GLOBAL HEALTH By Maressa Rodgers

Goal Improve public health and strengthen U.S. national security through global disease detection, response, prevention, and control strategies. Why is it important to the U.S.? The U.S. should enhance the global capacity for responding to infectious disease threats Promote health abroad, prevent international spread of disease and protect U.S. population Minimize the interruption of world wide travel and trade Why is it important to me? If more countries had better health capacities, the burden of disease would decrease. The U.S. should use some of our resources to help other countries

HEALTHY PEOPLE 2020 GH-3 Increase the number of Global Disease Detection Regional Centers worldwide to detect and contain emerging health threats GH-4 Increase the number of health professionals trained by Global Disease Detection programs world GH-5 Increase diagnostic testing capacity in host countries and regionally through Global Disease Detection Regional Centers

HEALTHY PEOPLE bjectives GH-3 Increase the number of Global Disease Detection Regional Centers worldwide to detect and contain emerging health threats Baseline 7 Global Disease Detection Regional Centers world wide were active in 2009 Target 18 centers Method: Maintain consistency with national programs, regulations, policies, and laws.

HEALTHY PEOPLE bjectives GH-4 Increase the number of health professionals trained by Global Disease Detection programs world Baseline 37,221 public health professionals had been trained by GDD programs by 2009 Target 300,000 public health professionals Method: projections or trend analysis

HEALTHY PEOPLE bjectives GH-5 Increase diagnostic testing capacity in host countries and regionally through Global Disease Detection Regional Centers Baseline 156 tests had been established or substantially improved by Global Disease Detection programs by 2009 Target 1,000 tests Method: projections or trend analysis

HOW BAD IS IT? 80% of WHO member states were not able to meet the IHR capacity requirement in 2012 (U.S. DHHS) Gaps in health research in low and middle income countries Still in the early stages of how to identify, target, and affect factors that are important for building health capacities We have the technology to track disease, but we have not started tracking what can help prevent or control disease Bad enough.

INDUSTRIALIZED LOW-MID INCOME United States Indonesia Population: million Health Workforce: 12,219,330 professionals Public health: 350,000 (2012) Hospitals: 5,686 Research Centers: 92 Disease Detection Centers: 1 (CDC) Population: million Health Workforce: 335,275 professionals Public Health: 16,632 professionals (2009) Hospitals: 235 Research Centers: Unknown Disease Detection Centers: 0 domestic 1 CDC branch works in conjunction with Indonesian Ministry of Health CDC Branch residents from FETP 0Mtg.%20Country%20Report%202008%20-Healthy%20Next%20Generation- /Indonesia.pdf COMPARISON

GLOBAL CAPACITY MAPPING Project Surveillance Information System Works in conjunction with a GIS application in communicable and non communicable diseases The map will have real-time data that tracks Health Capacity Inventory Will require ratification from WHO member states and a revision to the International Health Regulations New information system that can change e-health

GLOBAL CAPACITY MAPPING Project Capacity Inventory to be tracked Disease Detection Regional Centers Health Professionals in the DDCs Tests per DDC Epidemiological focus on a global scale Interested in applying epi methods to track the health indicators that influence health outcomes (tracking capacity inventory) Interested in using data from the mapping system to respond to regional health issues Features a global needs assessment for monitoring and surveillance purposes