Excerpt

This summary is organized as a topic-by-topic description of the presentations and discussions from the workshop. The purpose is to present lessons from relevant experience, delineate a range of pivotal issues and their respective problems, and put forth some potential responses as described by the workshop participants. The Summary and Assessment discusses the core messages that emerged from the working group discussions. Chapter 1 summarizes the presentations and discussions related to the increasing cross-border and cross-continental movements of people, products, pathogens, and power, and how these affect the emergence and spread of infectious diseases. Chapter 2 provides a summary of the presentations and discussions that revolved around the changing global landscape and how this could exacerbate the emergence and global spread of infectious diseases. Chapter 3 focuses on the opportunities and obstacles surrounding the global application of knowledge, tools, and technology that result from increasing globalization. Chapter 4 summarizes the means by which sovereign states and nations must adopt a global public health mind-set and develop a new organizational framework to maximize the opportunities and overcome the challenges created by globalization and build the necessary capacity to respond effectively to emerging infectious disease threats.

Contents

• The National Academies
• Forum on Microbial Threats
• Board on Global Health
• Reviewers
• Preface
• Acknowledgments
• Summary and Assessment
  • THE PAST, PRESENT, AND FUTURE OF THE GLOBALIZATION OF INFECTIOUS DISEASE
  • A WORLD IN MOTION
  • EXAMINING THE CONSEQUENCES
  • OPPORTUNITIES AND OBSTACLES
  • FRAMEWORK FOR PROGRESS
  • REFERENCES
• 1. A World in Motion: The Global Movement of People, Products, Pathogens, and Power
  • THE MOVEMENT OF PEOPLE
  • GLOBAL DEMOGRAPHIC TRENDS
  • THE MOVEMENT OF VECTORS
  • THE MOVEMENT OF FOOD
  • THE MOVEMENT OF CAPITAL
  • THE MOVEMENT OF DECISION-MAKING POWER
  • THE GEOGRAPHIC EVOLUTION OF HIV/AIDS
  • REFERENCES
• 2. Examining the Consequences: A Changing Landscape
  • ECONOMIC GAPS, GLOBAL DISCONTENT, COMMUNAL CONFLICT, AND FORCED MIGRATION
  • SURVEILLANCE OF MOBILE POPULATIONS
  • FOODBORNE AND TRADE-RELATED INFECTIOUS DISEASE SURVEILLANCE
  • INCREASED BIODEFENSE SPENDING: OPPORTUNITIES AND CONCERNS
  • EFFECTS OF THE DISSOLUTION OF THE FORMER SOVIET UNION ON PUBLIC HEALTH IN RUSSIA
  • THE EXPERIENCE OF THE EUROPEAN COMMUNITY
  • REFERENCES
• 3. The Global Application of Knowledge, Tools, and Technology: Opportunities and Obstacles
  • TRANSNATIONAL PUBLIC HEALTH TRAINING PARTNERSHIPS
  • REGIONAL EFFORTS TO TAKE ADVANTAGE OF GLOBAL OPPORTUNITIES
  • DRUG AND VACCINE ACCESS AND DELIVERY IN THE DEVELOPING WORLD
  • OPPORTUNITIES FOR AND OBSTACLES TO GLOBAL SURVEILLANCE
  • INFORMATION AND COMMUNICATIONS TECHNOLOGY
  • REFERENCES
• 4. Creating a Framework for Progress
  • THE CHANGING PERCEPTION OF INTERNATIONAL HEALTH
  • INCREASED FUNDING FOR GLOBAL INFECTIOUS DISEASE CONTROL: SOURCES AND CONCERNS
  • THE ROLE OF PUBLIC–PRIVATE PARTNERSHIPS
  • THE NEED FOR A NEW, GLOBAL LEGAL FRAMEWORK
  • THE NEED FOR A SOCIAL SCIENTIFIC FRAMEWORK FOR UNDERSTANDING INFECTIOUS DISEASE EMERGENCE
  • REFERENCES
• Appendixes
  • Appendix A Agenda
  • Appendix B International Law, Infectious Diseases, and Globalization
  • Appendix C Changing Vector Ecologies: Political Geographic Perspectives
  • Appendix D Social Aspects of Public Health Challenges in Period of Globalization: The Case of Russia

Support for this project was provided by the U.S. Department of Health and Human Services’ National Institutes of Health, Centers for Disease Control and Prevention, and Food and Drug Administration; U.S. Agency for International Development; U.S. Department of Defense; U.S. Department of State; U.S. Department of Veterans Affairs; U.S. Department of Agriculture; American Society for Microbiology; Burroughs Wellcome Fund; Pfizer; GlaxoSmithKline; and the Merck Company Foundation. The views presented in this report are those of the editors and attributed authors and are not necessarily those of the funding agencies.

NOTICE: The project that is the subject of this report was approved by the Governing Board of the National Research Council, whose members are drawn from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine.