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Transcript of National Center for Emerging and Zoonotic Infectious Diseases Office of the Director Emerging and...
National Center for Emerging and Zoonotic Infectious Diseases
Office of the Director
Emerging and Zoonotic Infectious Diseases
May 14, 2015
Beth P. Bell, MD, MPHDirector
National Center for Emerging and Zoonotic Infectious DiseasesCenters for Disease Control and Prevention
• Foodborne illnesses• Infections that spread in
hospitals and other healthcare settings
• Infections that are resistant to antibiotics
• Deadly diseases like anthrax and Ebola
• Diseases caused by having contact with animals
• Diseases spread by mosquitoes, ticks, and fleas
• Illnesses that affect immigrants, migrants, refugees, and travelers
NCEZID: Protecting People from Infectious Disease
Signature Programs
EID Journal
National Healthcare Safety Network
The Yellow Book
Laboratory ResponseNetwork
PulseNet
Epidemiology and Laboratory Capacity for Infectious Diseases
Responding to Outbreaks Around the Globe
NCEZID has supported the response in several ways
• >300 NCEZID personnel deployed to West Africa• Hundreds of staff working in EOC• Others worked with US Customs & Border
protection to conduct screening at 5 US airports• Preparing US healthcare facilities to safely
manage a person with Ebola
Responding to Outbreaks in the USOutbreak of E. coli O157 infections in Washington
State, 2015
In 2014, NCEZID received 37 requests from states and other countries to assist in the investigation of outbreaks
• 15 lab-confirmed cases (no deaths) among ~1,000 children who attended Milk Makers Festival in Whatcom County April 21-23
• CDC sent Epi Aid team to investigate• Objectives: identify risk factors, prevent additional
transmission, prevent similar outbreaks in the future
Collaborating with States: Botulism outbreak in Ohio, 2015
• April 19 church potluck meal attended by ~77 people• 22 confirmed cases, including 1 death and 9 suspected
cases• Likely source of outbreak: potato salad from home-canned
potatoes• CDC provided antitoxin; worked closely with Fairfield
County Health Department and Ohio Department of Health, which provided outstanding leadership in triage of patients and managing response
Strengthening State and Local Capacity
Epidemiology and Laboratory Capacity for Infectious Diseases Cooperative Agreement (ELC)
$97.2M awarded in 2014• Supports 50 state health departments, 6
largest local health departments, and 8 territories or US affiliates
• Works with CDC partner infectious disease programs to support >20 specific disease areas, e.g., influenza, foodborne disease, HAI• Through PPHF, ELC also provides cross-cutting and flexible support for infectious disease epidemiology, laboratory and health information systems
Emerging Infections Program (EIP)
• 10 state health departments and university partners
• Gold standard surveillance translated into policy and public health practiceDisease burden estimates, tracking trends, evaluation of the
impact of vaccination programs and other public health interventions, capacity to rapidly implement special projects.
Preventing and Controlling Vector-borne Diseases
Significant cause of severe illness and death High cost due to health care, lost income and
vector control Vector-borne diseases are on the rise – increasing
in incidence, distribution, and severity No vaccines to prevent or drugs to treat most viral
vector-borne threats Domestic outbreak threats are driven by
globalization, changing ecology, and emerging pathogens: Lyme disease West Nile disease Chikungunya Japanese encephalitis Dengue
3
Preparing for Chikungunya
• New mosquito-borne disease in Western Hemisphere • CDC has prepared for outbreaks since 2009
– Improve diagnostic capacity
– Assess gaps in state/local capabilities to detect and respond to outbreaks
– Develop and disseminate guidelines, information and education materials for all audiences
– Aid state/local health department investigations
Protecting Against Importation of Infectious Diseases
• Quarantine Stations at 20 U.S. Ports of Entryo Detect and respond to communicable diseases related to
travel and imported pathogens• Travelers’ Health
o Safeguard the health of U.S. residents traveling abroad• Immigrant, refugee, and migrant health
o Provide guidelines for screening/treating refugees and immigrants to U.S.; track diseases in these populations
Championing Innovation: Advanced Molecular Detection
AMD combines• Traditional epidemiology• Genomic sequencing• Bioinformatics
AMD in Action • Listeria in Blue Bell products• Bourbon virus discovery• Listeria in caramel apples
• Emerging organisms
• Drug resistance• Intentional
creation
• Societal commitment
• New technologies
• Success leads to success
• Prevent wherever possible
• Detect rapidly• Respond
effectively
3 3 3 Risks Opportunitie
s Priorities
Supporting Global Health Security
© David Snyder/CDC Foundation
For more information please contact Centers for Disease Control and Prevention1600 Clifton Road NE, Atlanta, GA 30333Telephone, 1-800-CDC-INFO (232-4636)/TTY: 1-888-232-6348E-mail: [email protected] Web: www.cdc.gov
The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.
Questions?
Centers for Disease Control and Prevention
National Center for Emerging and Zoonotic Infectious Diseases