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CIDRAP- CDC head: Global disease threats call for better tools

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  • CIDRAP- CDC head: Global disease threats call for better tools

    Source: http://www.cidrap.umn.edu/news-persp...l-better-tools

    CDC head: Global disease threats call for better tools
    Filed Under:
    Public Health
    Lisa Schnirring | Staff Writer | CIDRAP News
    |
    Sep 10, 2013

    Global patterns of people, food, and medication that flow easily alongside elusive pathogens create a perfect storm that poses enormous public health challenges, such as two new viruses identified in China and the Middle East, a top US health officials said today.

    Tom Frieden, MD, MPH, director of the US Centers for Disease Control and Prevention (CDC), said in a speech before the National Press Club in Washington, DC, that the new H7N9 avian flu virus detected in China earlier this year is a good example of the emerging risk.

    Scientists are now identifying one new infectious disease each year, such as Middle East respiratory syndrome coronavirus (MERS-CoV), he said. And, on an average day, one new investigation is launched to explore a possible new threat.

    Using a "cough heard around the world" theme, Frieden outlined other key infectious disease threats, including drug-resistant tuberculosis, healthcare-associated infections (HAIs), including carbapenem-resistant enterobacteriaceae, and potentially lethal bioweapon attacks, such as with Bacillus anthracis, which causes anthrax.

    "We are all connected through the air that we breathe," Frieden said, noting that influenza is one of the main infectious diseases that keep public health officials awake at night. "There?s nothing that kills as many people as influenza."

    Though health officials are making good use epidemiologic investigations and current technology to detect and quash disease outbreaks, the process could be streamlined with better and faster genome sequencing techniques and tools, Frieden said.

    However, he said funding shortfalls and the anticipated effects of budget sequestration have kept the CDC from investing in advanced molecular detection tools and have kept states, despite improving economies, from hiring back some of the 46,000 public health jobs that were lost over the past 4 years.

    Frieden said another top challenge over the next decade is to strengthen collaboration between healthcare providers and public health, not just to help drive down the number of HAIs, which lead to about 100,000 deaths each year. He said more collaboration between the two groups could also help identify infections that are "hiding in plain sight," such as HIV and hepatitis C, in many patients who are already in the healthcare system.

    In another public health development in Washington, DC, today the White House recognized eight people as public health Champions of Change. One is Marion Kainer, MD, MPH, a physician and epidemiologist with the Tennessee Department of Health who played a key role in identifying the first fungal meningitis infections that were part of a multistate outbreak linked to contaminated steroid injections.

    Frieden said Kainer?s quick work in identifying the outbreak resulted from the good long-standing relationships she's had with the state's healthcare community. The Champions of Change is a weekly program that recognizes people in different fields who spark innovative ideas or initiatives in their fields of expertise.

    In a press release today, Jeffrey Levi, PhD, executive director for Trust for America?s Health (TFAH), said the group is pleased to join the White House in honoring the public health Champions of Change.

    "These leaders are taking innovative approaches to improve the health of people in their communities?and showing real results," Levi said. "Prevention is one of the most common-sense ways we can save lives and reduce healthcare costs, and the efforts of these champions show how to put prevention to work in effective ways."

    See also:

    National Press Club announcement

    White House Champions of Change page

    Sep 10 TFAH statement

  • #2
    Re: CIDRAP- CDC head: Global disease threats call for better tools

    CDC warns of complacency on global health issues

    Flu strains a leading threat

    Phillip Swarts
    The Washington Times
    Tuesday, September 10, 2013

    America is facing a ?perfect storm of vulnerability? for exposure to infectious diseases, making public health efforts more important than ever, the head of the Centers for Disease Control and Prevention warned Tuesday.

    ?There is in some quarters a sense that public health is less and less relevant,? CDC Director Dr. Tom Frieden said during a luncheon at the National Press Club. ?Public health is more needed than ever and has more potential than ever.?

    The successful fight against many infectious diseases can lead to a sense of complacency, Dr. Frieden warned. But the increasing interconnectedness of the world means America is always at risk of being affected by outbreaks in other nations. A lot of food and medication in the U.S. comes from outside its borders, he said, and it only takes one missed diagnosis to unleash an epidemic.

    ?A blind spot anywhere in the world is a risk to us,? Dr. Frieden said. ?A virus anywhere is just a plane ride away.?

    He pointed to the H7N9 strain of the bird flu virus that was diagnosed this year in China. It can be lethal, but the only thing preventing a widespread outbreak is that it doesn?t yet spread from person to person.

    The virus could develop that capability tomorrow ? or never, Dr. Frieden said.

    ?There?s nothing that can kill as many people as influenza,? he said, noting that, on average, about 10,000 Americans die each year from the disease.

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    • #3
      Re: CIDRAP- CDC head: Global disease threats call for better tools

      CDC director: A disease outbreak anywhere is a risk everywhere

      <!--endclickprintinclude--><!--startclickprintexclude--><!--no partner-->By Dr. Tom Frieden, Special to CNN
      updated 7:23 AM EDT, Fri September 20, 2013

      Editor's note: Dr. Tom Frieden is the director of the Centers for Disease Control and Prevention and an expert in internal medicine, infectious diseases, public health and epidemiology.

      (CNN) -- Let me tell you the story of an outbreak that could have happened, and didn't.

      A year ago, a mother traveled to the Democratic Republic of the Congo with the body of her son, who had died suddenly in rural Uganda. She came in contact with many people in her travels and at the funeral.
      She soon died, as did the man who helped transport her and the body of her son.

      What could have gone on to become a major outbreak, killing many people, was stopped because health officials acted quickly.

      Workers in Uganda, trained by the Centers for Disease Control and Prevention, contacted staff at the local plague laboratory. Using a rapid dipstick test, the lab quickly determined that the cause of death was pneumonic plague, one of the world's most deadly diseases.
      Within 12 hours, preventive medicine was provided to more than 130 people who had come in contact with the family. The number of deaths was stopped at three.

      A blind spot anywhere is a risk to us everywhere

      Keeping people safe is the role of public health agencies such as the CDC -- a role that becomes even more important every day. We are all connected by the air we breathe, the water we drink and the food we eat, and the next outbreak may be just a plane ride away.

      The world faces a perfect storm of vulnerability. On average, we identify one previously unknown microbe each year. We're also finding that more and more infections are showing resistance to all available drugs. And the threat exists that sometime, somewhere, someone will unleash a deadly, genetically modified microbe for which we may have no warning and little preparation.

      Since we can't predict where or when the next outbreak will happen, we have to be vigilant at all times.

      More...
      The world faces a perfect storm of vulnerability, Dr. Tom Frieden says. On average, we identify one previously unknown microbe each year.

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