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Biological and Chemical Weapons

Public Health and Global Security 

Recent outbreaks of emerging infectious diseases in the U.S. -- including SARS, West Nile, and monkeypox -- highlighted the need to equip public health systems for the unexpected.  Both deliberately and naturally occurring epidemics pose a threat to global, domestic, and human security, and demand similar tools:

  • An effective disease surveillance system to detect outbreaks;
  • Valid medical countermeasures to diagnose, treat, or prevent diseases;
  • Tested and transparent plans for responding to outbreaks of highly contagious diseases, including the capacity to treat or vaccinate large numbers of patients;
  • A stable workforce of highly trained public health professionals.

Emerging and re-emerging diseases, whether due to newly recognized pathogens or the collapse of public health measures in failed states, represent only one aspect of the global disease burden.  In the U.S. alone, the Centers for Disease Control and Prevention estimate that 36,000 people die each year from the complications of influenza, and 5000 more from food-borne illnesses.  Infectious diseases have an even more devastating impact in the developing world,   High levels of child mortality due to infectious diseases, many of them preventable with available vaccines or simple water and sanitation improvements, continue to erode national stability.   In nations with a high prevalence of HIV, between 10 and 60% of military recruits may be HIV-positive, a burden which destabilizes regional military balances and fosters quick spread of the epidemic during deployments.  Endemic diseases, which occur naturally and regularly in specific areas, still cause unthinkable mortality and misery each year.

Leading causes of disease  Deaths in 2002
Respiratory diseases 3.9 million
HIV/AIDS 2.9 million
Diarrheal diseases 2.0 million
Tuberculosis 1.6 million
Malaria 1.1 million
Measles 0.7 million

Source:  World Health Organization, 2002

The Center's program in global public health examines both the logistics of disease prevention and response -- including disease surveillance and vaccine capacity -- and governance mechanisms to control and eradicate outbreaks.