SUSTAINING GLOBAL SURVEILLANCE AND RESPONSE TO EMERGING ZOONOTIC DISEASES Gerald T. Keusch, Marguerite Pappaioanou, Mila C. González, Kimberly A. Scott, and Peggy Tsai, Editors Committee on Achieving Sustainable Global Capacity for Surveillance and Response to Emerging Diseases of Zoonotic Origin Board on Global Health Institute of Medicine Board on Agriculture and Natural Resources Division on Earth and Life Studies THE NATIONAL ACADEMIES PRESS 500 Fifth Street, NW Washington, DC 20001 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. The members of the committee responsible for the report were chosen for their special competences and with regard for appropriate balance. This study was supported by the U.S. Agency for International Development Award No. GHN- G-00-07-00001-00. Any opinions, findings, conclusions, or recommendations in this docu- ment are those of the authors and do not necessarily reflect the views of the organizations or agencies that provided support for the project. Mention of trade names, commercial products, or organizations does not constitute their endorsement by the sponsoring agency. Library of Congress Cataloging-in-Publication Data Institute of Medicine and National Research Council (U.S.). Committee on Achieving Sustainable Global Capacity for Surveillance and Response to Emerging Diseases of Zoonotic Origin. Sustaining global surveillance and response to emerging zoonotic diseases / editors, Gerald T. Keusch ... [et al.] ; Committee on Achieving Sustainable Global Capacity for Surveillance and Response to Emerging Diseases of Zoonotic Origin, Board on Global Health, Institute of Medicine, Board on Agriculture and Natural Resources, Division on Earth and Life Studies. p. ; cm. Includes bibliographical references. ISBN 978-0-309-13734-8 (pbk.) 1. Zoonoses. 2. Public health surveillance. 3. Global health. I. Keusch, Gerald. II. Title. [DNLM: 1. Communicable Diseases, Emerging—prevention & control. 2. Zoonoses— epidemiology. 3. Biosurveillance—methods. 4. Disease Outbreaks—prevention & control. WA 110 I585s 2009] RA639.I57 2009 362.196’959--dc22 2009044034 Additional copies of this report are available from the National Academies Press, 500 Fifth Street, NW, Lockbox 285, Washington, DC 20055; (800) 624-6242 or (202) 334-3313 (in the Washington metropolitan area); Internet, http://www.nap.edu. For more information about the Institute of Medicine, visit the IOM homepage at: www. iom.edu. Copyright 2009 by the National Academy of Sciences. All rights reserved. Printed in the United States of America Front cover, from top: Angus cattle on pasture. Photo by Scott Bauer, courtesy of USDA. Laboratory technician with diagnostic materials at the Washington Animal Disease Diagnos- tic Laboratory. Photo by Charlie Powell. Designation of H1N1 isolate digitally inserted by Photoshop. Researcher administers a new medication for bird flu to a young chicken. Photo by Steve Snowden, courtesy of iStockphoto. Laboratory scientist analyzes data at the Washington Animal Disease Diagnostic Laboratory. Photo by Henry Moore. Back cover, from top: Fruit bat surveillance. Photo courtesy of Wildlife Trust. A young male with a puppy on Independence Day in India. Photo by Jay Graham, courtesy of Photoshare. Deer runs through a suburban neighborhood. Photo by Lillis Photography, courtesy of iStockphoto. A girl carries two lambs in rural Bolivia. Photo by Enriqueta Valdez-Curiel, courtesy of Photoshare. Suggested citation: IOM (Institute of Medicine) and NRC (National Research Council). 2009. Sustaining global surveillance and response to emerging zoonotic diseases. Washington, DC: The National Academies Press. “Knowing is not enough; we must apply. Willing is not enough; we must do.” —Goethe Advising the Nation. Improving Health. The National Academy of Sciences is a private, nonprofit, self-perpetuating society of distinguished scholars engaged in scientific and engineering research, dedicated to the furtherance of science and technology and to their use for the general welfare. Upon the authority of the charter granted to it by the Congress in 1863, the Acad- emy has a mandate that requires it to advise the federal government on scientific and technical matters. Dr. Ralph J. Cicerone is president of the National Academy of Sciences. 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Vest are chair and vice chair, respectively, of the National Research Council. www.national-academies.org COMMITTEE ON ACHIEVING SUSTAINABLE GLOBAL CAPACITY FOR SURVEILLANCE AND RESPONSE TO EMERGING DISEASES OF ZOONOTIC ORIGIN GERALD T. KEUSCH (Co-Chair), Boston University, MA MARGUERITE PAPPAIOANOU (Co-Chair), Association of American Veterinary Medical Colleges, Washington, DC CORRIE BROWN, University of Georgia, Athens JOHN S. BROWNSTEIN, Harvard Medical School, Boston, MA PETER DASZAK, Wildlife Trust, New York CORNELIS de HAAN, The World Bank (retired), Washington, DC CHRISTL A. DONNELLY, Imperial College London, United Kingdom DAVID P. FIDLER, Indiana University, Bloomington KENNETH H. HILL, Harvard University, Cambridge, MA ANN MARIE KIMBALL, University of Washington, Seattle RAMANAN LAXMINARAYAN, Resources for the Future, Washington, DC TERRY F. McELWAIN, Washington State University, Pullman MARK NICHTER, University of Arizona, Tucson MO SALMAN, Colorado State University, Fort Collins OYEWALE TOMORI, Redeemer’s University, Ogun State, Nigeria KEVIN D. WALKER, Michigan State University, East Lansing MARK WOOLHOUSE, University of Edinburgh, United Kingdom Study Staff KIMBERLY A. SCOTT, Study Director PEGGY TSAI, Program Officer MILA C. GONZÁLEZ, Research Associate SARAH JANE BROWN, Senior Program Assistant JULIE WILTSHIRE, Financial Officer PATRICK W. KELLEY, Director, Board on Global Health ROBIN A. SCHOEN, Director, Board on Agriculture and Natural Resources v BOARD ON GLOBAL HEALTH1 RICHARD GUERRANT (Chair), University of Virginia School of Medicine, Charlottesville JO IVEY BOUFFORD, New York Academy of Medicine, New York CLAIRE V. BROOME, Emory University, Atlanta, GA JACQUELYN C. CAMPBELL, Johns Hopkins University, Baltimore, MD THOMAS J. COATES, University of California, Los Angeles VALENTIN FUSTER, Mount Sinai School of Medicine, New York SUE GOLDIE, Harvard University, Boston, MA PETER J. HOTEZ, George Washington University, Washington, DC GERALD KEUSCH, Boston University, MA MICHAEL MERSON, Duke University, Durham, NC FITZHUGH MULLAN, George Washington University, Washington, DC PHILLIP RUSSELL, Johns Hopkins University, Baltimore, MD âIOM boards do not review or approve individual reports and are not asked to endorse conclusions and recommendations. The responsibility for the content of the report rests with the authoring committee and the institution. vi BOARD ON AGRICULTURE AND NATURAL RESOURCES NORMAN R. SCOTT (Chair), Cornell University, Ithaca, NY PEGGY F. BARLETT, Emory University, Atlanta, GA ROGER N. BEACHY, Donald Danforth Plant Science Center, St. Louis, MO HAROLD L. BERGMAN, University of Wyoming, Laramie RICHARD A. DIXON, Samuel Roberts Noble Foundation, Ardmore, OK DANIEL M. DOOLEY, University of California, Oakland JOAN H. EISEMANN, North Carolina State University, Raleigh GARY F. HARTNELL, Monsanto Company, St. Louis, MO GENE HUGOSON, Minnesota Department of Agriculture, St. Paul KIRK C. KLASING, University of California, Davis VICTOR L. LECHTENBERG, Purdue University, West Lafayette, IN PHILIP E. NELSON, Purdue University, West Lafayette, IN ROBERT PAARLBERG, Wellesley College, Watertown, MA KEITH PITTS, Marrone Bio Innovations, Davis,