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Achieving Sustainable Global Capacity for Surveillance and Response to Emerging Diseases of Zoonotic Origin: Workshop Summary
Appendix B
Workshop Agenda
DAY 1: JUNE 25, 2008
9:30–10:15 a.m.
Registration and Check-in
All participants must check in at the security desk.
SESSION I:
CHARGE AND STATEMENT OF THE PROBLEM
10:15–10:25 a.m.
Welcome and Opening Remarks
Marguerite Pappaioanou, Committee co-chair
Gerald Keusch, Committee co-chair
10:25–10:45 a.m.
Charge to the Committee from the Sponsor
Dennis Carroll and Murray Trostle, USAID
10:45–11:15 a.m.
Keynote Presentation: Convergence of forces behind emerging and reemerging zoonoses, and future trends in zoonoses
Tracee Treadwell, CDC
11:15 a.m.–12:00 p.m.
Panel Discussion: The need for a global and sustainable surveillance system for zoonoses, and roles of various international organizations
Moderator: Gerald Keusch, Committee co-chair
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Panelists
Nancy Cox, CDC
Stéphane de La Rocque, FAO
Marlo Libel, Pan American Health Organization, on behalf of David Heymann, WHO
Alejandro Thiermann, OIE
Tracee Treadwell, CDC
12:00–1:00 p.m.
Lunch on your own
(speakers will have meal vouchers, committee to meet in closed session)
SESSION II:
ACTIVE SURVEILLANCE SYSTEMS FOR DETECTING ZOONOSES
(Moderator: Mark Woolhouse, committee member)
Animal Health Surveillance Systems
This panel will discuss the varying methodologies used to conduct surveillance in different animal populations, including: poultry and livestock (for consumption), wildlife and exotic animals, marine mammals, and bushmeat. The presenters should:
Briefly describe the surveillance activities/methodologies and current funding levels, special challenges to conducting surveillance in these different populations;
Discuss the reliability/validity (including sensitivity and specificity) of data obtained from these surveillance systems, timeliness, access to data—how the data are shared/disseminated, what it would take to achieve sustainability over many years; and
Highlight the major gaps and challenges.
The session will focus on international surveillance initiatives, rather than U.S.-focused programs.
1:00–1:15 p.m.
Global Early Warning System (GLEWS) and transboundary disease surveillance program
Stéphane de La Rocque, FAO
1:15–1:30 p.m.
OIE standards for identifying/diagnosing diseases, diagnostic confirmation, data collection and reporting from countries, network of reference laboratories, relationships with Chief Veterinary Officers—committee work, food safety (Codex Alimentarius)
Alejandro Thiermann, OIE
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1:30–2:00 p.m.
Surveillance and outbreak investigation of wildlife—terrestrial and marine animals, birds, Wildlife Disease Information Node
Wildlife Disease Information Node—Joshua Dein (on NBII), USGS National Wildlife Health Center
Outbreak investigation—Scott Wright, USGS National Wildlife Health Center
2:00–2:15 p.m.
Ebola surveillance in nonhuman primates
Pierre Rollin, CDC
2:15–2:30 p.m.
Surveillance of bats
Peter Daszak (for Jon Epstein), Consortium for Conservation Medicine
2:30–2:45 p.m.
Surveillance of bushmeat and exotic animal consumption and GAINS
William Karesh, Wildlife Conservation Society
2:45–3:00 p.m.
Surveillance of infectious diseases in companion animals
Larry Glickman, University of North Carolina, Chapel Hill
3:00–3:45 p.m.
Panel Discussion: Active surveillance systems, with presenters from Session II
3:45–4:00 p.m.
Break
SESSION III:
EARLY WARNING SYSTEMS FOR ZOONOTIC DISEASES IN HUMANS
(Moderator: Mo Salman, committee member)
4:00–5:00 p.m.
Panelists will provide a brief description of the early warning system, discuss what works well in their systems, and more importantly, identify the gaps and challenges.
• Global Public Health Intelligence Network (GPHIN)
Marlo Libel, PAHO
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• Global Outbreak Awareness and Response Network (GOARN)
Marlo Libel, PAHO
• ProMED-Mail
Peter Cowen, North Carolina State University
• U.S. Department of Defense, Global Emerging Infections Surveillance and Response System (DoD-GEIS)
Tracy DuVernoy, U.S. Department of Defense
• ArboNET
Marc Fischer, CDC (via teleconference)
• Emerging Infections Network (IDSA)
Philip Polgreen, University of Iowa
5:00–6:00 p.m.
Panel Discussion: Early warning systems, with presenters from Session III
6:00 p.m.
Adjourn for the Day
6:30–8:30 p.m.
Committee Working Dinner (closed session)
DAY 2: JUNE 26, 2008
8:00–8:30 a.m.
Registration and Check-in
All participants must check in at the security desk.
8:30–8:45 a.m.
Recap of Day 1 and Overview of Day 2 of the Workshop
Gerald Keusch and Marguerite Pappaioanou, Committee co-chairs
SESSION IV:
LABORATORY AND EPIDEMIOLOGICAL CAPACITY
(Moderator: Terry McElwain, committee member)
Panel members will have 15 minutes each to discuss the successes and challenges in developing laboratory and epidemiological capacity in resource-constrained countries.
8:45–9:00 a.m.
Broad view of veterinary/agricultural laboratory capacity in resource-constrained countries (clinical and field training, BSL-3 labs, biosecurity issues)
James Pearson, former director of National Veterinary Services Lab (retired)
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9:00–9:15 a.m.
Reference lab perspective—experience serving as an OIE reference laboratory and providing technical assistance and training to countries in Africa on avian influenza; international policies for sharing specimens and resources and lab data
Ilaria Capua, OIE
9:15–9:30 a.m.
Training and deployment of assays in other countries and standardization of assays worldwide
Barbara Martin, coordinator for the U.S. National Animal Health Laboratory Network
9:30–10:00 a.m.
Experience and challenges in establishing and sustaining operation of laboratories in Tanzania with high-quality assurance
Mmeta Grasford Yongolo, Virology Department of the Animal Diseases Research Institute
10:00–10:15 a.m.
Integrated emerging infectious disease surveillance in Nairobi, Kenya
Robert Breiman, CDC International Emerging Infectious Diseases Program
10:15–10:30 a.m.
Clinical laboratory and epidemiological field training in Southeast Asia
Jeremy Farrar, Oxford University Clinical Research Unit
10:30–11:00 a.m.
Break
11:00 a.m.–12:00 p.m.
Panel Discussion: Laboratory and epidemiological capacity, with presenters from Session IV
12:00–1:15 p.m.
Lunch on your own
(speakers will have meal vouchers, committee to meet in closed session)
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SESSION V:
FACILITATING INFORMATION EXCHANGE, IMPROVING COMMUNICATION, AND IMPROVING POLICIES
1:15–2:30 p.m.
Moderated Panel Discussion (20 minutes):
Panelists: Ilaria Capua, OIE; Stéphane de La Rocque, FAO; Marlo Libel, WHO/PAHO; Sylvia Robles, The World Bank; Alejandro Thiermann, OIE (Gerald Keusch, moderator)
International policies for sharing specimens and resources as well as laboratory and epidemiological data (speakers from WHO/PAHO and OIE); Indonesia incident
Communication and interaction in outbreak investigations (speakers from WHO/PAHO, OIE, FAO)
Economic and political constraints (OIE, The World Bank)
Others?
General Open Discussion (25 minutes)
2:30–3:00 p.m.
Break
SESSION VI:
DEVELOPING A GLOBAL AND SUSTAINABLE SURVEILLANCE SYSTEM
3:00–5:15 p.m.
Moderated General Discussion: Developing global sustainable surveillance and response to emerging zoonoses
(Gerald Keusch and Marguerite Pappaioanou, moderators)
Methodology, resources, interconnectedness, politics
Sustainable versus surge
Disease-specific sentinel surveillance versus Comprehensive and integrative surveillance
Integration of tools for ongoing sentinel surveillance
What’s working, what’s not?
Where do we go from here?
5:15–5:30 p.m.
Closing Remarks
Gerald Keusch and Marguerite Pappaioanou, Committee co-chairs
5:30 p.m.
Adjourn