Skip directly to site content Skip directly to page options Skip directly to A-Z link Skip directly to A-Z link Skip directly to A-Z link
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 3

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

GHSA target and CDC-supported accomplishments
Related JEE indicators (12)
No. countries
Workforce including physicians, veterinarians, biostatisticians, laboratory scientists, farming and livestock professionals, and field epidemiologists who can systematically cooperate to meet relevant International Health Regulations and performance of veterinary services core competencies
Strategic planning and assessment
Created national, multisectoral workforce development strategic plan D.4.3 6
Assessed country's public health training programs, education system, and workforce gaps D.4.1, D.4.3 15
Assessed country's current status of One Health workforce P.4.2, D.4.1 8
Identified needs for core public health emergency management staff R.2.1, D.4.1, R.1.1 15
Assessed laboratory staff performance D.1.4 9
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
Conducted 3-month FETP-Frontline D.4.2 15
Conducted intermediate or FETP-Advanced (6 months–2 years) D.4.2 11
Participated in FETP-Intermediate or FETP-Advanced run by another country D.4.2 6
Provided FETP to >1 staff member from >50% of subnational jurisdictions D.4.1, D.4.2 6
Integrated FETP trainees into core public health functions D.4.1, D.2.3 15
Other training
Conducted public health multidisciplinary (e.g., One Health) trainings P.4.2 13
Trained laboratory technicians D.1.1, D.1.3 17
Trained staff on biosafety and biosecurity P.6.2 15
Developed infection prevention and control training programs, including antimicrobial resistance prevention P.3.3 7
Trained community members to detect and report potential health threats D.2.1, D.3.2 14
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.4.1, D.2.1, D.2.2, D.2.3, D.2.4 9
Activated EOC for an exercise or real emergency response R.2.3, R.3.1 11
Trained EOC staff in public health emergency management (basic level) R.2.1, D.4.1 14
Committed to train EOC staff through CDC’s Public Health Emergency Management Fellowship R.2.1, D.4.1 16
Recruited key staff for public health emergency management R.2.1, D.4.1 13

*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; EOC, Emergency Operations Center; FETP, Field Epidemiology Training Program; GHSA, Global Health Security Agenda; JEE, Joint External Evaluation tool.

Main Article

  1. 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].
  2. 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].
  3. Katz  R, Sorrell  EM, Kornblet  SA, Fischer  JE. Global Health Security Agenda and the International Health Regulations: moving forward. Biosecur Bioterror. 2014;12:2318. DOIPubMedGoogle Scholar
  4. Global Health Security Agenda. [cited 2017 Apr 27].
  5. Centers for Disease Control and Prevention. US Commitment to the Global Health Security Agenda [cited 2017 Apr 27].
  6. Schuchat  A, Tappero  J, Blandford  J. Global health and the US Centers for Disease Control and Prevention. Lancet. 2014;384:98101. DOIPubMedGoogle Scholar
  7. Centers for Disease Control and Prevention. Global Health Security Agenda: action packages [cited 2017 Aug 2].
  8. World Health Organization. International Health Regulations (2005). 3rd ed. [cited 2017 Aug 2]. bitstream/10665/246107/1/9789241580496-eng.pdf
  9. 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;63:736.PubMedGoogle Scholar
  10. 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;63:7780.PubMedGoogle Scholar
  11. World Health Organization. Joint External Evaluation tool: International Health Regulations (2005) [cited 2017 Aug 2].
  12. Balajee  SA, Arthur  R, Mounts  AW. Global health security: building capacities for early event detection, epidemiologic workforce, and laboratory response. Health Secur. 2016;14:42432. DOIPubMedGoogle Scholar
  13. Centers for Disease Control and Prevention. Field Epidemiology Training Program: how we train [cited 2017 Apr 27].
  14. 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).
  15. 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. DOIPubMedGoogle Scholar
  16. Centers for Disease Control and Prevention. CDC Emergency Operations Center: Public Health Emergency Management Fellowship [cited 2017 Apr 27].
  17. 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].
  18. 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. DOIPubMedGoogle Scholar
  19. Kekulé  AS. Learning from Ebola virus: how to prevent future epidemics. Viruses. 2015;7:378997. DOIPubMedGoogle Scholar
  20. Smolinski  MS, Crawley  AW, Olsen  JM. Finding outbreaks faster. Health Secur. 2017;15:21520. DOIPubMedGoogle Scholar
  21. 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;371:141825. DOIPubMedGoogle Scholar
  22. 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;21:13229. DOIPubMedGoogle Scholar
  23. Dowell  SF, Blazes  D, Desmond-Hellmann  S. Four steps to precision public health. Nature. 2016;540:18991. DOIGoogle Scholar
  24. 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;65:449. DOIPubMedGoogle Scholar
  25. 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;134:37480. DOIPubMedGoogle Scholar
  26. 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;14:1858. DOIPubMedGoogle Scholar
  27. Kim  HS. Korea dedicates $100 million to help poor countries fight infectious disease [cited 2017 Aug 2].
  28. 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].
  29. Gostin  LO, Ayala  AS. Global health security in an era of explosive pandemic potential. Journal of National Security Law and Policy. 2017;9:1.
  30. Sands  P, El Turabi  A, Saynisch  PA, Dzau  VJ. Assessment of economic vulnerability to infectious disease crises. Lancet. 2016;388:24438. DOIPubMedGoogle Scholar

Main Article

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

Page created: November 29, 2017
Page updated: November 29, 2017
Page reviewed: November 29, 2017
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.