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APEC EMERGING INFECTIONS NETWORK

Network of Networks Meeting

Executive Summary by Dr. Ann Marie Kimball,
Director APEC–EINet; Professor & Director, Community Medicine, School of Public Health and Community Medicine, University of Washington

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Seattle, Jan. 30, 2002

Executive Summary

In response to the APEC Leaders Summit Declaration of October 2001, the first APEC network of networks meeting was convened in Seattle, Washington from January 28㪶, 2002. Participants from 14 APEC economies attended this initial meeting. A total of 17 countries were represented in the group. The objectives of this meeting were:

1) To promote collaboration among existing disease alert and surveillance electronic networks in the Asia Pacific with the eventual goals of:

– Enhancing geographic coverage of communications about infectious disease
– Assuring accuracy and completeness of content about emergent infectious disease
– Reinforcing timeliness of information access about epidemic disease activity in the region

2) To explore potential corporate partnerships for the realization of objective 1 in the region

The meeting agenda is included as Attachment 1.

The participants were unanimous in their desire to continue their own involvement in the APEC process of developing a collaborative association of disease networks in the regions. They also recommended in plenary that APEC convene a ministerial meeting of health ministers to more fully translate the APEC strategy operationally for governments and other groups working in the region. In addition, there is a consensus that financing for any new initiatives should not come from precious national health budgets within the region. The meeting was most successful at increasing communications among networks and users present at the meeting, introducing the participants to new information resources and spurring the participants to explore new technologies.

The meeting was well attended throughout; a participants list is included as Attachment 2. The three day meeting consisted of plenary presentations, round table thematic work groups and plenary synthesis sessions. An agenda is included. A systematic evaluation of the meeting was carried out through survey of attendees.

The roundtable sessions were one of the most highly rated sessions among participants. The four themes discussed were 1) The prioritization of urgent information across networks 2)The assurance of accuracy and quality of information 3) The opportunities and obstacles presented to electronic networking by the diverse nature of national information infrastructure in the region. 4) The need to incorporate distance learning more effectively into the work of disease information networks. Full descriptions of the themes to be discussed were sent to all participants prior to the meeting, and participants were assigned to roundtables in accordance with their stated preferences. Technical papers were circulated as background to these discussions.

The thematic work groups provided concrete guidance for further development of the network collaboration. The World Health Organization (WHO) is coincidentally discussing prioritizing urgent information. The working group concurred with the basic WHO criteria for use in the region, but emphasized the importance of timely reporting of man–made events and consideration of economic trade and travel impacts. The group also recommended that the region work together to inventory networks and assure the authoritative sources of information in the region. The second thematic working group identified gaps in infrastructure to support information/communications that were both technical (biomedical) and political. This group recommended that successful examples of networking be documented and shared in the region to provide models. The group further expressed need for access and training in the technical tools/software for enhanced online communications. It was also recognized that a stronger link between networks and government would be useful to Ministries of Health. The area of accuracy and control echoed the need for additional biomedical/surveillance technical support in standardization of surveillance reporting. This group also expressed the need to consider some kind of external documentation of performance or review of networks on issues of quality and accuracy.

Finally the need for training in surveillance, outbreak investigation and informatics and computing was a theme that ran throughout all four group discussions. The fourth group recommended a systematic inventory of distance learning resources in health available in the region. This will allow for targeted efforts to address the areas of need in technical training within APEC.
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The meeting was financially supported by the U.S. Government with funding from the Department of State, the Department of Health and Human Services and the Department of Defense through a Centers for Disease Control and Prevention cooperative agreement. Technical partners included WHO regional offices (SEARO,WPRO, PAHO and Headquarters), the South Pacific Commission, the Centers for Disease Control and Prevention, the Global Emerging Infections Surveillance project of the Department of Defense and the University of Washington.




Revised:
04–Oct.�
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