Cablegate: U.S. Centers for Disease Control and Prevention (U. S.

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RHEHNSC/NSC WASHDC
RUCNARF/ASEAN REGIONAL FORUM COLLECTIVE
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RHMFIUU/CDR USPACOM HONOLULU HI//J00/J2/J3/J5//

UNCLAS SECTION 01 OF 02 BEIJING 002703

HHS FOR OGHA/MONOHAN AND PASS TO OGHA/MILLER
CDC ATLANTA FOR COGH, AND PASS TO BLOUNT, KELLY, DOWELL, SIMONE,
BULL, AND DEVIER
STATE FOR EAP/CM, OES/PCI, AND OES/IHB

SENSITIVE
SIPDIS

E.O. 12958: N/A

TAGS: PREL SENV TBIO SOCI CH APER
SUBJECT: U.S. CENTERS FOR DISEASE CONTROL AND PREVENTION (U. S.
CDC) PARTNERSHIP ACTIVITIES WITH SHANGHAI CENTER FOR DISEASE CONTROL
AND PREVENTION

Refs: http://www.cdc.gov/cogh/dgphcd/fetp.htm

1. (U) Summary: The Centers for Disease Control and Prevention (U.S.
CDC) within the U.S. Department of Health and Human Services (HHS)
and the Shanghai Center for Disease Control and Prevention (Shanghai
CDC) are collaborating on preparations for the World Expo 2010,
including, developing a health security action plan and establishing
a Shanghai Center for Field Epidemiology. This is the first direct
sub-national collaboration for the U.S. CDC. Uniquely, this
collaborative model only requires direct costs for each partner
versus the traditional model of U.S. Government technical and
financial assistance for cooperative projects. This will help
facilitate mutual technical exchange between the two agencies. As
the Chinese Government increases funding for improved public health
capacity, we expect to expand this partnership model. End Summary.

U.S. CDC technical assistance to Shanghai CDC for World Expo 2010
public health preparedness
--------------------------------------------- ------

2. (U) Shanghai estimates 70 million visitors (60 million Chinese
and 10 million foreigners) from approximately 190 countries and
territories are expected to visit Shanghai, China for the World Expo
2010 from May 1 to October 31, 2010. In order to best prepare public
health measures during the World Expo, the Shanghai CDC requested,
in July 2008, assistance from experts at U.S. CDC to help develop a
health security action plan. A Public Health Safety Action Plan was
developed and a variety of technical assistance activities occurred
over the past year to meet defined needs. In addition, U.S. CDC in
China hired an All-hazards coordinator to help meet China's growing
demand for emergency preparedness technical assistance.

June 2008 Joint CDC-Shanghai CDC Needs Assessment Conclusions
---------------------------------------

3. (U) In June 2008, a team of fourteen U.S. CDC experts from its
headquarters in Atlanta, Georgia and the U.S. Embassy, Beijing - CDC
Section, conducted a needs assessment with Shanghai CDC. This
assessment determined the primary threats to and preparedness
measures needed for a safe and healthy World Expo 2010. During this
session, an action plan was prepared. It included capacity building
activities on the following topics:
* Risk assessment for man-made disasters and natural disasters;
* Emergency preparedness and response including incident command
systems;
* Risk communication and communication strategies;
* Food safety field investigation and response;
* Surveillance systems for communicable and non-communicable
diseases;
* Immunization strategies;
* Environmental health issues; and,
* Program monitoring and evaluation.

Development of Shanghai Center for Field Epidemiology
--------------------------------------------- ------

4. (U) Shanghai CDC and U.S. CDC are establishing a Shanghai Center
for Field Epidemiology. This center will follow the general model
of the Field Epidemiology Training Programs (FETPs) developed by the
U.S. CDC and exemplified by the domestic Epidemic Intelligence
Service training program. FETPs are currently active in 35
countries including China. The U.S. CDC has also helped 24 country
FETPs transition into self-sustained programs worldwide.

5. (U) Pending the availability of funds in fiscal year (FY) 2010

BEIJING 00002703 002 OF 002

and Chief of Mission approval, the U.S. CDC will assign an expert
advisor to support the Shanghai Center for Field Epidemiology to
help develop the FETP. In June, 2009, several experts from U.S. CDC
including the All-hazards emergency coordinator in China attended a
meeting in Shanghai to develop program plans. Shanghai CDC has
dedicated donations from the private sector totalling 5 million RMB
($735,000) for the first three years' cooperation for the Shanghai
Center for Field Epidemiology. A draft three year action plan has
already been developed and is under review by partners. The first
three cohorts (one hundred officers) have been tested and selected
from different level CDCs in Shanghai. They likely will start their
training in early 2010. The first cohort officers are expected to
be responsible for public health security during the 2010 World
Expo.

Current Status of Activities
--------------------------------------------- ------

6. (U) To date, the following activities have occurred through
Shanghai CDC and U.S. CDC collaboration:
* June 30, 2008 cooperation planning meeting
* August 24, 2008 Foodborne disease training in Atlanta
* August 24 - December 15 (various dates) Public health surveillance
training
* September 22-23, 2008, Emergency communication strategy
assessment
* October 13, 2008, The public health consequences of disasters and
tragedy response training
* October 17, 2008 Cooperation planning meeting
* October 28-30, 2008 Monitoring and evaluation training
* November 20-21, 2008, Risk communication and media preparedness
training
* December 03-10, 2008, Public health emergency response and
management training
* December 15, 2008, Data analysis training
* January 6-8, 2009, Communication message mapping training
* March 31 April 1, Outbreak investigation training
* April 20-21, 2009 Cooperation review and planning meeting
* June 21-26, 2009 Shanghai FETP planning meeting
* August 17-21, 2009 Food safety field investigation training;
* September 8-10, 2009 Shanghai delegation visited U.S. CDC to sign
the Shanghai Center for Field Epidemiology agreement, toured U.S.
CDC's Emergency Operations Center and laboratories, and invited U.S.
CDC Director, Thomas R. Frieden to visit Shanghai.

Future Activities:
* October 2009, second round assessment and training for
All-hazards;
* November 2009, Shanghai CDC invites U.S. CDC experts and leaders
to visit Shanghai discussing future cooperation;
* November 2009, Shanghai Center for Field Epidemiology opening
ceremony;
* March 2010, Shanghai will host the 5th International Environmental
and Occupational Health Conference, U.S. CDC is invited to co-host.

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