Global Disease Detection India Centre National Centre for Disease Control (Directorate General of Health Services) Outline • • • • • Burden of emerging and reemerging infections Revised IHR (2005) GDD Programme Convergence between GDD and IHR Objectives of GDD- India Centre Emerging and Re-emerging infectious diseases • • • • • 1970s: 6 infections emerged 1980s: 9 infections emerged 1990s: 13 infections emerged 2000s: 5 infections emerged 70% of newly recognized (emerging) pathogens are Zoonoses, 23% of these being Vector Borne. Major Factors in Emergence • • • • • • • • Human demographics International travel and commerce Technology and industry Microbial adaptation and change Human encroachment into wilderness areas Agriculture and land use Global climate changes Breakdown of public health infrastructure Revised International Health Regulations (2005) • Need for enhanced national, regional and global public health security. • Revised IHR aims to effectively monitor, report, and respond to any disease threat with the potential to harm the public’s health. Global Responsesto Disease Threats International Health Regulations (2005) New framework for response to public health emergencies of international New framework for response to public health emergencies of international concern (PHEIC)concern • New expectations from all WHO member states • New requirements for those with capacity to help those without (Article 44) 7 Global Disease Detection Program (GDD) • Program for developing and strengthening global capacity to rapidly detect, accurately identify, and promptly contain emerging infectious disease and bioterrorist threats that occur internationally. • GDD is committed to help develop essential detection and control capacities. Program strategy – Surveillance – Outbreak response – Training/building local and regional capacity – Applied research GDD – India Centre • 7th regional GDD centre worldwide. • Mission Address communicable diseases of public health importance including emerging and reemerging infectious diseases. GDD India centre Program strategy – Laboratory strengthening – Surveillance and Outbreak response – Training/building local and regional capacity Global Disease Detection India Centre Priority Laboratory Strengthening Laboratory strengthening for capacity building for detection and monitoring of emerging infectious disease towards developing a public health laboratory system Capacity building and support focus of GDD are Acute Encephalitis Syndrome; Influenza Food borne diseases Other newly emerging diseases in the country The Laboratory Strengthening and Outbreak Detection and Response collaboration Global Disease Detection Priority Surveillance and Outbreak Response Surveillance : Supporting Integrated Disease Surveillance Project (IDSP) Helping meet IHR compliance through rapid response to Public Health Emergency of International Concern (PHEIC) Integration of surveillance and epidemiology; Laboratory confirmation; Deployment and logistics training Global Disease Detection India Centre Priority EIS like training An Epidemic Intelligence Service like programme for training Epidemiologists in India Response to need for strengthening health systems to face the challenge of emerging, re emerging infections, non communicable diseases Residency program analogous to postgraduate medical education For Public Health Officers of Central/ State Govt. and National Health Programme nominees Objectives of EIS like training in India To create highly competent field epidemiologists within the public health sector. To produce a critical mass of graduates that meet national needs for public health officers. Strengthen public health system through rapid outbreak response throughout the country. To facilitate a more integrated approach to public health practice through integration of field and laboratory component Eligibility Criterion MBBS degree; with MD degree in Public Health; or MD degree (Clinical or Para-Clinical) with 2 years experience (Public Health); and Presently working in the Central/ State Govt/ PSUs like ESI, railways, etc/ State/Municipal Corporations/Local Bodies/etc. Eligibility Criterion If there are not enough candidates satisfying 1. 2. 3. above, the following will also considered: MBBS degree with Postgraduate Diploma in Clinical and Para-clinical field and 3 years of public health experience from any recognized institution; or MBBS degree from any recognized institution with five years’ minimum work experience in the area of Public Health; and Presently working in the Central/ State Govt/ PSUs like ESI, railways, etc/ State/Municipal Corporations/Local Bodies/etc. Thankyou