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<classification authority="sudocs">GA 1.13:GAO-01-722</classification>
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 <subject>Disease detection or diagnosis</subject>
 <subject>Infectious diseases</subject>
 <subject>International cooperation</subject>
 <subject>International organizations</subject>
 <subject>Public health research</subject>
 <subject>UN Expanded Program on Immunization</subject>
 <subject>CDC Epidemic Intelligence Service</subject>
 <subject>Program</subject>
 <subject>DOD Global Emerging Infections</subject>
 <subject>Surveillance and Response System</subject>
 <subject>Joint United Nations Programme on</subject>
 <subject>HIV/AIDS</subject>
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 <title>Global Health: Challenges in Improving Infectious Disease Surveillance Systems</title>
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<abstract>According to the World Health Organization, infectious diseases
account for more than 13 million deaths every year, including	 
nearly two-thirds of all deaths among children under age 5.	 
Infectious diseases present a substantial threat to people in all
parts of the world and this threat has grown in volume and	 
complexity. New diseases have emerged, others once viewed as	 
declining in significance have resurged in importance, and many  
have developed substantial resistance to known antimicrobial	 
drugs. Infectious disease surveillance provides national and	 
international public health authorities with information that	 
they need to plan and manage efforts to control these diseases.  
In the mid-1990s, public health experts in the United States and 
abroad determined that global infectious disease surveillance was
inadequate, and both the World Health Assembly and the President 
of the United States called for concerted action to develop an	 
effective global infectious disease surveillance and response	 
system. The strongest influence on the evolution of the current  
global infectious disease surveillance framework has been the	 
international community&apos;s focus on specific diseases or groups of
diseases. The international community has created diverse	 
surveillance programs to support global and regional efforts to  
control particular diseases. Surveillance systems in all	 
countries suffer from a number of common constraints. However,	 
these constraints have their greatest impact in the poorest	 
countries, where per capita expenditure on all aspects of health 
care amounts to only about three percent of expenditures in	 
high-income countries. Surveillance in developing countries is	 
often impaired by shortages of human and material resources. The 
international community has recently launched a number of	 
initiatives that may improve global surveillance. The community  
has committed itself to achieving specific reductions in the	 
global burdens imposed by three diseases--tuberculosis, human	 
immunodeficiency virus/acquired immunodeficiency syndrome, and	 
malaria--that present complex challenges. Also, the community has
launched more broadly targeted initiatives to upgrade		 
laboratories, strengthen epidemiological capacity, and otherwise 
improve surveillance for infectious diseases as a group.</abstract>
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<identifier type="preferred citation">GAO-01-722</identifier>
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<subject>
 <topic>Disease detection or diagnosis</topic>
 <topic>Infectious diseases</topic>
 <topic>International cooperation</topic>
 <topic>International organizations</topic>
 <topic>Public health research</topic>
 <topic>UN Expanded Program on Immunization</topic>
 <topic>CDC Epidemic Intelligence Service</topic>
 <topic>Program</topic>
 <topic>DOD Global Emerging Infections</topic>
 <topic>Surveillance and Response System</topic>
 <topic>Joint United Nations Programme on</topic>
 <topic>HIV/AIDS</topic>
 <topic>UN Children&apos;s Fund</topic>
 <topic>West Nile Virus</topic>
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