1. Maxine Hayes, MD, MPH State Health Officer Washington State Department of Health Shoreline Community College April 6, 2011

2. What is the relationship between global changes and local public health concerns and services in Washington State?

3. Travel time from North America to anywhere in the world is less than the incubation period for nearly all infectious diseases

4.  Bugs rule!  People, politics, policies  Commerce and trade  Natural and man made disasters  Ecological changes due to the environment  Agricultural practices

5.  Movement of disease vectors  Emerging/reemerging infectious disease  Antimicrobial resistance  Vaccine preventable disease outbreaks  Food supply chain

6. Peanut Butter and Pistachios

8. Surveillance: the linchpin to conquering emerging, reemerging threats

9. Policy decisions in a variety of areas worldwide

11. Commit to practicing public health without borders

12. Change thinking from “think global/act local” to “think and act local and global” - “GloCal”

13. It’s a small world after all!