CDC s Global Disease Program Scott F. Dowell, MD, MPH Division of Global Disease and Emergency Response Centers for Disease Control and Prevention
Rationale for Global Disease It would be extremely naïve and complacent to assume that there will not be another disease like AIDS, another Ebola, or another SARS, sooner or later. The World Health Report 2007
Rationale for Global Disease The lesson: A surveillance weakness in any one country is a threat to all countries. David Heymann, WHO
Global Responses to Disease Threats Global Disease Program mitigate the consequences of a catastrophic public health event, whether the cause is an intentional act of terrorism or the natural emergence of a deadly infectious virus Congress, 2004
CDC s Global Disease Program Combating Urgent Disease Threats
CDC s Program for Global Disease Global Public Health Security Global Disease is tasked to: mitigate the consequences of a catastrophic public health event, whether the cause is an intentional act of terrorism or the natural emergence of a deadly infectious virus U.S. Congress 2004
CDC s Program for Global Disease Strategy for global coverage Global partner networks All CDC overseas programs GDD Regional Centers GDD Operations Center
CDC s Program for Global Disease Integrating & Leveraging: HOW? WHO and host country engagement with International Health Regulations (IHR)-closes critical gaps Integrating programs - deepens expertise Global partnerships- enhances network coverage, e.g. Pasteur
CDC s Program for Global Disease Systems Approach to Capacity Building Disease detection and response Training in field epidemiology and laboratory methods Pandemic influenza preparedness Human health-animal health interface Health Communication and Information Technology Laboratory systems and biosafety
CDC s Program for Global Disease Measurable Impact Outbreak Response Surveillance Pathogen discovery Training Networking
CDC s Program for Global Disease Early and Response
CDC s International Presence 224 staff assigned to 54 countries 40 staff detailed to international organizations 1,200 locally employed staff 6,000 temporary duty assignments annually for technical assistance
Network for Global Disease
The Impact of Global Disease Cumulative Number of Pathogens 80 70 60 50 40 30 20 10 0 Improving of New Pathogens Number of pathogens that can be tested for in-country 2006 2007 2008 Time Number of new pathogens discovered Thirty-four pathogens have been discovered. In-country testing capacity increased by 69 pathogens.
The Impact of Global Disease Training Senior Epidemiologists Cumulative Number of FETP Graduates 180 160 140 120 100 80 60 40 20 0 2006 2007 2008 Time The number of FETP-trained senior epidemiologists within GDD Center regions increased to 160 over 3 years.
The Impact of Global Disease Enhancing Surveillance Thailand s Minister of Commerce promotes influenza vaccination
The Impact of Global Disease Improving Outbreak Responses GDD Regional Centers have assisted with 347 outbreaks since 2006, ensuring responses: Are Faster 81% received a response within 24 hours Are More Comprehensive 23% involved lab support, confirming the cause in 79% 21% involved other countries in the region 17% involved CDC headquarters support 14% involved WHO or GOARN partners Achieve Greater Impact 29% led to policy change, preventive action, or lives saved
All Hazards & Global Disease
Operations Center Global Disease Primary functions: U.S. compliance with IHR Surveillance and analysis Situational awareness Coordination and response CDC s Emergency Operations Center Working day to day in CDC s Global Disease Operations Center has been a once in a lifetime experience. PAHO Liaison to CDC for H1N1 Response
What We re Watching Now:
Novel Influenza A (HINI) & Global Disease GDD Regional Centers and CDC programs overseas: Providing on-site capability to detect and confirm H1N1 Enhancing current surveillance for influenza and pneumonia Providing daily updates on ground situation in 52 countries Serving as a regional resources for consultation and training Providing technical and laboratory support to host countries and partners
Summary - GDD Contributions Well-resourced network in support of WHO $33M core funding and 282 staff Dedicated support for IHR implementation WHO Collaborating Center designation Sustainable capacity building Training local experts, technology transfer Measure improved safety against new disease threats