| PREVENT - National legislation, policy and financing |
No ministry designated as responsible |
GAP: Disaster declaration at the local level; emergency or disaster funding |
| PREVENT- International health regulations coordination, communication and advocacy |
Ministry of Health, One Health Platform |
GAP: Coordination between sub-national and national levels and international cooperation |
| PREVENT - Immunization |
Ministry of Health, Ministry of Livestock & One Health Platform |
GAP: Manufacturers liability; technical standards for vaccine storage; zoonotic vaccination; free vaccination; prioritization of access; quality regulation; stockpile management; emergency vaccination; coordination with human prophylaxis in the event of a zoonotic outbreak; lists of compulsory vaccinations in animals |
| PREVENT - Zoonotic diseases |
Ministry of Livestock & One Health Platform |
GAP: Mandatory sharing of information relevant to health security to human and environmental health authorities; licensing, control & regulation of slaughterhouses; transhumance and transfer of animals nationally and internationally; sanitary police and international transhumance (eg, import of international game and compulsory sanitary certificate from country of origin); prevention activities focused on livestock or poultry production systems; lists of compulsory vaccinations in animals |
| PREVENT - Biosafety and biosecurity |
Ministry of Health, One Health Platform |
GAP: Roles and responsibilities of national laboratories network in surveillance and reporting activities; the regulation of biological agents and toxins; transport and handling of biological substances; laboratory (research or clinical) waste management |
| DETECT - National laboratory system |
Ministry of Health, One Health Platform |
GAP: Roles and responsibilities of national laboratories network in surveillance and reporting activities; the regulation of biological agents and toxins; transport and handling of biological substances; laboratory (research or clinical) waste management; mandatory sharing of diagnostic information relevant to health security to animal and environmental health authorities; no provisions to facilitate sharing of samples across sectors; no provision for inclusion of environmental health laboratories |
| OVERLAP: mandates pertaining to laboratory standards setting; overlapping assignment of responsibilities to specific entities (ie, National Public Health Institute; Laboratory Technical Group of the One Health Platform and the National Directorate of Medical Biology) |
| DETECT - Surveillance |
Ministry of Health, Ministry of Livestock, Ministry of Environment, One Health Platform |
GAP: List of diseases of epidemic potential in the public health code; scope of surveillance; full list of core functions and activities undertaken by the agency; mandatory sharing of information relevant to health security to animal and environmental health authorities; full list of core functions and activities undertaken by the National Health Security agency; full list of core functions and activities undertaken by the ministry to undertake effective surveillance measures |
| OVERLAP: Overlapping mandates across agencies and ministries; conflicting assignments of responsibilities to specific entities or stakeholders |
| DETECT - Reporting |
Ministry of Health, Ministry of Livestock |
GAP: Mandatory sharing of information with animal and environmental health authorities regarding diseases with potential impact to the livestock/agricultural/wildlife sectors, if first detected in humans; specific inclusion of the private sector for reporting on disease incidence; mandatory information sharing regarding zoonotic infectious diseases cases to human & environmental health authorities where relevant |
| REPSOND – Emergency response operations |
Ministry of Health, One Health Platform |
GAP: Collaboration between all concerned ministries and information sharing between all actors involved in humanitarian crises response; no designated focal point for inter-agency cooperation |
| OVERLAP: Unclear assignments of responsibilities and oversight between the National Health Security agency’s Emergency Operation Center and the Emergency Operation Centers referred to in the One Health Decree (2017); no clear de-conflicting of roles and responsibilities with the National Committee on the Management of Catastrophes |
| RESPOND - Linking public health and security authorities |
National government, Ministry of Defense |
GAP: Inclusion of law enforcement agencies, particularly for joint investigation; protection of civilian rights during security response; delineation of authorities between health and security officials during public health emergency |
| RESPOND - Medical countermeasures and personnel deployment |
No ministry designated as responsible |
GAP: Visas for international assistance personnel; processes for procuring/receiving medical counter measures during an emergency |
| RESPOND - risk communication |
Ministry of Health, One Health Platform |
GAP: Operational risk communication (or any risk communication outside of immunizations) |
| RESPOND - Case management, quarantine, and compulsory measures |
Ministry of Health, Ministry of Livestock, Ministry of Environment |
GAP: Criteria for quarantine or placing individuals under observation; distinction between isolation and quarantine measures; distinction between animal and human quarantine; criteria for port of entry denials; assigning responsibilities to specific departments; coordination with the Ministry Of Health with respect to restricting the movement of people when they themselves are suspected of being infected |
| OVERLAP: potential conflict between Public Health Code (Ministry of Health) and Code of Livestock (Ministry of Livestock) related to authority to prescribe quarantine measures for zoonotic diseases. Direct overlap between the National Health Security Agency and the National Directorate for Epidemiology and Disease Prevention (or Direction Nationale de l’Epidémiologie et de la lutte contre la Maladie in French) related to case management |
| Other international health regulations-related hazards and points of entry |
Ministry of Environment |
GAP: no provision on response to chemical events; no mention of radio-nuclear hazards; no criteria for port of entry denials |
| OVERLAP: potential overlap of authorities between Ministry of Livestock and Ministry of Environment regarding regulation of cross-border movement of animals |