Document Detail

Building public health capacity in Afghanistan to implement the International Health Regulations: a role for security forces.
MedLine Citation:
PMID:  20825338     Owner:  NLM     Status:  MEDLINE    
The government of Afghanistan, with international partners and donors, has achieved substantial public health improvements during the past 8 years. But a critical gap remains: capacities to detect and respond to disease outbreaks that could constitute a public health emergency of international concern, as required by the International Health Regulations (IHR). The Afghan Ministry of Public Health seeks to build these capacities, but conflict and scarcity of resources hinder public health surveillance and response, diagnostic laboratory and clinical management capacity is limited, and massive international population movements could permit outbreaks to cross international borders. Several diseases covered by the IHR, such as polio, are endemic in Afghanistan, and risk of novel disease emergence may be elevated in some areas. The security forces of the United States and other countries with military presence in Afghanistan are potential partners for the government of Afghanistan in strengthening the public health capacity. They could extend specialized disease surveillance and response capabilities to the Afghan military and civilian sectors and could integrate surveillance and response capacity building into ongoing development programs, especially in insecure areas. The World Health Organization could provide the forum for coordinating military and civilian contributions to public health capacity strengthening in Afghanistan and could help ensure that international health sector development efforts address Afghan public health priorities in addition to IHR requirements.
Jean-Paul Chrétien; Samuel L Yingst; Donald Thompson
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Biosecurity and bioterrorism : biodefense strategy, practice, and science     Volume:  8     ISSN:  1557-850X     ISO Abbreviation:  Biosecur Bioterror     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-09-09     Completed Date:  2011-01-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101156085     Medline TA:  Biosecur Bioterror     Country:  United States    
Other Details:
Languages:  eng     Pagination:  277-85     Citation Subset:  IM    
Division of Preventive Medicine, Walter Reed Army Institute of Research , Silver Spring, Maryland, USA.
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MeSH Terms
Communicable Diseases
Emigration and Immigration
Government Regulation*
Health Plan Implementation / organization & administration*
Military Personnel
Population Surveillance
Professional Role*
Public Health Administration*
Risk Assessment
Security Measures*

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