The great lakes border health initiative
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The Great Lakes Border Health Initiative. presented DATE to GROUP NAME. What is GLBHI?. A collaborative effort between jurisdictions in the U.S. & Canada to enable infectious disease surveillance and facilitate communication. Who is GLBHI?. History of GLBHI. Before 2004. History of GLBHI.

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The Great Lakes Border Health Initiative

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The great lakes border health initiative

The Great Lakes Border Health Initiative




What is glbhi

What is GLBHI?

  • A collaborative effort between jurisdictions in the U.S. & Canada to enable infectious disease surveillance and facilitate communication

Who is glbhi

Who is GLBHI?

History of glbhi

History of GLBHI

  • Before 2004

History of glbhi1

History of GLBHI

  • Before 2004

History of glbhi2

History of GLBHI

  • Now

History of glbhi3

History of GLBHI

  • 2004

    • Early Warning Infectious Disease Surveillance

    • Michigan and Ontario

    • Border Health Initiative

  • 2005

    • New York, Wisconsin, Minnesota

    • Great Lakes Border Health Initiative

History of glbhi4

History of GLBHI

  • 2006

    • MI-HAN enrollment: Ontario

    • Ohio

  • 2007

    • Epi-X enrollment: Ontario

    • Pennsylvania & Indiana

History of glbhi5

History of GLBHI

  • 2008

    • CIOSC enrollment: United States



About the committees

About the Committees

  • Members include:

    • State/Provincial representatives

    • Local public health representatives

    • Tribal/First Nations representatives

    • Federal representatives

  • US/Canadian co-chairs

  • Scheduled to meet monthly to bi-monthly

About the steering committee

About the Steering Committee

  • Members

    • Co-chairs of subcommittees

    • State/Provincial leads

    • Other key representatives

  • Directs the actions of the subcommittees

    • Tasks determined by grant agreement

  • All participating organizations represented

  • About the lab subcommittee

    About the Lab Subcommittee

    • Routine surveillance sharing

    • Lab capabilities

    • Sharing of protocols

    • Exploring import-export permits from CDC & PHAC

    About the legal subcommittee

    About the Legal Subcommittee

    • Data Sharing Agreement

    • Evaluates privacy laws and policies of potential new partner states

    • Provides legal counsel for other committees as issues/questions arise

    About the food protection defense subcommittee

    About the Food Protection & Defense Subcommittee

    • Newest subcommittee

    • Currently working to establish relationships and communications channels between critical partners

    About the ph communication subcommittee

    About the PH Communication Subcommittee

    • Communication links & tools

      • Communication Guideline

      • Communication System Matrix

      • Reportable Disease List

    • Epi-X & CIOSC enrollment exchange

    About the ad hoc subcommittees

    About the Ad hoc Subcommittees

    • Education & Training

    • Emergency Response

    • Direct Care

    Tools for collaboration

    Tools for Collaboration

    • Face-to-face meetings

    • Communication pathways

      • Federal

      • Local/Regional

    • Data Sharing Agreement

    • Infectious Disease Emergency Communications Guideline

    Infectious disease emergency communications guideline

    Infectious Disease Emergency Communications Guideline

    Idecg decision tree

    IDECG Decision Tree

    Idecg decision tree1

    IDECG Decision Tree

    Idecg decision tree2

    IDECG Decision Tree

    • Might the event have a serious public health impact across the border?

      • Event due to unknown agent with unpredictable public health impact

      • Event due to known agent with the following factors:

        • Unusual disease pattern

        • Previously eradicated agent

        • Known agent, but new for the geographical region

        • Potential to cause epidemic, even if no or few human cases are being identified

        • Indication of treatment failure

        • Known potential to cause severe illness

      • Accidental or intentional release of dangerous, banned or restricted chemical or radioactive agent

    Idecg decision tree3

    IDECG Decision Tree

    Idecg decision tree4

    IDECG Decision Tree

    • Is there significant risk of international spread?

      • Evidence of epidemiological link to similar events in other countries

      • Need to alert in regard to the potential for cross border movement of the agent, vehicle or host

      • Cross border assistance is needed to detect, investigate, respond and control the current event, or prevent new cases.

      • Inadequate human, financial, material or technical resources

    Idecg decision tree5

    IDECG Decision Tree

    Idecg decision tree6

    IDECG Decision Tree

    • Might international travel or trade restriction be necessary?

      • Similar events in the past have resulted in international restriction on trade and/or travel across the border

      • The source is suspected or known to be a food product, water or any other goods that might be contaminated that has been exported/imported across the border

      • The event might have occurred in association with an international gathering

      • The event has caused requests for more information by cross border officials or media

    Emergency contacts

    Emergency Contacts

    State maps

    State Maps

    Immediately notifiable diseases

    Immediately Notifiable Diseases

    • Epi-developed list

    • “Pick up the phone and call now” diseases

    • Trumps the Decision Tree

    Immediately notifiable diseases1

    Immediately Notifiable Diseases

    Data sharing agreement

    Data Sharing Agreement

    Data sharing agreement1

    Data Sharing Agreement

    • Ratified by all GLHBI partners

    • All states vetted by Legal Subcommittee prior to Steering Committee approval

      • Privacy laws and policies

    Glbhi directory

    GLBHI Directory

    • For non-emergency usage

    • State, local, federal and tribal contacts

    • Available by request

    Glbhi website

    GLBHI Website


      • Overview of GLHBI

        • Explanation

        • Brochure

        • Poster

    Glbhi website1

    GLBHI Website


      • Tools for Border Health

        • Important Documents, Best Practices & Helpful Resources

        • Related Organizations

        • Local Travel Resources for Americans and Canadians

        • International Travel Resources for Americans and Canadians

    Glbhi website2

    GLBHI Website


      • News & Updates

        • GLBHI Calendar

        • GLBHI annual conference presentations available online

        • Other important reports and happenings

        • GLBHI News & Updates Archive

    Recent future efforts

    Recent & Future Efforts

    • Learning from the past:

      • Historical mapping of regional influenza progression

    • Functionally exercising an infectious disease emergency in the GLBHI region

    • Pursuing northern border consistency

    • Continuing quality improvement of tools/systems

    • Long-term strategizing


    Michigan GLBHI Contacts


    Diane Krueger, Project Coordinator

    [email protected]


    Carol Somers, Support Staff

    [email protected]


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