FIGURE S-1 Leading causes of mortality from infectious disease, 2000 estimates.

SOURCE: Klaucke (2002).

tions, 13 million people worldwide still die from such diseases every year (see Figure S-1).

Although the burden is greatest for the developing world, infectious diseases are a growing threat to all nations. The problem is compounded by the emergence of new diseases, such as severe acute respiratory syndrome (SARS),1 that occur unexpectedly and require urgent interventions (see Figures S-2a and S-2b).

The uncertainties of what can and will happen posed challenges to the workshop participants as they discussed the issues. At the same time, their collective wisdom presented opportunities to establish a framework for progress. The growing threat of the emergence, reemergence, and rapid global spread of infectious disease calls for a new, global paradigm of participation by the public health community. The need for collaboration has never been greater. Long-term, multinational training and partnerships among government, health care, financial, and other institutions are vital to building the global public health capacity necessary to address the threat posed worldwide by even an isolated incident of an infectious disease. The


Although SARS did not emerge until after this workshop was held, it is mentioned here as a timely example.

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