h ) P ro je c t P ri o ri ty P ro g re s s T ra c k e r K e y S ta k e h o ld e rs P la tf o rm f o r im p le m e n ta ti o n 2 1 C o n si d e r co n s o lid a tin g in s p e ct io n s a n d a u d its u n d e rt a ke n in to s in g le j o in t a ss e ss m e n t vi si ts f o r fa ci lit ie s o p e ra ti n g u n d e r d iff e re n t re g u la to ry f ra m e w o rk s a n d se ct o rs ( i.e . th e S e cu ri ty S e n si tiv e B io lo g ic a l S ch e m e R e g u la to ry S ch e m e , O ff ic e o f th e G e n e T e ch n o lo g y R e g u la to r, A g ri cu lt u re ). R e g u la to ry P o lic y B ra n c h / B e st P ra ct ic e S e ct io n N /A C o m p le te H E C S , O G T R , A g ri cu lt u re , N A T A , P H L N . S S B A R e g u la to ry S c h e m e . 2 2 C o n si d e r re v ie w in g t h e r e g u la to ry f ra m e w o rk to t a ke in to a cc o u n t ri sk s o f s yn th e tic b io lo g y. H e a lt h E m e rg e n c y M a n a g e m e n t B ra n ch / H e a lt h E m e rg e n c y C o u n te rm e a s u re s S e ct io n L o w N o t Y e t C o m m e n c e d O G T R , A IC a g e n ci e s, In d u st ry . S S B A R e g u la to ry S c h e m e . Pa g e 1 8 o f 3 3 10 .7 Im m u n is at io n N o . R e c o m m e n d a ti o n s L e a d B ra n c h /S e c ti o n (D e p a rt m e n t o f H e a lt h ) P ro je c t P ri o ri ty P ro g re s s T ra c k e r K e y S ta k e h o ld e rs P la tf o rm f o r im p le m e n ta ti o n 2 3 M a in ta in a n d i m p ro ve m e a sl e s im m u n is a tio n co ve ra g e f o r a ll p o p u la ti o n s, i n p a rt ic u la r h a rd to r e a ch p o p u la tio n s (s u c h a s t h o se in r e m o te a re a s, in d ig e n o u s p o p u la tio n s a n d m ig ra n t g ro u p s) a n d t h o se in a re a s w it h lo w e r co v e ra g e , to a ch ie ve 2 0 2 0 t a rg e t o f 9 5 % . Im m u n is a ti o n B ra n ch / Im m u n is a ti o n P ro g ra m s S e ct io n H ig h U n d e rw a y S ta te a n d t e rr it o ry h e a lth d e p a rt m e n ts , im m u n is a ti o n p ro vi d e rs a n d k e y im m u n is a tio n s ta ke h o ld e rs . N a tio n a l I m m u n is a ti o n P ro g ra m , N a tio n a l P a rt n e rs h ip o n E ss e n tia l V a cc in e s. 2 4 P ro m o te c o m m u n it y co n fi d e n c e in t h e N a ti o n a l Im m u n is a ti o n P ro g ra m ( N IP ) th ro u g h e ff e ct iv e co m m u n ic a tio n s tr a te g ie s th a t su p p o rt im m u n is a tio n a n d o ve rc o m e v a cc in e h e si ta n c y. Im m u n is a ti o n B ra n ch / Im m u n is a ti o n P ro g ra m s S e ct io n M e d iu m U n d e rw a y S ta te s a n d t e rr ito ry h e a lth d e p a rt m e n ts , im m u n is a ti o n p ro vi d e rs a n d k e y im m u n is a tio n s ta ke h o ld e rs . N a tio n a l I m m u n is a ti o n P ro g ra m , N a tio n a l P a rt n e rs h ip o n E ss e n tia l V a cc in e s, 'G e t th e f a ct s a b o u t im m u n is a tio n ' c a m p a ig n . 2 5 E st a b lis h a s in g le N a tio n a l V a cc in a ti o n R e g is tr y th a t a llo w s fo r d e ta ile d p o p u la tio n b a se d a n a ly si s a n d r e p o rt in g o f va cc in a tio n c o ve ra g e fo r a ll a g e s a n d a t n a tio n a l, st a te , te rr ito ry a n d lo ca l l e ve ls . Im m u n is a ti o n B ra n ch / Im m u n is a ti o n R e g is te rs S e ct io n H ig h U n d e rw a y S ta te a n d t e rr it o ry h e a lth d e p a rt m e n ts , im m u n is a ti o n p ro vi d e rs a n d k e y im m u n is a tio n s ta ke h o ld e rs , D e p a rt m e n t o f H u m a n S e rv ic e s. A u st ra lia n I m m u n is a tio n R e g is te r (A IR ). 2 6 M o n ito r va ri a ti o n s in v a cc in e s u p p ly t o m in im is e th e im p a ct o n t h e d e liv e ry o f th e N IP . Im m u n is a ti o n B ra n ch / Im m u n is a ti o n P ro cu re m e n t a n d C o n tr a ct M a n a g e m e n t S e ct io n M e d iu m U n d e rw a y P h a rm a c e u tic a l co m p a n ie s, s ta te a n d te rr ito ry h e a lth d e p a rt m e n ts . C o n tr a ct u a l a rr a n g e m e n ts w it h c o m p a n ie s. 2 7 Id e n tif y a n d m iti g a te f a ct o rs le a d in g t o v a cc in e w a st a g e t o e n s u re e ff ic ie n t u se o f va cc in e s. Im m u n is a ti o n B ra n ch / Im m u n is a ti o n P ro g ra m s S e ct io n M e d iu m U n d e rw a y S ta te a n d t e rr it o ry h e a lth d e p a rt m e n ts , im m u n is a ti o n p ro vi d e rs . N a tio n a l P a rt n e rs h ip o n E ss e n tia l V a cc in e s. Pa g e 1 9 o f 3 3 10 .8 N at io n al L ab o ra to ry S ys te m N o . R e c o m m e n d a ti o n s L e a d B ra n c h /S e c ti o n (D e p a rt m e n t o f H e a lt h ) P ro je c t P ri o ri ty P ro g re s s T ra c k e r K e y S ta k e h o ld e rs P la tf o rm f o r im p le m e n ta ti o n 2 8 C o n si d e r d e ve lo p in g a O n e H e a lth N a ti o n a l S tr a te g y to g u id e p u b lic h e a lth la b o ra to ry t e st in g a n d d is e a se s u rv e ill a n c e , e n g a g in g t h e ve te ri n a ry l iv e s to ck , zo o n o si s a n d f o o d s a fe ty o n a ll ju ri s d ic ti o n a l l e ve ls . H e a lt h P ro te ct io n P o lic y B ra n ch / C o m m u n ic a b le D is e a s e E p id e m io lo g y a n d S u rv e ill a n ce S e ct io n a n d H e a lt h E m e rg e n c y M a n a g e m e n t B ra n ch / H e a lt h E m e rg e n c y C o u n te rm e a s u re s S e ct io n M e d iu m N o t Y e t C o m m e n c e d H E C S , P H L N , C D N A , A H C , A g ri cu ltu re . N o t ye t id e n tif ie d . 2 9 D e ve lo p a s tr a te g y fo r th e s ys te m a tic u se o f fu ll g e n o m e m ic ro b ia l d a ta f o r n a tio n a l d is e a se su rv e ill a n ce . H e a lt h E m e rg e n c y M a n a g e m e n t B ra n ch / H e a lt h E m e rg e n c y C o u n te rm e a s u re s S e ct io n H ig h U n d e rw a y C D E S S , P H L N , C D N A , A H P P C . U si n g m o d e l o f H u m a n G e n o m ic s F ra m e w o rk , ra n g e o f e xi st in g e xp e rt co m m itt e e s. 3 0 C o n si d e r d e ve lo p in g m e ch a n is m s to s u p p o rt tr a n sp o rt o f ve te ri n a ry s a m p le s fo r p u b lic h e a lth p u rp o se s. H e a lt h E m e rg e n c y M a n a g e m e n t B ra n ch / H e a lt h E m e rg e n c y C o u n te rm e a s u re s S e ct io n L o w N o t Y e t C o m m e n c e d A g ri cu lt u re , A H C , P H L N . E xi st in g r e g u la tio n a n d a cc re d ita tio n s ys te m s. Pa g e 2 0 o f 3 3 10 .9 R ea l T im e S u rv ei ll an ce N o . R e c o m m e n d a ti o n s L e a d B ra n c h /S e c ti o n (D e p a rt m e n t o f H e a lt h ) P ro je c t P ri o ri ty P ro g re s s T ra c k e r K e y S ta k e h o ld e rs P la tf o rm f o r im p le m e n ta ti o n 3 1 E st a b lis h a n i n te ro p e ra b le , in te rc o n n e ct e d e le ct ro n ic d is e a se s u rv e ill a n c e s ys te m f o r b o th h u m a n a n d a n im a l s e ct o rs , co o rd in a te d a t th e n a ti o n a l l e v e l a n d in co rp o ra ti n g a n o u tb re a k m a n a g e m e n t sy st e m , to e n su re a c o n si st e n t p la tf o rm a cr o ss a n d w it h in j u ri sd ic tio n s. H e a lt h P ro te ct io n P o lic y B ra n ch / C o m m u n ic a b le D is e a s e E p id e m io lo g y a n d S u rv e ill a n ce S e ct io n H ig h U n d e rw a y C D N A , e n H e a lt h , A H P P C , A g ri cu lt u re , A H C . N a tio n a l H e a lt h S e cu ri ty A ct 2 0 0 7 , N a tio n a l H e a lt h S e cu ri ty A g re e m e n t. 3 2 E n h a n ce c o n si st e n t co lle ct io n a n d a n a ly si s o f la b o ra to ry d a ta b y e st a b lis h in g o r st re n g th e n in g m e ch a n is m s to im p ro ve q u a lit y o f d e n o m in a to r d a ta a n d s h a re d a ta o n o ve ra ll la b o ra to ry t e st in g ( w h e re re le v a n t) a t n a ti o n a l, st a te a n d t e rr ito ry le ve l. H e a lt h P ro te ct io n P o lic y B ra n ch / C o m m u n ic a b le D is e a s e E p id e m io lo g y a n d S u rv e ill a n ce S e ct io n M e d iu m N o t Y e t C o m m e n c e d H E C S , P H L N , e n H e a lth , C D N A P H L N , C D N A . 3 3 P ro m o te in n o v a tiv e s u rv e ill a n ce m e th o d s, in cl u d in g w h o le g e n o m e s e q u e n c in g . H e a lt h P ro te ct io n P o lic y B ra n ch / C o m m u n ic a b le D is e a s e E p id e m io lo g y a n d S u rv e ill a n ce S e ct io n H ig h C o m p le te H E C S , e n H e a lt h , P H L N . O zF o o d N e t, C D N A . Pa g e 2 1 o f 3 3 10 .1 0 R ep o rt in g N o . R e c o m m e n d a ti o n s L e a d B ra n c h /S e c ti o n (D e p a rt m e n t o f H e a lt h ) P ro je c t P ri o ri ty P ro g re s s T ra c k e r K e y S ta k e h o ld e rs P la tf o rm f o r im p le m e n ta ti o n 3 4 S tr e n g th e n c o m m u n ic a ti o n b e tw e e n t h e IH R N F P a n d t h e W o rl d O rg a n is a ti o n f o r A n im a l H e a lth ( O IE ) N a tio n a l D e le g a te , ch e m ic a l s e ct o r a n d r a d ia ti o n s e ct o r, a m o n g o th e rs , th ro u g h a f o rm a liz e d m e ch a n is m o n p o te n ti a l p u b lic h e a lth r is ks re p o rt in g a n d i n fo rm a tio n s h a ri n g . H e a lt h E m e rg e n c y M a n a g e m e n t B ra n ch / E m e rg e n c y P re p a re d n e ss a n d R e sp o n se S e ct io n M e d iu m N o t Y e t C o m m e n c e d A g ri cu lt u re , S & T , A R P A N S A , e n H e a lt h . N o t ye t id e n tif ie d H e a lth t o lia is e w ith A g ri cu ltu re . 3 5 Im p ro ve u n d e rs ta n d in g o f in te rn a tio n a l o b lig a tio n s to m e e t W H O a n d O IE re q u ir e m e n ts o n I H R e ve n ts a n d a n im a l d is e a se s n o tif ic a tio n a m o n g n a tio n a l, st a te a n d l o ca l s ta k e h o ld e rs t h ro u g h m u lti se ct o ra l d is cu ss io n s. H e a lt h E m e rg e n c y M a n a g e m e n t B ra n ch / E m e rg e n c y P re p a re d n e ss a n d R e sp o n se S e ct io n L o w N o t Y e t C o m m e n c e d A g ri cu lt u re , S & T , C D E S S . N o t ye t id e n tif ie d H e a lth t o lia is e w ith A g ri cu ltu re . 3 6 E n h a n ce m u lti se ct o ra l j o in t a ss e ss m e n t a m o n g a g e n ci e s o n P u b lic H e a lth E m e rg e n ci e s o f In te rn a tio n a l C o n ce rn (P H E IC ) n o tif ic a tio n s to W H O a n d a n im a l d is e a se n o tif ic a tio n s to O IE H e a lt h E m e rg e n c y M a n a g e m e n t B ra n ch / E m e rg e n c y P re p a re d n e ss a n d R e sp o n se S e ct io n M e d iu m N o t Y e t C o m m e n c e d A g ri cu lt u re , S & T , C D E S S , C D N A , e n H e a lt h . N o t ye t id e n tif ie d H e a lth t o lia is e w ith A g ri cu ltu re . Pa g e 2 2 o f 3 3 10 .1 1 W o rk fo rc e D ev el o p m en t N o . R e c o m m e n d a ti o n s L e a d B ra n c h /S e c ti o n (D e p a rt m e n t o f H e a lt h ) P ro je c t P ri o ri ty P ro g re s s T ra c k e r K e y S ta k e h o ld e rs P la tf o rm f o r im p le m e n ta ti o n 3 7 U se e xi st in g d a ta s o u rc e s, in cl u d in g r e le v a n t a cc re d ita tio n s ch e m e s, t o d e fin e t h e p u b lic h e a lth w o rk fo rc e f o r co n d u ct in g f o rw a rd p la n n in g , re cr u itm e n t o f a p p ro p ri a te ca te g o ri e s o f st a ff ( in cl u d in g t o xi c o lo g y a n d ra d ia tio n s p e ci a lis ts ) a n d d e v e lo p m e n t o f fu tu re c re d e n ti a lin g s ch e m e s. A u st ra lia n H e a lt h P ro te ct io n P ri n ci p a l C o m m itt e e L o w N o t Y e t C o m m e n c e d H W D , H E M B , H P P B , A R P A N S A , R a d ia tio n H e a lt h C o m m it te e , e n H e a lth , S & T , m e d ic a l co lle g e s, le a rn e d s o ci e tie s. N o t ye t id e n tif ie d . 3 8 W o rk w ith s ta te s a n d t e rr ito ri e s to e n su re su st a in a b le m e ch a n is m s fo r e p id e m io lo g is ts a n d o th e r p u b lic h e a lth p ro fe s si o n a ls a t st a te , te rr ito ry a n d lo ca l l e ve l. A u st ra lia n H e a lt h P ro te ct io n P ri n ci p a l C o m m itt e e L o w N o t Y e t C o m m e n c e d H W D , H E M B , H P P B , A R P A N S A , R a d ia tio n H e a lt h C o m m it te e , e n H e a lth , S & T , m e d ic a l co lle g e s, le a rn e d s o ci e tie s, A g ri cu lt u re , N C E P H . N o t ye t id e n tif ie d . 3 9 D e ve lo p a l o n g t e rm s tr a te g y th a t u se s cu rr e n t a n d n e w c h a n n e ls t o i n cr e a s e t h e in te rn a tio n a l e xp e ri e n c e o f th e p u b lic h e a lth w o rk fo rc e . A u st ra lia n H e a lt h P ro te ct io n P ri n ci p a l C o m m itt e e L o w N o t Y e t C o m m e n c e d N o t ye t id e n tif ie d . N o t ye t id e n tif ie d . Pa g e 2 3 o f 3 3 10 .1 2 P re p ar ed n es s N o . R e c o m m e n d a ti o n s L e a d B ra n c h /S e c ti o n (D e p a rt m e n t o f H e a lt h ) P ro je c t P ri o ri ty P ro g re s s T ra c k e r K e y S ta k e h o ld e rs P la tf o rm f o r im p le m e n ta ti o n 4 0 C o lla te a n d r e g u la rl y u p d a te t h e n a tio n a l p u b lic h e a lth r is k p ro fi le t o in cl u d e b o th in fe ct io u s h a za rd s a n d o th e r IH R r e le v a n t h a za rd s b u ilt o n t h e e xi st in g r is k a s se ss m e n t o n co m m u n ic a b le d is e a se s. H e a lt h E m e rg e n c y M a n a g e m e n t B ra n ch / E m e rg e n c y P re p a re d n e ss a n d R e sp o n se S e ct io n H ig h U n d e rw a y H E C S , C D E S S , G H P E H C , B o rd e r H e a lth S e ct io n (H e a lt h ). In te rn a l p ro ce ss ( H e a lth ). 4 1 In cl u d e R a p id R e sp o n se T e a m s a n d st o ck p ile s in to r e so u rc e m a p p in g t o re la tiv e ly a n d r a p id ly a d d re ss t h e g a p s id e n tif ie d a t n a tio n a l, st a te a n d t e rr ito ry le ve ls b a se d o n r is k a ss e ss m e n t o f a ll IH R r e le v a n t h a za rd s. H e a lt h E m e rg e n c y M a n a g e m e n t B ra n ch / E m e rg e n c y P re p a re d n e ss a n d R e sp o n se S e ct io n M e d iu m N o t Y e t C o m m e n c e d H E C S , N M S A G , A H P P C , C D E S S . In te rn a l p ro ce ss ( H e a lth ). 4 2 E n su re p u b lic h e a lth e m e rg e n c y re sp o n se p la n s a t m u lti p le l e v e ls a n d m u lti p le s e ct o rs a re li n ke d a p p ro p ri a te ly a n d e ff ic ie n tl y to f a ci lit a te a c o o rd in a te d r e sp o n se a cr o s s th e co u n tr y a n d a c ro ss t h e a g e n ci e s. H e a lt h E m e rg e n c y M a n a g e m e n t B ra n ch / H e a lth E m e rg e n c y C o u n te rm e a s u re s S e ct io n M e d iu m U n d e rw a y P H L N , C D N A , N H E M S , e n H e a lth , A H P P C , H o m e A ff a ir s (E M A ), D F A T , A R P A N S A , V S P N . W e a im t o e n s u re h e a lth se ct o r p la n s a re co m p le m e n ta ry t o a n d co n si st e n t w it h o th e r a g e n ci e s ’ a n d W h o le o f G o ve rn m e n t p la n s. Pa g e 2 4 o f 3 3 10 .1 3 E m er g en cy R es p o n se O p er at io n s N o . R e c o m m e n d a ti o n s L e a d B ra n c h /S e c ti o n (D e p a rt m e n t o f H e a lt h ) P ro je c t P ri o ri ty P ro g re s s T ra c k e r K e y S ta k e h o ld e rs P la tf o rm f o r im p le m e n ta ti o n 4 3 E n h a n ce t h e e xi st in g p u b lic h e a lth e xe rc is e p ro g ra m t o a d d re ss a ll IH R r e le va n t h a za rd s a n d t o in te g ra te m u lti se ct o ra l a n d m u lti ju ri sd ic ti o n a l e le m e n ts . H e a lt h E m e rg e n c y M a n a g e m e n t B ra n ch / H e a lth E m e rg e n c y C o u n te rm e a s u re s S e ct io n M e d iu m U n d e rw a y E P R S , B o rd e r H e a lt h S e ct io n , A R P A N S A , o th e r A u st ra lia n G o v e rn m e n t a g e n ci e s. E xi st in g 2 y e a r e xe rc is e p ro g ra m 4 4 D e ve lo p p o lic ie s a n d p ro c e d u re s to e n su re th e t im e ly r e le a se o f su rg e s ta ff d u ri n g tim e s o f re sp o n se . H e a lt h E m e rg e n c y M a n a g e m e n t B ra n ch / E m e rg e n c y P re p a re d n e ss a n d R e sp o n se S e ct io n H ig h U n d e rw a y O H P , H e a lth . C o n c e p t o f O p e ra tio n s D o cu m e n t u n d e rw a y. 4 5 A ss e ss t h e f e a si b ili ty o f u s in g t h e I n ci d e n t M a n a g e m e n t S ys te m f o r d a ily u se a cr o ss th e p re p a re d n e ss c yc le . H e a lt h E m e rg e n c y M a n a g e m e n t B ra n ch / E m e rg e n c y P re p a re d n e ss a n d R e sp o n se S e ct io n H ig h U n d e rw a y O H P . O C A ( w e b b a s e d in c id e n t m a n a g e m e n t sy st e m ) Pa g e 2 5 o f 3 3 10 .1 4 L in k P u b li c H ea lt h a n d S ec u ri ty A u th o ri ti es N o . R e c o m m e n d a ti o n s L e a d B ra n c h /S e c ti o n (D e p a rt m e n t o f H e a lt h ) P ro je c t P ri o ri ty P ro g re s s T ra c k e r K e y S ta k e h o ld e rs P la tf o rm f o r im p le m e n ta ti o n 4 6 D e ve lo p a n d i m p le m e n t a n a n n e x u n d e r th e M e m o ra n d u m o f U n d e rs ta n d in g ( M o U ) b e tw e e n H e a lt h a n d A g ri cu ltu re t o c le a rl y a rt ic u la te r o le s a n d r e s p o n si b ili tie s o f a g e n ci e s d u ri n g t im e s o f e sc a la te d p u b lic h e a lth a ct iv it y a t p o in ts o f e n tr y, in co n su lta tio n w it h C h ie f H u m a n B io se cu ri ty O ff ic e rs f ro m e a ch s ta te a n d t e rr ito ry . H e a lt h E m e rg e n c y M a n a g e m e n t B ra n ch / B o rd e r H e a lt h S e ct io n H ig h U n d e rw a y A g ri cu lt u re , C H B O s, O H P . C H B O s 4 7 E st a b lis h c le a r m e ch a n is m s fo r co o rd in a ti n g r e g u la r in fo rm a ti o n s h a ri n g a n d j o in t ri sk a ss e ss m e n ts a c ro ss h e a lth a n d s e c u ri ty a g e n ci e s a t th e A u st ra lia n G o ve rn m e n t, s ta te a n d t e rr ito ry le v e ls . H e a lt h E m e rg e n c y M a n a g e m e n t B ra n ch / H e a lth E m e rg e n c y C o u n te rm e a s u re s S e ct io n L o w N o t Y e t C o m m e n c e d A IC a g e n c ie s, D F A T . M o U w ith t h e D e p a rt m e n t o f H o m e A ff a ir s, M o U w ith A F P 4 8 E st a b lis h a jo in t e xe rc is e p ro g ra m a n d jo in t tr a in in g a cr o ss h e a lth a n d s e cu ri ty a g e n ci e s, e n g a g in g a ll le ve ls o f g o ve rn m e n t (i n cl u d in g s ta te a n d t e rr ito ry , a n d l o ca l g o ve rn m e n t) a n d e n su re le ss o n s a re s h a re d w it h a ll p a rt ie s a n d r e fle ct e d i n w o rk p ro g ra m s . H e a lt h E m e rg e n c y M a n a g e m e n t B ra n ch / H e a lth E m e rg e n c y C o u n te rm e a s u re s S e ct io n L o w N o t Y e t C o m m e n c e d A IC a g e n c ie s. A N Z C T C , C A C . L in ks t o re co m m e n d a ti o n 4 3 Pa g e 2 6 o f 3 3 10 .1 5 M ed ic al C o u n te rm ea su re s an d P er so n n el D ep lo ym en t N o . R e c o m m e n d a ti o n s L e a d B ra n c h /S e c ti o n (D e p a rt m e n t o f H e a lt h ) P ro je c t P ri o ri ty P ro g re s s T ra c k e r K e y S ta k e h o ld e rs P la tf o rm f o r im p le m e n ta ti o n 4 9 F u rt h e r d e ve lo p , fo rm a lis e a n d t e st a rr a n g e m e n ts a n d p ro ce d u re s to a cc e p t in te rn a tio n a l h e a lth p e rs o n n e l i n to A u st ra lia d u ri n g a d is a st e r in a m a n n e r co n si st e n t w it h A u st ra lia ’s r e g u la to ry st a n d a rd s. H e a lt h E m e rg e n c y M a n a g e m e n t B ra n ch / E m e rg e n c y P re p a re d n e ss a n d R e sp o n se S e ct io n L o w N o t Y e t C o m m e n c e d E P R S , N C C T R C , H o m e A ff a ir s (E M A ), s ta te a n d te rr ito ry h e a lth d e p a rt m e n ts ( N H E M S ), D F A T , D e fe n ce , A R P A N S A , A H P R A . N H E M S , A H P P C 5 0 E n g a g e w it h r e le va n t d e p a rt m e n ts a n d st a ke h o ld e rs o n g u id a n ce t o c o n fe r lia b ili ty p ro te ct io n in r e la tio n t o t h e m a n u fa ct u re , te st in g , d e v e lo p m e n t, d is tr ib u tio n , a d m in is tr a tio n , a n d u se o f m e d ic a l c o u n te rm e a su re s d u ri n g a re sp o n se . H e a lt h E m e rg e n c y M a n a g e m e n t B ra n ch / H e a lth E m e rg e n c y C o u n te rm e a su re s S e ct io n L o w N o t Y e t C o m m e n c e d A G S , S & T N M S A G , A H P P C . N a tio n a l M e d ic a l S to ck p ile P o lic y 5 1 D e ve lo p a p o lic y d e fin in g p a ra m e te rs o n h o w a n d w h e n A u st ra lia w o u ld c o n si d e r sh a ri n g m e d ic a l c o u n te rm e a s u re s w ith o th e r co u n tr ie s . H e a lt h E m e rg e n c y M a n a g e m e n t B ra n ch / H e a lth E m e rg e n c y C o u n te rm e a su re s S e ct io n L o w N o t Y e t C o m m e n c e d D F A T , A H P P C , D e fe n ce , A R P A N S A . In te rn a l p o lic y d e ci si o n . 5 2 C o n si d e r p ro a c tiv e e n g a g e m e n t w it h t h e p u b lic t o c o n v e y re le va n t in fo rm a tio n a b o u t m e d ic a l co u n te rm e a su re s a s a ke y c o m p o n e n t o f p re p a re d n e ss . H e a lt h E m e rg e n c y M a n a g e m e n t B ra n ch / H e a lth E m e rg e n c y C o u n te rm e a su re s S e ct io n L o w N o t Y e t C o m m e n c e d C D E S S , C D N A , A H P P C , D e fe n c e . N o t ye t id e n tif ie d . 5 3 C o n si d e r d e ve lo p in g a p o lic y o n e n g a g in g a lte rn a tiv e s o u rc e s fo r m e d ic a l co u n te rm e a su re s fr o m o ve rs e a s m a n u fa ct u re rs , a lo n g w ith s u p p o rt t o lo ca l d e ve lo p m e n t o f m e d ic a l co u n te rm e a su re s. H e a lt h E m e rg e n c y M a n a g e m e n t B ra n ch / H e a lth E m e rg e n c y C o u n te rm e a su re s S e ct io n L o w U n d e rw a y In d u st ry , N M S A G , C D N A , A H P P C , D e fe n ce . O n g o in g r e g u la r a ct iv it y, cu rr e n t in v e st ig a tio n s a ro u n d h e a lth p ro te ct io n p h a rm a ce u tic a ls s u p p ly o p tio n s. Pa g e 2 7 o f 3 3 10 .1 6 R is k C o m m u n ic at io n N o . R e c o m m e n d a ti o n s L e a d B ra n c h /S e c ti o n (D e p a rt m e n t o f H e a lt h ) P ro je c t P ri o ri ty P ro g re s s T ra c k e r K e y S ta k e h o ld e rs P la tf o rm f o r im p le m e n ta ti o n 5 4 Im p le m e n t a r is k co m m u n ic a tio n t ra in in g p ro g ra m f o r co m m u n ic a tio n s st a ff , e m e rg e n c y re s p o n s e e m p lo ye e s, s e n io r m a n a g e m e n t d e ci si o n s m a k e rs a n d o th e r re le va n t st a ff t o e st a b lis h a c o m m o n u n d e rs ta n d in g a n d e xp e rt is e . H e a lt h E m e rg e n c y M a n a g e m e n t B ra n ch / E m e rg e n c y P re p a re d n e ss a n d R e sp o n se S e ct io n H ig h N o t Y e t C o m m e n c e d O H P , M e d ia U n it a n d C o m m u n ic a ti o n a n d C h a n g e B ra n c h ( H e a lth ), M in is te r' s O ff ic e , A R P A N S A . W H O O p e n L e a rn in g a n d B ra n ch E xe rc is e s. 5 5 D e ve lo p g u id a n ce f o r th e s tr a te g ic u se o f so ci a l m e d ia in e m e rg e n ci e s th a t in cl u d e s p ro to co ls f o r co o rd in a ti o n a m o n g ju ri sd ic tio n s, s e ct o rs a n d s ta k e h o ld e rs . H e a lt h E m e rg e n c y M a n a g e m e n t B ra n ch / E m e rg e n c y P re p a re d n e ss a n d R e sp o n se S e ct io n H ig h N o t Y e t C o m m e n c e d N H E M S , S & T , e n H e a lth , D W G , A R P A N S A , C o m m u n ic a ti o n a n d C h a n g e B ra n c h ( H e a lth ). A H P P C . 5 6 E st a b lis h a m e ch a n is m t h a t m o n ito rs co m m u n it y e n g a g e m e n t a ct iv it ie s a cr o ss ju ri sd ic tio n s a n d s h a re s le ss o n s le a rn e d to in fo rm r is k co m m u n ic a tio n p la n n in g a n d m e ss a g e d e ve lo p m e n t in e m e rg e n ci e s. H e a lt h E m e rg e n c y M a n a g e m e n t B ra n ch / E m e rg e n c y P re p a re d n e ss a n d R e sp o n se S e ct io n H ig h N o t Y e t C o m m e n c e d S & T , N H E M S , e n H e a lth , C o m m u n ic a ti o n a n d C h a n g e B ra n c h ( H e a lth ). A H P P C , F o cu s G ro u p s. Pa g e 2 8 o f 3 3 10 .1 7 P o in ts o f E n tr y N o . R e c o m m e n d a ti o n s L e a d B ra n c h /S e c ti o n (D e p a rt m e n t o f H e a lt h ) P ro je c t P ri o ri ty P ro g re s s T ra c k e r K e y S ta k e h o ld e rs P la tf o rm f o r im p le m e n ta ti o n 5 7 D e ve lo p a n a ll h a za rd s m u lti s e ct o ra l e xe rc is e p ro g ra m m e f o r d e si g n a te d a n d n o n d e si g n a te d P o E s, e n g a g in g s ta te s a n d te rr ito ri e s a n d e xt e rn a l s ta ke h o ld e rs . H e a lt h E m e rg e n c y M a n a g e m e n t B ra n ch / B o rd e r H e a lth S e ct io n L o w N o t Y e t C o m m e n c e d P o E s, s ta te a n d t e rr it o ry h e a lth d e p a rt m e n ts , A g ri cu lt u re , D e p a rt m e n t o f H o m e A ff a ir s. C H B O s, M o U w it h A g ri c u ltu re , C D N A , A H P P C , W h o le o f G o ve rn m e n t E m e rg e n c y R e sp o n se P la n f o r C o m m u n ic a b le D is e a s e In ci d e n ts o f N a tio n a l S ig n ifi ca n c e . 5 8 E st a b lis h e le ct ro n ic s ys te m s fo r st o ri n g a n d tr a n sm itt in g i n fo rm a tio n b e tw e e n a ll re le va n t st a ke h o ld e rs r e la te d t o t h e a ss e ss m e n t o f ill tr a ve lle rs a t th e b o rd e r a n d t h e p ro vi s io n o f p a ss e n g e r in fo rm a tio n f o r co n ta ct t ra ci n g p u rp o se s. H e a lt h E m e rg e n c y M a n a g e m e n t B ra n ch / B o rd e r H e a lth S e ct io n H ig h U n d e rw a y S ta te a n d t e rr it o ry h e a lth d e p a rt m e n ts , A g ri cu lt u re , D e p a rt m e n t o f H o m e A ff a ir s. C H B O s, M o U w it h A g ri c u ltu re , D ig iti s a tio n o f th e T ra ve lle r w it h I lln e ss C h e ck lis t a n d t h e D e ce a se d T ra ve lle r R e p o rt , D e p a rt m e n t o f H o m e A ff a ir s' In co m in g P a ss e n g e r C a rd (I P C ) d e co m m is si o n p ro je ct , B II S A . 5 9 D e ve lo p a n d i m p le m e n t a s u st a in a b le m e ch a n is m o f tr a in in g f o r b io se cu ri ty o ff ic e rs o n p u b lic h e a lth a sp e c ts o f P o E s. H e a lt h E m e rg e n c y M a n a g e m e n t B ra n ch / B o rd e r H e a lth S e ct io n M e d iu m N o t Y e t C o m m e n c e d S ta te a n d t e rr it o ry h e a lth d e p a rt m e n ts , A g ri cu lt u re . M o U w ith A g ri cu ltu re , A g ri cu lt u re w o rk in st ru ct io n s, H e a lt h b io s e cu ri ty p o lic ie s. 6 0 In f u tu re r e vi e w s o f n a tio n a l P o E s ta n d a rd s , co n si d e r re vi s in g r e q u ir e m e n ts f o r ill tr a ve lle r a ss e s sm e n t fa ci lit ie s , to in cl u d e si ze o f fa ci lit y a n d f u rt h e r id e n ti fie d a re a s fo r a p p ro p ri a te m a n a g e m e n t o f p u b lic h e a lth ri sk s. H e a lt h E m e rg e n c y M a n a g e m e n t B ra n ch / B o rd e r H e a lth S e ct io n L o w N o t Y e t C o m m e n c e d P o E , A g ri cu ltu re , D e p a rt m e n t o f In fr a st ru ct u re , R e g io n a l D e ve lo p m e n t a n d C iti e s. A ir p o rt O p e ra to rs G u id e , N P F C , N S P F C . Pa g e 2 9 o f 3 3 10 .1 8 C h em ic al E ve n ts N o . R e c o m m e n d a ti o n s L e a d B ra n c h /S e c ti o n (D e p a rt m e n t o f H e a lt h ) P ro je c t P ri o ri ty P ro g re s s T ra c k e r K e y S ta k e h o ld e rs P la tf o rm f o r im p le m e n ta ti o n 6 1 D e ve lo p a r e p o rt in g s ch e m a f o r P o is o n In fo rm a tio n C e n tr e s / P o is o n T re a tm e n t C e n tr e s to p ro vi d e e a rl y w a rn in g o f ch e m ic a l e xp o su re s. R e g u la to ry P o lic y B ra n c h / C h e m ic a ls P o lic y S e ct io n L o w N o t Y e t C o m m e n c e d S & T ( P o is o n s In fo rm a tio n C e n tr e s) , O ff ic e o f C h e m ic a l S a fe ty , F S A N Z , T G A , A g ri cu lt u re /A P V M A , e n H e a lth . N o t ye t id e n tif ie d . 6 2 In te g ra te a ll ch e m ic a l m o n ito ri n g a n d su rv e ill a n ce r e p o rt in g f ro m t h e d iff e re n t se ct o rs in to a n a tio n a l c o m m o n o p e ra tin g p ic tu re o f ch e m ic a l e xp o su re s. R e g u la to ry P o lic y B ra n c h / C h e m ic a ls P o lic y S e ct io n L o w N o t Y e t C o m m e n c e d O ff ic e o f C h e m ic a l S a fe ty , R P B , D o E E , C o m m o n w e a lt h r is k m a n a g e rs , st a te a n d te rr ito ry r is k m a n a g e rs , e n H e a lth . N o t ye t id e n tif ie d . 6 3 E n h a n ce m e c h a n is m s fo r re s p o n s ib le a g e n ci e s to c o n si st e n tl y a p p ly c h e m ic a l m a n a g e m e n t st a n d a rd s a n d g u id e lin e s. R e g u la to ry P o lic y B ra n c h / C h e m ic a ls P o lic y S e ct io n L o w U n d e rw a y O ff ic e o f C h e m ic a l S a fe ty , R P B , D o E E , C o m m o n w e a lt h r is k m a n a g e rs , st a te a n d te rr ito ry r is k m a n a g e rs , e n H e a lth . 1 ) T h e r e fo rm s to N IC N A S w ill cl a ri fy t h e r e la ti o n sh ip b e tw e e n A IC IS a n d r is k m a n a g e rs a n d a n a tio n a l r is k m a n a g e m e n t co m m itt e e w ill b e e st a b lis h e d to f a ci lit a te t h e i n te ra ct io n b e tw e e n A IC IS a n d r is k m a n a g e rs a cr o ss t h e b ro a d fr a m e w o rk o f w o rk e r h e a lth a n d s a fe ty , p u b lic h e a lth , e n vi ro n m e n t, t ra n sp o rt a n d co n su m e r sa fe ty . 2 ) D o E E is p ro g re ss in g w o rk o n t h e N a ti o n a l S ta n d a rd f o r th e E n vi ro n m e n ta l R is k M a n a g e m e n t o f In d u st ri a l C h e m ic a ls a n d w ill in tr o d u c e le g is la ti o n t o i m p le m e n t a fr a m e w o rk w h ic h a d d re ss e s th e r e co m m e n d a tio n . Pa g e 3 0 o f 3 3 10 .1 9 R ad ia ti o n E m er g en ci es N o . R e c o m m e n d a ti o n s L e a d P ro je c t P ri o ri ty P ro g re s s T ra c k e r K e y S ta k e h o ld e rs P la tf o rm f o r im p le m e n ta ti o n 6 4 E n h a n ce t h e in te ro p e ra b ili ty o f fe d e ra l a n d st a te /t e rr ito ry ra d ia tio n o p e ra tio n s th ro u g h b ro a d m u lti se ct o ra l/m u lti ju ri sd ic tio n a l e xe rc is e s. A u st ra lia n R a d ia tio n P ro te ct io n a n d N u cl e a r S a fe ty A g e n cy H ig h U n d e rw a y N H E M S , A H P P C , V S P N , S & T r e sp o n d e rs , A u st ra lia n N u c le a r S ci e n c e a n d T e ch n o lo g y O rg a n is a tio n , R a d ia tio n H e a lt h C o m m it te e , e n H e a lth . R a d ia tio n s ce n a ri o s h a ve b e e n in c lu d e d in H E M B e xe rc is e p ro g ra m . A R P A N S A c o n d u ct s its o w n in te rn a l e xe rc is e s to e n su re a d e q u a te p re p a re d n e ss f o r a r a d io lo g ic a l o r n u c le a r e m e rg e n c y a n d a ls o f a ci lit a te s N u cl e a r P o w e re d W a rs h ip r e la te d e xe rc is e s th ro u g h it s in vo lv e m e n t in t h e in te rd e p a rt m e n ta l c o m m itt e e , V S P N . T h e C B R N S S C c o n d u ct s e xe rc is e s fo r re sp o n d e rs t h a t b ri n g t o g e th e r e m e rg e n c y se rv ic e s a n d d e fe n ce f o r se cu ri ty r e la te d s ce n a ri o s b u t n o e q u iv a le n t p ro g ra m e xi st s fo r sa fe ty sc e n a ri o s. A R P A N S A is n o t re so u rc e d t o c o o rd in a te o r co n d u ct b ro a d e r m u lti j u ri sd ic ti o n a l e xe rc is e s fu rt h e r re so u rc in g w o u ld b e r e q u ir e d t o u n d e rt a ke t h is a ct iv it y. A d d iti o n a lly n o c o o rd in a te d p ro g ra m e x is ts t o in vo lv e a ll re le va n t ro le s fr o m f ir st r e sp o n d e r th ro u g h t o s e n io r p o lic y a n d d e ci si o n m a ke rs in e xe rc is e s. I t is li ke ly t h a t th is is su e m a y a ls o b e r a is e d a s a n o u tc o m e in t h e u p c o m in g I n te g ra te d R e g u la to ry R e v ie w S e rv ic e (I R R S ) m is si o n in N o ve m b e r 2 0 1 8 . 6 5 D e ve lo p f e d e ra l g u id a n c e f o r ju ri sd ic tio n a l f ir st re sp o n d e r o cc u p a tio n a l e xp o s u re s. A u st ra lia n R a d ia tio n P ro te ct io n a n d N u cl e a r S a fe ty A g e n cy M e d iu m U n d e rw a y N H E M S , A H P P C , V S P N , S & T r e sp o n d e rs , A u st ra lia n N u c le a r S ci e n c e a n d T e ch n o lo g y O rg a n is a tio n , R a d ia tio n H e a lt h C o m m it te e , e n H e a lth . T h e D ra ft A R P A N S A R a d ia tio n P ro te ct io n S e ri e s R P S G 3 E m e rg e n c y E xp o su re G u id e p ro vi d e s a c o n si st e n t se t o f d o se c ri te ri a f o r e m e rg e n c y w o rk e rs w h ic h s a tis fie s th is r e co m m e n d a tio n . T h is is c u rr e n tl y u n d e r p u b lic c o n s u lta tio n a n d is e xp e ct e d t o b e f in a lis e d b y th e e n d o f 2 0 1 8 . T h e a d o p tio n o f th e r e co m m e n d e d v a lu e s w ill n e e d f u rt h e r e n g a g e m e n t w ith th e r e le v a n t st a ke h o ld e rs a n d i s p la n n e d t o c o m m e n c e in 2 0 1 8 1 9 . W ith r e g a rd t o in fo rm in g a n d p ro te ct in g m e d ic a l w o rk e rs , th e A u st ra lia n C lin ic a l G u id e lin e s fo r R a d io lo g ic a l E m e rg e n ci e s (2 0 1 2 ) sh o u ld b e re vi e w e d a n d u p d a te d f o r co n si st e n c y w it h G 3 a n d b e st p ra ct ic e . 6 6 C o n d u ct a n a ti o n a l h a za rd a ss e ss m e n t, to in cl u d e c re a tin g a n in v e n to ry o f ra d ia tio n s o u rc e s, a n d e st a b lis h a n a tio n a l r a d ia ti o n ca p a b ili ty r e g is te r. A u st ra lia n R a d ia tio n P ro te ct io n a n d N u cl e a r S a fe ty A g e n cy H ig h U n d e rw a y N H E M S , A H P P C , V S P N , C B R N S S C , A u st ra lia n N u c le a r S ci e n c e a n d T e ch n o lo g y O rg a n is a tio n , e n H e a lth , R a d ia tio n H e a lt h C o m m itt e e . N a tio n a l H a za rd A ss e ss m e n t is in cl u d e d in R P S G 3 : G u id e f o r R a d ia tio n P ro te ct io n i n E m e rg e n c y E xp o su re S itu a tio n s– T h e F ra m e w o rk ( to b e p u b lis h e d b y e n d 2 0 1 8 ). A n a tio n a l s e a le d s o u rc e r e g is te r w a s p re vi o u sl y e st a b lis h e d b u t h a s b e e n d is co n tin u e d . If t h is is t o b e r e e st a b lis h e d t h e n f u rt h e r re so u rc in g w o u ld b e r e q u ir e d . A R P A N S A a n d H e a lth a re in v e st ig a ti n g w h e th e r th e re a re b ro a d e r g o ve rn m e n t (a ll h a z a rd ) re g is te rs in o p e ra tio n o r u n d e r co n st ru ct io n w h ic h m a y b e e xp a n d e d t o in c lu d e r a d ia tio n s o u rc e s, b u t if th is is n o t p o ss ib le a se p a ra te r e g is te r fo r ra d ia ti o n s o u rc e s w o u ld n e e d t o b e e st a b lis h e d . A n a ll h a za rd s n a tio n a l c a p a b ili ty r e g is te r m a y a lr e a d y b e a n in iti a tiv e u n d e rw a y b y H o m e A ff a ir s E M A o r th e C B R N S S C . If s o , A R P A N S A co u ld c o n tr ib u te t o w a rd s th e r a d ia tio n s p e c ifi c e le m e n ts . T h is a lig n s w ith o u r ro le a s N a ti o n a l C a p a b ili ty A d vi so r fo r R A N E T , h o w e ve r a n a p p ro p ri a te s ys te m t o c o lla te t h is in fo rm a tio n is y e t to b e id e n tif ie d o r e st a b lis h e d . Page 31 of 33 10.20 Acronym List acronym meaning ACSQHC Australian Commission on Safety and Quality in Health Care AFP Australian Federal Police AGAR Australian Group on Antimicrobial Resistance AGD Attorney-General's Department Agriculture Department of Agriculture and Water Resources AGS Australian Government Solicitor AHC Animal Health Committee AHPPC Australian Health Protection Principal Committee AHPRA Australian Health Practitioner Regulation Agency AIC Australian Intelligence Communities AICIS Australian Industrial Chemicals Introduction Scheme AMR Antimicrobial resistance ASID Australasian Society for Infectious Diseases ASTAG The Australian Strategic and Technical Advisory Group on AMR ANZCTC Australia-New Zealand Counter-Terrorism Committee APVMA Australian Pesticides and Veterinary Medicine Authority ARPANSA Australian Radiation Protection and Nuclear Safety Agency BIISA Biosecurity Integrated Information and Analytics System CAC Crisis Arrangements Committee CBRN Chemical, Biological, Radiological, Nuclear (hazards) CBRNSSC Chemical, Biological, Radiation and Nuclear Security Safety Committee CDAMR Communicable Disease and Antimicrobial Resistance Policy Section, Department of Health. CDESS Communicable Disease Epidemiology and Surveillance Section, Department of Health CDNA Communicable Diseases Network Australia CHBOs Chief Human Biosecurity Officers DFAT Department of Foreign Affairs and Trade DoEE Department of Environment and Energy DWG Deployment Working Group EMA Emergency Management Australia Division, Department of Home Affairs enHealth Environmental Health Standing Committee EPRS Emergency Preparedness and Response Section, Department of Health FRSC Food Regulation Standing Committee FSANZ Food Standards Australia New Zealand GHPEHC Global Health Protection and Environmental Health Coordination Section, Department of Health Health Department of Health Page 32 of 33 acronym meaning HECS Health Emergency Countermeasures Section, Department of Health HEMB Health Emergency Management Branch, Department of Health HPPB Health Protection Policy Branch, Department of Health HPV Human papillomavirus HWD Health Workforce Division, Department of Health ISFRA Implementation Subcommittee for Food Regulation LEADDR Laboratories for Emergency Animal Disease Diagnosis and Response network LSB Legal Services Branch, Department of Health MoU Memorandum of Understanding NAMAC National Arbovirus and Malaria Committee NAPHS National Action Plan for Health Security NATA National Association of Testing Authorities NCCTRC National Critical Care and Trauma Response Centre NCEPH National Centre for Epidemiology and Population Health, Australian National University NFP National Focal Point NHEMS National Health Emergency Management Standing Committee NICNAS National Industrial Chemicals Notification and Assessment Scheme NMSAG National Medical Stockpile Advisory Group NPFC National Passenger Facilitation Committee NSC National Security Committee (of cabinet) NSPFC National Sea Passenger Facilitation Committee OECD EPRs Organisation for Economic Co-operation and Development Environmental Performance Reviews OGTR Office of the Gene Technology Regulator OHP Office of Health Protection, Department of Health OIE World Organisation for Animal Health PHLN Public Health Laboratory Network PoE Points of Entry RACGP The Royal Australian College of Practitioners RANET Response and Assistance Network (maintained by the International Atomic Energy Agency) RCPA Royal College of Pathologists of Australasia RPB Regulatory Policy Branch, Department of Health S&T state and territory government departments SSBA Security Sensitive Biological Agents TGA Therapeutic Goods Association VSPN Visiting Ships Panel (Nuclear) WHO World Health Organization www.health.gov.au All information in this publication is correct as at December 2018 1 2 3 4 3 D e c e m b e r 2 0 1 8