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Suggested Citation:"Appendix B: Workshop Agenda." Institute of Medicine and National Research Council. 2008. Achieving Sustainable Global Capacity for Surveillance and Response to Emerging Diseases of Zoonotic Origin: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/12522.
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Page 101
Suggested Citation:"Appendix B: Workshop Agenda." Institute of Medicine and National Research Council. 2008. Achieving Sustainable Global Capacity for Surveillance and Response to Emerging Diseases of Zoonotic Origin: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/12522.
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Page 102
Suggested Citation:"Appendix B: Workshop Agenda." Institute of Medicine and National Research Council. 2008. Achieving Sustainable Global Capacity for Surveillance and Response to Emerging Diseases of Zoonotic Origin: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/12522.
×
Page 103
Suggested Citation:"Appendix B: Workshop Agenda." Institute of Medicine and National Research Council. 2008. Achieving Sustainable Global Capacity for Surveillance and Response to Emerging Diseases of Zoonotic Origin: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/12522.
×
Page 104
Suggested Citation:"Appendix B: Workshop Agenda." Institute of Medicine and National Research Council. 2008. Achieving Sustainable Global Capacity for Surveillance and Response to Emerging Diseases of Zoonotic Origin: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/12522.
×
Page 105
Suggested Citation:"Appendix B: Workshop Agenda." Institute of Medicine and National Research Council. 2008. Achieving Sustainable Global Capacity for Surveillance and Response to Emerging Diseases of Zoonotic Origin: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/12522.
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Page 106

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Appendix B Workshop Agenda DAY 1: JUNE 25, 2008 9:30–10:15 a.m. Registration and Check-in All participants must check in at the security desk. SESSION I: CHARGE AND STATEMENT OF THE PROBLEM 10:15–10:25 a.m. Welcome and Opening Remarks Marguerite Pappaioanou, Committee co-chair Gerald Keusch, Committee co-chair 10:25–10:45 a.m. Charge to the Committee from the Sponsor Dennis Carroll and Murray Trostle, USAID 10:45–11:15 a.m. Keynote Presentation: Convergence of forces behind emerging and reemerging zoonoses, and future trends in zoonoses Tracee Treadwell, CDC 11:15 a.m.– Panel Discussion: The need for a global and sustainable 12:00 p.m. surveillance system for zoonoses, and roles of various international organizations Moderator: Gerald Keusch, Committee co-chair 101

102 GLOBAL SURVEILLANCE OF ZOONOTIC DISEASES Panelists Nancy Cox, CDC ��������������������������� Stéphane de La Rocque, FAO Marlo Libel, Pan American Health Organization, on behalf of David Heymann, WHO Alejandro Thiermann, OIE Tracee Treadwell, CDC 12:00–1:00 p.m. Lunch on your own (speakers will have meal vouchers, committee to meet in closed session) SESSION II: ACTIVE SURVEILLANCE SYSTEMS FOR DETECTING ZOONOSES (Moderator: Mark Woolhouse, committee member) Animal Health Surveillance Systems This panel will discuss the varying methodologies used to conduct surveil- lance in different animal populations, including: poultry and livestock (for consumption), wildlife and exotic animals, marine mammals, and bush- meat. The presenters should: • Briefly describe the surveillance activities/methodologies and current funding levels, special challenges to conducting surveillance in these different populations; • Discuss the reliability/validity (including sensitivity and specificity) of data obtained from these surveillance systems, timeliness, access to data—how the data are shared/disseminated, what it would take to achieve sustainability over many years; and • Highlight the major gaps and challenges. The session will focus on international surveillance initiatives, rather than U.S.-focused programs. 1:00–1:15 p.m. Global Early Warning System (GLEWS) and t ­ ransboundary disease surveillance program ��������������������������� Stéphane de La Rocque, FAO 1:15–1:30 p.m. OIE standards for identifying/diagnosing diseases, diagnostic confirmation, data collection and reporting from countries, network of reference laboratories, relationships with Chief Veterinary Officers— committee work, food safety (Codex Alimentarius) Alejandro Thiermann, OIE

APPENDIX B 103 1:30–2:00 p.m. Surveillance and outbreak investigation of wildlife— terrestrial and marine animals, birds, Wildlife Disease Information Node • Wildlife Disease Information Node—Joshua Dein (on NBII), USGS National Wildlife Health Center • Outbreak investigation—Scott Wright, USGS National Wildlife Health Center 2:00–2:15 p.m. Ebola surveillance in nonhuman primates Pierre Rollin, CDC 2:15–2:30 p.m. Surveillance of bats Peter Daszak (for Jon Epstein), Consortium for Conservation Medicine 2:30–2:45 p.m. Surveillance of bushmeat and exotic animal consumption and GAINS William Karesh, Wildlife Conservation Society 2:45–3:00 p.m. Surveillance of infectious diseases in companion animals Larry Glickman, University of North Carolina, Chapel Hill 3:00–3:45 p.m. Panel Discussion: Active surveillance systems, with presenters from Session II 3:45–4:00 p.m. Break SESSION III: EARLY WARNING SYSTEMS FOR ZOONOTIC DISEASES IN HUMANS (Moderator: Mo Salman, committee member) 4:00–5:00 p.m. Panelists will provide a brief description of the early warning system, discuss what works well in their systems, and more importantly, identify the gaps and challenges. • Global Public Health Intelligence Network (GPHIN) Marlo Libel, PAHO

104 GLOBAL SURVEILLANCE OF ZOONOTIC DISEASES • Global Outbreak Awareness and Response Network (GOARN) Marlo Libel, PAHO • ProMED-Mail Peter Cowen, North Carolina State University • U.S. Department of Defense, Global Emerging Infections Surveillance and Response System (DoD-GEIS) Tracy DuVernoy, U.S. Department of Defense • ArboNET Marc Fischer, CDC (via teleconference) • Emerging Infections Network (IDSA) Philip Polgreen, University of Iowa 5:00–6:00 p.m. Panel Discussion: Early warning systems, with presenters from Session III 6:00 p.m. Adjourn for the Day 6:30–8:30 p.m. Committee Working Dinner (closed session) DAY 2: JUNE 26, 2008 8:00–8:30 a.m. Registration and Check-in participants must check in at the security desk. All 8:30–8:45 a.m. Recap of Day 1 and Overview of Day 2 of the Workshop Gerald Keusch and Marguerite Pappaioanou, Committee co-chairs SESSION IV: LABORATORY AND EPIDEMIOLOGICAL CAPACITY (Moderator: Terry McElwain, committee member) Panel members will have 15 minutes each to discuss the successes and chal- lenges in developing laboratory and epidemiological capacity in resource- constrained countries. 8:45–9:00 a.m. Broad view of veterinary/agricultural laboratory capacity in resource-constrained countries (clinical and field training, BSL-3 labs, biosecurity issues) James Pearson, former director of National Veterinary Services Lab (retired)

APPENDIX B 105 9:00–9:15 a.m. Reference lab perspective—experience serving as an OIE reference laboratory and providing technical assistance and training to countries in Africa on avian influenza; international policies for sharing specimens and resources and lab data Ilaria Capua, OIE 9:15–9:30 a.m. Training and deployment of assays in other countries and standardization of assays worldwide Barbara Martin, coordinator for the U.S. National Animal Health Laboratory Network 9:30–10:00 a.m. Experience and challenges in establishing and sustaining operation of laboratories in Tanzania with high-quality assurance Mmeta Grasford Yongolo, Virology Department of the Animal Diseases Research Institute 10:00–10:15 a.m. Integrated emerging infectious disease surveillance in Nairobi, Kenya Robert Breiman, CDC International Emerging Infectious Diseases Program 10:15–10:30 a.m. Clinical laboratory and epidemiological field training in Southeast Asia Jeremy Farrar, Oxford University Clinical Research Unit 10:30–11:00 a.m. Break 11:00 a.m.– Panel Discussion: Laboratory and epidemiological 12:00 p.m. capacity, with presenters from Session IV 12:00–1:15 p.m. Lunch on your own (speakers will have meal vouchers, committee to meet in closed session)

106 GLOBAL SURVEILLANCE OF ZOONOTIC DISEASES SESSION V: FACILITATING INFORMATION EXCHANGE, IMPROVING COMMUNICATION, AND IMPROVING POLICIES 1:15–2:30 p.m. Moderated Panel Discussion (20 minutes): Panelists: Ilaria Capua, OIE; Stéphane de La Rocque, FAO; Marlo Libel, WHO/PAHO; Sylvia Robles, The World Bank; Alejandro Thiermann, OIE (Gerald Keusch, moderator) • International policies for sharing specimens and resources as well as laboratory and epidemiological data (speakers from WHO/PAHO and OIE); Indonesia incident • Communication and interaction in outbreak investigations (speakers from WHO/PAHO, OIE, FAO) • Economic and political constraints (OIE, The World Bank) • Others? General Open Discussion (25 minutes) 2:30–3:00 p.m. Break SESSION VI: DEVELOPING A GLOBAL AND SUSTAINABLE SURVEILLANCE SYSTEM 3:00–5:15 p.m. Moderated General Discussion: Developing global sustainable surveillance and response to emerging zoonoses (Gerald Keusch and Marguerite Pappaioanou, moderators) Methodology, resources, interconnectedness, politics • Sustainable versus surge • Disease-specific sentinel surveillance versus Comprehensive and integrative surveillance • Integration of tools for ongoing sentinel surveillance • What’s working, what’s not? • Where do we go from here? 5:15–5:30 p.m. Closing Remarks Gerald Keusch and Marguerite Pappaioanou, Committee co-chairs 5:30 p.m. Adjourn

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One of the biggest threats today is the uncertainty surrounding the emergence of a novel pathogen or the re-emergence of a known infectious disease that might result in disease outbreaks with great losses of human life and immense global economic consequences. Over the past six decades, most of the emerging infectious disease events in humans have been caused by zoonotic pathogens--those infectious agents that are transmitted from animals to humans.

In June 2008, the Institute of Medicine's and National Research Council's Committee on Achieving Sustainable Global Capacity for Surveillance and Response to Emerging Diseases of Zoonotic Origin convened a workshop. This workshop addressed the reasons for the transmission of zoonotic disease and explored the current global capacity for zoonotic disease surveillance.

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