ISDS Annual Conference Proceedings 2018. This is an Open Access article distributed under the terms of the Creative Commons Attribution- Noncommercial 3.0 Unported License (http://creativecommons.org/licenses/by-nc/3.0/), permitting all non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. ISDS 2018 Conference Abstracts Developing policy to support novel Caribbean Tourism and Health surveillance program Lisa Indar*, Carl J. Hospedales and Virginia Asin-Oostburg CARPHA, Port Of Spain, Trinidad and Tobago Objective The Regional Tourism and Health program (THP) is a novel program, comprising of a tourism surveillance system, training, standards and multisectoral partnerships. The objective was to develop regional mandate and policy to support this new program and its non-traditional surveillance system. Introduction In January 2016, the Caribbean Public Health Agency (CARPHA), serving 24 Member States(MS), began executing a regional Tourism and Health program (THP), recognizing that the health of Caribbean economies is closely related to the health of its tourism industry since the Caribbean is most tourism-dependent region in the world; that tourism is vulnerable to health, safety and environmental (HSE) threats; and that travel and tourism impacted on global health security. High and increasing visitors to the Caribbean can increase the health, safety and security risks by the introduction and spread of diseases, by both residents and visitors. This was exemplified by the H1N1 pandemic (2009), Chikungunya (2013), and the recent Zika epidemic. However, even though more people visit the Caribbean than reside, there is no regional visitor/tourism surveillance system. There is also no regional mandate and policy for the reporting of visitor/tourism illnesses. This coupled with inadequate training, lack of standards and collaboration between tourism health stakeholders have contributed to disease spread. The THP is an innovative, multifaceted, integrated, regional program with components of a web based real time Tourism and Health Information Surveillance and Response system (THiS), food safety and environmental sanitation training, standards and multisectoral health and tourism partnerships. It aims to promote the health, safety and security of Caribbean visitors and residents. The THP is novel in that it involves the implementation of a non- traditional, health information and surveillance system (visitor based illnesses), new data users (private sector, hotels, passenger ships, visitors), new partners (tourism sector) and at regional level. Given the novelty and the multisectoral nature of the THP, a critical factor to support its implementation and sustainability was the development of regional mandate and policy to facilitate real time surveillance and response to detect and reduce the spread of illness. Methods A multiprong approach was used to develop regional mandate and policy for the unique multisectoral THP program, from January 2016 to October 2017. This consisted of (i) weekly advocacy meetings with national and regional tourism and health public and private stakeholders to gain buy-in, recognition and support (ii) requesting letters of commitment from MS (iii) seeking support from the Caribbean Chief Medical Officers of Health (CMOs), who advises the Ministers of Health, at their annual meeting and convening a special CMO meeting on the THP (iv) seeking Ministers of Tourism support through the Caribbean Tourism Organization(CTO) forum (v) inclusion of tourism and health as a priority in the Caribbean Cooperation in Health (CCH4) strategy (which sets health priorities for the Caribbean region) (vi) presenting the THP to the Council for Human and Social Development (COHSOD), consisting of Caribbean Ministers of Health requesting approval to develop a regional THP policy (September 2017) and (viii) convening of a regional THP stakeholders meeting (October 2017) with high level decision makers from national, regional and international health and tourism sectors. Results Letter of commitment to implement the THP were received from 10 MS to date. The Report of the special CMOs Meeting on the THP on August 2017, stated that the CMOs supported the implementation of the THP, to enhance their core surveillance and response capacity and recommended that THP be included as a CCH4 priority, and the development of a regional policy to support implementation. The COHSOD, approved the inclusion of Tourism and Health as a priority in the CCH4 on September 2017. The 33rd Meeting of the COHSOD on September 23, 2017 took a decision to mandate CARPHA to prepare a Regional Policy for the THP; having noted the efforts of CARPHA to mitigate public challenges in the tourism, recognized the uniqueness of the engagement between public health and the private sector; understanding the need for an adequate regulatory environment to support the public health efforts. A meeting statement was issued on October 5th 2017 by representatives of the Caribbean Community’s (CARICOM) MS, CARPHA, CARICOM, CTO, Caribbean Hotel and Tourism Association, Pan American Health Origination and International Health and Tourism agencies supporting the implementation of the THP to strengthen their capacity to address tourism HSE public health threats and the development of a regional THP Policy that include the following: awareness among policy makers in public and private sectors; use of the THiS for real-time, early warning and response to travel-related public health threats; Regional Guidelines for managing travel-related public health issues; Training /capacity building; Standards and certification; Multi- sectoral public private partnerships and networks and mandating the reporting of illness by the hospitality sector to national authorities. Conclusions Developing regional mandate and policy is a complex and long, but critical necessity for the implementation and the sustainability of this novel, multisectoral, non-traditional, multi-country tourism and health surveillance and response program. While the regional policy will take time to finalize, CARPHA and MS now have regional mandate to support the implementation of the THP, to strengthen capacity to prepare for, mitigate and respond to public health threats, which can transcend national boundaries. Keywords Policy; Tourism and Health; Caribbean; survillance systems *Lisa Indar E-mail: indarlis@carpha.org Online Journal of Public Health Informatics * ISSN 1947-2579 * http://ojphi.org * 10(1):e72, 2018