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NSIAD-00-205R 1 (2000-07-20)

handle is hein.gao/gaobaalqg0001 and id is 1 raw text is: I GAO Accountability * Integrity * Reliability United States General Accounting Office National Security and Washington, DC 20548 International Affairs Division B-285759 July 20, 2000 The Honorable Mitch McConnell Chairman The Honorable Patrick Leahy Ranking Member Subcommittee on Foreign Operations Committee on Appropriations United States Senate The Honorable Bill Frist Chairman The Honorable Russell Feingold Ranking Member Subcommittee on Afric an Affairs Committee on Foreign Relations United States Senate Subject: Global Health: Framework for Infectious Disease Surveillance In its simplest terms, public health experts define disease surveillance as the generation of information for action. Infectious disease surveillance provides national and international public health authorities with information that they need to plan and manage efforts to control the diseases. In recent years, public health officials have expressed concern about the adequacy of the global framework for infectious disease surveillance. In 1995 both the World Health Assembly (the governing body of the World Health Organization) and the U.S. National Science and Technology Council determined that, in light of the global public health threat posed by infectious diseases, existing surveillance arrangements could not be considered adequate.' Both organizations, for example, found serious deficiencies in the ability of health systems to diagnose infectious diseases and investigate their sources and modes of transmission. Since then, concern about the 1See World Health Assembly Resolution 48.13, Communicable Disease Prevention and Control: New Emerging and Re-Emerging Infectious Diseases (Geneva: May 12, 1995); and Infectious Disease --A Global Health Threat, Report of the National Science and Technology Council Committee on International Science, Engineering, and Technology Working Group on Emerging and Re-emerging Infectious Diseases (Washington, D.C.: Sept. 1995). GAO/NSIAD-00-205R Global Health

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