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Volume 23, Supplement—December 2017
Global Health Security Supplement

Contributions of the US Centers for Disease Control and Prevention in Implementing the Global Health Security Agenda in 17 Partner Countries

Arthur G. FitzmauriceComments to Author , Michael Mahar, Leah F. Moriarty, Maureen Bartee, Mitsuaki Hirai, Wenshu Li, A. Russell Gerber, Jordan W. Tappero, Rebecca Bunnell, and GHSA Implementation Group
Author affiliations: Centers for Disease Control and Prevention, Atlanta, Georgia, USA

Main Article

Table 1

Key CDC-supported accomplishments toward achieving GHSA targets related to real-time surveillance in 17 Phase I countries, 2015–2017*

GHSA targets and CDC-supported accomplishments
Related JEE indicators (12)
No. countries
Strengthened foundational indicator-and event-based surveillance systems that are able to detect events of significance for public health, animal health, and health security
Surveillance systems
Established systems and mechanisms at national or subnational levels for detecting public health events from a variety of sources D.2.1 16
Improved timeliness or geographic coverage of routine public health threat reporting D.2.2, D.3.2 11
Expanded surveillance systems for >3 syndromes indicative of potential public health emergencies (e.g., severe acute respiratory syndrome, acute flaccid paralysis, acute hemorrhagic fever, acute watery diarrhea with dehydration, jaundice with fever) D.2.4 13
Expanded surveillance systems for zoonotic diseases to include additional pathogens or broader geographic coverage P.4.1, D.2.1 13
Expanded surveillance systems to include additional pathogens that cause vaccine-preventable diseases D.2.1 10
Conducted community immunizations in response to vaccine-preventable disease surveillance information P.7.1, D.2.3 13
Expanded surveillance systems for antimicrobial resistance to include additional pathogens or broader geographic coverage P.3.2, D.2.1 7
Strategic planning and assessment
Developed plans to improve the flow and timing of surveillance information and reporting D.2.2, D.2.3, D.3.1, D.3.2 10
Assessed immunization surveillance, case management, and reporting systems D.2.2 11
Assessed antimicrobial resistance and drug-resistant tuberculosis surveillance and reporting capacity P.3.2, D.3.2 9
Participated in >1 levels of FETPs D.4.1 17
Integrated FETP trainees into core public health surveillance functions
Improved communication and collaboration across sectors and between subnational, national, and international levels of authority regarding surveillance of events of public health significance
Strategic planning and assessment
Identified national policies, legal authorities, and gaps for the conduct of public health surveillance P.1.1, P.1.2, D.2.1, D.2.2, D.2.4 17
Identified subnational units responsible for indicator- and event-based surveillance D.2.1 13
Documented national priority public health threats or completed risk assessment D.2.3, R.1.2 9
Multisectoral coordination
Developed plans to implement a joint system for surveillance with defined roles, responsibilities, operational processes, and procedures for priority diseases with ministries of health, agriculture, and defense D.2.1, D.2.2, P.2.1, P.4.1 7
Developed plans and procedures for surveillance capacity for port health services at points of entry R.3.1, D.2.1, PoE.1 8
Trained community members to detect and report potential health threats
D.2.1, D.3.2
Improved country and regional capacity to analyze and link data from and between strengthened, real-time surveillance systems, including interoperable, interconnected electronic reporting systems
Strategic planning and assessment
Assessed reporting systems for development of the national surveillance plan D.2.2, D.3.1, D.3.2 10
Documented gaps in surveillance data collection, analysis, and interpretation capabilities D.2.3 12
Developed plan for interoperable information systems supporting indicator- or event-based surveillance and data exchange and integration for priority diseases D.2.1, D.2.2 8
Developed training curriculum for health systems personnel in surveillance methods and data use D.2.1, D.2.2, D.2.3, D.2.4 16
Trained surveillance staff to ensure best practices according to International Health Regulations standards D.2.1, D.2.2, D.2.3, D.2.4, D.4.1 9

*Countries: Bangladesh, Burkina Faso, Cameroon, Côte d’Ivoire, Ethiopia, Guinea, India, Indonesia, Kenya, Liberia, Mali, Pakistan, Senegal, Sierra Leone, Tanzania, Uganda, and Vietnam. CDC, US Centers for Disease Control and Prevention; FETP, Field Epidemiology Training Program; GHSA, Global Health Security Agenda; JEE, Joint External Evaluation tool.

Main Article

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Main Article

1Members of this group are listed at the end of this article.

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