Assessing core capacities for addressing public health emergencies of international concern at designated points of entry in cameroon during the COVID-19 Pandemic.

BACKGROUND: Points of Entry (POEs) are at the frontline for prevention, detection and response to international spread of diseases. The objective of this assessment was to ascertain the current level of existing International Health Regulations (IHR) core capacities of designated airports, ports and ground crossings in Cameroon and identify critical gaps for capacity building for prevention, early warning and response to public health threats including COVID-19. METHODS: Data were collected from April to May 2020 in 5 designated POEs: Yaounde Nsimalen International Airport (YIA), Douala international Airport (DIA), Douala Autonomous Port (DAP), Garoua-Boulai ground crossing, Kye-Ossi ground crossing which were all selected for their high volume of passenger and goods traffic. The World Health Organization (WHO) assessment tool for core capacity requirements at designated airports, ports and ground crossings was used to collect data on three technical capacities: (i) communication and coordination, (ii) Capacities at all times and (iii) capacities to respond to Public Health Emergencies of International Concern (PHEIC). RESULTS: All the investigated POEs scored below 50% of capacities in place. YIA recorded the highest percentage for all groups of capacities, coordination and communication and for core capacity at all times with a percentage of 42%, 58% and 32% respectively. For core capacity to respond to PHEIC, all the POEs recorded below 50%. The DAP and all ground crossings lacked trained personnel for inspection of conveyances. Only DIA had a public health emergency plan. There is no isolation/quarantine and transport capacity at the POEs. CONCLUSION: All POEs assessed did not meet IHR standards and need significant improvement to fulfill the IHR requirements. Unstructured communication channels between stakeholders make the implementation of IHR challenging. A coordination mechanism, with clear functions and structure, is necessary for well-coordinated response efforts to health emergencies at POEs. This assessment will serve as a baseline to inform planning and IHR implementation at designated POEs in Cameroon.

Global Health Governance on Cruise Tourism: A Lesson Learned From COVID-19

Cruise tourism is becoming increasingly popular worldwide. However, the health and safety of thousands of cruise tourists have been put in jeopardy due to the COVID-19 pandemic. The refusal of cruise ships calling has been the most significant reason behind the health hazards faced by passengers. Moreover, some coastal States have decided to close their borders, leaving passengers to their own fate in the case of a COVID-19 outbreak on board. Situation analysis contributes to demonstrating obstacles encountered in public health governance on cruise tourism. Information is collected from official websites of governments and international organizations to investigate the reasons behind the non-compliance of these countries with the International Health Regulations (IHR) (2005). Academic literatures showcase different views on the necessity of revising the IHR (2005). Statistical analysis is used to assess core capacities required by the IHR (2005) of the coastal States. Coastal States reserve their rights to refuse foreign cruise ships to enter ports and to prevent the persons aboard from embarking or disembarking so long as conditions under Article 43 are met. However, some foreign cruise ships were directly refused to call by various coastal States without scientific evidence. This practice stems largely from the high risk of COVID-19 outbreaks in cruise ships and the resulting burden from the cruise pandemic response. Compared with improving IHR (2005), especially its dispute settlement mechanism, helping coastal States to boost their core capacities is more conducive to solving the problem of cruise public health governance. The improvement of core capacities can be carried out from the aspects of surveillance of cruise ships and risk assessment, medical examinations on cruise travelers, cruise design and cruise tourism management. Copyright © 2022 Hu and Li.