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APPENDIX B Workshop Agenda Institute of Medicine National Academy of Sciences Advisors to the Natiorl on Science, Engineering, and Medicine FORUM ON EMERGING INFECTIONS Public Health Systems: Assessing Capacities to Respond to Emerging Infections November2-3, 1998 MONDAY, NOVEMBER 2, 1998 8:30 a.m. Welcome and Opening Remarks Joshua Lederberg, Ph.D. Chair, Forum on Emerging Infections Sackler Foundation Scholar, The Rockefeller University 8:45 Keynote Address The Changing Landscape of Public Health Systems Peggy Hamburg, M.D., Assistant Secretary for Planning and Evaluation, U.S. Department of Health and Human Services 9:30-1:00 EPIDEMIOLOGICAL INVESTIGATION Moderator: James Hughes, M.D. Assistant Surgeon General, and Director, National Center for Infectious Diseases, Centers for Disease Control and Prevention 9:30 National Perspective for Outbreak Investigation Steve Ostroff, M.D., Associate Director for Epidemiologic Science, National Center for Infectious Diseases, Centers for Disease Control and Prevention 84

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APPENDIX B 10:10 10:30 10:50 1 1:10 11:20 1:00 p.m. Lunch 85 State Perspective for Outbreak Investigation Patricia Quinlisk, M.D., Iowa Department of Health, and President, Council of State and Territorial Epidemiologists County-Level Perspective for Outbreak Investigation Catherine Slemp, M.D., M.P.H., Director, Infectious Disease Epidemiology Programs, West Virginia Department of Health The Physician Community Larry Strausbaugh, M.D., Epidemiologist, VA Medical Center Portland, Oregon Public Health Practice and the Role of Academic Public Health William L. Roper, M.D., M.P.H., Dean, School of Public Health, University of North Carolina at Chapel Hill Break PANEL DISCUSSION Panel Members Speakers: Steve Ostroff, M.D. Patricia Quinlisk, M.D. Catherine Slemp, M.D., M.P.H. Larry Strausbaugh, M.D. William L. Roper, M.D., M.P.H. Invited Panelists: Ellen Morrison, M.D., Division of Emergency Operations, Office of Regulatory Affairs, Food and Drug Administration Gianfranco Pezzino, M.D., State Epidemiologist, Kansas Department of Health and Environment 2:00-5:30 SURVEILLANCE Moderator: Michael Osterholm, Ph.D., M.P.H. State Epidemiologist and Chief, Acute Disease Epidemiology Section, Minnesota Department of Health

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86 2:00 2:20 PUBLIC HEALTH SYSTEMS AND EMERGING INFECTIONS GAO Report on Public Health Surveillance of Emerging Infectious Diseases Marsha Lillie-Blanton, Ph.D., Associate Director, Health, Education, and Human Services Division, General Accounting Office Helene Toiv, M.P.A., Assistant Director, Health, Education, and Human Services Division, General Accounting Office Emerging Infections Program Cooperative Agreement Robert Pinner, M.D., Special Assistant for Surveillance, National Center for Infectious Diseases, Centers for Disease Control and Prevention 2:40 Large National Commercial Laboratory Linda Miller, Ph.D., Assistant Director, Clinical Microbiology, SmithKline Beecham Pharmaceuticals R&D 3:00 3:20 Public-Sector Laboratory at the National Level Joe McDade, Ph.D., Acting Deputy Director, National Center for Infectious Diseases, Centers for Disease Control and Prevention The Emerging Role of the Public Health Laboratory in Meeting the Challenge of Emerging Infectious Diseases Mary Gilchrist, Ph.D., Director, University of Iowa Hygienic Laboratory Break PANEL DISCUSSION Panel Members Speakers: Marsha Lillie-Blanton, Ph.D. Helene Toiv, M.P.A. Robert Pinner, M.D. Linda Miller, Ph.D. Joe McDade, Ph.D. Mary Gilchrist, Ph.D. Invited Panelists: Eileen Koski, M.Phil, Manager, Medical Data Applications, Quest Diagnostics Laurence McCarthy, Ph.D., Chief Executive Officer, MRL Pharmaceuticals, Inc.

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APPENDIX B 5:30 Adjourn 87 . Eric Blank, Dr.P.H. Director, State Public Health Laboratory, Missouri; and President, Association of Public Health Laboratories TUESDAY, NOVEMBER 3, 1998 8:30 a.m. Opening Remarks Joshua Lederberg, Ph.D. Chair, Forum on Emerging Infections Sackler Foundation Scholar, The Rockefeller University 8:4~12:00 COMMUNICATION AND COORDINATION, EDUCATION AND OUTREACH Moderator: Renu Gupta, M.D. Vice President, Medical Safety and Therapeutics, Covance Inc. 8:40 9:00 9:20 Communication and Coordination at the National Level: The PULSENET Model Bala Swaminathan, Ph.D., Chief, Foodborne Diarrheal Diseases Laboratory Section, National Center for Infectious Diseases, Centers for Disease Control and Prevention Communication and Coordination at the State Level James Hadler, M.D., M.P.H., Director, Infectious Diseases Division, Connecticut Department of Health Nongovernment Organizations and Partnerships Kathleen Young, Executive Director, Alliance for the Prudent Use of Antibiotics 9:40 Continuing Education: The Role of Professional Organizations Scott Becker, Executive Director, Association of Public Health Laboratories 10:00 10:20 The Role of Medical Informatics in the Detection and Management of Emerging Infections Ted Shortliffe, M.D., Associate Dean, Information Resources and Technology, Stanford University Break

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88 10:30 12:00 noon Lunch PUBLIC HEALTH SYSTEMS AND EMERGING INFECTIONS PANEL DISCUSSION Panel Members Speakers: . Bala Swaminathan, Ph.D. James Hadler, M.D., M.P.D. Kathleen Young . Scott Becker . Ted Shortliffe, M.D. Invited Panelists: . Cheryl Beversdorf, Association of State and Territorial Health Officials . JoAnne Glisson, Vice President, American Clinical Laboratory Association . Patricia Quinlisk, M.D., Iowa Department of Health; and President, Council of State and Territorial Epidemiologists 1:20~:30 STRATEGIC PLANNING, RESOURCE ALLOCATION AND ECONOMIC SUPPORT Moderator: Gail Cassell, Ph.D. Vice President for Infectious Diseases Research, Drug Discovery Research, and Clinical Investigation, Eli Lilly & Company 1:20 Legislation and Mandates at the Federal Level Ellen Gadbois, Ph.D., Office of Senator Edward Kennedy 1:40 The Congressional Response to the Threat of Infectious Diseases Jack Chow, Ph.D., Senate Appropriations Committee, Labor, Health, and Human Services Subcommittee 2:00 2:20 2:40 State Health Official Perspective Fred Edgar Thompson, Jr., M.D. State Health Officer, Mississippi Department of Health; and President, Association of State and Territorial Health Officers Laboratory-Based Reporting Issues Robert Rubin, M.D., President and Chief Operating Officer, The Lewin Group Break

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APPENDIX B 2:50 PANEL DISCUSSION Panel Members Speakers: Ellen Gadbois, Ph.D. Jack Chow, Ph.D. Fred Edgar Thompson, M.D. Robert Rubin, M.D. Invited Panelists: Tracey Hooker, Director, Prevention Projects, National Conference of State Legislators James Pearson, M.D., DGS Deputy Director, Division of Consolidated Laboratory Services, Commonwealth of Virginia Judy Buckalew, Office of Senator Lauch Faircloth Donna Crane, Director of Congressional Affairs, American Public Health Association 4:30-5:30 Summary and Concluding Remarks Moderator: Joshua Lederberg, Ph.D. 4:30 5:20 5:30 89 Summary and Discussion with Session Moderators Closing Remarks Joshua Lederberg, Ph.D. Adjourn