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NonTraditionalSecurityThreatsinSoutheast

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?

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