SARS: International Coordination

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SARS International Coordination and
Collaboration James W. LeDuc, Ph.D. Director,
Division of Viral and Rickettsial Diseases
National Center for Infectious DiseasesCenters
for Disease Control and Prevention
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International SARS Response
COORDINATION of response and resources COLLABORATI
ON in science COMMUNICATION with global
community CAPACITY building and response
preparedness CHALLENGES and lessons learned
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International SARS Response
COORDINATION of response and resources COLLABORATI
ON in science COMMUNICATION with global
community CAPACITY building and response
preparedness CHALLENGES and lessons learned
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CDC SARS Investigation 2003
May 1, 2003
CDC
NCID
DVRD
NCID EOC Liaison
OD/OTPER/EOC
OD/OC/ECS
Infectious Disease Pathology Activity
Respiratory and Enteric Viruses Branch
Special Pathogens Branch
Response Teams
Clinical and Infection Control
Global Migration and Quarantine
Laboratory
Epidemiology
Information Technology
Special Investigations
Team B
Team P
International / WHO
Occupational Health
Communications
Community Outreach
Environmental
Field Teams
Canada
Thailand
Vietnam
Domestic
Singapore
China
Taiwan
Hong Kong
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CDC International Response Personnel
total days
staff deployed
Country
696
30
Taiwan
498
17
China
226
10
Vietnam
137
5
Singapore
103
9
Canada
4
98
The Philippines
88
6
Hong Kong
60
4
Thailand
33
4
Switzerland
15
1
Cambodia
2
Laos
5
92 deployments
 
84 personnel 1959 days ( 7.8 work-years)

totals
6 staff members deployed to 2 or more countries
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CDC International Response Expertise
84 personnel
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International SARS Response
COORDINATION of response and resources COLLABORATI
ON in science COMMUNICATION with global
community CAPACITY building and response
preparedness CHALLENGES and lessons learned
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Global SARS Response Laboratory
WHO - Global network of 11 leading
laboratories, secure website, conference
calls - Coordination of specimen
acquisition - Facilitate rapid identification of
causative agent, development of diagnostic
tests CDC - Specimen transport and
processing - gt3000 intl specimens processed
from 27 countries - Key role in virus
isolation, characterization and diagnostic
test development and deployment
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CDC SARS Response Reagents
CDC shipments of SARS diagnostic materials to
national and international academic centers,
commercial companies, and governmental agencies
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CDC SARS Response Lab Capacity

International Recipients of SARS diagnostic
materials
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International SARS Response
COORDINATION of response and resources COLLABORATI
ON in science COMMUNICATION with global
community CAPACITY building and response
preparedness CHALLENGES and lessons learned
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Global SARS Response Communications

• WHO - Secure GOARN website
• - WHO SARS website with daily updates
• - WHO global conference calls
• - CDC-DHHS-WHO video conferences
• CDC - Public Response Hotline (phone calls,
  emails, clinician hotline)
• - Daily response team briefings and
  regularly scheduled conference calls
• - SARS satellite broadcasts
• - SARS page on CDC website

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CDC SARS Response Communications

• News media calls handled
  10,166
• News releases issued 12
• Live telebriefings/news conferences 21
• Health care responder conference calls 30
• Public Response Hotline
• 34,229 phone calls answered
• 3,557 emails answered
• 2,017 physician hotline calls answered
• 3 SARS satellite broadcasts gt1.9 million
  participants
• CDC SARS website 17 million page views
• (3.8 million for April 20-26)

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International SARS Response
COORDINATION of response and resources COLLABORATI
ON in science COMMUNICATION with global
community CAPACITY building and response
preparedness CHALLENGES and lessons learned
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CDC SARS Response Outbreak Preparedness Guidance

• Surveillance and reporting
• Diagnosis
• Infection control
• Travel advisories and health alerts
• Exposure management in health-care settings, the
  workplace, and schools
• Biosafety, environmental sampling, clean up
• Specimen handling, collection, and shipment
• Information for U.S. citizens living abroad and
  for international adoptions

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http//www.cdc.gov/ncidod/sars/
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International SARS Response
COORDINATION of response and resources COLLABORATI
ON in science COMMUNICATION with global
community CAPACITY building and response
preparedness CHALLENGES and lessons learned
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Global SARS Response Lessons
Resources Magnitude of response need and
financial burden shortage of available skilled
responders critical contribution of in-place
personnel, epi/surv networks, local/national
partnerships Laboratory Logistics of specimen
collection, transport, processing technical
challenges around new pathogen Communications
Need for accurate, consistent, timely information
in a rapidly changing environment Capacity
building Need for well validated diagnostics
training infection control expertise Politics
WHO/CDC response to Taiwan coordinating role of
WHO importance of existing networks and
partnerships