Connecting Health Organizations for Connecting Health Organizations for Regional Infectious Disease Surveillance Regional Infectious Disease Surveillance

CHORDS CHORDS

Louise S. Gresham PhD, MPHLouise S. Gresham PhD, MPHNTI Global Health and Security InitiativeNTI Global Health and Security Initiative

Director, Health Security and EpidemiologyDirector, Health Security and EpidemiologyBTWC August 2009BTWC August 2009

Existing Regional Infectious Existing Regional Infectious Disease Surveillance NetworksDisease Surveillance Networks

Middle East Middle East MECIDSMECIDSMiddle East Consortium for ID SurveillanceMiddle East Consortium for ID Surveillance

Southern Africa Southern Africa SACIDS SACIDS Southern African Centre for Infectious Disease SurveillanceSouthern African Centre for Infectious Disease Surveillance

Southeast Asia Southeast Asia MBDS MBDS Mekong Basin Disease Surveillance NetworkMekong Basin Disease Surveillance Network

Connecting Health Organizations for Connecting Health Organizations for Regional Disease SurveillanceRegional Disease Surveillance

CHORDSCHORDS

1.1. Deter use Deter use of of bioweaponsbioweapons through through international cooperation international cooperation

2.2. Build confidenceBuild confidence in being able to distinguish in being able to distinguish between natural disease events and between natural disease events and bioweaponbioweaponeventsevents……..making it more difficult to mimic ..making it more difficult to mimic natural events as a cover for natural events as a cover for biothreatsbiothreats..

Dr. Margaret ChanDr. Margaret ChanDirector General Director General

World Health OrganizationWorld Health Organization

Middle East Consortium on Infectious Disease Middle East Consortium on Infectious Disease Surveillance (MECIDS)Surveillance (MECIDS)

Middle East Consortium for Infectious Disease Middle East Consortium for Infectious Disease Surveillance (MECIDS)Surveillance (MECIDS)

IsraelIsraelJordanJordanPalestinian AuthorityPalestinian Authority

MECIDSMECIDS MissionMission

To facilitate crossTo facilitate cross--border cooperation in border cooperation in the detection and response to disease the detection and response to disease outbreaksoutbreaks

First Efforts:First Efforts:

Priority pathogens: foodPriority pathogens: food--borne borne diseasesdiseases

Middle East Consortium on Infectious Disease Surveillance

MECIDSMiddle East Consortium on Infectious Disease Surveillance

MECIDSMiddle East Consortium on Infectious Disease Surveillance

MECIDS

MECIDSMECIDS GoalsGoals

Increase epidemiology and laboratory capacity Increase epidemiology and laboratory capacity Conduct multinational research Conduct multinational research Harmonize/standardize best practicesHarmonize/standardize best practicesShare data and communicateShare data and communicate

Middle East Consortium on Infectious Disease Surveillance

MECIDSMiddle East Consortium on Infectious Disease Surveillance

MECIDSMiddle East Consortium on Infectious Disease Surveillance

MECIDS

Centers for Disease Control (CDC) Centers for Disease Control (CDC) PCR Test Influenza A(H1N1) 2009PCR Test Influenza A(H1N1) 2009

Southern African Centre for Infectious Disease Southern African Centre for Infectious Disease Surveillance (SACIDS)Surveillance (SACIDS)

Democratic Republic of Democratic Republic of CongoCongoMozambiqueMozambiqueSouth AfricaSouth AfricaTanzaniaTanzaniaZambiaZambia

Mystery Disease Africa Mystery Disease Africa February 2009February 2009

Novel virus, female travel agent ill Zambia Novel virus, female travel agent ill Zambia Looked like Ebola? Is it intentional?Looked like Ebola? Is it intentional?International cooperation, one health approach, International cooperation, one health approach, sharing informationsharing informationLuJoLuJo virusvirus

NCID 2009

SACIDS Dar Es Salaam 2008

Mekong Basin Disease Surveillance Mekong Basin Disease Surveillance (MBDS)(MBDS)

CambodiaCambodiaChinaChinaLao PDRLao PDRMyanmarMyanmarThailandThailandVietnamVietnam

MBDS MOUMBDS MOU15 May 200715 May 2007

MBDSExecutive Board

Rotating Chair

Country Coordinators

Local/ProvincialCoordinating Team

MBDS Secretariat

Local/ProvincialCoordinating Team

Local/ProvincialCoordinating Team

Local/ProvincialCoordinating Team

Development Partners

CollaborativesAcademia +

Initiated 1999 by Ministries of Health of Cambodia, China, Lao PInitiated 1999 by Ministries of Health of Cambodia, China, Lao PDR, Myanmar, Thailand and VietnamDR, Myanmar, Thailand and VietnamMekong Basin Disease Surveillance Network (MBDS)Mekong Basin Disease Surveillance Network (MBDS)

H1N1 (Influenza A) vaccine production H1N1 (Influenza A) vaccine production SillapakornSillapakorn University University

By October 2009 By October 2009 -- produce > 2 million doses per month?produce > 2 million doses per month?

Connecting Connecting …………..CHORDSCHORDS

CHORDS VisionCHORDS Vision

CHORDS is supporting a movement to

create a unique community of practice for

regional infectious disease

surveillance…

WHYWHAT HOW

CHORDS VisionCHORDS Vision

CHORDS is supporting a movement to

create a unique community of practice for

regional infectious disease

surveillance…

WHYWHAT HOW

By connecting the capacities of regional

infectious disease surveillance networks

and partners as a way to build knowledge capital,

to include tools and trust, on a global

scale…

CHORDS VisionCHORDS Vision

CHORDS is supporting a movement to

create a unique community of practice for

regional infectious disease

surveillance…

WHYWHAT HOW

To strengthen partnerships between existing and nascent regional infectious

disease surveillance networks for early

detection and response, and

improved health security for the world.

By connecting the capacities of regional

infectious disease surveillance networks

and partners as a way to build knowledge capital,

to include tools and trust, on a global

scale…

CHORDS Community of PracticeCHORDS Community of Practice

International Steering Committee

2 Co-Chairs

Governance Working Group

Partnership Group

2 Co-Chairs

Capacity Building Working Group

ICT Working Group

NTISupportTeam

CHORDS building confidenceCHORDS building confidence

Exchanging informationExchanging informationSharing best practices, policiesSharing best practices, policiesHarmonizing protocolsHarmonizing protocolsTrust across bordersTrust across borders

Facilitate surveillance and

control, define capacities

CHORDS aligned with other initiativesCHORDS aligned with other initiatives

WHO International Health Regulations 2005WHO International Health Regulations 2005CDC Global Disease Detection (GDD)CDC Global Disease Detection (GDD)Qatar DeclarationQatar DeclarationBTWCBTWC

US Heath and Human Services, Homeland SecurityUS Heath and Human Services, Homeland SecurityMillennium GoalsMillennium Goals

CHORDS promotes international CHORDS promotes international cooperation for peaceful usescooperation for peaceful uses

1.1. Deters useDeters use

2.2. Builds confidenceBuilds confidence

By building capacity for detection and By building capacity for detection and exchanging information using publicexchanging information using public--private private partnershipspartnerships

Gresham@ntti.orgGresham@ntti.orgLouise GreshamLouise GreshamCHORDSCHORDS