SARS: SARS: International CoordinationInternational Coordination
and Collaboration and Collaboration
James W. LeDuc, Ph.D.James W. LeDuc, Ph.D.
Director, Division of Viral and Rickettsial Diseases Director, Division of Viral and Rickettsial Diseases
National Center for Infectious DiseasesNational Center for Infectious DiseasesCenters for Disease Control and PreventionCenters for Disease Control and Prevention
COORDINATION of response and resources
COLLABORATION in science
COMMUNICATION with global community
CAPACITY building and response preparedness
CHALLENGES and lessons learned
International SARS Response
COORDINATION of response and resources
COLLABORATION in science
COMMUNICATION with global community
CAPACITY building and response preparedness
CHALLENGES and lessons learned
International SARS Response
CDC SARS Investigation 2003
NCID
DVRD
Infectious Disease Pathology Activity
Respiratory and Enteric Viruses Branch
Special Pathogens Branch
NCID EOC Liaison
Field Teams
Response Teams
CDC
OD/OTPER/EOC OD/OC/ECS
China Taiwan
Canada
Hong Kong
Thailand Vietnam
Clinical and Infection Control
Global Migration and Quarantine
LaboratoryEpidemiology
Information Technology
Communications
International / WHO Occupational Health
Team “B”
Community Outreach
May 1, 2003
Team “P”
Environmental
Domestic Singapore
Special Investigations
84 personnel 1959 days ( = 7.8 work-years)
totals:
92 deployments *
2Laos
151Cambodia
334Switzerland
604Thailand
886Hong Kong
98The Philippines
1039Canada
1375Singapore
22610Vietnam
49817China
69630Taiwan
total days# staff deployedCountry
* 6 staff members deployed to 2 or more countries
5
CDC International Response: Personnel
4
CDC International Response: Expertise
Med/Epi 52 Taiwan (17), China (12), Vietnam (8), HK (4), Canada (4), PI (3), Singapore (2), Switzerland (2), Thailand (2), Cambodia (1), Laos (1)
Path/Lab 8 China (5), Singapore (2), Taiwan (1), Vietnam (1)
Infxn Control 7 Taiwan (5), HK (1), PI (1), Vietnam (1)
Ind Hyg 7 Taiwan (4), Canada (3)
IT/Data 2 HK (1), Singapore (1)
PHA 4 Taiwan (3), Thailand (2), Laos (1)
Media 2 Canada (2)
Consultant 2 Switzerland (2)
84 personnel
COORDINATION of response and resources
COLLABORATION in science
COMMUNICATION with global community
CAPACITY building and response preparedness
CHALLENGES and lessons learned
International SARS Response
WHO: - Global network of 11 leading laboratories,secure website, conference calls
- Coordination of specimen acquisition
- Facilitate rapid identification of causative agent, development of diagnostic tests
CDC: - Specimen transport and processing
- >3000 int’l specimens processed from 27 countries
- Key role in virus isolation, characterization and diagnostic test development and deployment
Global SARS Response: Laboratory
CDC SARS Response: Reagents
CDC shipments of SARS diagnostic materials to national and international academic centers, commercial companies, and governmental agencies
RNA Virus Antigen
Academic 32 13 1 46
Commercial 26 15 1 42
Governmental 21 18 4 43
79 46 6 131
International Recipients of SARS diagnostic materials
CDC SARS Response: Lab Capacity
COORDINATION of response and resources
COLLABORATION in science
COMMUNICATION with global community
CAPACITY building and response preparedness
CHALLENGES and lessons learned
International SARS Response
Global SARS Response: Communications
WHO: - Secure GOARN website- WHO SARS website with daily updates- WHO global conference calls- CDC-DHHS-WHO video conferences
CDC: - Public Response Hotline (phone calls, emails, clinician hotline)- Daily response team briefings and regularly scheduled conference calls- SARS satellite broadcasts- SARS page on CDC website
CDC SARS Response: CommunicationsNews media calls handled: 10,166News releases issued: 12Live telebriefings/news conferences: 21Health care responder conference calls: 30
Public Response Hotline:34,229 phone calls answered3,557 emails answered2,017 physician hotline calls answered
3 SARS satellite broadcasts: >1.9 million participantsCDC SARS website: 17 million page views
(3.8 million for April 20-26)
COORDINATION of response and resources
COLLABORATION in science
COMMUNICATION with global community
CAPACITY building and response preparedness
CHALLENGES and lessons learned
International SARS Response
•Surveillance and reporting
•Diagnosis
• Infection control
•Travel advisories and health alerts
•Exposure management in health-care settings, the workplace, and schools
•Biosafety, environmental sampling, clean up
•Specimen handling, collection, and shipment
• Information for U.S. citizens living abroad and for international adoptions
CDC SARS Response: Outbreak Preparedness Guidance
http://www.cdc.gov/ncidod/sars/
COORDINATION of response and resources
COLLABORATION in science
COMMUNICATION with global community
CAPACITY building and response preparedness
CHALLENGES and lessons learned
International SARS Response
Global SARS Response: LessonsResources: Magnitude of response need and financial burden; shortage of available skilled responders; critical contribution of in-place personnel, epi/surv networks, local/national partnerships
Laboratory: Logistics of specimen collection, transport, processing; technical challenges around new pathogen
Communications: Need for accurate, consistent, timely information in a rapidly changing environment
Capacity building: Need for well validated diagnostics; training; infection control expertise
Politics: WHO/CDC response to Taiwan; coordinating role of WHO; importance of existing networks and partnerships
Top Related