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Centers Disease Control Prevention

Centers for Disease Control and Prevention (CDC) Activities

The United States and China sponsor a Joint Initiative on Avian Influenza. President Bush announced it during his visit to Beijing in November 2005. The Initiative aims to strengthen U.S. and China cooperation on human and animal health, and on regional and international cooperation.

In FY 2008, CDC awarded $2.7 million to the China CDC to support work on avian influenza and human seasonal influenza in China. The work covers the full spectrum of influenza work, including:

  • Laboratory
  • Epidemiology
  • Surveillance
  • Environmental assessments
  • Vaccine use and assessment
  • Pandemic preparedness
  • Outbreak detection and response

The goal is to prevent and control seasonal flu and bird flu in humans.

The cooperative agreements specifically support surveillance, outbreak detection and response, and all laboratory support for these activities. China CDC leads all these efforts in China. Through these cooperative agreements, the U.S. CDC funds and supports two primary recipients. These are the key laboratory at the National Influenza Center and the key epidemiologic group at China CDC. Support includes funds for the Chinese Field Epidemiology Training Program for outbreak investigations. It also includes funds to support population-based pneumonia surveillance as part of CDC's International Emerging Infections Program.

Eight cases of flu were recently reported in China. China CDC was able to detect and respond, thanks to these efforts. These funds are essential to detection, preparedness, and response to any future cases as well. China CDC has provided the U.S. CDC with information about the genetic characteristics of the latest H5N1 virus isolates from China. They have provided information about the epidemiologic situations (health patterns) surrounding cases. This would not be possible without the collaborative work between US CDC and China CDC. The Chinese are also very willing to share the influenza isolates from these latest cases.

In addition to the direct funding described above, the U.S. CDC's Influenza Division has assigned a medical epidemiologist to Beijing to support this work. He provides technical assistance to China CDC for their work. He has also had discussions with China CDC on the recent cases. CDC will continue to provide funds to China CDC for these efforts in FY 2009.

Since 2004, HHS/CDC has stationed a full-time epidemiologist in Beijing. He assists with surveillance, field investigation, communication, and response. This expert advisor is attached to the Chinese Field Epidemiology Training Program (CFETP) at the China CDC. Under the mentorship of the HHS/CDC expert advisor, CFETP officers conducted over 182 outbreak investigations during calendar years 2006–2008. They investigated and responded to all outbreaks of the H5N1 strain of highly pathogenic (very severe) avian influenza in China.

Other HHS/CDC activities in China include:

  • Technical, financial, and/or staffing support for the HHS Global AIDS Program under the President's Emergency Plan for AIDS Relief ($4.5 million in FY 2007)
  • The International Emerging Infections Program (since 2007)
  • The collaborative program with Peking University to prevent neural-tube defects (since 1980)
  • Immunization activities through the WHO