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
|GHSA target and CDC-supported accomplishments
||Related JEE indicators (12)
|Real-time biosurveillance with a national laboratory system|
|Strategic planning and assessment|
|Identified national policies, legal authorities, and gaps for the conduct of a national public health laboratory system||P.1.1, P.1.2, D.1.2, D.1.3, D.1.4||17|
|Operationalized national plan of action with internationally accepted best practices for priority diseases||D.1.1, D.1.2, D.1.3, D.1.4||11|
|Developed tier-specific testing strategies for priority diseases at designated laboratories||D.1.3||10|
|Specimen referral system|
|Established functional system for specimen transport to reference laboratories within the appropriate timeframe of collection||D.1.2||9|
|Conducted investigations or training exercises to confirm functionality of specimen referral systems||D.1.2||8|
|Trained laboratory technicians
|Effective modern point-of-care and laboratory-based diagnostics|
|Strategic planning and assessment|
|Assessed diagnostics, data quality, and staff performance||D.1.1, D.1.3, D.1.4||9|
|Assessed antimicrobial resistance and drug-resistant tuberculosis laboratory capacity||P.3.1||10|
|Acquired new diagnostic equipment and capabilities (e.g., specimen test kits) to detect priority pathogens (e.g., influenza virus, poliovirus, HIV, Mycobacterium tuberculosis, Salmonella enterica serovar Typhi, Plasmodium sp., Vibrio cholerae)
|Whole-of-government national biosafety and biosecurity system is in place, ensuring that especially dangerous pathogens are identified, held, secured, and monitored in a minimal number of facilities according to best practices; biologic risk management training and educational outreach are conducted to promote a shared culture of responsibility, reduce dual-use risks, mitigate biologic proliferation and deliberate use threats, and ensure safe transfer of biologic agents; and country-specific biosafety and biosecurity legislation, laboratory licensing, and pathogen control measures are in place as appropriate|
|Biosafety and biosecurity|
|Trained staff on biosafety and biosecurity||P.6.2||15|
|Identified staff in ministries of health, agriculture, and defense responsible for inspection or certification of laboratories for compliance with biosafety and biosecurity requirements||P.6.1||8|
|Inventoried dangerous pathogens and developed a plan to manage them||P.6.1||6|
*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; GHSA, Global Health Security Agenda; JEE, Joint External Evaluation tool.
- World Health Organization. Report of the Review Committee on the Role of the International Health Regulations (2005) in the Ebola Outbreak and Response [cited 2017 Aug 2]. http://www.who.int/ihr/review-committee-2016
- World Health Organization. Report of the Review Committee on the Functioning of the International Health Regulations (2005) in Relation to Pandemic (H1N1) 2009 [cited 2017 Aug 2]. http://www.who.int/ihr/publications/RC_report
- Jonas O. Pandemic risk. Background paper for the World Development Report [cited 2017 Aug 2]. http://siteresources.worldbank.org/EXTNWDR2013/Resources/8258024-1352909193861/8936935-1356011448215/8986901-1380568255405/WDR14_bp_Pandemic_Risk_Jonas.pdf
- Katz R, Sorrell EM, Kornblet SA, Fischer JE. Global Health Security Agenda and the International Health Regulations: moving forward. Biosecur Bioterror. 2014;12:231–8.
- Global Health Security Agenda. [cited 2017 Apr 27]. https://www.GHSAgenda.org
- Centers for Disease Control and Prevention. US Commitment to the Global Health Security Agenda [cited 2017 Apr 27]. https://www.cdc.gov/globalhealth/security/pdf/ghs_us_commitment.pdf
- Schuchat A, Tappero J, Blandford J. Global health and the US Centers for Disease Control and Prevention. Lancet. 2014;384:98–101.
- Centers for Disease Control and Prevention. Global Health Security Agenda: action packages [cited 2017 Aug 2]. https://www.cdc.gov/globalhealth/security/actionpackages/default.htm
- World Health Organization. International Health Regulations (2005). 3rd ed. [cited 2017 Aug 2]. http://apps.who.int/iris/ bitstream/10665/246107/1/9789241580496-eng.pdf
- Borchert JN, Tappero JW, Downing R, Shoemaker T, Behumbiize P, Aceng J, et al.; Centers for Disease Control and Prevention (CDC). Rapidly building global health security capacity—Uganda demonstration project, 2013. MMWR Morb Mortal Wkly Rep. 2014;63:73–6.
- Tran PD, Vu LN, Nguyen HT, Phan LT, Lowe W, McConnell MS, et al.; Centers for Disease Control and Prevention (CDC). Strengthening global health security capacity—Vietnam demonstration project, 2013. MMWR Morb Mortal Wkly Rep. 2014;63:77–80.
- World Health Organization. Joint External Evaluation tool: International Health Regulations (2005) [cited 2017 Aug 2]. http://apps.who.int/iris/handle/10665/204368
- Balajee SA, Arthur R, Mounts AW. Global health security: building capacities for early event detection, epidemiologic workforce, and laboratory response. Health Secur. 2016;14:424–32.
- Centers for Disease Control and Prevention. Field Epidemiology Training Program: how we train [cited 2017 Apr 27]. https://www.cdc.gov/globalhealth/healthprotection/fetp/train.html
- Ameme DK, Nyarko KM, Kenu E, Afari EA. Strengthening surveillance and response to public health emergencies in the West African sub-region: the role of Ghana FELTP. Pan Afr Med J. 2016;25(Suppl 1).
- Andre A, Lopez A, Perkins S, Lambert S, Chace L, Noudek N, et al. Frontline field epidemiology training programs as a strategy to improve disease surveillance and response. Emerg Infect Dis. 2017;23:166.
- Centers for Disease Control and Prevention. CDC Emergency Operations Center: Public Health Emergency Management Fellowship [cited 2017 Apr 27]. https://www.cdc.gov/phpr/eoc/emergencymanagementfellowship.htm
- American Veterinary Medical Association. One Health: a new professional imperative. One Health Initiative Task Force Final Report. Schaumburg (IL): The Association; 2008 [cited 2017 Aug 2]. https://www.avma.org/KB/Resources/Reports/Pages/One-Health.aspx
- Fasina FO, Shittu A, Lazarus D, Tomori O, Simonsen L, Viboud C, et al. Transmission dynamics and control of Ebola virus disease outbreak in Nigeria, July to September 2014. Euro Surveill. 2014;19:20920.
- Kekulé AS. Learning from Ebola virus: how to prevent future epidemics. Viruses. 2015;7:3789–97.
- Smolinski MS, Crawley AW, Olsen JM. Finding outbreaks faster. Health Secur. 2017;15:215–20.
- Baize S, Pannetier D, Oestereich L, Rieger T, Koivogui L, Magassouba N, et al. Emergence of Zaire Ebola virus disease in Guinea. N Engl J Med. 2014;371:1418–25.
- Maïnassara HB, Paireau J, Idi I, Pelat J-PM, Oukem-Boyer OOM, Fontanet A, et al. Response strategies against meningitis epidemics after elimination of serogroup A meningococci, Niger. Emerg Infect Dis. 2015;21:1322–9.
- Dowell SF, Blazes D, Desmond-Hellmann S. Four steps to precision public health. Nature. 2016;540:189–91.
- Sealy TK, Erickson BR, Taboy CH, Ströher U, Towner JS, Andrews SE, et al. Laboratory Response to Ebola - West Africa and United States. MMWR Suppl. 2016;65:44–9.
- Olmsted SS, Moore M, Meili RC, Duber HC, Wasserman J, Sama P, et al. Strengthening laboratory systems in resource-limited settings. Am J Clin Pathol. 2010;134:374–80.
- Wolicki SB, Nuzzo JB, Blazes DL, Pitts DL, Iskander JK, Tappero JW. Public health surveillance: at the core of the Global Health Security Agenda. Health Secur. 2016;14:185–8.
- Kim HS. Korea dedicates $100 million to help poor countries fight infectious disease [cited 2017 Aug 2]. http://www.koreatimesus.com/s-korea-dedicates-100-million-to-help-poor-countries-fight-infectious-diseases
- GHSA standardized milestone library [cited 2017 Oct 6]. https://www.ghsagenda.org/docs/default-source/default-document-library/GHSA-Milestone-Library.pdf
- The World Bank. Transcript: World Bank Group opening press conference by President Jim Yong Kim at the 2017 WBG/IMF Spring Meetings. Washington: World Bank; 2017 [cited 2017 Aug 2]. http://www.worldbank.org/en/news/speech/2017/04/20/2017-wbgimf-spring-meetings-world-bank-group-opening-press-conference-by-president-jim-yong-kim
- Gostin LO, Ayala AS. Global health security in an era of explosive pandemic potential. Journal of National Security Law and Policy. 2017;9:1.
- Sands P, El Turabi A, Saynisch PA, Dzau VJ. Assessment of economic vulnerability to infectious disease crises. Lancet. 2016;388:2443–8.
1Members of this group are listed at the end of this article.