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Volume 18, Number 7—July 2012

CME ACTIVITY

Assessment of Public Health Events through International Health Regulations, United States, 2007–2011

Earning CME Credit

To obtain credit, you should first read the journal article. After reading the article, you should be able to answer the following, related, multiple-choice questions. To complete the questions (with a minimum 70% passing score) and earn continuing medical education (CME) credit, please go to www.medscape.org/journal/eid. Credit cannot be obtained for tests completed on paper, although you may use the worksheet below to keep a record of your answers. You must be a registered user on Medscape.org. If you are not registered on Medscape.org, please click on the New Users: Free Registration link on the left hand side of the website to register. Only one answer is correct for each question. Once you successfully answer all post-test questions you will be able to view and/or print your certificate. For questions regarding the content of this activity, contact the accredited provider, CME@medscape.net. For technical assistance, contact CME@webmd.net. American Medical Association’s Physician’s Recognition Award (AMA PRA) credits are accepted in the US as evidence of participation in CME activities. For further information on this award, please refer to http://www.ama-assn.org/ama/pub/category/2922.html. The AMA has determined that physicians not licensed in the US who participate in this CME activity are eligible for AMA PRA Category 1 Credits™. Through agreements that the AMA has made with agencies in some countries, AMA PRA credit may be acceptable as evidence of participation in CME activities. If you are not licensed in the US, please complete the questions online, print the certificate and present it to your national medical association for review.

Article Title: Assessment of Public Health Events through International Health Regulations, United States, 2007–2011

CME Questions

1. Based on the report by Dr. Kohl and colleagues, which of the following statements about International Health Regulations (IHR) and overall potential public health emergencies of international concern (PHEIC) from states parties posted by the World Health Organization (WHO) on a secure Web portal between July 2007 and December 2011 is most likely correct?

A. Nearly all states parties posted at least 1 PHEIC

B. states parties are obligated to notify WHO of PHEIC within 72 hours of becoming aware of an event

C. Less than 1% of posted PHEIC were from the United States

D. states parties are only required to report natural release of biological materials

2. Based on the report by Dr. Kohl and colleagues, which of the following statements about events reported by the United States and posted by WHO on a secure Web portal between July 2007 and December 2011 is most likely correct?

A. 5% of US events involved human influenza caused by a new subtype

B. One of the US PHEIC involved anthrax

C. All of the US PHEIC involved infectious diseases

D. The only PHEIC determined by the WHO Director-General to date was the first report of the 2009 pandemic virus

3. You are a public health official consulting to the United States about the benefits of and procedures for complying with the 2005 IHR. Based on the report by Dr. Kohl and colleagues, which of the following statements would most likely appear in your report?

A. The United States is unlikely to be notified by another country’s National Focal Point regarding potential public health threats

B. Notifications from other countries are unlikely to affect US public health decisions

C. The IHR facilitates rapid information exchange among WHO and its Member States, improving situational awareness of emerging threats and coordinated and transparent global response

D. Current strategies for recognizing events to be reported to WHO are well developed and highly standardized

Activity Evaluation

1. The activity supported the learning objectives.

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2. The material was organized clearly for learning to occur.

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3. The content learned from this activity will impact my practice.

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4. The activity was presented objectively and free of commercial bias.

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