Bureau of Public Affairs
December 12, 2006
United States International Engagement on Avian and Pandemic InfluenzaPDF version
An Update of this document is located at http://www.state.gov/r/pa/scp/88620.htm and is dated
T he U.S. Government is concerned about the ongoing outbreaks of avian influenza in birds and the potential of a human influenza pandemic that could have major global health, economic, and social consequences. For this reason, it has allocated more than $6 billion in emergency funding to address the threat of avian and pandemic influenza domestically and internationally.
The United States is working with countries and international organizations around the world to prepare for and respond to the threat of influenza to animals and humans. President Bush announced the International Partnership on Avian and Pandemic Influenza during the UN General Assembly in September 2005. The goals of the partnership include:
The partnership first met in Washington, D.C. in October 2005 to set the agenda, define goals, and marshal resources for the international effort. The second meeting, held in Vienna , Austria in June 2006, attended by 93 countries and 20 international and regional organizations, assessed progress and challenges and outlined future plans. The Partnership will continue to meet as necessary.
As of December 2006, the United States has pledged $434 million to support international efforts along three pillars: preparedness and communication, surveillance and detection, and response and containment. We are working to strengthen international organizations' capacity to address the threat as well as directly supporting efforts in at least 70 nations. The following are highlights of actions taken by the U.S. Government to meet the global challenges of avian influenza or the emergence of other highly infectious diseases.
Preparedness and Communication
The United States is supporting preparedness efforts in at least 53 countries in collaboration with the World Health Organization (WHO), the Food and Agriculture Organization (FAO), the World Organization for Animal Health (OIE), and other international and in-country partners.
U.S. Government agencies, including the Departments of Agriculture (USDA), Health and Human Services (HHS), Interior, and Defense, as well as the U.S. Agency for International Development (USAID), have deployed scientists, veterinarians, public-health experts, physicians, and emergency response teams to affected and high-risk countries to assist in the development and implementation of emergency preparedness plans and procedures for the response to avian and pandemic influenza.
Under the auspices of the Security and Prosperity Partnership, the United States is collaborating closely with Canadian and Mexican counterparts to develop a comprehensive North American Plan for Avian and Pandemic Influenza. The U.S. also works through the Asia Pacific Economic Cooperation forum and other regional partnerships to strengthen preparedness.
The United States is supporting communications and public awareness activities in at least 73 countries through HHS, USDA and USAID to generate awareness about avian influenza and to promote healthy behavior and practices to reduce the risk of disease transmission. These messages are geared toward audiences ranging from the general public to high-risk groups, such as poultry farmers.
Surveillance and Detection
The United States is supporting efforts to improve animal and human disease surveillance systems, capacity for detection and laboratory diagnosis, and early-warning networks in at least 39 countries , and is working with its partners to expand on-the-ground surveillance capacity and improve knowledge about the movement and changes in H5N1 avian influenza on a global scale. This includes support for upgrading and improving national and regional laboratories as well as sample collection and shipping to ensure countries are able to quickly confirm the presence and nature of detected H5N1 virus.
In 2004, the United States launched the Influenza Genome Sequencing Project to track genetic changes in viral strains. As of November 2006, genome sequences of 1,695 human and avian influenza isolates have been made publicly available.
HHS has provided funding to WHO to strengthen its Global Outbreak and Response Network (GOARN) to support surveillance and response in nations worldwide and established a fund to ensure that laboratory specimens are shipped in a timely way to reference laboratories for further diagnostic work and confirmation .
USAID and the Centers for Disease Control and Prevention (CDC) of HHS launched the Global Avian Influenza Network for Surveillance (GAINS) project in 2006 to increase the availability of scientific information for avian influenza detection and outbreak containment, track genetic changes in virus isolates and share information. The project is being implemented in coordination with USDA and the U.S. Geological Survey.
USDA has trained more than 490 veterinarians and diagnosticians from 96 affected and high-risk countries in veterinary epidemiology and avian influenza diagnostic protocols to support disease surveillance and, when avian influenza cases are confirmed, control measures. USDA also has deployed specialists and provided testing equipment and materials to priority countries to further strengthen diagnostic laboratory capacities for timely detection and confirmation of highly pathogenic avian influenza (HPAI) in animal populations abroad.
Representatives from the United States , Canada and Mexico are coordinating surveillance efforts for the early detection of H5N1 in wild birds of North America through the Trilateral Committee for Wildlife and Ecosystem Conservation and Management.
Response and Containment
With WHO and FAO, the United States is providing training for thousands of policy and technical experts globally who will lead efforts to contain and mitigate the impact of animal outbreaks. For example, USDA and USAID jointly assisted Romania and Nigeria to strengthen and implement their respective national response plans to contain outbreaks and improve response capabilities last year. Over the past year, USAID has trained more than 15,000 animal health workers and 3,000 human health workers in outbreak response.
Since January 2006, USAID has deployed over 200,000 personal protective equipment (PPE) kits to 71 countries for use by responders in the field , including surveillance workers and outbreak response teams . USAID is pre-positioning PPE kits, decontamination kits, and laboratory kits in 20 countries in anticipation of new avian influenza outbreaks. Commodities have also been provided to HHS and USDA operations, the FAO, Pan American Health Organization (PAHO) and host country agriculture and health ministries. A stockpile of antiviral medications has been positioned in Asia for potential use in the event of a pandemic outbreak.
In cooperation with WHO, U.S. experts have participated in investigations into human cases of H5N1 in affected countries. The U.S. is also providing substantial assistance for influenza containment activities in 28 countries that have experienced animal outbreaks , in cooperation with the FAO and OIE.
The United States has provided expertise and funding for the establishment of the FAO-OIE Crisis Management Center to facilitate its ability to mount and coordinate an international rapid response to avian influenza animal outbreaks worldwide, integrated with human surveillance efforts in conjunction with WHO. Through the FAO-OIE Center , USDA has deployed specialists on rapid-response missions to Sudan and Ivory Coast . The U.S. Department of Defense is planning military-to-military training and exercises, and is assisting other countries in developing military preparedness and response plans.
United States Pledges
The U.S. contribution of $334 million was the largest cash pledge among bilateral donors at the Beijing donors' conference in January 2006, where the global community pledged $1.9 billion to combat avian and pandemic influenza worldwide. By December 2006 the U.S. pledge had been increased by $100 million, for a total of $434 million. Our contribution is being used for overseas programs to:
The $434 million pledged by the United States is going to a variety of activities to prevent and respond to avian and pandemic influenza threats, including the following: