Experiences on Workforce Development in Other Regions

Transcription

1 Experiences on Workforce Development in Other Regions The USA Experience John MacArthur, MD, MPH (EIS 98) Director Thailand MOPH US CDC Collaboration CDC/Southeast Asia Regional Office

2 Epidemic Intelligence Service USA s Applied Epidemiology Training Program

3 What is the Epidemic Intelligence Service (EIS)? Training through service on the front lines of Public Health CDC s 2-year training program in the practice of applied epidemiology

4 EIS Officers Are physicians, veterinarians, scientists, and other health professionals Complete a 2-year, on-the-job training, and service fellowship Serve our country while learning to apply epidemiology Gain practical skills to become future leaders

5 Historical Background July 1946 CDC established with mandate to help state control communicable diseases October 1947 CDC assigned responsibility for epidemic aid to states July 1951 Epidemic Intelligence Service (EIS) established with 23 recruits

6 Tradition of Service to the States Asked if they would accept responsibility for answering all epidemic requests, NIH officials replied, according to Langmuir, Certainly not. Only the interesting ones. CDC, however, would respond to any request. E.W. Etheridge, Sentinel for Health (1992) Dr. Alexander D. Langmuir

7 65 Years of Training, Service, and Response 1950s: Polio Vaccines Lead Paint H2N2 Pandemic 1960s: Smallpox eradication Cancer clusters War in Nigeria H3N2 Pandemic 1970s: Lead in fuel Lassa Fever Ebola Virus Disease Legionella Reye s Syndrome 1980s: Toxic Shock Syndrome HIV Pandemic Salmonella in Oregon 1990s: Cryptosporidium E-Coli West Nile Virus 2000s: 9-11 Anthrax attacks SARS Hurricane Katrina H1N1 Pandemic 2010s: Haiti Earthquake Mediterranean Coronavirus Ebola Virus Disease Zika Virus????

8 The 79 EIS Officers in the Class of 2016 Were Selected from 564 Applicants

9 EIS Background Physicians and 1 sanitarian st Veterinarian st Microbiologist (MS, MPH) st Nurse st Dentist st International Officer st PhD level scientist st Lawyer, MPH st DPT/MPH

10 EIS Classes of 2014 and 2015 Assigned to Field Positions (43) 33 assigned to state and territorial health departments 10 assigned to city, county, and federal partners

11 Field Investigations Non-U.S. Locations Botswana Cambodia China Colombia Cote de Ivoire DRC Dominican Republic Ethiopia Gambia Georgia Ghana Guinea Haiti India Indonesia Kenya Liberia Malawi Mali Mongolia Mozambique Nigeria Saudi Arabia Sierra Leone South Africa Tanzania Uganda Ukraine

12 FETP - Global USA s support to Field Epidemiology Training Program

13 FETP One of the first true disease detectives was John Snow, a 19th century doctor who traced the source of a cholera epidemic to a London water pump? Disease detectives tackle some of the world s most lethal public health threats, from HIV to SARS to Ebola? Today, we are facing a severe worldwide shortage of skilled disease detectives?

14 Where We Are In 1980, Thailand became the first country to expand FETP outside of North America. Today, over 70 countries participate in FETPs globally.

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17 Surveillance and Response Collect and communicate crucial health information, using evidence to take action and save lives Stops outbreaks before they become epidemics Assists with response to the world s most urgent health threats, including: Ebola virus disease in West Africa Zika virus in the Americas MERS-CoV transmission in the Middle East, South Korea, and the Philippines Yellow fever in Angola Polio in Pakistan and Nigeria

18 PUBLIC HEALTH HEROES Disease detectives are essential to improve global health security. They are public health heroes. CDC Director Tom Frieden, MD, MPH EIS and FETP A 65 year history of developing EIS Officers and 40 year history of developing FETP Fellows (37 years outside of North America) A training opportunity unlike any other for a career with far-reaching impact Applied epidemiology trainees can improve the lives of thousands and effect change in a community, nation, region, or the world.