Connecting Health Organisations for Infectious Disease Surveillance (CHORDS)

1. Connecting Health Organisations for Infectious Disease Surveillance (CHORDS) Terence Taylor Vice-President Global Health and Security NTI 11 August 2009

2. Bellagio Conference 3 to 5 December 2007 Twenty-three experts and representatives from infectious disease surveillance networks in Africa, the Americas, Asia, Europe and the Middle East

3. Bellagio Conference AIM • To share best practices and lessons learned • To recommend action required to advance the global capacity for public health surveillance

4. Their recommendations were delivered in the Bellagio "Call for Action" Bellagio “Call for Action”

5. Connecting Health Organizations for Regional Disease Surveillance (CHORDS) • An international group of experts committed to enacting the Bellagio “Call for Action”

6. CHORDS Goal Enhance the global capacity for infectious disease surveillance with a special focus on supporting nascent infectious disease surveillance networks

7. CHORDS Objectives • Form a global community of practice • Harness experience of surveillance experts in animal, human, and agricultural sectors for collaborative interactive problem solving

8. CHORDS Objectivescontinued… • Drive connectivity and increase shared knowledge • Assist countries to meet legal obligations under IHR 2005 • Make recommendations and generate support to sustain or create networks

9. Why make global connections? • Compelling economic, security and humanitarian interests in global health security • Collaboration across borders is the most effective way to deal with: • Spatial scale and ecologic transmission dynamics • Diversity and quality of data sources (traditional, non-traditional and unstructured data) • Harmonized protocols (laboratory, investigation, risk communication)

10. Why make global connections? Continued… • Collaboration between regions is the most effective way to advance health security in shorter time… 4.Timely information exchange 5. Shared technologies innovation 6. Trust and commitment 7. Legal requisites 8. Shared bio-surveillance initiatives

11. CHORDS Structure • International Steering Committee • Partnership Group • Thematic Groups (3) • Governance of a network • Human Resource and Laboratory Capacity • Information and Communication Technologies

12. CHORDS Process • Enlist representatives from existing networks, and experts in epidemiology and health informatics • Convene new actors, planned networks • Use Knowledge Management (KM) tools • One year, culminating event March 2010

13. Thematic Group #1Governance • Components of a Model network: legal structure, secretariat, communication • Features of Sustainability • Analytic comparison of networks

14. Mekong Basin Region • Cambodia • China • Lao PDR • Myanmar • Thailand • Vietnam

15. Mekong Basin Disease Surveillance Network (MBDS) • Initiated 1999 by Ministries of Health of Cambodia, China, Lao PDR, Myanmar, Thailand and Vietnam MBDS Executive Board Rotating Chair Collaboratives Academia + MBDS Secretariat Country Coordinators Development Partners Local/Provincial Coordinating Team Local/Provincial Coordinating Team Local/Provincial Coordinating Team Local/Provincial Coordinating Team

16. Middle East Consortium for Infectious Disease Surveillance (MECIDS)

17. MECIDS Governance Structure MECIDS Executive Board Israel, , Jordan, Palestine Rotating Chair Collaborative Partners Development Partners Development Partners Secretariat Jerusalem and Amman Country Coordinator Israel Country Coordinator Jordan Country Coordinator Palestine

18. Southern African Centre for Infectious Disease Surveillance • Democratic Republic of Congo • Mozambique • South Africa • Tanzania • Zambia

19. SACIDS Governance Structure Secretariat Sokoine University Morogoro, Tanzania Executive Director Medical Epidemiologist Centre For Infectious Disease Surveillance DRC Centre For Infectious Disease Surveillance Mozambique Centre For Infectious Disease Surveillance South Africa Centre For Infectious Disease Surveillance Tanzania Centre For Infectious Disease Surveillance Zambia

20. Thematic Group #2Human Resource and Laboratory Capacity • Frontline workforce (epidemiologic and laboratory) development and misdistribution • Cross border surge, human-animal interface • Rapid diagnostics in low resource settings • Standardized lab protocols

21. Thematic Group #3 ICT • Smart infrastructure • More appropriate bio-surveillance tools • Early warning data, sharing of data • Standardized coding of data • Geospatial modeling of data • Unstructured data

22. Aligned with other initiatives • CDC Global Disease Detection (GDD) • Qatar Declaration • International Health Regulations (2005) • Millennium Goals • UN Secretary-General’s Biotechnology Initiative

23. International Leadership • Strengthen health systems and policies to promote security • Coordinate animal-human disease surveillance and response across borders • Build capacity, detect, diagnose, contain • Global partnership for development • Less duplication, saved resources • Build trust, equity • Provide bridging activities for peace

24. CHORDS Conference Fondation Mérieux's Les Pensières conference center, France 17-19 March 2010

25. North-East Asia – North Korea • MDR TB • Incidence Rate twice that in neighbouring countries • Better Diagnostics

26. Global Health and Security Initiative NTI 1747 Pennsylvania Ave NW Suite 700 Washington, DC 20006 +1 202-296-4810 www.ghsi.org Twitter: nti_ghsi