CDC’s Global Disease CDC’s Global Disease DetectionDetection ProgramProgram

Scott F. Dowell, MD, MPH Division of Global Disease Detection & Emergency Response (proposed)Coordinating Office for Global Health Centers for Disease Control and Prevention

Combating Urgent Disease Threats

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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

Global Responses to Disease Threats

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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-Funded GDD Regional Centers

for Global Disease Detection

(2006)

(2006)

(2006)

(2004)

(2004)

(2008)

CDC’s PROGRAM

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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

GDD Regional Centers

Systems Approach to Capacity Building:

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Measurable Impact:

Outbreak response

Surveillance

Pathogen discovery

Training

Networking

Global Disease Detection

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of Global Disease Detection

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

Improving Outbreak Responses

THE IMPACT

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Improving Detection of New Pathogens

Thirty-four pathogens have been discovered. In-country testing capacity increased by 69 pathogens.

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of Global Disease DetectionTHE IMPACT

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Training Senior Epidemiologists

The number of FETP-trained senior epidemiologists within GDD Center regions increased to 160 over 3 years.

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of Global Disease DetectionTHE IMPACT

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Enhancing Surveillance

THE IMPACT

Thailand’s Minister of Commerce Mingkwan Saengsuwan promotes influenza vaccination.

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Gaps in GDD Coverage

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Domestic International

What We’re Watching

Guatemala

Egypt

Kenya

Thailand

PR China

CDC Programs

Project Argus

ProMED

Inter-Agency (BIWAC)

US Intelligence Sources

CDC’s GDD Operations

Center

WHO - IHR & GOARN

OIE & FAO

GPHIN

DoD Labs

State &USAID

NGOs &Corporations

Kazakhstan

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What We’re WatchingGDD Operations Center: March 15 – April 15, 2009