unclassified pandemic influenza and regional emerging diseases strengthening the national...
TRANSCRIPT
UNCLASSIFIED
Pandemic Influenza and Regional Emerging Diseases
Strengthening the National Bio-Surveillance System
Douglas SearlesLT, MSC, USNChief, Technical Services and Quality Assurance, Certifying ScientistForensic Toxicology Division, Armed Forces Institute of Pathology
Current National Situation National Plan
◦ Working with neighbors Strengthening the National plan
Multiple Surveillance Systems◦ Centers for Disease Control and Prevention (CDC
National Electronic Disease Surveillance System (NEDSS) Nation Wide Health Information Network (NHIN)
◦ United States Army Center for Health Promotion and Preventive Medicine (USACHPPM)
◦ Navy and Marine Corps Public Health Center (NMCPC) Medical Events Reporting Systems (NDRSi)
◦ Department of Defense - Global Emerging Infections Surveillance and Response System (DOD-GEIS) Electronic Surveillance System for the Early Notification of
Community-based Epidemics (ESSENCE)
United States Army Center for Health Promotion and Preventive Medicine(USACHPPM)
Department of Defense - Global Emerging Infections Surveillance and Response System (DOD-GEIS)
Armed Forces Health Surveillance Center (AFHSC)
United States of America Canada Mexico
A Pandemic Threatens All Without Regard to Borders
Controlling the spread with minimal economic disruption
Detect, contain and control an AI outbreak and prevent transmission to humans
Prevent or slow the entry of a novel strain of human influenza to North America
Minimize illness and deaths Sustain infrastructure and mitigate the impact
to the economy and the functioning of society◦ Influenza will not physically damage critical
infrastructure, systems may be weakened by the absence of essential personnel in the workplace or the diversion of resources.
Plan should extend beyond the health and medical sectors to include provisions in relation to critical infrastructure and the movement of goods and services across borders.
International Partnership on Avian and Pandemic Influenza
Standards and guidelines of the World Organization for Animal Health (OIE)
World Health Organization (WHO) International Health Regulations (IHRs) Rules and provisions of the World Trade
Organization (WTO) North American Free Trade Agreement (NAFTA) United Nations Food and Agriculture Organization
(FAO)United Nations (UN) System Influenza Coordinator
Novel A/H1N1 Experience◦ Lessons learned
Detection◦ Complicated by incorrect models, noisy baselines, and
misdiagnosis Identification
◦ Rapid dissemination of screening/laboratory methods Communication
◦ “Critical” data changes as epidemics progress Surveillance
◦ Vital that there are in place good surveillance systems able to return data promptly
Why are reemerging infections becoming a serious public health concern?
Growing human population increases the demand for nutritional support, resulting in intensive agricultural practices.
This involves enormous numbers of animals, or multiple species farmed within the same region.
Update warning processes
Procedural pathways for risk communication◦ Use of current technologies◦ Practice, practice, practice
Establish public health liaisons (local, national, international)
Boarder monitoring and control measures◦ Land crossings - aviation - marine◦ Determine best practices for in-flight management
of ill travelers (likely to develop on longer flights)◦ Border control with minimal commerce disruption
and maximal protection
Vigilance Practice Reassessment COMMUNICATION
CDC http://www.cdc.gov USACHPPM http://chppm-www.apgea.army.mil DoD-GEIS http://afhsc.mil NMCPHC http://www-nehc.med.navy.mil WHO http://www.who.int CDHAM http://www.cdham.org US Dept of Health and Human Services
http://www.hhs.gov
LT Douglas Searles◦ Email: [email protected]