APEC EINet APAN 2006 Singapore 19 July 2006

APEC EINet APAN 2006 Singapore 19 July 2006 Louis Fox Vice Provost & Research Professor, University of Washington

APEC Emerging Infections Network (EINet): Who We Are n n n Founded 1996 APEC-approved project based at the University of Washington in Seattle, USA. Dedicated in providing timely information on emerging infectious diseases (EID’s) in the Asia Pacific. Our goal is to promote collaboration to enhance bio-preparedness in the APEC region.

APEC EINet: What We Do Information provision: Provide timely, accurate, and reliable EID information through EINet’s electronic Newsbriefs and Alerts to enhance bio-preparedness in the Asia Pacific. n n Biweekly Newsbriefs / Alerts when necessary EID News, Updates on major EID’s, Newly published articles on EID’s, and Notifications regarding EID-related events and conferences 1. Email: Subscription at no cost (N>650) 2. Enhanced Website: all information archived n Rapid browse/search capability n Email/print articles of interest n Top 10 most read/emailed/printed articles

Newsbrief Quick Links • Most Emailed • Most Viewed • Current Newsbrief • Browse Newsbriefs • Search Newsbriefs • Subscribe/Unsubscribe Vol. VIII, No. 21 ~ EINet News Briefs ~ Oct 21, 2005 *****A free service of the APEC Emerging Infections Network***** APEC EINet News Briefs offers the latest news, journal articles, and notifications for emerging infections affecting the APEC member economies. It was created to foster transparency, communication, and collaboration in emerging infectious diseases among health professionals, international business and commerce leaders, and policy makers in the Asia-Pacific region. In this edition: 1. Infectious Disease News - Romania/Turkey: Chronology of Avian influenza events; response to avian influenza outbreaks. . . - South East Asia: Cumulative number of human cases of avian influenza A/(H 5 N 1) - Viet Nam: Case of H 5 N 1 virus drug resistance - Russia: Avian influenza confirmed in Kurgan; H 5 N 1 confirmed in Tula - China: Reports avian influenza outbreak in Inner Mongolia - Thailand: First human avian influenza death in 2005. . . - USA (Minnesota): 3 additional cases of polio virus infection - USA/Thailand: Thailand lifts US beef ban. . . 2. Updates - Cholera, diarrhea & dysentery - Dengue. . . 3. Articles - Identifying pediatric age groups for influenza vaccination using a real-time regional surveillance system - Norovirus outbreak among evacuees from Hurricane Katrina--Houston, Texas, September 2005. . . 4. Notifications - Partners meeting on avian influenza and human pandemic influenza - Fifth international conference on emerging infectious diseases. . . 5. APEC EINet activities - Pandemic influenza preparedness and response: Information sharing through a virtual symposium

APEC EINet: How We Work Collaborative Research & Partnerships: Work with partners to improve regional biopreparedness. n n n Inter-economy: Across APEC economies Inter-agency: Trade/Business and Public health Inter-disciplinary: Network community and Public health Mitigate threat of emerging infectious diseases by enhancing collaboration, communication, and transparency. Enhance Communication Enhance Collaboration Enhance Bio-preparedness

APEC EINet: Model and Goal EINet Rumor Surveillance Timely and accurate information Enhanced Bio-preparedness

Case Study: Tsunami Disaster in South/South. East Asia, Dec 2004

Rapid Notification: EINet on Heightened Surveillance n n n Sun 26 Dec 2004 (27 Dec 2004 PST): Tsunami Disaster in South/South-East Asia. Wed 29 Dec 2004: APEC EINet emails and posts on website ALERT I. Threat of infectious diseases recognized early. Fri 31 Dec 2004: ALERT II—Provide official URL’s with specific disease information. Include note on low risk of infectious disease transmission from cadavers to relay reliable, evidence-based risk information. Wed 4 Jan 2005: ALERT III—Report first potential outbreak news in India and Sri Lanka. Continued follow-up of tsunami through biweekly EINet Newsbriefs. Similar timely Alerts provided during Hurricane Katrina disaster and recent Avian Influenza activity

Collaboration: Partners in Tsunami Response n n n Email communication with Ministry of Health and other agencies in Southeast and East Asia. Videoconference with Hawaii’s Tripler Army Medical Center regarding possible Civil-Military collaborations. Teleconference with “Uplift International”-NGO with longstanding ties to Indonesian medical community and the UW-regarding potential development of on-site response capabilities.

Select Recent EINet Alerts 1. 2. 3. 4. Feb 25, 2005: Avian Influenza ALERT—e. g. International meeting on avian influenza calling for more vigorous control. Jun 3, 2005: Avian Influenza ALERT—e. g. special Nature edition urging world to take pandemic threat seriously; Pigs could be infected with avian flu virus without showing signs. Sep 2, 2005: Hurricane Katrina ALERT with important EID information and websites. Oct 28, 2005: Avian Influenza ALERT—e. g. Roche limits Tamiflu shipments to prevent hoarding; EU bans imports of captive live birds from third countries; FAO to help Indonesia fight avian flu.

APEC EINet: How Are We Doing? Preliminary evaluations

Recent EINet website statistics Daily Avg Month Hits Visits May 4233 1551 May 48, 089 Apr 3988 1426 Mar* 3900 1546 Feb 2655 668 Jan 2080 549 Dec ‘ 05 1790 393 Nov ‘ 05 1968 253 Feb 131, 23 0 119, 65 1 120, 91 9 74, 363 Jan 64, 487 17, 020 Apr Mar* 42806 47, 937 18, 725 Dec ‘ 05 55, 510 12, 184 * Presentations from Virtual Symposium uploaded on EINet website Nov ‘ 05 59, 040 7, 606

EINet Website statistics: Jul 05 – Jun 06

Usage by Country and US (Sector), Ranked, June 2006 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. US Commercial Unresolved/Unknown Network Netherlands France US Educational Czech Republic United Kingdom Canada Australia 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. Non-Profit Organization Thailand Singapore US Government Malaysia Chinese Taipei US Military Italy Germany Japan European visitors increasing with global reach of avian influenza

APEC EINet: What Else We Do Provision of Online resources: n n n Course materials on EID: “Emerging Infections of International Public Health Importance” Quick link to all APEC member Ministry of Health websites Research resources (by disease topic, library search links) EINet team’s recent publications, presentations, etc. And more…

Pandemic Influenza Preparedness and Response: Information Sharing through a Virtual Symposium Start Video

Visit EINet at: http: //depts. washington. edu/einet Questions? apecein@u. washington. edu THANK YOU!