Transcript CDC`s Global Disease Detection Program

CDC’s Global Disease
Detection Program
Combating Urgent Disease Threats
Scott F. Dowell, MD, MPH
Division of Global Disease Detection & Emergency
Response (proposed)
Coordinating Office for Global Health
Centers for Disease Control and Prevention
Global Responses to Disease Threats
Global Disease Detection 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
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CDC’s Global Health Activities
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
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CDC’s PROGRAM for Global Disease
Detection
CDC-Funded GDD Regional Centers
(2008)
(2006)
(2006)
(2006)
(2004)
(2004)
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GDD Regional Centers
Systems Approach to Capacity Building:
 Disease detection and response
 Training in field epidemiology and
laboratory methods
 Pandemic influenza preparedness and
response
 Zoonotic disease investigation and
control
 Health communication and Information
Technology
 Laboratory systems and biosafety
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Global Disease Detection
Measurable Impact:
 Outbreak response
 Surveillance
 Pathogen discovery
 Training
 Networking
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THE IMPACT
of Global Disease
Detection
Improving Outbreak Responses
Collectively, GDD Regional Centers
have assisted with 347 outbreaks
GDD’s 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
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THE IMPACT
of Global Disease
Detection
Cumulative Number of Pathogens
Improving Detection of New Pathogens
80
70
60
Number of pathogens
that can be tested for incountry
50
40
30
Number of new
pathogens discovered
20
10
0
2006
2007
Time
2008
Thirty-four pathogens have been
discovered. In-country testing
capacity increased by 69 pathogens.
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THE IMPACT
of Global Disease
Detection
Training Senior Epidemiologists
Cumulative Number of FETP
Graduates
180
160
140
120
100
80
60
40
20
0
2006
2007
Time
2008
The number of FETP-trained senior
epidemiologists within GDD Center
regions increased to 160 over 3 years.
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THE IMPACT
of Global Disease
Detection
Enhancing Surveillance
Thailand’s Minister of Commerce
Mingkwan Saengsuwan promotes
influenza vaccination.
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Gaps in GDD Coverage
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What We’re Watching
CDC’s GDD
Operations
Center
Domestic
International
WHO IHR & GOARN
CDC Programs
Project Argus
Kazakhstan
ProMED
PR China
Egypt
OIE & FAO
GPHIN
Thailand
Inter-Agency
(BIWAC)
US Intelligence
Sources
DoD Labs
Guatemala
Kenya
State &USAID
NGOs &
Corporations
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What We’re Watching
GDD Operations Center: March 15 – April 15, 2009
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