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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

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

History of glbhi
History of GLBHI

  • Before 2004

History of glbhi1
History of GLBHI

  • Before 2004

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

    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 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 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

    Immediately notifiable diseases
    Immediately Notifiable Diseases

    • Epi-developed list

    • “Pick up the phone and call now” diseases

    • Trumps the Decision Tree

    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]