European pandemic preparedness timeline, 2000-2012Archived

 

 

2000 and before

1997:  Emergence of A(H5N1) in domestic poultry and some humans in Hong Kong including limited human to human transmission: Individual pandemic plans in a few countries but unsynchronised and unstandardised

1998:  European Council Decision No 2119/98/EC of the European Parliament and of the Council of 24 September 1998 setting up a network for the epidemiological surveillance and control of communicable diseases in the Community. OJ L 268, 3.10.1998, p. 1–7.

1999:  Informal WHO Influenza Pandemic Plan. The Role of WHO and Guidelines for National and Regional Planning WHO/CDS/CSR/EDC/99.1  

2001

Announcement of WHO global agenda on influenza and call for contributions WER (2001) 76: 251-3.

 

European Commission Preparedness planning in the community: Influenza and other health threats. Brussels, 27 November 2001   

2002

WHO: Global agenda on influenza adopted version (Part I) WER (2002) 77: 179-182  (Part II) WER (2002) 77: 191-5.

2004

Re-emergence of A(H5N1) viruses in birds and some humans in China and then parts of SE Asia  (see WHO A(H5N1) timeline)

June

EU Health Security Committee given responsibility for pandemic preparedness by the European Health Council of Ministers of Health June 2004

2005  

March

European Commission and WHO European Region. First European Pandemic Preparedness Planning Workshop, Luxembourg March 2005

 

WHO publishes two seminal documents A Checklist for Pandemic Preparedness and a revised WHO Global Pandemic Preparedness Plan including interim guidance on Public Health Measures (Annex One) 

May

Opening of the European Centre for Disease Prevention and Control and adoption of pandemic preparedness as its first disease-specific priority.

 

World Health Assembly adopts the new International Health Regulations which start to apply in June 2007

July / August

Development of an initial procedure for assessing national pandemic preparedness assessment by ECDC with the WHO Regional Office for Europe and the Commission. Following piloting with Sweden the first national assessments start with Greece, Kazakhstan, Turkey, United Kingdom and Ukraine (See listing of countries assessed)

Autumn

Appearance of A(H5N1) infected birds outside Asia and movement towards Europe engender an impression in the media, the public and some decision makers that an H5 pandemic is imminent. Many countries start acquiring stockpiles of antivirals

October

WHO Regional Office for Europe, European Commission, ECDC. Pandemic Preparedness Planning 2nd European Workshop, Copenhagen October 2005.

November

All EU / EEA countries, WHO and European pharmaceutical industry participate in the European Commission pandemic exercise Common Ground

November

European Commission publishes a Communication on pandemic influenza preparedness and response planning in the European Community along with a generic preparedness communication

December

Avian influenza and pandemic preparedness an emergency topic at the EU Health Council under the UK Presidency.

By the end of the year three more  ECDC and WHO Euro Country Assessments Undertaken TUR, KAZ and UKR

2006  

January to May

Human outbreak of A(H5N1) in Turkey and Azerbaijan and appearance of infected wild birds in about half of the WHO European Region countries with some infected poultry but no human cases.

April

ECDC undertakes first EU survey of uptake of influenza vaccine in the elderly – only 18 countries can produce data and show 40 fold variation in uptake

April

Publication of a league table comparison of pandemic plans in Europe by researchers at the London School of Hygiene and Tropical Medicine

May

ECDC, WHO Regional Office for Europe, European Commission. Third joint European Pandemic Preparedness Workshop. Uppsala May 2006  

June

Senior Officers International Partnership on Avian and Pandemic Influenza Meeting convened under the Austrian EU Presidency in Vienna

June

Appointment of a United Nations Systems Influenza Coordinator (UNSIC) Dr David Nabarro

July

Major revision of ECDC pandemic preparedness assessment procedure (Ref 8)

September to November

At request of Health Commissioner ECDC undertakes a survey of pandemic preparedness and holds three workshops with EU Member States to discuss the findings and prepare a progress report

September

Formation by European Commission of an EU Influenza Communicators Group under the Health Security Committee following meeting in Athens 

November

WHO Regional Office for Europe holds the 6th regional workshop of the south-eastern European communicable disease surveillance project with a focus on avian and pandemic influenza (Belgrade, Serbia)

December

By the end of the year another 13 national self-assessments completed

2007

January

The issue of particularly developing countries sharing influenza viruses of pandemic potential with WHO through the GISN but not being in a position to afford pandemic influenza vaccine initiates a round of Intergovernmental Meetings, ultimately culminating in a framework endorsed by the World Health Assembly 64 (WHA64) in 2011.

ECDC publishes its  first review of pandemic preparedness in the EU, based on the status as of Autumn 2006.

February

ECDC publishes a 2006 Status Report on EU Pandemic Preparedness following a request from EU Health Commissioner Kyprianou.

Finds all countries have made considerable progress but that much remains to be done: especially in the fields of local level preparedness, interoperability between countries and regions inside larger countries, research and multi-sectoral work.

March

ECDC publishes a revision of its pandemic preparedness assessment procedure with updated indicators on a pandemic preparedness site with a subsidiary site on pandemic preparedness assessment including the indicators.

June

2005 International Health Regulations come into force including for all European countries 

 

Meeting organised by MEP Prof Trakatellis at the European Parliament on pandemic preparedness in the EU. Publication includes a league table of oseltamivir stockpiles  

July

UK and the European Commission hold a Pandemic Preparedness Workshop, London

August ECDC publishes a paper on surveillance in a pandemic, following meeting at a series of workshops with the MS.

September

At request of Health Commissioner ECDC undertakes an updated survey of preparedness in EU and EEA countries.

Fourth Joint EC/ECDC/WHO Workshop on Pandemic Influenza Preparedness, Luxembourg, 25-27 September 2007 (particular emphasis on good practices and innovations from the EU). A separate special report on the innovations is published by ECDC.

October

Completion by ECDC of last national pandemic preparedness self-assessments – now done for all 30 EU/EEA countries

Regional Office carries out pandemic preparedness assessment in Switzerland

December

WHO process for updating the pandemic planning underway involving experts from many EU countries

Regional Office holds the first master class training course in pandemic preparedness for the newly independent states (Copenhagen, Denmark)

ECDC publishes the second review of pandemic preparedness in the EU, updating the 2006 report.

2008  

January

Recognition of extensive resistance to oseltamivir in seasonal influenza A(H1N1) in Europe. Some Member States start to diversify their stockpiles to have more than one neuraminidase inhibitor.

May

Heath Security Committee Influenza Section reviews the indicators developed by WHO Regional Office for Europe and ECDC with a view to their formal adoption and use in a survey in Spring of 2009

June-October

WHO Regional Office for Europe organizes pandemic preparedness assessment visits to ten South-eastern European countries

September

French Presidency and European Commission workshop on pandemic preparedness in Angers. WHO presents the framework new pandemic plan. Workshop tackles school closures issues but especially recognises the need to improve multi-sectoral planning.

 

Joint ECDC-WHO-Regional Office for Europe review of the experience of the emergence of antiviral resistant seasonal influenza A(H1N1)-H275Y, Villamoura, Portugal

November

EU Health Security Committee Influenza Section  and Main Committee agree on revised  ECDC-EC-WHO indicators of pandemic preparedness  which are published later.

WHO Regional Office for Europe organizes the 8th Regional workshop of the south-eastern European Communicable Disease Surveillance project with a focus on pandemic preparedness (Bucharest, Romania)

December

Formal EU Health Council under the French Presidency adopts resolution recognising the need to improve multi-sectoral pandemic planning

Regional Officetogether with FAO organizes a Regional simulation exercise for avian influenza in animal and human populations

2009  

January

WHO Regional Office for Europe publishes pandemic preparedness status report for South-eastern Europe based on assessment visits in 2008.

February

WHO Regional Office for Europe holds an inter-country workshop on pandemic preparedness for the newly independent states as a continuation of the master class held in 2007 (Ashgabat, Turkmenistan)

April

Recognition of the emergence of influenza A(H1N1) in Americas

Creation of pandemic web-sites by WHO and ECDC

June

Declaration of the Pandemic Phase 6 by WHO Director General  

July

EU Informal Health Council Organised under the Swedish Presidency was used to define the appropriate measures for the 2009 pandemic

August

The WHO Regional Office for Europe guidance for influenza surveillance in humans is published

June to December

Europe experiences a small focused spring/summer pandemic wave and a larger more general pandemic wave of the 2009 pandemic virus in most countries in late autumn

December

Joint WHO Regional Office for Europe/ECDC workshop on pandemic preparedness (Bucharest, Romania)

2010  

March

Start of the global review of the IHR and an evaluation of the handling of the pandemic by WHO by a nominated independent expert Review Committee

April to July

WHO Regional Office for Europe carries out an evaluation of how pandemic preparedness activities aided the response to pandemic (H1N1) 2009 in seven countries

July

Pandemic Evaluation and Lessons Learnt Conference organised by the Belgian Presidency

Informal European Union Health Council on the Pandemic

August

WHO Director General declares that the world is now in the post-pandemic phase OR that the pandemic is now over

October

WHO Regional Office for Europe organizes workshop on the evaluation of how pandemic preparedness activities aided the response to pandemic A(H1N1) 2009 (Copenhagen, Denmark)

December to February 2011

First epidemics of the ‘new’ seasonal influenza appear in Europe dominated by the pandemic A(H1N1) and influenza B viruses

December

The WHO Regional Office for Europe & University of Nottingham publish recommendations for good practice in pandemic preparedness based on the WHO Regional Office for Europe evaluation of how pandemic preparedness aided the response to the 2009 pandemic in the WHO European Region

2011

April

Global agreement on arrangements for sharing of influenza viruses with pandemic potential  and future industry funding for influenza surveillance, and endorsement at the WHA64 in May

May

Endorsement by  WHA64 on the report of the IHR Review Committee on the first use of the IHR and conduct of the response to the pandemic

June

The WHO Regional Office for Europe guidance for sentinel influenza surveillance in humans is released (updated version from 2009)

September to November

ECDC and WHO Regional Office for Europe convene a series of workshops with member states to determine where countries are with revising pandemic plans.    summary

Publication of First European national pandemic plans post the 2009 pandemic (France, UK)

2012

March Joint publication of Key changes to pandemic plans by Member States of the WHO European Region based on lessons learnt from the 2009 pandemic by ECDC and the WHO Regional Office for Europe.