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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. Global Health Risk Framework: Resilient and Sustainable Health Systems to Respond to Global Infectious Disease Outbreaks: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21856.
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GLOBAL HEALTH RISK FRAMEWORK

Resilient and Sustainable Health
Systems to Respond to Global
Infectious Disease Outbreaks

_____________

WORKSHOP SUMMARY

Anna Nicholson, Megan Reeve Snair, and Jack Herrmann, Rapporteurs

Board on Health Sciences Policy

Institute of Medicine

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Washington, DC
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. Global Health Risk Framework: Resilient and Sustainable Health Systems to Respond to Global Infectious Disease Outbreaks: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21856.
×

THE NATIONAL ACADEMIES PRESS 500 Fifth Street, NW Washington, DC 20001

This activity was supported by Grant No. 10002589 from The Bill & Melinda Gates Foundation, Grant No. 10002593 from the Ford Foundation, Grant No. 10002605 from the Gordon and Betty Moore Foundation, Grant No. 10002606 from Mr. Ming Wai Lau, a grant from the Paul G. Allen Family Foundation, Grant No. 10002603 from The Rockefeller Foundation, Contract No. 10002604 with the U.S. Agency for International Development, and Grant No. 10002596 from the Wellcome Trust. Any opinions, findings, conclusions, or recommendations expressed in this publication do not necessarily reflect the views of any organization or agency that provided support for the project.

International Standard Book Number-13: 978-0-309-38114-7
International Standard Book Number-10: 0-309-38114-2
Digital Object Identifier: 10.17226/21856

Additional copies of this workshop summary are available for sale from the National Academies Press, 500 Fifth Street, NW, Keck 360, Washington, DC 20001; (800) 624-6242 or (202) 334-3313; http://www.nap.edu.

Copyright 2016 by the National Academy of Sciences. All rights reserved.

Printed in the United States of America

Suggested citation: National Academies of Sciences, Engineering, and Medicine. 2016. Global health risk framework: Resilient and sustainable health systems to respond to global infectious disease outbreaks: Workshop summary. Washington, DC: The National Academies Press. doi: 10.17226/21856.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. Global Health Risk Framework: Resilient and Sustainable Health Systems to Respond to Global Infectious Disease Outbreaks: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21856.
×

image

The National Academy of Sciences was established in 1863 by an Act of Congress, signed by President Lincoln, as a private, nongovernmental institution to advise the nation on issues related to science and technology. Members are elected by their peers for outstanding contributions to research. Dr. Ralph J. Cicerone is president.

The National Academy of Engineering was established in 1964 under the charter of the National Academy of Sciences to bring the practices of engineering to advising the nation. Members are elected by their peers for extraordinary contributions to engineering. Dr. C. D. Mote, Jr., is president.

The National Academy of Medicine (formerly the Institute of Medicine) was established in 1970 under the charter of the National Academy of Sciences to advise the nation on medical and health issues. Members are elected by their peers for distinguished contributions to medicine and health. Dr. Victor J. Dzau is president.

The three Academies work together as the National Academies of Sciences, Engineering, and Medicine to provide independent, objective analysis and advice to the nation and conduct other activities to solve complex problems and inform public policy decisions. The Academies also encourage education and research, recognize outstanding contributions to knowledge, and increase public understanding in matters of science, engineering, and medicine.

Learn more about the National Academies of Sciences, Engineering, and Medicine at www.national-academies.org.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. Global Health Risk Framework: Resilient and Sustainable Health Systems to Respond to Global Infectious Disease Outbreaks: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21856.
×

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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. Global Health Risk Framework: Resilient and Sustainable Health Systems to Respond to Global Infectious Disease Outbreaks: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21856.
×

PLANNING COMMITTEE ON GLOBAL HEALTH RISK FRAMEWORK: A WORKSHOP ON RESILIENT AND SUSTAINABLE HEALTH SYSTEMS TO RESPOND TO GLOBAL INFECTIOUS DISEASE OUTBREAKS1

MICHAEL MYERS (Co-Chair), The Rockefeller Foundation, New York, NY

FRANCIS OMASWA (Co-Chair), African Centre for Global Health and Social Transformation, Kampala, Uganda

BEN ADEIZA ADINOYI, International Federation of Red Cross and Red Crescent Societies, Nairobi, Kenya

ABA BENTIL ANDAM, Ghana Academy of Arts and Sciences, Accra, Ghana

FREDERICK M. BURKLE, JR., Harvard Humanitarian Initiative, Harvard University, Woodrow Wilson International Center for Scholars, Kailua, HI

MARGARET GYAPONG, Institute of Infectious Diseases of Poverty, Ghana Health Services, Accra, Ghana

ANN MARIE KIMBALL, Centre on Global Health Security, Chatham House, Bainbridge Island, WA

MARGARET KRUK, T.H. Chan School of Public Health, Harvard University, Cambridge, MA

GABRIEL LEUNG, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong

DANIEL RYAN, Swiss Re, London, United Kingdom

JORDAN TAPPERO, Center for Global Health, U.S. Centers for Disease Control and Prevention, Atlanta, GA

OYEWALE TOMORI, Nigerian Academy of Science, Lagos, Nigeria

IOM Staff

JACK HERRMANN, Project Director

MEGAN REEVE SNAIR, Program Officer

BENJAMIN KAHN, Research Assistant

ANNALYN WELP, Senior Program Assistant

ANDREW M. POPE, Director, Board on Health Sciences Policy

__________________

1 The National Academies of Sciences, Engineering, and Medicine’s planning committees are solely responsible for organizing the workshop, identifying topics, and choosing speakers. The responsibility for the published workshop summary rests with the workshop rapporteurs and the institution.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. Global Health Risk Framework: Resilient and Sustainable Health Systems to Respond to Global Infectious Disease Outbreaks: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21856.
×

This page intentionally left blank.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. Global Health Risk Framework: Resilient and Sustainable Health Systems to Respond to Global Infectious Disease Outbreaks: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21856.
×

BOARD ON HEALTH SCIENCES POLICY1

JEFFREY KAHN (Chair), Johns Hopkins University, Baltimore, MD

ELI Y. ADASHI, Brown University, Providence, RI

WYLIE BURKE, University of Washington, Seattle, WA

R. ALTA CHARO, University of Wisconsin–Madison

LINDA H. CLEVER, California Pacific Medical Center, RENEW, Mill Valley, CA

BARRY S. COLLER, The Rockefeller University, New York, NY

LEWIS R. GOLDFRANK, New York University School of Medicine

BERNARD A. HARRIS, JR., Vesalius Ventures, Houston, TX

MARTHA N. HILL, Johns Hopkins University School of Nursing, Baltimore, MD

STEVEN E. HYMAN, Stanley Center, The Broad Institute, Cambridge, MA

ALAN M. JETTE, Boston University School of Public Health, Boston, MA

PATRICIA A. KING, Georgetown University Law Center, Washington, DC

STORY C. LANDIS, National Institute of Neurological Disorders and Stroke, Bethesda, MD

HARRY T. ORR, University of Minnesota, Minneapolis

UMAIR SHAH, Harris County Public Health & Environmental Services, Houston, TX

ROBYN STONE, Leading Age, Washington, DC

SHARON TERRY, Genetic Alliance, Washington, DC

REED V. TUCKSON, Tuckson Health Connections, LLC, Edina, MN

IOM Staff

HILARY BRAGG, Program Coordinator

ANDREW M. POPE, Director, Board on Health Sciences Policy

__________________

1 The National Academies of Sciences, Engineering, and Medicine’s boards do not review or approve individual products. The responsibility for the content of the workshop summary rests with the workshop rapporteurs and the institution.

Page viii Cite
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. Global Health Risk Framework: Resilient and Sustainable Health Systems to Respond to Global Infectious Disease Outbreaks: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21856.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. Global Health Risk Framework: Resilient and Sustainable Health Systems to Respond to Global Infectious Disease Outbreaks: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21856.
×

Reviewers

This workshop summary has been reviewed in draft form by individuals chosen for their diverse perspectives and technical expertise. The purpose of this independent review is to provide candid and critical comments that will assist the institution in making its published workshop summary as sound as possible and to ensure that the workshop summary meets institutional standards for objectivity, evidence, and responsiveness to the study charge. The review comments and draft manuscript remain confidential to protect the integrity of the process. We wish to thank the following individuals for their review of this workshop summary:

CELIA M. ALPUCHE ARANDA, Mexico Secretariat, National Institute of Public Health

FREDERICK M. BURKLE, JR., Harvard Humanitarian Initiative, Harvard University, Woodrow Wilson International Center for Scholars

LEWIS R. GOLDFRANK, New York University School of Medicine

ANN MARIE KIMBALL, Centre on Global Health Security, Chatham House

DANIEL LÓPEZ-ACUÑA, Humanitarian Assistance and Development Cooperation, Andalusian School of Public Health

Although the reviewers listed above have provided many constructive comments and suggestions, they did not see the final draft of the workshop summary before its release. The review of this workshop summary was overseen by CLYDE BEHNEY, Institute of Medicine. He was responsible

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. Global Health Risk Framework: Resilient and Sustainable Health Systems to Respond to Global Infectious Disease Outbreaks: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21856.
×

for making certain that an independent examination of this workshop summary was carried out in accordance with institutional procedures and that all review comments were carefully considered. Responsibility for the final content of this workshop summary rests entirely with the rapporteurs and the institution.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. Global Health Risk Framework: Resilient and Sustainable Health Systems to Respond to Global Infectious Disease Outbreaks: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21856.
×

Acknowledgments

The National Academies of Sciences, Engineering, and Medicine staff and planning committee thank the Ghana Academy of Arts and Sciences for graciously hosting and supporting Global Health Risk Framework: A Workshop on Resilient and Sustainable Health Systems to Respond to Global Infectious Disease Outbreaks in Accra, Ghana, in August 2015. Specifically, the support provided by Francis P. Ankrah and Professor Aba Bentil Andam from the Ghana Academy of Arts and Sciences is gratefully acknowledged.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. Global Health Risk Framework: Resilient and Sustainable Health Systems to Respond to Global Infectious Disease Outbreaks: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21856.
×

This page intentionally left blank.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. Global Health Risk Framework: Resilient and Sustainable Health Systems to Respond to Global Infectious Disease Outbreaks: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21856.
×

Acronyms and Abbrevations

ACHEST African Centre for Global Health and Social Transformation
CBI Community-Based Initiative
CDC Centers for Disease Control and Prevention (U.S.)
CHPS Community-Based Health and Planning System
EOC Emergency Operations Center
EPHF essential public health function
ETU Ebola treatment unit
EVD Ebola virus disease
FELTP field epidemiology and laboratory training program
FMT foreign medical team
FUGI Future Generations International
GHSA Global Health Security Agenda
GOARN Global Outbreak Alert and Response Network
ICS Incident Command System
ICU intensive care unit
IDSR Integrated Disease Surveillance and Response
IHR International Health Regulations
LMIC low- and middle-income country
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. Global Health Risk Framework: Resilient and Sustainable Health Systems to Respond to Global Infectious Disease Outbreaks: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21856.
×
MERS Middle East respiratory syndrome
MoH Ministry of Health
NFP National IHR Focal Point
NGO nongovernmental organization
ODA Official Development Aid
OpenHIE Open Health Information Exchange
PHEIC public health emergencies of international concern
PPE personal protective equipment
QA quality assurance
RIS routine information system
SARS severe acute respiratory syndrome
SDG Sustainable Development Goal
SMS short message service
VHT village health team
WASH water, sanitation, and hygiene
WHO World Health Organization
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. Global Health Risk Framework: Resilient and Sustainable Health Systems to Respond to Global Infectious Disease Outbreaks: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21856.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. Global Health Risk Framework: Resilient and Sustainable Health Systems to Respond to Global Infectious Disease Outbreaks: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21856.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. Global Health Risk Framework: Resilient and Sustainable Health Systems to Respond to Global Infectious Disease Outbreaks: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21856.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. Global Health Risk Framework: Resilient and Sustainable Health Systems to Respond to Global Infectious Disease Outbreaks: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21856.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. Global Health Risk Framework: Resilient and Sustainable Health Systems to Respond to Global Infectious Disease Outbreaks: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21856.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. Global Health Risk Framework: Resilient and Sustainable Health Systems to Respond to Global Infectious Disease Outbreaks: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21856.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. Global Health Risk Framework: Resilient and Sustainable Health Systems to Respond to Global Infectious Disease Outbreaks: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21856.
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Page viii Cite
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. Global Health Risk Framework: Resilient and Sustainable Health Systems to Respond to Global Infectious Disease Outbreaks: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21856.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. Global Health Risk Framework: Resilient and Sustainable Health Systems to Respond to Global Infectious Disease Outbreaks: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21856.
×
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. Global Health Risk Framework: Resilient and Sustainable Health Systems to Respond to Global Infectious Disease Outbreaks: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21856.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. Global Health Risk Framework: Resilient and Sustainable Health Systems to Respond to Global Infectious Disease Outbreaks: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21856.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. Global Health Risk Framework: Resilient and Sustainable Health Systems to Respond to Global Infectious Disease Outbreaks: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21856.
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Page xiii Cite
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. Global Health Risk Framework: Resilient and Sustainable Health Systems to Respond to Global Infectious Disease Outbreaks: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21856.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. Global Health Risk Framework: Resilient and Sustainable Health Systems to Respond to Global Infectious Disease Outbreaks: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21856.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. Global Health Risk Framework: Resilient and Sustainable Health Systems to Respond to Global Infectious Disease Outbreaks: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21856.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. Global Health Risk Framework: Resilient and Sustainable Health Systems to Respond to Global Infectious Disease Outbreaks: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21856.
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Since the 2014 Ebola outbreak many public- and private-sector leaders have seen a need for improved management of global public health emergencies. The effects of the Ebola epidemic go well beyond the three hardest-hit countries and beyond the health sector. Education, child protection, commerce, transportation, and human rights have all suffered. The consequences and lethality of Ebola have increased interest in coordinated global response to infectious threats, many of which could disrupt global health and commerce far more than the recent outbreak.

In order to explore the potential for improving international management and response to outbreaks the National Academy of Medicine agreed to manage an international, independent, evidence-based, authoritative, multistakeholder expert commission. As part of this effort, the Institute of Medicine convened four workshops in summer of 2015 to inform the commission report. The presentations and discussions from the Workshop on Resilient and Sustainable Health Systems to Respond to Global Infectious Disease Outbreaks are summarized in this report.

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