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Volume 23, Supplement—December 2017
Global Health Security Supplement

US Centers for Disease Control and Prevention and Its Partners’ Contributions to Global Health Security

Jordan W. TapperoComments to Author , Cynthia H. Cassell, Rebecca Bunnell, Frederick J. Angulo, Allen Craig, Nicki Pesik, Benjamin A. Dahl, Kashef Ijaz, Hamid Jafari, Rebecca Martin, and Global Health Security Science Group
Author affiliations: Centers for Disease Control and Prevention, Atlanta, Georgia, USA

Main Article

Table 1

Selected US CDC global health protection platform accomplishments*

Global health protection accomplishments Number Timeframe
Emergency mitigation of global health threats
Ending the West Africa Ebola outbreak
CDC staff deployments overall, domestic and international >3,500 2014–2016
Departing passengers in the 3 affected countries screened for Ebola virus disease >339,000 2014–2016
Vaccinations of health workers in Ebola trial >8,000 2015
Days of continuous operation of high-throughput laboratory capacity in Sierra Leone; >23,000 specimens tested 421 2014–2015
US healthcare workers trained in Anniston, AL, to work in West Africa >600 2015
CDC-trained GRRT experts prepared to deploy on short notice to a public health emergency >400 2017 (Jun)
GRRT mobilizations (>14,000 cumulative person-days), supporting responses to global health emergencies including Zika, yellow fever, cholera, measles, polio, and Ebola >420 2015–2017 (Jun)
Rapid humanitarian responses
Staff deployments in response to public health humanitarian emergencies in >40 countries >380 2011–2016
Staff deployments to 6 countries in response to Syria crisis 85 2012–2016
Countries with morbidity/mortality surveillance systems implemented in response to Horn of Africa famine 3 2011–2012
PHEM program
Fellows from 28 countries trained through CDC PHEM fellowship 69 2013–2017 (Jun)
Countries that have received CDC emergency management technical assistance and training 56 2013–2016
Countries that participated in a real and/or simulated response with CDC technical assistance 19 2013–2016
Global Disease Detection Operations Center
Serious public health threats assessed >1,500 2007–2016
Countries where serious outbreaks were investigated/contained, where CDC provided technical assistance >190 2007–2016
Unique diseases tracked globally >170 2007–2016
Outbreaks monitored and reported in >130 countries for ≈40 different diseases ≈300 2016
GDD activities
GDD regional centers 10 2006–2016
New diagnostic tests established in national or regional laboratories >380 2006–2016
New strains/pathogens detected and/or discovered (new to the world, new to country or region, or new modes of transmission likely because of increased ability to detect through newly introduced laboratory tests) in which GDD assisted in detection and identification 79 2006–2016
Outbreaks responded to by GDD center that provided epidemiology and/or laboratory assistance 2,051 2006–2016
Outbreak investigations in which laboratory support was provided 1,363 2006–2016
Participants who received public health trainings conducted at national and/or regional level on topics, including epidemiology, laboratory, all-hazards preparedness, and risk communication
Capacity-building partnerships to contain threats at the source
GHSA implementation
GHSA countries: 17 Phase I countries, 14 Phase II countries, and CARICOM† >31 2015–2017 (Mar)
Phase I countries with enhanced surveillance systems for zoonotic diseases 13 2015–2017 (Mar)
Countries that detected dangerous pathogens using new equipment and capabilities 16 2015–2017 (Mar)
Phase I countries supported in development of Emergency Operations Centers 16 2015–2017 (Mar)
Joint External Evaluation
GHSA assessments conducted before tool finalization 6 2016
Evaluations completed 52 2016–2017 (Jul)
Public health workforce development
Countries with CDC-supported FETPs 65 1980–2016
Graduates of FETPs-Advanced >3,900 1982–2016
Outbreaks investigated by FETPs-Advanced trainees >3,300 2005–2016
New FETPs-Frontline started 24 2014–2016
Participants in FETPs-Frontline >1,860 2015–2016
Global vaccine-preventable disease activities
STOP program volunteers trained in surveillance principles to detect and respond to cases of polio and other vaccine-preventable diseases 2,010 1998–2017 (Jul)
Countries with volunteers deployed for the STOP program 77 1998–2016
Countries supported by CDC to build national STOP programs 4 1998–2016
Members of International Association of National Public Health Institutes and supported by CDC >100 2016
Countries receiving NPHI development support from CDC >20 2016
Persons across the globe served by NPHIs 5 billion 2016

*CARICOM, Caribbean Community; CDC, Centers for Disease Control and Prevention; FETP, field epidemiology training program; GDD, Global Disease Detection; GHSA, Global Health Security Agenda; GRRT, Global Rapid Response Team; NPHI, National Public Health Institute; PHEM, public health emergency management; STOP, Stop Transmission of Polio.
†CARICOM is an organization of 15 Caribbean nations and dependencies. In 2015, the US government committed to accelerating GHSA implementation with 31 countries and CARICOM (Figure 1). In 17 Phase I, 14 Phase II, and CARICOM nations (Figure 1), CDC provides technical assistance to support country capacity assessments, the development of 5-year GHSA road maps, and annual GHSA implementation plans. In the Phase I countries, CDC also provides financial support for implementation of the GHSA action packages (Table 2) (1416).

Main Article

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Main Article

1Group members are listed at the end of this article.

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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.