Workshop summary : Infectious disease prioritization for multijurisdictional engagement at the United States southern border region
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Workshop summary : Infectious disease prioritization for multijurisdictional engagement at the United States southern border region

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      The first of two purposes of the two-day Infectious Disease Prioritization Workshop was to identify and prioritize endemic and emerging infectious diseases in the US southern border region of mutual concern to US federal and state partners. Diseases to be considered were those that can be introduced and amplified, or cause an outbreak, because of movement of people, products, or animals between the United States and Mexico. The second purpose was to develop plans to address gaps in surveillance, response, or other relevant activities for the prioritized diseases. This initiative followed the One Health Zoonotic Disease Prioritization Process, a mixed methods prioritization process developed by the US Centers for Disease Control and Prevention (CDC).

      During a pre-workshop webinar, representatives from US federal agencies and from state and local public health agencies within the southern border states reviewed, discussed, and agreed on an initial list of 20 infectious diseases to go through the prioritization process. These diseases were drawn from a larger list developed during previous border health initiatives. During the workshop, representatives defined criteria for prioritization, developed questions to characterize each disease by the criteria, and assigned weights to each criterion. Using this semi-quantitative process, followed by a qualitative review for final ranking, participants identified four infectious diseases or disease groupings as priorities. The workshop identified preliminary recommendations for potential collaborative actions, with further discussion during three post-workshop webinars. The resulting prioritized infectious diseases for the US southern border region are tuberculosis, Aedes mosquito-transmitted arboviral diseases (dengue, chikungunya, Zika), enteric diseases (Vibrio spp., Listeria monocytogenes, nontyphoidal Salmonella (NTS), Brucella spp.), and rickettsioses (R. rickettsii, R. typhi, R. parkeri).

      Working to control infectious diseases in a border region requires international collaboration and communication. While this disease prioritization initiative established a portfolio of mutual US state and federal domestic infectious disease priorities for the purposes of joint action and focus, many of the prioritized diseases are also being addressed as shared US-Mexico interests. Next steps will involve binational forums and activities. If the disease prioritization initiative moves the border health agenda forward, such an approach could be useful in a binational context.

      This report was authored by CDC, with input from Arizona Department of Health Services, California Department of Public Health, New Mexico Department of Health, Texas Department of State Health Services, and other participating health departments.


      CS 321518-A

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