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The global threat of new and reemerging infectious diseases : reconciling U.S. national security and public health policy / Jennifer Brower, Peter Chalk.

Van Pelt Library RA643.5 .G564 2003
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Format:
Book
Contributor:
Brower, Jennifer, 1967-
Chalk, Peter.
Language:
English
Subjects (All):
Communicable diseases--Social aspects.
Communicable diseases.
National security.
Bioterrorism--Health aspects.
Bioterrorism.
Emergency medical services--Government policy.
Emergency medical services.
Emergency management.
Physical Description:
xxvii, 146 pages : illustrations ; 23 cm
Place of Publication:
Santa Monica, Calif. : Rand, 2003.
Summary:
This study offers a comprehensive analysis of the security implications of the spread of infectious diseases, including case studies of HIV/AIDS in South Africa and major public health challenges currently confronting the United States.
Contents:
Chapter 1 Disease and Human Security 1
The Changing Nature of Security in the Post-Cold War Era 1
The Concept of Human Security 4
The Transnational Spread of Infectious Disease as a Threat to Human Security 7
Chapter 2 Factors Associated with the Increased Incidence and Spread of Infectious Diseases 13
Globalization 14
Modern Medical Practices 17
Accelerating Urbanization 21
Environmental Factors 23
Changes in Social and Behavioral Patterns 26
Chapter 3 Aids in South Africa: Extent, Implications, and Response 31
Scope and Spread of HIV/AIDS in South Africa 33
Main Factors Associated with the Spread of HIV/AIDS in South Africa 38
Heterosexual Sex 38
Low Status of Women 39
Prostitution 40
Sexual Abuse and Violence 41
Prevalent Risk-Prone Attitudes 41
Impact on South Africa 42
The Human Cost 42
The Economic Impact 45
The Social Cost 47
Military Preparedness 49
Civil Law and Order and Crime 52
The Response to the HIV/AIDS Crisis in South Africa 54
The Government Response 54
Nongovernmental Responses 57
The International Relevance of the HIV/AIDS Crisis in South Africa 59
Chapter 4 U.S. Security and the Risk Posed by Infectious Diseases 61
Impact and Spread of Disease in the United States 62
Factors Affecting the Scope and Spread of Infectious Disease in the United States 62
Globalization
Travel, Migration, and Trade 64
Changes in Agricultural Practice 67
Behavioral Changes 67
Misuse of Antibiotics and Other Medicines 69
Donated Blood Products 70
Climatic Change 70
Tainted Water Supplies 72
Bioterrorism 72
Chapter 5 U.S. Capabilities to Counter Infectious Diseases 75
Resources for Fighting Infectious Disease 76
Surveillance and Detection 77
Investigation 80
Response (Prevention and Control) 83
Other Federal Programs and Interagency Initiatives 85
Foodborne Disease 85
Antimicrobial Drug Resistance 86
Biodefense Resources for Countering Infectious Disease 87
Research 89
Global Surveillance and Response 91
Assessment of U.S. Capabilities to Counter Infectious Diseases 93
Surveillance 93
Fiscal Neglect 94
Personnel 96
Lack of Experience with Exotic Infectious Diseases 97
Shrinking Vaccine Production Capacity 97
Insufficient Attention to the Provision of Global Healthcare Aid 98
Lack of Coordination 100
Appendix CDC Surveillance and Collection Systems 107.
Notes:
Includes bibliographical references (pages 119-146).
ISBN:
0833032933
OCLC:
50774189

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