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An Assessment of Coherence Between Early Warning and Response Systems and Serious Cross-Border Health Threats in the European Union and Turkey

Published online by Cambridge University Press:  11 August 2016

Perihan Elif Ekmekci
Perihan Elif Ekmekci*
Affiliation:
Department of History of Medicine and Ethics Medical Faculty of TOBB University, Ankara, Turkey.
*
Correspondence and reprint requests to Perihan Elif Ekmekci, MD, Department of History of Medicine and Ethics Medical Faculty of TOBB University, Yıldızevler Mah 738, Sok Tria Residence B Blok No 41, Ankara, Turkey (e-mail: [email protected]).
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Abstract

Disease outbreaks have attracted the attention of the public health community to early warning and response systems (EWRS) for communicable diseases and other cross-border threats to health. The European Union (EU) and the World Health Organization (WHO) have published regulations in this area. Decision 1082/2013/EU brought a new approach the management of public health threats in EU member states. Decision 1082/2013/EU brought several innovations, which included establishing a Health Security Committee; preparedness and response planning; joint procurement of medical countermeasures; ad hoc monitoring for biological, chemical, and environmental threats; EWRS; and recognition of an emergency situation and interoperability between various sectors. Turkey, as an acceding country to the EU and a member of the WHO, has been improving its national public health system to meet EU legislations and WHO standards. This article first explains EWRS as defined in Decision 1082/2013/EU and Turkey’s obligations to align its public health laws to the EU acquis. EWRS in Turkey are addressed, particularly their coherence with EU policies regarding preparedness and response, alert notification, and interoperability between health and other sectors. Finally, the challenges and limitations of the current Turkish system are discussed and further improvements are suggested. (Disaster Med Public Health Preparedness. 2016;10:883–892)

Keywords

disaster planningemergency medical serviceshealth planning organizationsinternational cooperationcommunicable diseases
Type
Concepts in Disaster Medicine
Information
Disaster Medicine and Public Health Preparedness , Volume 10 , Issue 6 , December 2016 , pp. 883 - 892
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2016 

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References

1. Federal Emergency Management Agency. Guide for All-Hazard Emergency Operations Planning. http://www.fema.gov/pdf/plan/slg101.pdf. Published September 1996. Accessed July 14, 2016.Google Scholar
2. Department of Homeland Security Office of Inspector General. FEMA’s Progress in All-Hazards Mitigation. OIG-10-03.https://www.oig.dhs.gov/assets/Mgmt/OIG_10-03_Oct09.pdf. Published October 2009. Accessed July 14, 2016.Google Scholar
3. World Health Organization International Health Regulations (2005). 2nd ed. http://whqlibdoc.who.int/publications/2008/9789241580410_eng.pdf. Published 2005. Accessed July 14, 2016.Google Scholar
4. The Treaty on the Functioning of the European Union. EUR-Lex website. http://eur-lex.europa.eu/legal-content/EN/TXT/PDF/?uri=CELEX:12012E/TXT&from=EN. Accessed July 14, 2016.Google Scholar
5. Decision no 2119/98/EC of the European Parliament and of the Council of 24 September 1998setting up a network for the epidemiological surveillance and control of communicable diseases in the Community. EUR-Lex website.http://eur-lex.europa.eu/resource.html?uri=cellar:b97ab1a4-21f5-49de-9964-bc25617d3485.0008.02/DOC_1&format=PDF. Accessed July 14, 2016.Google Scholar
6. Regulation (EC) no 851/2004 of the European Parliament and of the council of 21 April 2004 establishing a European centre for disease prevention and control. http://ecdc.europa.eu/en/aboutus/Key%20Documents/0404_KD_Regulation_establishing_ECDC.pdf. Accessed July 14, 2016.Google Scholar
7. Decision No 1082/2013/EU of the European Parliament and of the Council of 22 October 2013 on serious cross-border threats to health and repealing Decision No 2119/98/EC. http://ec.europa.eu/health/preparedness_response/docs/decision_serious_crossborder_threats_22102013_en.pdf. Accessed July 14, 2016.Google Scholar
8. Commission Decision 2000/96/EC of 22 December 1999 on the communicable diseases to be progressively covered by the Community network under Decision No 2119/98/EC of the European Parliament and of the Council. http://eur-lex.europa.eu/legal-content/EN/TXT/PDF/?uri=CELEX:32000D0096&from=EN. Accessed July 14, 2016.Google Scholar
9. Commission Decision of 28/IV/2008 amending Decision 2002/253/EC laying down case definitions for reporting communicable diseases to the Community network under Decision No 2119/98/EC of the European Parliament and of the Council. http://ec.europa.eu/health/ph_threats/com/docs/1589_2008_en.pdf. Accessed July 14, 2016.Google Scholar
10. Directive 95/46/EC of the European Parliament and of the Council of 24 October 1995 on the protection of individuals with regard to the processing of personal data and on the free movement of such data. http://eurlex.europa.eu/LexUriServ/LexUriServ.do?uri=CELEX:31995L0046:en:HTML. Accessed July 14, 2016.Google Scholar
11. Helsinki European Council 10 and 11 December 1999 presidency conclusions. http://www.europarl.europa.eu/summits/hel1_en.htm. Accessed March 4, 2015.Google Scholar
12. Republic of Turkey Ministry for EU affairs Single market and Competition Directorate. http://www.abgs.gov.tr/?p=93&l=2. Accessed July 14, 2016.Google Scholar
13. Commission Decision of 22 December 1999 on the early warning and response system for the prevention and control of communicable diseases under Decision No 2119/98/EC of the European Parliament and of the Council (notified under document number C(1999) 4016) (2000/57/EC). http://eur-lex.europa.eu/legal-content/EN/TXT/PDF/?uri=CELEX:32000D0057&from=EN. Accessed July 14, 2016.Google Scholar
14. Commission Decision of 19 March 2002 laying down case definitions for reporting communicable diseases to the Community network under Decision No 2119/98/EC of the European Parliament and of the Council (notified under document number C(2002) 1043) (2002/253/EC). http://eur-lex.europa.eu/LexUriServ/LexUriServ.do?uri=OJ:L:2002:086:0044:0062:EN:PDF. Accessed July 14, 2016.Google Scholar
15. Commission Decision of 17 July 2003 amending Decision No 2119/98/EC of the European Parliament and of the Council and Decision 2000/96/EC as regards communicable diseases listed in those decisions and amending Decision 2002/253/EC as regards the case definitions for communicable diseases (notified under document number C(2003) 2301) (Text with EEA relevance) (2003/534/EC). http://eur-lex.europa.eu/LexUriServ/LexUriServ.do?uri=OJ:L:2003:184:0035:0039:EN:PDF. Accessed July 14, 2016.Google Scholar
16. Commission Decision of 18 December 2007 amending Decision No 2119/98/EC of the European Parliament and of the Council and Decision 2000/96/EC as regards communicable diseases listed in those decisions (notified under document number C(2007) 6355) (Text with EEA relevance) (2007/875/EC). http://eur-lex.europa.eu/LexUriServ/LexUriServ.do?uri=OJ:L:2007:344:0048:0049:EN:PDF. Accessed July 14, 2016.Google Scholar
17. Turkish Republic Statistics Institution. Turkish Demography and Its Future 2010-2050 [in Turkish]. http://www.tuik.gov.tr/PreHaberBultenleri.do?id=13140. Accessed July 14, 2016.Google Scholar
18. Jadoo, SAA, Aljunid, SM, Sulku, SN, Amrizal Muhammad Nur, AM. Turkish health system reform from the people’s perspective: a cross sectional study. BMC Health Serv Res. 2014;14:30. doı: 10.1186/1472-6963-14-30.Google Scholar
19. Health Transformation Program Progress Report 2010. http://www.saglik.gov.tr/EN/dosya/2-1251/h/healthtransformationprogrammeinturkey.pdf.Google Scholar
20. Turkish Public Health Institute website. http://www.thsk.gov.tr/.Google Scholar
21. Turkish Disaster Action Plan Official Gazette 3.1.2014 no:28871 [in Turkish]. https://www.afad.gov.tr/UserFiles/File/PLANLAR/Afet_Mud_Pl_ResmiG%2020122013.pdf. Accessed July 14, 2016.Google Scholar
22. Decree Law on the organization and duties of the Ministry of Health and its Affiliates, Numbered 663 and dated 2.11.2011, Article 26 (2) c [in Turkish]. http://www.resmigazete.gov.tr/eskiler/2011/11/20111102M1-3.htm. Accessed July 14, 2016.Google Scholar
23. Implementing Regulation on Disaster and Emergency Response Services dated 15.8.2013, Implementing Regulation on the Tasks of Institutions on Chemical, Biological, Radiological and Nuclear Hazards dated 03.05.2012 [in Turkish]. https://www.afad.gov.tr/tr/IcerikDetay.aspx?ID=42. Accessed July 14, 2016.Google Scholar
24. Guidelines on Notification on Communicable Diseases (2005). http://www.saglik.gov.tr/TR/belge/1-4095/ulusal-saglik-veri-sozlugu-usvs.html.Google Scholar
25. Annex-II of the Implementing Regulation on the Surveillance and Control Principles of Communicable Diseases. Official Gazette dated 30.05.2007 and numbered 26537. http://www.saglik.gov.tr/TR/belge/1-4958/bulasici-hastaliklar-surveyans-ve-kontrol-esaslari-yone-.html.Google Scholar
26. General Hygiene Law numbered 1593 and dated 1930 [in Turkish]. http://www.mevzuat.gov.tr/MevzuatMetin/1.3.1593.pdf. Accessed July 14, 2016.Google Scholar
27. Implementing Regulation on Emergency Health Services dated 11.05.2000. http://www.saglik.gov.tr/TR/belge/1-510/acil-saglik-hizmetleri-yonetmeligi.html.Google Scholar
28. WHO Europe Assessment of health systems crisis preparedness Turkey 2010. http://disab.saglik.gov.tr/yonetim/Uploads/files/kitaplar/Assessment_of_health_system_crisis_prepardness_Turkey_2010.PDF.Google Scholar
29. ECDC. Survellience of Seven Priority Food- and Waterborne Disease in EU/EEA 2010-2012. http://ecdc.europa.eu/en/publications/Publications/food-and-waterborne-diseases-surveillance-report-2015.pdf. Published April 2015. Accessed July 14, 2016.Google Scholar
30. Yenice, M, Göktaş, DC, Sezgin, B, Temel, F, Gürbüzler, B. Düzce ili merkez ilçeye bağli bahçeköy köyünde görülen gida zehirlenmesi incelemesi 17. Ulusal halk sağlığı kongre kitabı [an assessment of food intoxication in Düzce province Bahçeköy area. 17th National Public Health Congress book.] http://halksagligiokulu.org/anasayfa/components/com_booklibrary/ebooks/17UHSKK.pdf. Accessed July 14, 2016.Google Scholar
31. Zubaroğlu, AH, Boz, A, Topal, S, Temel, F, Sucaklı, MB, Levent, B, Atasoylu, G, Kızılelma, M. Manisa’da aynı yemek şirketinden yemek alan 22 ayrı işletmede meydana gelen gıda kaynaklı besin zehirlenmesi – Nisan 2014. 17. Ulusal halk sağlığı kongre kitabı [food intoxication in establishments which procure food from the same cathering company in Manisa April 2014. 17th National Public Health Congress book].Google Scholar
32. Börekçi, D, Tutuş, C, Paracıklı, G, Temel, F, Zhu, BP, Tetiker, D, Dural, Y. Muğla Marmaris ilçesinde gıda kaynaklı bir salgının incelenmesi 17. Ulusal halk sağlığı kongre kitabı [an assesment of food intoxication in Muğla Marmaris Province. 17th National Public Health Congress book].Google Scholar
33. Demiralp, N, Kalkan, O, Göktaş, DC, Nemli, HY, Temel, F, Zho, BP, Sucaklı, MB, Torunoğlu, MA. Gida kaynakli streptococcus pyogenes enfeksiyonu salgini, Haziran 2013 – Bursa. 17. Ulusal halk sağlığı kongre kitabı [Streptococcus Pyogenes food intoxication epidemic in Bursa June 2013. 17th National Public Health Congress book].Google Scholar