Information sharing during a pandemic: Inside intelligence from WHO for COVID-19
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Professor Mary-Louise Mclaws
Professor of Epidemiology, Healthcare Infection and Infectious Diseases Control
School of Public Health and Community Medicine
UNSW Global Water Institute ‘Water and Health’ Leader
Information sharing during a pandemic:
Inside intelligence from WHO for COVID-19
15 June 2021
Acknowledgement of Country –
UNSW is located on the land of the Bidjigal people
I would like to show my respects and
acknowledge the traditional
Custodians of the land. I would like to
pay my respects to Elders both
past, present and emerging and extend
that respect to other Aboriginal and
Torres Strait Islanders who are present
here today.
1
Wars are fought with secrets Pandemics are fought with transparency
2
3 pillars of work: Steady State, Emergencies & Universal Health Coverage
WHO staff collaborate across 3 levels of organization (headquarters, regional
offices & country offices), with consultants, partners, Member States & their
ministries and other stakeholders on priorities and messaging
WHO Department of Communications - multi-faceted teams & processes helps
WHO experts & programmes communicate about the WHO Global Programme of
Work
WHO delivers messages and information through multiple channels
• WHO web site, social media channels, audio-visual products, campaigns, events
• technical guidance documents, press conferences & collaboration with >150
WHO global offices and 100s of collaborating centres
Key recommendations from Independent Panel
WHO establishes a new global system for surveillance based on full
transparency
WHO should have the explicit authority to publish information about
outbreaks with pandemic potential immediately without requiring permission
from the government concerned.
WHO should also be empowered to send experts to investigate pandemic
threats in any country at the shortest possible notice.
WHO should be reformed, strengthened and given more financial
independence based on fully undesignated resources and increased member
state fees.
Source: The Independent Panel for Pandemic Preparedness and Response, which was established by the WHO, has spent a year investigating the
coronavirus outbreak.
“Since Dr Tedros began his role as Director-General in 2017, his vision has always been to transform WHO into a modern, data-driven organization,” says Dr Samira Asma, Assistant Director-General for the Division of Data, Analytics and Delivery for Impact. “The pandemic drove home our need to tackle the systemic issues that keep us from being data-driven so that we can adequately respond not only to the pandemic but also ensure…that every citizen in every country has a chance for a healthier life.” Source: World Health Organization, Microsoft and Avanade join forces to develop a World Health Data Hub, May 20 2021
The COVID-19 pandemic made
data scientists of us all.
Yet timely, reliable and
actionable data has not always
been readily available.
Data fragmentation and gaps
aren’t new, but COVID-19 has
highlighted the urgent need for
swift action to address these
persistent challenges
Source: World Health Organization, Microsoft and Avanade join forces to develop a World Health Data Hub, May 20 2021
The World Health Data Hub aims to
reduce fragmentation
streamline processes
identify and resolve gaps and inequalities, and
ensure data is accessible, findable and usable for all
stakeholders
Source: World Health Organization, Microsoft and Avanade join forces to develop a World Health Data Hub, May 20 2021
Transparency can stop politicising a pandemic
Americas
64 million cases - 40% of global
1.6 million deaths – 47% of global Higher vaccine hesitancy with higher Trump vote
Source: https://covid19.who.int/
Tension between politics and transparency
Democratic government’s performance largely judged by economic performance, but
Public health recommendations can appear to be detrimental to the economy
Democratic governments are reluctant to share data that justifies their actions, but
Stakeholders require full data to understand and evaluate government actions
Democratic governments are reluctant to change established policy, but
In a pandemic everyone is learning
Democratic governments don’t like to be wrong so will avoid transparency, but
Information is required to guide health professionals and inform the publicAustralia: missing transparency for stakeholders
National COVID-19 Co-ordination Commission July 2020 granted new
mandate allowing much of its work to be deemed “cabinet in confidence”
Private contractors get $156m to vaccinate Australia’s most at-risk.
Why can’t we know what they’re doing? Crikey May 17 2021
th
Embarrassing: Morrison government slammed over COVID-19 vaccine
rollout data transparency The New Daily May 19 2021
th
Can we sue the Morrison Government? ..it turns out the Government
secretly lifted the ban [on aged care workers working across facilities] in
November [2020]. They reinstated it quietly after the latest hotel
quarantine outbreak Crikey Sunday Read 11 June 2021
thMissing transparency – epidemiology & vaccinations Cases – epidemiological and risk factors Non disclosure of supply agreements No vaccination targets Obscure or non-existent national vaccination data Breakdown by age, sex, phase Breakdown by first and second vaccinations Breakdown by vaccine
Information in the absence of transparency
Australia's vaccine agreements and deliveries
Last updated: 18 May 2021, 12.01am. View supply sources and data notes.
Vaccine Agreed Delivered Percentage
All vaccines 195,300,000 8,998,500 4.61%
Oxford/AstraZeneca - local 50,000,000 5,712,500 11.43%
Pfizer/BioNTech 40,000,000 2,572,000 6.43%
Oxford/AstraZeneca - OS 3,800,000 714,000 18.79%
Novavax 51,000,000 0 0.00%
Moderna 25,000,000 0 0.00%
COVAX Facility 25,500,000 0 0.00%
Source: Various (view all here) Embed Created
w ith Dataw rapper
Source: https://www.covid19data.com.au/vaccinesSources
pply_tracking_sources : Sheet1
Doses -
Doses - SOURCE
Cumulativ
weekly S
e
Pfizer/BioN Oxford/AZ Oxford/AZ - COVAX All Pfizer/Bio Oxford/A Pfizer
All vaccines DifferenceDifference
Tech - OS local Facility vaccines NTech Z - OS supply
8,998,500 2,572,000 714,000 5,712,500 0
0 0 0 0
0 0 0 0
142,000 142,000 142,000 142,000 0 https://www.health.gov.au/news/first-pfizer-vaccine-doses-arrive-in-australia
166,000 166,000 308,000 308,000 0 https://www.health.gov.au/ministers/the-hon-greg-hunt-mp/media/doorstop-interview-about-the-covid-vaccine-rollout-on-23-february-2021
435,000 135,000 300,000 743,000 443,000 300,000 https://www.health.gov.au/ministers/the-hon-greg-hunt-mp/media/doorstop-interview-about-the-arrival-of-additional-pfizer-vaccines-covid-19-vaccine-rollout-and-aged-care-royal-commission
149,000 149,000 892,000 592,000 300,000 https://www.pm.gov.au/media/doorstop-symonston-act
414,000 414,000 1,306,000 592,000 714,000
991,200 159,000 832,200 2,297,200 751,000 714,000 https://www.health.gov.au/ministers/the-hon-greg-hunt-mp/media/press-conference-in-canberra-about-maeves-law-covid-19-vaccine-rollout-and-assistance-to-papua-new-guinea
https://twitt
119,000 119,000 2,416,200 870,000 714,000 https://www
467,800 467,800 2,884,000 870,000 714,000
772,000 302,000 470,000 3,656,000 1,172,000 714,000 529,430 1,221,276 https://www.health.gov.au/ministers/the-hon-greg-hunt-mp/media/press-conference-with-minister-hunt-and-professor-john-skerritt-about-covid-19-and-the-vaccine-rollout
641,000 173,000 468,000 4,297,000 1,345,000 714,000 557,987 1,291,148 https://www.health.gov.au/ministers/the-hon-greg-hunt-mp/media/press-conference-with-minister-hunt-and-commodore-eric-young-royal-australian-navy-the-operations-co-ordinator-from-the-vaccine-operations-centre-with-an-update-on-covid-19-cases
880,000 173,000 707,000 5,177,000 1,518,000 714,000 563,834 1,587,314 https://www.health.gov.au/news/vaccine-operations-centre-weekly-operational-update
1,087,900 351,000 736,900 6,264,900 1,869,000 714,000 485,917 2,177,954 https://www.health.gov.au/news/vaccine-operations-centre-weekly-operational-update-3-may-2021
1,381,600 351,000 1,030,600 7,646,500 2,220,000 714,000 533,162 3,026,392 https://www.facebook.com/watch/live/?v=316105356697555&ref=notif¬if_id=1620617309369424¬if_t=live_video_explicit
1,352,000 352,000 1,000,000 8,998,500 2,572,000 714,000 918,574 3,457,316 https://www.facebook.com/watch/live/?v=314550676899820&ref=notif¬if_id=1621211581998423¬if_t=live_video_explicit
0 8,998,500 2,572,000 714,000
Source: https://docs.google.com/spreadsheets/d/e/2PACX-1vRbJoCkDh-z4dtDo4y24HNd6BpUCzjzqj8rrNFryiK0oV3Oc1ssrdSlMP8hlHcXSv_BPXFQlxvHEK8T/pubhtmlSources
SOURCE
S
Pfizer
nce
supply
https://www.health.gov.au/news/first-pfizer-vaccine-doses-arrive-in-australia
https://www.health.gov.au/ministers/the-hon-greg-hunt-mp/media/doorstop-interview-about-the-covid-vaccine-rollout-on-23-february-2021
https://www.health.gov.au/ministers/the-hon-greg-hunt-mp/media/doorstop-interview-about-the-arrival-of-additional-pfizer-vaccines-covid-19-vaccine-rollout-and-aged-care-royal-commission
https://www.pm.gov.au/media/doorstop-symonston-act
https://www.health.gov.au/ministers/the-hon-greg-hunt-mp/media/press-conference-in-canberra-about-maeves-law-covid-19-vaccine-rollout-and-assistance-to-papua-new-guinea
https://twitt
https://www
76 https://www.health.gov.au/ministers/the-hon-greg-hunt-mp/media/press-conference-with-minister-hunt-and-professor-john-skerritt-about-covid-19-and-the-vaccine-rollout
48 https://www.health.gov.au/ministers/the-hon-greg-hunt-mp/media/press-conference-with-minister-hunt-and-commodore-eric-young-royal-australian-navy-the-operations-co-ordinator-from-the-vaccine-operations-centre-with-an-update-on-covid-19-cases
14 https://www.health.gov.au/news/vaccine-operations-centre-weekly-operational-update
54 https://www.health.gov.au/news/vaccine-operations-centre-weekly-operational-update-3-may-2021
92 https://www.facebook.com/watch/live/?v=316105356697555&ref=notif¬if_id=1620617309369424¬if_t=live_video_explicit
16 https://www.facebook.com/watch/live/?v=314550676899820&ref=notif¬if_id=1621211581998423¬if_t=live_video_explicit
Source: https://docs.google.com/spreadsheets/d/e/2PACX-1vRbJoCkDh-z4dtDo4y24HNd6BpUCzjzqj8rrNFryiK0oV3Oc1ssrdSlMP8hlHcXSv_BPXFQlxvHEK8T/pubhtmlComparison of transparency Source: https://www.health.govt.nz/our-work/diseases-and-conditions/covid-19-novel-coronavirus/covid-19-data-and-statistics/covid-19-vaccine-data
Missing transparency - quarantine
• Only state stratified results by day of arrival, by country by VOC
http://www.health.nsw.gov.au/coronavirus
• Federal officer email - day when travelers test positive
• PCR performance - sensitivity and specificityMissing transparency - other
Hand Hygiene Australia compliance data by hospitals
Received redacted data
Journalist received unredacted
Industry received unredacted
ACSQHC Funding of Hand Hygiene Australia program
3 FOI applications to Federal GovernmentEnhancing resilience to future disease outbreaks requires longer-term work to create high-quality healthcare systems and build community trust Source: Health systems resilience in managing the COVID-19 pandemic: lessons from 28 countries www.nature.com/naturemedicine April 29, 2021
Transparency → trust → cooperation Trust happens when leaders are transparent Jack Welch Business Leader A lack of transparency results in distrust and a deep sense of insecurity Dalai Lama Pandemics are solved by trust and cooperation Professor Mary-Louise McLaws
Transparency → trust → cooperation Trust happens when leaders are transparent Jack Welch Business Leader A lack of transparency results in distrust and a deep sense of insecurity Dalai Lama Pandemics are solved by trust and cooperation Professor Mary-Louise McLaws
Global impact “Every data point is a person. It's an event. It's a place. It tells a story about right now, one of humanity's greatest challenges.” “There's so much power in being able to unify that data across countries, across demographics, [and] across different parts of WHO and use the analytical tools that we have to understand what it’s trying to tell us.” Justin Spelhaug - Global Head of Tech for Social Impact at Microsoft Philanthropies https://www.who.int/news-room/feature-stories/detail/fighting-infection-with-information
Relevant background & experience
Member World Health Organization Health Emergencies Program Experts Advisory
Panel for Infection Prevention and Control Preparedness, Readiness and Response
to COVID-19
World Health Organization Advisor to China and Malaysia surveillance
Reviewed Beijing and Hong Kong designated hospital response to SARS outbreak
Reviewed evidence of Australian Pandemic Influenza Infection Control Guidelines
Professor Epidemiology, Hospital Infection and Infectious Diseases ControlAbout the author Professor McLaws is a member of World Health Organization Health Emergencies Program Experts Advisory Panel for Infection Prevention and Control (IPC) Preparedness, Readiness and Response to COVID-19 now the ad hoc IPC Discussion Group. She was a short mission World Health Organization Advisor to China and Malaysia for surveillance development. She collaborated with Beijing to review the response to the Severe Acute Respiratory Syndrome (SARS) outbreak and healthcare worker safety for the Hong Kong SARS designated hospital. Mary-Louise provided advice for 9 years to the WHO programs including WHO Clean Care is Safer Care Challenge program. She was commissioned by the Commonwealth to review the Pandemic Influenza Infection Control Guidelines for evidence of protection for healthcare workers. Honorary Advisor to the Clinical Excellence Commission for many years she collaborated on several world class patient safety interventions. Her research has included performing the seminal Australian survey of healthcare associated infections in 1984 and developing the first pilot for surveillance system for healthcare associated infections on behalf of NSW Health Department. She enjoys capacity building infection control and research in Cambodia, China, Mali, Indonesia, Iran, Viet Nam, Taiwan and Turkey. Currently UNSW Professor of Epidemiology, Hospital Infection and Infectious Diseases Control Deputy President UNSW Academic Board UNSW Global Water Institute - Water-Health Leader
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