Perspectives on the Department of Defense Global Emerging Infections Surveillance and Response System A Program Review (2001) / Chapter Skim
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Executive Summary
Executive Summary
Pages 1-18
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strategic plan for addressing emerging infectious diseases, a World Health Organization (WHO) resolution calling for strengthened infectious disease surveillance and response capabilities, and a formative National Science and Technology Council (NSTC)
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agencies and international partners have taken many steps to achieve the goals of the directive and, more generally, to address global emerging infectious disease priorities. The DoD Global Emerging Infections Surveillance and Response System (GEIS)
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THE STUDY The committee that prepared this report, the Committee to Review the Department of Defense Global Emerging Infections Surveillance and Response System, was convened at the request of GEIS management to evaluate the progress of the nascent GEIS. This committee's task was defined as follows: The committee will assess the extent to which the strategic plans of the five Department of Defense Global Emerging Infections System laboratories appropriately address the surveillance needs for the identification and tracking of emerging infectious disease in their respective locations.
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Army Medical Research Unit, Kenya; the Naval Health Research Center,5 San Diego, California; and the U.S. Army Medical Research Institute of Infectious Diseases, Washington, D.C.
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SUMMARY CONCLUSIONS GEIS is an appropriate DoD response to Presidential Decision Directive NSTC-7 and to the threat posed to national security by emerging infectious diseases. The goals of GEIS are in U.S.
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Recommendation: The implementation of GEIS at all five overseas research laboratories and within the MHS service hubs should be coordinated by dedicated, on-site GEIS program managers who possess expertise and experience in applied epidemiology and the practice of public health. · Many of the facilities that are implementing GEIS projects lack an adequate number of staff possessing sufficient epidemiological expertise.
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· Current GEIS infectious disease-related training efforts (e.g., the Overseas Medical Research Laboratory Orientation Training Program) are laudable, but they are modest relative to the needs of the DoD and its public health partners and to the potential contributions of GEIS.
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and the CDC, need to be expanded and more closely coordinated to encourage joint planning and shared project implementation with these agencies. GEIS needs to have an identity within the global public health community such that when new initiatives related to global infectious disease surveillance and response activities are being considered by governmental and nongovernmental agencies, the potential usefulness of GEIS is considered by outside partners.
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These steps are needed to ensure that new systems and techniques contribute optimally to GEIS, to the DoD, and to global emerging infectious disease surveillance efforts. Recommendation: Novel surveillance systems and techniques, though potentially an important part of GEIS, should be thoroughly evaluated and plans for their development and use should be clearly defined before substantial GEIS investments in their implementation are made.
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1 1 tJ Recommendation: Consideration should be given to revising the GEIS project review and approval process so that review and approval of GEIS projects is part of a more formally structured process based on a set of guidelines and timelines that are clearly understood by GEIS consortium members that includes input from individuals who represent various disciplines and interests. · Apart from the formal project review and approval process, Central Hub senior management staff need to make additional periodic visits to the respective laboratory facilities to provide project guidance and to assess needs for assistance and opportunities for collaboration.
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Between June and October 2000, teams of two to three committee members each visited Naval Medical Research Center Detachment, Peru; Naval Medical Research Unit 2, Indonesia; the Armed Forces Research Institute of Medical Sciences, Thailand; Naval Medical Research Unit 3, Egypt; and the U.S. Army Medical Research Unit, Kenya.
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