THE FUTURE OF PUBLIC HEALTH AND GLOBAL HEALTH SECURITY…The People Need to Know Ann Marie Kimball, MD, MPH

This past week I was honored to present to “Open Mic Science” here on Bainbridge. My topic was “What you need to know about the next pandemic”. Our urgent task as “experts ?and “scientists” is to prepare our communities for days ahead. Our respiratory disease season continues, apace, ?the threat of H5N1 icnreases everyday. The incoming administration has threatened to leave the World Health Organization on “Day one”. The nominee for Secretary of HHS is a vaccine skeptic.

?One of the most powerful things we can do, as scientists, is to inform the public now about the risk in the days ahead of us. This means community fora, editorials in the press and talking to friends and family. It is time to amplify the information flow to our fellow citizens who are outside the scope of academic scientific discussion.

?In that spirit I am sharing the video of my talk, and the sheet of sources of information I provided to the audience. Please feel free to use any of these materials ( with attribution ) as you bring the message to towns and cities across our country.? My fellow Bainbridge Islanders have been very appreciative and kind in their comments. Your feedback to me is welcome as well.

?The video is an hour long, so here? is a guide to topics covered to save you time.

Link:https://www.youtube.com/watch?v=CcEHpOy9An4&t=2s

Topic--Time Signature on video

Factors of Emergence, Global--5:30

Levels of transmission and control--7:35

Viral Replication--9:40

MPox and Flu:overview of MPox--11:30

Flu overview--17:13

Clip of APEC 2008 hot topics session--24:15

Mobility, Population--29:10

Diagnostics, therapies, vaccines--32:23

Local Public Health and Clinical capacity--35:08

Vaccine Hesitancy--35:45

Kitsap local health, community groups--37:24

Q and A--38:40

SOURCES OF RELIABLE PANDEMIC INFORMATION

(IMO)—Ann Marie Kimball “Science on Tap” January 14,2025

GOVERNMENTAL/INTERNATIONAL

1)??? Kitsap Department of Public Health- Weekly Respiratory Illness Report (fall and winter) then Monthly -https://www.kitsappublichealth.org/cd/respiratoryreport

2)??? Washington State Department of Health

Data dashboard for Respiratory disease: https://doh.wa.gov/data-and-statistical-reports/diseases-and-chronic-conditions/communicable-disease-surveillance-data/respiratory-illness-data-dashboard

3)??? Centers for Disease Control – https:// CDC.gov

Emerging Infections Journal-https://wwwnc.cdc.gov/eid/

MMWR (Morbidity and Mortality Weekly Report https://www.cdc.gov/mmwr/index.html

4)??? Health Canada https://www.canada.ca/en/health-canada.html

5)??? European CDC https://www.ecdc.europa.eu/en

6)??? Africa CDC-https://africacdc.org: Organized into regional centers; DRC is in the Central Africa Center HQ in Gabon.

????? Monthly Newsletter-https://africacdc.org/newsletter/

Most recent report- https://africacdc.org/download/joint-continental-situation-report-on-the-mpox-epidemic-in-africa-23-september-0

7)??? World Health Organization Weekly Epidemiological Record???????????? https://www.who.int/publications/journals/weekly-epidemiological-record

Most recent IHR committee mtg-https://www.who.int/news/item/28-11-2024-????????? second-meeting-of-the-international-health-regulations-(2005)-emergency-

committee-regarding-the-upsurge-of-mpox-2024

8)??? GOARN-Global Outbreak Alert and Response Network https://www.who.int/publications/m/item/multi-country-outbreak-of-mpox--external-situation-report--45---11-january-2025??? ?

THE BEST NON GOVERNMENT INFORMATION RESOURCES

1)??? CIDRAP –(Mike Osterholm) https://www.cidrap.umn.edu/

2)??? Johns Hopkins Center for Health Security (Tom Inglesby) -https://centerforhealthsecurity.org/our-work/focus-areas/emerging-infectious-diseases-and-epidemics

3)??? UW,Fred Hutch- (Trevor Bedford) “Nextstrain” https://nextstrain.org/

4)??? International Society for Infectious Diseases (Real time alerts by email) -https://promedmail.org/

??SOCIAL MEDIA- May be unreliable due to lack of fact checking guidelines. ?

RECENT SCIENTIFIC AND POLICY PUBLICATIONS

1)??? National Influenza Strategy-https://www.cdc.gov/pandemic-flu/php/national-strategy/index.html

2)??? New National “One Health” Framework CDC/USDA (and many others-https://www.cdc.gov/one-health/media/pdfs/2025/01/354391-A-NOHF-ZOONOSES-508_FINAL.pdf

3)??? “Highly Pathogenic Influenza Virus (H5N1) in Humans”, Garg S, Reinhart K. Couture A et al, NEJM December 31, 2024

4)??? “Influenza Vaccines-Moving Forward Against Pandemic Threats” Goodman-JL, Bright -RA, Lurie-N. JAMA November 19 2024 (Vol. 332, No. 19)

5)??? “Underdetected dispersal and extensive local transmission drove the 2022 MPox epidemic” Paredes-M, Ahmed N, Figgins M et al. CELL 187, March 14 , 2024

6)??? “The Rise of Mpox in a Post-Smallpox World”.?Emerging Infectious Diseases,McQuiston, J. H., McCollum, A., Christie, A., Torres, F., et al. (2025).?31(1), 27-31. https://doi.org/10.3201/eid3101.241230.

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