7/6/2012 1 International Civil Aviation Organization ASSISTANCE VISIT METHODOLOGY, QUESTIONNAIRE, CHECKLIST AND REPORT Dr Anthony Evans Chief, Aviation Medicine Montreal, Canada Acknowledgement – Dr Teresa Bassey Head, Aeromedical Standards Department Nigerian Civil Aviation Authority Refers to various documents: • WHO – IHR (2005) – Case Management on board – Guide to Hygiene and Sanitation in Aviation • ICAO – Health related documents (SARPs etc) – Guidance to States • IATA – Guidelines • ACI – Guidelines CAPSCA‐Frankfurt July 2012
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7/6/2012
1
International Civil Aviation Organization
ASSISTANCE VISIT METHODOLOGY, QUESTIONNAIRE,
CHECKLIST AND REPORT
Dr Anthony EvansChief, Aviation Medicine
Montreal, Canada
Acknowledgement – Dr Teresa BasseyHead, Aeromedical Standards Department
Nigerian Civil Aviation Authority
Refers to various documents:
• WHO – IHR (2005)– Case Management on board– Guide to Hygiene and Sanitation in Aviation
• ICAO – Health related documents (SARPs etc)– Guidance to States
• IATA– Guidelines
• ACI– Guidelines
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ASSISTANCE VISIT METHODOLOGY, QUESTIONNAIRE, CHECKLIST AND REPORT
CHECKLISTIt is comprehensive
Broken down to component parts:
‐ Administrative
‐ Documentation
‐ Emergency Operation Center (EOC)
‐ Rescue And Fire Fighting (RFF) Services
‐ Immigration
‐ Customs
‐ Cargo And Baggage Handlers
‐ Air Navigation Service Provider (ANSP)
‐Medical Services
‐ Security
‐ Infrastructure
‐ Aircraft Operators
‐MediaCAPSCA‐Frankfurt July 2012
ASSISTANCE VISIT METHODOLOGY, QUESTIONNAIRE, CHECKLIST AND REPORT
CHECKLIST
Each major component is further broken down to questions related to the component
Contains reference to guidance materials relating to the component parts.
Contains Tick boxes indicating whether the airport has complied(YES or NO)
Contains a Remarks column for each component
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CHECKLIST
AREAS REFERENCE YES NO REMARKS
A. ADMINISTRATIVE
Which entity fulfils the function of the “Competent Authority” (as
defined in the WHO International Health Regulations (2005)i.e which entity has responsibility for implementation of , in particular IHR(2005) Articles 24,25,27,28,30,31,32,35,36,38,40,41,43,46, and Annex 1(B),4,5 and 9
IHR Article 1, Definitions
Do the Civil Aviation Regulations cover public health emergency related provisions of ICAO Annexes and guidance material?
National documentation
Annex 6 National documentation
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ASSISTANCE VISIT METHODOLOGY, QUESTIONNAIRE, CHECKLIST AND REPORT
CHECKLIST Cont.AREAS REFERENCE YES NO REMARKS
A. ADMINISTRATIVE
Annex 9Annex 11Annex 14Annex 18PANS ATM Doc 4444
National documentation
Is a contact point established for policy formulation and operational organization of preparedness plan for aviation
ICAO wed based Guidelines for States, Section “ General preparednessNational Documentation
Does the Public Health Authority have designated personnel at the airport?
Has the State established a national committee for Public Health Emergency planning?
National Documentation
IHR Annex 1, A, 3
Is this Committee involved in airport/ aerodrome Public Health Emergency Planning?
ICAO Annex 14, 9.1.1‐ 9.1.3
Is the Civil Aviation Authority involved? ICAO Annex 14, 9.1.19.1.3
Is the Public Health Authority involved? ICAO Annex 14, CAPSCA‐Frankfurt July 2012
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ASSISTANCE VISIT METHODOLOGY, QUESTIONNAIRE, CHECKLIST AND REPORT
CHECKLIST Cont.
AREAS REFERENCE YES NO REMARKS
A. ADMINISTRATIVE
Is the Civil Aviation Authority involved? ICAO Annex 14, 9.1.19.1.3
Is the Public Health Authority involved? ICAO Annex 14, 9.1.19.1.3
If so, under a formal contract/agreement? ICAO Annex 14, 9.1.19.1.3
Are aircraft operators involved? ICAO Annex 14, 9.1.19.1.3
CAPSCA‐Frankfurt July 2012
ASSISTANCE VISIT METHODOLOGY, QUESTIONNAIRE, CHECKLIST AND REPORT
CHECKLIST Cont.
AREAS REFERENCE YES NO REMARKS
A. ADMINISTRATIVE
Are the Rescue and Fire Fighting services involved?
ICAO Annex 14, 9.1.19.1.3
Is the Air Navigation Services Provider involved? ICAO Annex 14, 9.1.19.1.3
Are the Immigration/Customs Services involved? ICAO Annex 14, 9.1.19.1.3
Are the security services involved? ICAO Annex 14, 9.1.19.1.3
Are private health services involved? ICAO Annex 14, 9.1.19.1.3
Are the service providers involved? (Airlines,Ground Handling Service (GHS), cargo, etc.)
ICAO Annex 14, 9.1.19.1.3
Are formal contracts/agreements utilisedspecifying the involvement of stakeholders?
National documentation
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AREAS REFERENCE YES NO REMARKS
B. DOCUMENTATION
Does the airport have in place a Plan for Public Health Emergencies?
ICAO Annex 14, 9.1.19.1.3
Is it part of the Airport Emergency Plan? ICAO Annex 14, 9.1.19.1.3
Is it compatible with the national AviationPreparedness Plan for Public Health Emergencies?
ICAO Annex 9, 8.16
Is it compatible with the National Preparedness Plan for Public Health Emergencies?
ICAO web‐based Guidelines for States….Section ”General Preparedness”
Has the Airport/Aerodrome Emergency Plan been tested by conducting full‐scale exercises and/or table‐top exercises? Specify what and when
Are the stakeholders familiar with Annex 6, in particular Attachment B (Medical Supplies)?
ICAO Annex 6, Attachment B
Are the stakeholders familiar with Annex 9, Chap. 8, Appendices 1 (General Declaration) and 13 (Public Health Passenger Locator Card)?
ICAO Annex 9, Appendices 1, 13
Specify (1) who collects the General Declaration and Passenger Location Cards and (2) who processes the information on arrival.
National documentation
CHECKLIST Cont.
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ASSISTANCE VISIT METHODOLOGY, QUESTIONNAIRE, CHECKLIST AND REPORT
CHECKLIST Cont.AREAS REFERENCE YES NO REMARKS
B. DOCUMENTATION
Are the stakeholders familiar with Annex 11, in particular Attachment C (Material Relating to Contingency Planning)?
ICAO Annex 11, Attachment C
Are the stakeholders familiar with Annex 14,Chapter 9 (Aerodrome operational services,equipment and installations) in particular paragraph 9.1 (Aerodrome Emergency Planning)?
ICAO Annex 14, Chapter 9
Are the stakeholders familiar with the International Health Regulations (2005)?
WHO IHR (2005)
Are the stakeholders familiar with ICAO Procedures for Air Navigation Services‐Air Traffic Management, Doc. 4444, in particular paragraph 16.6: “Notification of suspected communicable diseases on board an aircraft, or other public health risk”?
ICAO PANS‐ATM, Doc4444
Is there a national Preparedness Plan for a PublicHealth Emergency?
WHO IHR (2005) Article13
Which stakeholders receive training concerning thenational Preparedness Plan for a Public Health Emergency (airport personnel, public health authority, etc.)?
National documentation
Is there a National Aviation Preparedness Plan for a Public Health Emergency of International Concern (PHEIC)? Is this Plan part of a National Public Health Emergency Plan?
ICAO Annex 9, 8.16
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ASSISTANCE VISIT METHODOLOGY, QUESTIONNAIRE, CHECKLIST AND REPORT
CHECKLIST cont.
AREAS REFERENCE YES NO REMARKS
B. DOCUMENTATION
Does the Preparedness Plan include phases asdefined by WHO in “Pandemic Influenza Preparedness and Response 2009”?
WHO Pandemic InfluenzaPreparedness & Response,2009
Is there a National Business Continuity Plan forPublic Health Emergencies?
National documentation
Is there an Airport/Aerodrome Operator BusinessContinuity Plan for Public Health Emergencies?
Airport/aerodromeoperator documentation
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CHECKLIST
AREAS REFERENCE YES NO REMARKS
C. EMERGENCY OPERATION CENTRE (EOC)
Is there in place a flow chart to initiate the aviation emergency response plan process?
National documentation
Do Public Health Authority personnel participate indeveloping the aviation preparedness plan?
Command and control systems is established for management of public health event on the day
Are relevant personnel trained to use protective measures for handling cargo that may contain infectious substances (ICAO Annex 18 – The Safe Transport of Dangerous Good by Air)?
ICAO TechnicalInstructions for the safetransport of dangerousgoods by air, Chapter 6
Are cargo and baggage handlers trained to use appropriate protective measures for handling luggage from suspected passengers?
Are personnel familiar with related guidance material available on www.capsca.org
IATA web‐basedGuidelines for aircraftoperators…Section “AirTransport andCommunicable; Diseases”
www.capsca.org
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ASSISTANCE VISIT METHODOLOGY, QUESTIONNAIRE, CHECKLIST AND REPORT
ASSISTANCE VISIT METHODOLOGY, QUESTIONNAIRE, CHECKLIST AND REPORT
AREAS REFERENCE YES NO REMARKS
I. MEDICAL SERVICES
Is the airport medical service provided by the Stateor a private enterprise?
National documentation
Has the service provider received training inmanaging public health emergencies?
WHO IHR (2005) Annex1, B
Has it established a communication process with thePublic Health Authority?
National documentation
Has ease of access to the affected aircraft by medicalservice providers been considered in designating anaircraft parking position?
ACI web‐basedGuidelines for airportoperators….Section 6
Are medical service providers aware of (1)Notification procedure of a suspected case by thepilot in command (2) Health part of the aircraftgeneral declaration?
1 ‐ ICAO PANS‐ATM2 ‐ICAO Annex 9,Appendix 1
Is there a procedure enabling the public healthauthority to communicate with the affected aircraftbefore landing?
WHO technical advice forcase management ofInfluenza A (H1N1) inAir Transport
Does the service provider participate in thedevelopment and testing of the airport emergencyplan for public health emergencies?
ICAO web‐basedGuidelines for States….Section ”GeneralPreparedness”
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AREAS REFERENCE YES NO REMARKS
I. MEDICAL SERVICES
Does it use and process (1) the General Declarationand/or (2) the Public Health Passenger Locator Card?
National documentation
Does it have access to the suspect or affectedtraveller’s assessment area?
National documentation
Does it have procedures for transfer of suspect oraffected travellers to specialized evaluation units?
WHO IHR (2005) Annex1, B
Does it have procedures for aircraft disinfection? WHO Guide to Hygiene and Sanitation in Aviation
What disinfectant product(s) is used to disinfect anaffected aircraft?
WHO Guide to Hygieneand Sanitation in Aviation
What procedure used? How long does it normally take?
WHO Guide to Hygiene and Sanitation in Aviation
Is the service provider aware of relevant aspects ofthe IHR (2005)?
IHR (2005)
In the case of an affected aircraft carrying asuspected case of a communicable disease, areefforts made to minimize the delay to other travellersand the return to service of the aircraft?
ACI web‐basedGuidelines for airportoperators….Section 6
CHECKLIST Cont.
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AREAS REFERENCE YES NO REMARKS
J: SECURITY
Does the aviation security (AVSEC) providerparticipate in the development and testing of theairport emergency plan for public healthEmergencies?
Are aircraft operators aware of (1) Notificationprocedure of a suspected case by the pilot incommand (2) Health part of the aircraft generaldeclaration?
1 ‐ ICAO PANS ATM2 ‐ICAO Annex 9,Appendix 1
Are aircraft operators aware of IATA guidelines for:cabin crew; maintenance crew; bird‐strike; cleaningcrew; passenger agents?
IATA web‐basedGuidelines for aircraftoperators…Section “AirTransport andCommunicable Diseases
CHECKLIST Cont.
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ASSISTANCE VISIT METHODOLOGY, QUESTIONNAIRE, CHECKLIST AND REPORT
AREAS REFERENCE YES NO REMARKS
L. AIRCRAFT OPERATORS:
Do the aircraft operators have procedures enabling cabin crew to identify travellers suspected of having a communicable disease
Do the aircraft operators have procedures for managing a suspected case of communicable disease on board a flight
IATA web‐basedGuidelines for aircraftoperators…Section “AirTransport andCommunicable Diseases
Are ground personnel familiar with WHO global influenza preparedness plan
WHO Pandemic Influenza Preparedness & Response 2009
Number of trained personnel assigned for these duties, in relation to volume and frequency of travellers
National documentation
CHECKLIST Cont.
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ASSISTANCE VISIT METHODOLOGY, QUESTIONNAIRE, CHECKLIST AND REPORT
AREAS REFERENCE YES NO REMARKS
L. AIRCRAFT OPERATORS:
Are arrangements for documentation and interpreters considered?
Have personnel undergone a training programme to recognize disease symptoms?
Are personnel familiar with procedures regarding prompt assessment, care and reporting of ill travelers?
WHO IHR (2005) Article 32
National documentation
National documentation
M. MEDIA
Is there a communications strategy and plan? CAPSCA Global Meeting Conclusion
CHECKLIST Cont.
CAPSCA‐Frankfurt July 2012
OUTLINE
PREAMBLE
METHODOLOGY
QUESTIONNAIRE
CHECKLIST
REPORT
ASSISTANCE VISIT METHODOLOGY, QUESTIONNAIRE, CHECKLIST AND REPORT
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ASSISTANCE VISIT METHODOLOGY, QUESTIONNAIRE, CHECKLIST AND REPORT
REPORT
The final report contains the description of the State and airport assistance visit. This will usually comprise but not be limited to the following:
documentation exchanged with the CAA authorities; AV Checklist responses by the CAA and stakeholders; list of attendees; agenda; presentations made at the assistance visit meeting; issues discussed during the assistance visit meeting prior to the airport visit list of findings by the assistance visit team; recommended actions, with target completion dates; any other issues raised by the stakeholders.
The Assistance Visit Report template including the checklist is available for download on the CAPSCA web site at: www.capsca.org.
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ASSISTANCE VISIT METHODOLOGY, QUESTIONNAIRE, CHECKLIST AND REPORT
COOPERATIVE ARRANGEMENT FOR THE PREVENTION OF SPREAD OF COMMUNICABLE DISEASE THROUGH AIR TRAVEL (CAPSCA)
ASSISTANCE VISIT REPORT
STATE AND AIRPORT, CITY
(Dates)
EXECUTIVE SUMMARY
Maximum 1 page summary of organisations and facilities visited, main observations and associatedrecommendations, assistance provided, any other key mission results, and items of particular interest toICAO.ICAO, WHO and CAPSCA Representatives:
Names, Titles, Offices ICAO CAPSCA Regional Coordinator Technical Advisors Team Leader Technical Advisor(s) WHO representative (when available) At least one member from each sector (Civil Aviation & Public Health) OJT for Technical Advisor (optional)
Place of Visit: City, State
Dates of Visit: Dates
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• National Public Health Authority including IHR Focal Point / WHO IHR ContactPoint
• Airport (rescue and fire fighting service, police, immigration, customs, porthealth, quarantine, medical, security, operations, public information, mediarelations, handling agents)
• Air Navigation Services Provider Aircraft operators• WHO Regional/Country Office (when available)• Other UN agencies, e.g. OCHA, WFP (optional)• Tourism Authority• National emergency/disaster response agencies
Objectives of the Visit:
Promote and facilitate communication & collaboration between the aviationand public health sectors
Provide information on ICAO and WHO Public Health Emergency (PHE)requirements for the aviation sector
Evaluation of existing provisions Assist States by providing advice and training
REPORT TEMPLATE Cont.
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ASSISTANCE VISIT METHODOLOGY, QUESTIONNAIRE, CHECKLIST AND REPORT
Scope of the Visit: PHE planning & preparedness in the civil aviation sector
All stakeholders involved in a response to a PHE in the aviation sector
Summary of Activities:
Day 1 ‐Meeting/Training
Day 2 am ‐ Briefing and Airport visit
Day 2 pm ‐ De‐briefing meeting and discussion of the visit results