Beruflich Dokumente
Kultur Dokumente
Asia:EmergingInfectiousDiseases
Sophal
Ear,Ph.D.
AssistantProfessor
NavalPostgraduateSchool
16July2011
Disclaimer:Materialcontainedhereinismadeavailableforthepurposeofpeerreviewanddiscussionand
doesnotnecessarilyreflecttheviewsoftheDepartmentoftheNavyortheDepartmentofDefense.
First,whatarenontraditional
securitythreats?
Contents
1.
TheProblems
2.
Timeline Context
3.
IndonesiaCaseStudy
4.
CambodiaCaseStudy
5.
H1N1
6.
Conclusion
MyriadProblems
Poortononexistent
surveillance
Poordiagnostic
laboratorycapability
Disincentivestoreport
Viralsovereignty
(Indonesia)
Page213:
In2006,Indonesiaclaimedviral
sovereignty
oversamplesof
H5N1collectedwithinitsborders
andannouncedthatitwouldnot
sharethemuntiltheWHOand
developedcountriesestablished
anequitablemeansofsharingthe
benefits(e.g.,vaccine)thatcould
derivefromsuchviruses.
Page3:
inthepoorestcountries
percapitaexpenditureonall
aspectsofhealthcare[is]3%
expenditureinhighincome
countries staffinover90%
notfamiliarwithquality
assuranceprinciples more
than60%oflaboratory
equipmentisoutdatedor
notfunctioning
August2001report
2010
[F]rom
myownexperiencesincountries(
CentralAsia,SoutheastAsia,India,SubSaharan
Africa)Ibelievethestatushasnotchanged
muchfromthedateofthe
[2001GAO]
report.
DirectorofLaboratorySystemsDevelopmentata
majorAmericanuniversity
TimelineContext
HumanPandemicFluTimeline
Spanish(H1N1)HKfluH3N2HPAIH5N1H7N2H7N3H10N7
DownsideofGlobalization:
GlobalReachofDiseases
QualityofHealthCare,2002
H5N1:HighlyPathogenicAvianInfluenza
IndonesiaCaseStudy
AfterFOUR
decades,the
NavalArea
Medical
Research
Unit2
(Namru2)is
kickedoutof
Indonesia
AndallbecauseofoneMinister?
AndallbecauseofoneMinister?
Maybenot.
Maybenot.
IssuesRaisedinIndonesia
CambodiaCaseStudy
Luckyguy,thankstoNamru2...
H5N1AnimalOutbreaks20042008
2008
2007
2006
2005
2004
2007
2006
2005
2008
H5N1HumanVictims20052008
IssuesRaisedinCambodia
Goal:reducepandemicpotentialthatcould
strikedonorcountriesthemselves
Butlet
Butlet
sendwherewestarted,with
sendwherewestarted,with
IndonesiaandCambodia
IndonesiaandCambodia
Dateline:11April2010
Namru2Jakartaisshutting
down.Ihavebeenvery
sad.NotonlybecauseI
amlosingmyjob,but
morethanthat,Indonesia
willloss[sic]an
establishedlaboratory
researchcoz[sic]of
politicalreasons
SeniorIndonesianscientist
Churchill
Theendorthebeginning?
25June2010:Directorof
Namru2PhnomPenhsteps
down
FormerNamru2Jakarta
CommandingOfficerwasto
headNamru2PhnomPenh
(butdidnotendupthere)
Awarenessofissuesbothin
IndonesiaandCambodiafor
whereverNamru2endsup.
Thankyou.Questions?
Thankyou.Questions?