Information Sharing and Collaboration Applications to Integrated Biosurveillance: Workshop Summary (2012) / Chapter Skim
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2 Experiences of Federal Agencies
2 Experiences of Federal Agencies
Pages 9-22
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shared some remarks regarding the importance of biosurveillance, the need for integration, and the desire to find a way to move forward. RESPONDING TO EPIDEMICS AT THE CENTERS FOR DISEASE CONTROL AND PREVENTION1 The response to the 2009 H1N1 pandemic offers many valuable lessons for biosurveillance, said Stephen Redd, Influenza Coordination Unit, CDC.
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As pandemic response progressed, daily teleconferences convened by the Department of Health and Human Services chief of staff included representatives from several federal agencies. Weekly videoconferences involved a wider range of agencies, and weekly calls with state and local health officials provided a way to provide them with the latest information.
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Redd called particular attention to the need for enhanced modeling capacity and to the expansion and automation of syndromic surveillance. "There is a huge opportunity, with the rolling out of electronic health
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He also cited the importance of combined investigations between agricultural and health departments in preventing future pandemics, particularly for understanding the epidemiology of swine influenza viruses. With regard to a question about the best ways to disseminate information in an epidemic, Redd noted that efforts under way to update the website for season influenza could help people customize the information they receive to reflect their needs.
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This interagency collaboration led to a number of initiatives, such as a joint effort by the World Organisation for Animal Health and the Food and Agriculture Organization to form a global network of expertise on animal influenzas. In 2008, CDC came to USDA and asked to collaborate on gathering data from the national swine herd.
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First, an interdisciplinary team of public health and animal health officials needs to talk with industry representatives to understand the ramifications of even minor decisions. "Public health programs and policies have to address the economic concerns and the public perception.
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For example, collaboration within government and with the private sector on a swine influenza virus vaccine shortened development time and saved money. Future Plans To continue to increase collaboration, USDA has created a One Health joint working group that meets monthly.
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In addition, about 500 specially trained veterinarians in the United States can respond within hours to any private or state veterinary practitioner to assist in diagnoses and getting lab samples to be tested. "It goes back to the earlier comment -- this is really all about people, and having them positioned and ready to respond." INTEGRATING COMPLEX NATIONAL MISSIONS: LESSONS FROM THE NATIONAL COUNTERTERRORISM CENTER'S DIRECTORATE OF STRATEGIC OPERATIONAL PLANNING3 Robert Kravinsky, Office of the Secretary of Defense, described some of the results of a recent study of the National Counterterrorism Center (NCTC)
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The mission statement for the Directorate of Strategic Operational Planning (DSOP) calls for it to be the focal point of the national security establishment by orchestrating and harmonizing the appropriate application of instruments of national power (e.g., diplomatic, financial, military, and intelligence activities)
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• The current congressional committee structure is not equipped to oversee interagency mechanisms, resulting in confusion over ju risdiction and no champion in Congress. • NCTC workforce needs are challenged by the scarcity of plan ning competencies across the federal government and the uneven participation of agencies.
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Similarly, he noted the importance of recognizing territorial issues around duties, responsibilities, missions, and scopes, and finding ways to work around them, potentially by executive order defining exactly who is in which role doing what.
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At all levels, better information creates at least the potential for better decisions. As an example, Hepburn cited recent reports from the United Nations Food and Agriculture Organization involving the emergence of new strains of H5N1 influenza.
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"With that exercise we develop the trust and learn how to work together." Hepburn said that the NSS reads the daily reports generated by the National Biosurveillance Integration Center (NBIC) , along with reports from elsewhere in government.
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