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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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Presentation Transcript
what is glbhi
What is GLBHI?
  • A collaborative effort between jurisdictions in the U.S. & Canada to enable infectious disease surveillance and facilitate communication
history of glbhi
History of GLBHI
  • Before 2004
history of glbhi5
History of GLBHI
  • Before 2004
history of glbhi7
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 glbhi8
History of GLBHI
  • 2006
    • MI-HAN enrollment: Ontario
    • Ohio
  • 2007
    • Epi-X enrollment: Ontario
    • Pennsylvania & Indiana
history of glbhi9
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
idecg decision tree22
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 tree24
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 tree26
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
immediately notifiable diseases
Immediately Notifiable Diseases
  • Epi-developed list
  • “Pick up the phone and call now” diseases
  • Trumps the Decision Tree
data sharing agreement32
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 website35
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 website36
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


Carol Somers, Support Staff