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C OORDINATION of response and resources C OLLABORATION in science

SARS: International Coordination and Collaboration James W. LeDuc, Ph.D. Director, Division of Viral and Rickettsial Diseases

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C OORDINATION of response and resources C OLLABORATION in science

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  1. SARS: International Coordination and Collaboration James W. LeDuc, Ph.D. Director, Division of Viral and Rickettsial Diseases National Center for Infectious DiseasesCenters for Disease Control and Prevention

  2. International SARS Response COORDINATIONof response and resources COLLABORATIONin science COMMUNICATIONwith global community CAPACITYbuilding and response preparedness CHALLENGES and lessons learned

  3. International SARS Response COORDINATIONof response and resources COLLABORATIONin science COMMUNICATIONwith global community CAPACITYbuilding and response preparedness CHALLENGES and lessons learned

  4. CDC SARS Investigation 2003 May 1, 2003 CDC NCID DVRD NCID EOC Liaison OD/OTPER/EOC OD/OC/ECS Respiratory and Enteric Viruses Branch Special Pathogens Branch Infectious Disease Pathology Activity Response Teams Clinical and Infection Control Global Migration and Quarantine Epidemiology Laboratory Information Technology Special Investigations Team “P” Team “B” International / WHO Occupational Health Communications Environmental Community Outreach Field Teams Domestic Canada Singapore Thailand Vietnam China Hong Kong Taiwan

  5. CDC International Response: Personnel # staff deployed total days Country Taiwan 30 696 China 17 498 Vietnam 10 226 Singapore 5 137 Canada 9 103 4 The Philippines 98 Hong Kong 6 88 Thailand 4 60 Switzerland 4 33 Cambodia 1 15 5 Laos 2 92 deployments * totals: 84 personnel 1959 days ( = 7.8 work-years) * 6 staff members deployed to 2 or more countries

  6. CDC International Response: Expertise 84 personnel

  7. International SARS Response COORDINATIONof response and resources COLLABORATIONin science COMMUNICATIONwith global community CAPACITYbuilding and response preparedness CHALLENGES and lessons learned

  8. Global SARS Response: Laboratory WHO: - Global network of 11 leading laboratories, secure website, conference calls - Coordination of specimen acquisition - Facilitate rapid identification of causative agent, development of diagnostic tests CDC: - Specimen transport and processing - >3000 int’l specimens processed from 27 countries - Key role in virus isolation, characterization and diagnostic test development and deployment

  9. CDC SARS Response: Reagents CDC shipments of SARS diagnostic materials to national and international academic centers, commercial companies, and governmental agencies

  10. CDC SARS Response: Lab Capacity International Recipients of SARS diagnostic materials

  11. International SARS Response COORDINATIONof response and resources COLLABORATIONin science COMMUNICATIONwith global community CAPACITYbuilding and response preparedness CHALLENGES and lessons learned

  12. Global SARS Response: Communications WHO: - Secure GOARN website - WHO SARS website with daily updates - WHO global conference calls - CDC-DHHS-WHO video conferences CDC: - Public Response Hotline (phone calls, emails, clinician hotline) - Daily response team briefings and regularly scheduled conference calls - SARS satellite broadcasts - SARS page on CDC website

  13. CDC SARS Response: Communications News media calls handled: 10,166 News releases issued: 12 Live telebriefings/news conferences: 21 Health care responder conference calls: 30 Public Response Hotline: 34,229 phone calls answered 3,557 emails answered 2,017 physician hotline calls answered 3 SARS satellite broadcasts: >1.9 million participants CDC SARS website: 17 million page views (3.8 million for April 20-26)

  14. International SARS Response COORDINATIONof response and resources COLLABORATIONin science COMMUNICATIONwith global community CAPACITYbuilding and response preparedness CHALLENGES and lessons learned

  15. CDC SARS Response: Outbreak Preparedness Guidance • Surveillance and reporting • Diagnosis • Infection control • Travel advisories and health alerts • Exposure management in health-care settings, the workplace, and schools • Biosafety, environmental sampling, clean up • Specimen handling, collection, and shipment • Information for U.S. citizens living abroad and for international adoptions

  16. http://www.cdc.gov/ncidod/sars/

  17. International SARS Response COORDINATIONof response and resources COLLABORATIONin science COMMUNICATIONwith global community CAPACITYbuilding and response preparedness CHALLENGES and lessons learned

  18. Global SARS Response: Lessons Resources: Magnitude of response need and financial burden;shortage of available skilled responders; critical contribution of in-place personnel, epi/surv networks, local/national partnerships Laboratory: Logistics of specimen collection, transport, processing; technical challenges around new pathogen Communications: Need for accurate, consistent, timely information in a rapidly changing environment Capacity building: Need for well validated diagnostics; training; infection control expertise Politics: WHO/CDC response to Taiwan; coordinating role of WHO; importance of existing networks and partnerships

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