Progress and Opportunities for Strengthening Global Health Security

Ten years of global disease detection and counting: program accomplishments and lessons learned in building global health security

“…In 2004, the U.S. Congress authorized funding for CDC to establish the GDD program [8]. Using existing research infrastructure developed as part of CDC's International Emerging Infectious Diseases Program, the GDD program was developed to "promote global health security by building capacity to rapidly detect and contain emerging health threats [8,11,12]. Since its inception, the GDD program has held a broader more cross -cutting mandate than previous CDC programs.…”

Lessons Learned in Global Health Security Implementation

“…This Supplement continues the emphasis of earlier supplements facilitated by CDC, adding to the global health security evidence base. [9][10][11] Three main themes resonate from the articles in this Supplement: (1) effective partnerships are critical for attaining and sustaining progress; (2) global public health and local public health are inextricably linked; and (3) progress in global health security requires having metrics that are monitored, reported regularly, and continuously evaluated. These themes also are articulated in some of the core principles of the GHSA, as outlined in the GHSA 2024 Framework.…”

“…In summary, because the primary aim of global health security is built on a foundation of sustainability, partnerships are critical. [2][3][4][5][9][10][11][12]27 Global health security aims to not only build partnerships, but also to facilitate the development of partnerships across stakeholders, from the national to the local level. [2][3][4][5][9][10][11][12]27 This supplement provides lessons learned on the value of effective partnerships and reveals opportunities for new partnership development.…”

Building Laboratory-Based Arbovirus Sentinel Surveillance Capacity During an Ongoing Dengue Outbreak, Burkina Faso, 2017

“…23 Burkina Faso has committed to the Global Health Security Agenda (GHSA), which was launched in 2014 to accelerate compliance with the 2005 International Health Regulations (IHR). 24,25 As such, Burkina Faso receives technical and financial support from the US Centers for Disease Control and Prevention (CDC) and other global partners to strengthen capacity to prevent, detect, and respond to public health threats, including diseases that cause AFI. GHSA support has included establishing a Severe Acute Respiratory Illness (SARI) laboratory-based sentinel surveillance system, piloting an innovative system for transporting specimens using the National Society for Postal Services (SONAPOST) from health facilities to the reference laboratory, and enhancing diagnostic capacity at the National Reference Laboratory for Viral Hemorrhagic Fevers (NRL-VHF).…”

“…While there is historic evidence of dengue endemicity in Burkina Faso, 8,11,13,[26][27][28][29][30][31][32][33] recent case surveillance and laboratory testing confirmed dengue circulation. [24][25][26][27] Although dengue reporting was not compulsory, during a dengue outbreak in 2016, a total of 1,947 suspected dengue cases were identified, of which 1,327 (78%) were positive by rapid diagnostic test (RDT), and additional laboratory testing of 35 patient specimens found 19 (54%) confirmed DENV infections using RT-PCR: 11 were DENV-2, 6 were DENV-3, 2 were nontypeable, and 1 was a DENV-2/ DENV-3 co-infection. 34 Beginning in August 2017, dengue cases were again identified in Burkina Faso, and on September 28, the Burkina Faso Ministry of Health (MOH) declared a dengue epidemic.…”