The United States National Biosurveillance Strategy is the plan to implement a biosurveillance system that will monitor and interpret data that might relate to disease activity and threats to human or animal health – whether infectious, toxic, metabolic, and regardless of intentional or natural origin – in order to achieve early warning of health threats, early detection of health events and overall situational awareness of disease activity.[1]
Types of data collection
It is debated whether is it better to engage in a “more data, faster is better” approach or whether it would be more effective to pursue fewer but more meaningful data streams.[2] Some of the things that will be monitored are counts of clinical diagnoses, sales of over-the-counter remedies, and school absentees among select age groups.[3]
Proposed plan
The Department of Homeland Security laid out the plan for the national biosurveillance system. They stated that an effect surveillance system relies on five key principles that are generally applied to public health and medical preparedness. The first is being prepared for all potential catastrophic health events; the second is having vertical and horizontal coordination among all levels of government; the third is having a regional approach to health preparedness; the fourth is the engagement of the private sector, academia, and other nongovernmental entities; the fifth is the important roles of individuals, families, and communities.[4] The biosurveillance program must be nationwide, robust, and integrated with international disease systems in order to provide early warning and ongoing characterization of disease outbreaks in real-time.[5] The system must be sufficiently able to identify a specific disease and its prevalence in varying populations and environments and must be able to tailor the analysis to new diseases.[1] The system should create a networked system to allow for two-way information flow between and among Federal, State, and local government public health authorities and clinical health care providers.[1] The system shall build upon existing Federal, State, and local surveillance systems where they exists and should enable and provide incentive for public health agencies to implement surveillance systems where they do not exist.[1]
References
- 1 2 3 4 Bush, George W. "Homeland Security Presidential Directive." National Security Presidential Directives (2001).
- ↑ Nuzzo, Jennifer B. "Developing a national biosurveillance program." Biosecurity and Bioterrorism 7.1 (2009): 37-38.
- ↑ Burkom, Howard S., et al. "Role of data aggregation in biosurveillance detection strategies with applications from ESSENCE." Morbidity and Mortality Weekly Report (2004): 67-73.
- ↑ Diamond, Carol C., Farzad Mostashari, and Clay Shirky. "Collecting and sharing data for population health: a new paradigm." Health affairs 28.2 (2009): 454-466.
- ↑ Bush, George W. The national security strategy of the United States of America. Wordclay, 2009.
United States biological defense program |
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| Organizations | Federal administrative | | DHS |
- DHS Chemical and Biological Defense Division
- DHS Office of Health Affairs (National Biosurvelliance Integration Center, BioWatch)
- National Biodefense Analysis and Countermeasures Center
- National Bio and Agro-Defense Facility
- National Bioforensic Analysis Center
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| DNI |
- National Counterproliferation Center (Advisory Committee on Bioterrorism)
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| DHHS | |
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| DoD |
- Assistant SECDEF for NCB Defense Programs
- Defense Threat Reduction Agency
- Global Emerging Infections Surveillance and Response System
- Joint Program Executive Office of Chemical and Biological Defense (JPEO-CBD)
- National Center for Medical Intelligence
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Federal research | Trans- departmental | |
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| Military |
- U.S. Army Medical Research Institute of Infectious Diseases
- Defense Advanced Research Projects Agency
- Edgewood Chemical Biological Center
- Dugway Proving Ground
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| Civilian | |
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| Response | |
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Non- governmental | Academic centers and think tanks |
- Johns Hopkins Center for Health Security (formerly Center for Biosecurity)
- Henry L. Stimson Center
- Center for Advancing Microbial Risk Assessment
- Center for Biodefense and Emerging Pathogens (Brown University)
- Middle-Atlantic Regional Center of Excellence for Biodefense and Emerging Infectious Diseases Research
- Center for Biodefense Immune Modeling (University of Rochester)
- Johns Hopkins Center for Civilian Biodefense Strategies
- National Center for Biodefense and Infectious Diseases (NCBID; George Mason Univ.)
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Government contractors |
- Battelle Memorial Institute
- SRI International
- Idaho Technology
- Phoenix Air
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Programs and projects | | Threat reduction |
- Nunn–Lugar Cooperative Threat Reduction Program, implemented the Defense Threat Reduction Agency and Biological Threat Reduction (DoD) plus
- Project Bacchus
- Project Clear Vision
- Project Jefferson
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| Biosurveillance | |
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| Biosecurity/Biosurety | |
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| Medical intelligence | |
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| Disaster response |
- National Response Framework of the National Strategy for Homeland Security (DHS; including NIMS and ICS)
- National Disaster Medical System (DHHS)
- Strategic National Stockpile (CDC, DHS)
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Technology and equipment | | Protection | |
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| Detection |
- Cell CANARY
- Biological Materials MASINT
- Autonomous Pathogen Detection System
- Joint Biological Agent Identification and Diagnostic System (JBAIDS)
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| Biocontainment | |
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| Law | | Treaties |
- Geneva Protocol (1925, 1975)
- Statement on Chemical and Biological Defense Policies and Programs (1969)
- Biological Weapons Convention (1972)
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| Legislation | |
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International representation |
- Global Health Security Initiative
- Global Partnership Against the Spread of Weapons and Materials of Mass Destruction
- United Nations Security Council Resolution 1540 (2004)
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| History | Past biological incidents | |
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Defunct organizations and programs |
- United States Army Medical Unit
- United States biological weapons program
- Sunshine Project
- Aeromedical Isolation Team (DoD)
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| Related topics |
- Agro-terrorism
- Biodefense
- Biosecurity in the United States
- Biological agent
- Biological hazard
- Biological warfare (BW)
- Biosurveillance
- Bioterrorism
- CBRN defense
- Decontamination
- Entomological warfare
- Isolation (health care)
- Select agent
- Smallpox virus retention debate
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