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4 Key Roles for the Department of Defense in Biological Threat Reduction
Pages 95-104

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From page 95...
... government agencies as well as other local partners, can be of significant value in reducing the likelihood of surprises in the form of vulnerabilities and threats, including infectious disease or other political, economic, or social events affecting the security environment, all in a cost-effective manner. • The critical elements of BTRP success are difficult to replicate on a large scale.
From page 96...
... . Detailed analyses of DOD's substantial global health efforts, with a chief focus on infectious disease threats, are recorded in recent reports by the Kaiser Family Foundation (KFF, 2013; Michaud et al., 2012a, 2012b)
From page 97...
... government agencies as well as other local partners, can be of significant value in reducing the likelihood of surprises in the form of infectious disease vulnerabilities and threats or other political, economic, or social events affecting the security environment, all in a cost-effective manner. Numerous opportunities exist for DOD to deter hostilities and contribute to national security and global health, and some are precisely aligned with the work of BTRP, including the following: • Effectively engage military medical expertise in other countries • Draw on U.S.
From page 98...
... government programs in response to emerging threats • Provide funds to implementing agencies • Access funds designated as security-related versus funds allocated for foreign assistance • Respond rapidly to arising global health security needs • Engage with partner countries through sustained scientific programs Given these opportunities, it seems very likely that BTRP will continue to play important roles in identifying and rapidly responding to emerging biological threats, especially when they threaten the stability of local and regional partners, and have potential to impact the United States. BTRP must anticipate the complex array of diverse, modern biological threats and have the latitude to partner with other U.S.
From page 99...
... In addition, some of these diseases could be highly contagious and/or resistant to current treatment, given the increasing threat of antimicrobial resistance around the world. Moving personnel in and out of regions of disease endemicity puts the homeland at risk from highly contagious viruses, which might affect human or animal populations, either of which could have devastating effects on the economy.
From page 100...
... diplomatic corps, and less directly, the locally resident American population most of whom travel back to the United States on a regular basis and represent potential microbial transport hosts. It was evident in the West Africa Ebola outbreak that the repatriation of a small number of known infected American residents represented a grave and possibly disruptive concern to many communities, even though highly effective precautions against secondary transmission were in place.
From page 101...
... . If BTRP can encourage sharing of data, whether with the United States or with WHO or with the World Organisation for Animal Health, BTRP will enhance the likelihood that the international community can engage to help countries respond and more rapidly control an outbreak.
From page 102...
... Effective engagement skills are essential for BTRP professionals who interact with counterparts from foreign governments on biosecurity concerns, and such skills need to be a critical part of the hiring/assignment process. There is an increasing number of infectious disease outbreaks occurring worldwide (e.g.
From page 103...
... The critical elements of BTRP success are difficult to replicate on a large scale; just hiring contractors and providing a project budget is insufficient. Appropriate diplomacy and an understanding of human relations significantly improves the likelihood of successful initiatives.
From page 104...
... government as a whole, host governments, and international partners. FINDING 7.3: Using the integrated view of biological threats and threat reduction, the U.S.


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