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4: Protecting Our People
Pages 25-34

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From page 25...
... , a greater death toll than all of World War I In recent years, America has witnessed on its own soil the AIDS epidemic, the presence of drug-resistant tuberculosis in our vulnerable populations, and recent outbreaks of Lyme disease, Hanta virus, and cryptosporidium.
From page 26...
... infections, hemorrhagic colitis/ hemolytic uremic syndrome Lyme disease, malaria, plague, rabies, yellow fever, Rift Valley fever, sehistosomiasis Malaria, cholera, pneumoeoeeal pneumonia Influenza, HIV/AIDS, malaria, Staphylococcus aureus infections Breakdown of public health measures Rabies, tuberculosis, trench fever, diphtheria, whooping cough (pertussis) , cholera SOURCE: Adapted from CISET, 1995.
From page 27...
... Biologic and Chemical Weapons. The 199~1991 Persian Gulf War heightened awareness of the threat of military deployment of chemical and biologic agents.
From page 28...
... Intestinal infections Drug-resistant infections Influenza $3 billion in Public Health Service funds $343 million in Public Health Service funds, $700 million in direct treatment costs $10 billion in direct treatment costs $5 billion in direct treatment costs $23 billion in direct medical alla lost productivity costs $4 billion (and increasing) in treatment costs $5 billion in direct treatment costs $12 billion in lost productivity costs SOURCE: Adapted from CISET, 1995.
From page 29...
... For example, a small but significant proportion of war veterans continue to suffer from PTSD, and these individuals are more likely than the general population to commit violent acts, especially acts of family violence (Stray, 1994~. Veterans of the Persian Gulf War have experienced a range of physical health problems as well as psychological stress.
From page 30...
... Today, the potential for another AIDS pandemic remains. If a cluster of cases of a new disease of unknown origin occurs in a remote part of the world lacking modem communication, the international community may not learn about it until the disease has spread widely.
From page 31...
... and foreign private voluntary organizations, these global surveillance stations could provide the basis for ongoing monitoring of disease outbreaks and rapid evaluation of disease prevention and control methods (CISET, 1995~. These same systems could be adapted, for example, to include early warning systems for any.
From page 32...
... American collaboration in the eradication of smallpox, for example, obviates the global need to spend $1 billion annually to vaccinate travelers and other citizens. Paralytic poliomyelitis transmission no longer occurs in the Western Hemisphere, and the campaign to eliminate polio and measles worldwide will save millions of lives and enormous resources.
From page 33...
... government, together with the corporate sector, should: . act to facilitate the development of an effective global network for surveillance of infectious diseases, using the full potential of the information and communications revolution and fostering the capacity of developing countries in both biomedical surveillance and communications .


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