steve waterman - powerpoint presentation to the little ......human rabies diphtheria botulism,...
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U.S.-Mexico BorderU.S.-Mexico Border
Rate Ratios, Border RegionVersus National; 1990-98
0 1 2 3 4 5 6 7 8
TYPHOID FEVER
MUMPS
HEPATITIS B
SHIGELLOSIS
CHOLERA
STREP, INVASIVEGRP A
PLAGUE
HEPATITIS A
MEASLES
HUMAN RABIES
DIPHTHERIA
BOTULISM, FOODBORNE
BRUCELLOSIS
Dis
ease
Rate Ratio
1.19 (1.03-1.50)
1.33 (1.23-1.43)
1.63 (1.60-1.66)
1.84 (0.87-3.74)
1.88 (1.57-2.25)2.00
3.32 (3.27-3.37)
4.27 (4.12-4.41)
4.33
5.41
7.84 (5.01-12.21)
8.64 (7.1-10.6)
1.34 (1.30-1.39)
BIDS: Bridging the Gap• Conduct active, binational sentinel
surveillance• Develop strong epidemiology and
laboratory border infrastructure• Provide data for preventive strategies
California
Arizona New Mexico
TexasBajaCalifornia
Sonora
Chihuahua
Coahuila
NuevoLeón Tamaulipas
Nogales
Nogales
San Dieg
o
Tijuana
Las Cruces
El Paso
Ciudad Juárez
Reynosa
McAllen
Group I
Group II Group III
Group IV
!
Need for Binational InfectiousDisease Surveillance for
Bioterrorism Preparedness in theCalifornia-Mexico Border
Region
Unannounced event
U.S. – Mexico Collaboration onBioterrorism Preparedness
• Binational collaboration to improveinfrastructure and coordination– Training– Laboratory– Emergency response– Communication and information systems
CDC Funding to California forBioterrorism/Public health
Preparedness• $60 million in 2002• Focus areas
– Planning– Surveillance and epidemiologic capacity– Laboratory capacity– Health Alert Network– Health Risk Communication– Education and Training
Binational Region PublicHealth/Bioterrorism Preparedness
– Key Issues• Dedicated funding at the federal, state, and
local levels• Reduce barriers to sharing resources• Coordinated planning effort• Formal agreement for rapid information
exchange• Agreement for shared laboratory testing• Communications infrastructure