OFFICE During thewith leadeChinese in

Health EmOffice (HMinistry o This officepolicymakhealth eve(1) emergeemergencsurveillanccommuniccompreheregulationcoordinati Office of Emergenwithin theDisease C China’s CDhas approprovides treports tomission insurveillancimplemensystems, fdevelopmguidelinesand controreemergin Institute Chinese A(CAS) This is theinstitute inapproxima The CAMLab withiof Pathog This instituand plays research fand identi

ES WE VISIT

e week, we haders from the folnstitutions.

mergency ReHERO) at the C

of Health (MO

e is responsibleking related to ents. HERO hasency preparedcy response; (3)ce, prewarningcations; and (4)ensive division fns, planning, anion.

f Disease Conncy Response e Chinese CeControl

DC, formed in oximately 3,000technical suppo the MOH. ODcludes country

ce of infectiousntation of early-ield investigati

ment of technicas for disease prol of emergingng infectious di

of MicrobioloAcademy of S

e leading micron China, with ately 430 facult

MS-Fondationin the Chinesegen Biology

ute was formedan important ror pathogen dification.

ED

d meetings lowing

sponse Chinese OH)

e for public s 4 divisions: ness; (2) ) , and ) a for laws,

nd

ntrol and (ODCER)

enters for

early 2002, staff. It ort and

DCER’s ywide s diseases, -warning on, and al revention

g and iseases.

ogy in the Sciences

obiological

ty and staff.

n Mérieux e Institute

d after SARS role in etection

TripTom I Chinacope woutbrecontinemerginfectithe paBiosecfrom pgovernongocountrIsrael, Franceable toand coworld’ On Juand paofficiafollow Pl

fu Di Di De Ho Bi In our goverdescrivaluab From tthe CDorientin this gracio

p ReportInglesby and

, like the U.S.with a range oeaks in recentnues to prepaging and reemous disease t

ast few years, curity has benpolicy discussnment officiaovernment learies, includingthe United K

e. We were eo connect witontrol, as wel’s most popu

ly 10-18, 201articipating inls and infectio

wing:

anning and reture pandemisease surveilisease controevelopment oospital prepaosafety and b

various meetnment and pbed China’s e

ble exchange

the U.S. EmbDC Section, aation for us afield. To a pe

ous and gene

t d Anita Cice

., has had to of disease t years and re for future

merging threats. Over the Center fo

nefited greatlsions with ls and aders in otheg Canada, Kingdom, andager to be th Chinese exl as healthcarlous country.

1, we travelen a series of inous disease s

esponse to inics, and lessolance for earl

ol and containof vaccines anredness for p

biosecurity

tings, we sharivate sector aefforts in thesof informatio

bassy in Beijinand Elizabeth nd helped toerson, both orous with the

ero

or y

r

d

xperts and leare preparedn

ed to Beijing wnformative exscientists who

nfectious diseons from SARly warning of

nment efforts nd medicinespublic health e

red the Centeapproaches tse areas. The on on these a

ng, Melinda F Yuan, HHS H

o identify impour Chinese hir time.

C

arn from themess and comm

with the goal xchanges witho have respon

ease epidemicRS and H1N1)

outbreaks

s for emergingemergencies

er’s independto these issuetrip exceedend other top

rost, Health CHealth Attachortant Chines

hosts and U.S

Campus of the Inst

m about diseamunity resilie

of forging neh Chinese punsibilities relat

cs (eg, pande

g infectious d

dent analysis es, and our hoed our high exics.

Communicatioé, provided ase leaders an. Embassy co

titute of Microbiolo

ase detectionnce in the

ew relationshblic health ted to the

emic flu, H5N

diseases

of U.S. osts xpectations fo

ons Officer ina useful d institutions ntacts were

ogy, Beijing 

ips

1,

or a

n

Obs

For tinteraoffer hopemispcolla Life

Promfrom scien

This over emphspenGDP a profunde This spublibuildthe-aconstnext CDCAcadMérieBiolocampplanngrow

Anita CiceCDC; CPrepare

ervatio

hose who maactions in pubthe following

e that they maerceptions, aborations.

Sciences A

minent Chineslabs in the U

ntists we met

Plan guides ea 5-year perihasizes, amonding on reseaby 2015. As

oblem now foed.”

strategic capic health is ta

ding boom in art buildings atruction, or pyear on the b

C, the Institutedemy of Scieneux Lab and t

ogy, among opuses and thened, and inte

wth.

ero, Tom Inglesby,CDC‐GAP China Offedness and Respon

ns and

ay be interestblic health ang observationay increase unnd encourag

Are On the

se scientists a.S. and elsewseemed quite

economic devod, and the cng other initiaarch and devone scientist

or us—if we ha

ital investmenngible, especthe science s

and laboratorlanned for co

beautiful came of Microbiolnces, and the the greater In

other places. Teir buildings snded to acco

 Dr. Gao Xing, U.Sfice, Emergency nse Coordinator

Highlig

ed in U.S.–Chd the life scie

ns from our trinderstandinge future cons

e Rise in C

re returning twhere in the we positive abo

sciencecolleagexperie

United They areager tof the nof Chinsciencewhich arespectfunded,named China’s “Five-Y

velopment inicurrent Plan atives, an increlopment to told us, “Mo

ave a good id

nt in the sciencially with thesector. New sries are finisheonstruction ovpuses at the logy of the CCAMS-Fonda

nstitute of PatThe design ofseems thoughommodate fut

. 

ghts

hina ences, we ip, with the , diminish

structive

hina

to China world. The out U.S.

e and their ues and

ences in the States.

re also o be part

new wave ese efforts,

are ted, well-, and a priority in current ear Plan.” itiatives

rease in 2.2% of

oney is not dea, it gets

nces and e current tate-of-ed, under ver the China hinese ation thogen f the htful, well ture

We wthat thpresidChineAcadeSciencbeen use th“Tiny technbusineacadenow claboragrow a stroprojecin advdiagnwide

We toMicrowas dnew aposteinstituProceother internorganfacilita

were told he dent of the ese emy of ces has known to

he slogan, bugs, high ology, big ess.” The emy, which comprises 103atories, and mto 70,000 stang sense of pcts and a drivvance develonostic tools, vrange of dise

oured the lab obiology and doing on avianantivirals. On ers in English ute publishedeedings of the

well-known jnational collabnizations we vate such exch

Chinese C

3 institutes, mmore than 54,aff within 5 yepurpose in gove to use the pment, and caccines, and

eases.

of Dr. Frank learned aboun influenza anthe walls outand Mandarin

d in Science, Ne National Acournals. Therboration in a visited, with dhanges.

Dr. Yiping Zhu, of Science (

 Ani

Center for Disease 

more than 100,000 staff, is e

ears. There seovernment-fulatest techno

commercializemedicines to

Liu at the Insut the latest rend the develoside his and on exhibiting wNature, Cell, cademy of Scire was a clearnumber of th

dedicated offi

China Tri

Associate Profess(CAS); Dr. Frank Liuta Cicero, and Tom

Control and Preve

0 national keyexpected to eemed to be nded science

ology, invest e new

o address a

stitute of esearch he opment of other labs arework from theNEJM, iences, and r interest in e ces set up to

ip Report, page 2

or, Chinese Acadeu, Professor, CAS;m Inglesby 

ention

y

e

e e

2

my 

China

Advthe

In theSARSheardhavemodeinfecChineemerincluhealtMiniseven SARSdecisdisea80 laChinaresouutiliziwith necerespowoulevidelaborWorlmeetand ofor m

China

D

a Trip R

vances in PSARS Effe

e area of pubS outbreak wad repeatedly led to major ernize prepar

ctious diseaseese governmrgency prepaded preparedth events, socstry of Healthts.

S under-scoresion making iase laboratorybs to the appa’s CDC and urces in the cing technologthe scientific ssary to makeonse. In the ed plan to gatence as possiratories withind Health Orgtings with expothers to asse

managing it.

Trip Report, pag

Dr. Feng Zijian andand Dr

eport: O

ublic Healct

blic health preas a turning pabout how thconcerted ef

redness and re outbreaks. Fent set up a wredness and dness for natucial security, a is the lead m

ed the importn controlling y capacity greproximately 4other scientifountry play imgies to providfacts, data, a

e decisions foevent of an epther as much ble, both fromn the CAS, an

ganization. It wpert cliniciansess the outbre

ge 3

d his staff with Tomr. Gao Xing at the C

Observat

th Prepare

eparedness, tpoint for Chinhe challengesfforts to improresponse effoFollowing SARwhole new syresponse, whural disasters,and accidentsministry for pu

ance of evideoutbreaks. In

ew from appr00 labs that efic and laboramportant rolede the MOH aand expert judor outbreak copidemic, MOHinformation am the China Cnd, as appropwould also cos, sociologicaeak and ident

m Inglesby, Anita CChinese CDC 

tions an

edness—

he 2003 a. We

s of SARS ove and

orts for RS, the ystem for hich , public s. The ublic health

ence-based nfectious roximately exist today. atory es in and others dgments ontrol and H HERO and CDC, priate, the onvene l experts, tify options

Cicero, 

d Highl

collabinflueof chreffectin thewhichChine Dr. Feand pof ODCollabHe spthe 20side wand bpart in AnothcollabcareeEmergin Beijand scthe Cthe Uorganrelatio Improin Chithere and c

Dr. FengDirector,Emerging

ights

borating on innza, emerginronic health ptive cooperate Field Epidemh provides higese health off

eng Zijian, anpublished schDCER and Exeborative Prog

pent nearly a y009 H1N1 reswith his U.S. Cbest practicesn this exchan

her marker of boration betwr path of onegency Preparjing. An accocientist in his hina CDC and.S. CDC in Be

nizations clearonship betwe

oving risk cominese prepareis a concerteommunicatio

g Zijian, China CDCr, China‐U.S. Collabg Infectious Diseas

nitiatives rangg infectious d

problems. Theion between miology and Tgh-caliber epiicials.

accomplisheolar on epideecutive Directgram on Emeryear—includisponse—in ACDC counterp. His deputy dge at the U.S

f the success aween the U.S. e of our hosts,redness Cooromplished and

own right, hed now is an imeijing. His invrly helps to fa

een the two o

mmunicationsedness effortsed intention toons, both befo

C, ODCER, Executivborative Program se and Tom Ingles

China’s Crelativelyinstitutiomaturedpace, anleaders advancecapabilitmore. Tcollaborthe U.S.was evidmuch reChina’s the U.S.for eachscientist

ging from HIVdiseases, andere is also a cthe U.S. and Training Progidemiology tr

ed public heaemic responsetor of the Chirging Infectiong much of t

Atlanta workinparts and shadirector will a

S. CDC.

and closenesand China C

, Dr. Gao Xinrdinator at thed published pe had earlier mportant stafvolvement in bacilitate the grganizations.

is another ars. We were too increase traore and durin

ve on sby 

CDC is a y young on that has d at a rapid nd its are eager to

e its ties even hey invite ration with CDC, and it

dent how espect CDC and CDC have

h other. Their ts are

V and TB to d a number close and China CDCs

gram (FETP), raining to

lth scientist e, is Director ina-U.S.

ous Disease. he period of g side by ring ideas

also take

s of the CDCs was the

g, the e U.S. CDC physician worked with ff member of both ood working

rea of focus old that ansparency ng future

China

epideawarwith U.S., at theBoth deteevideinformdurin We habouChinarecomrealiton thexist,and eprovitools Sha

We aDirecabouto eduse rrespopublicommapprtechnbioseWeapintern

a Trip R

emics. There eness of the both local gomany of the

e community the MOH anrmine the besence-based dmation they nng public hea

had a numberut the tensiona between evmmendationsties of managhe other. To s, but there waexpert publiciding decisions for good de

red Conce

also had the octor of the Insut the efforts iducate the liferesearch and onsibility amoish in the life munity in the eciate that trenology are reecurity and dipons Conventnational forum

Dr. Wu JiOffice o

with Anita C

eport: O

appeared to need for effe

overnments akey players dlevel in Chind China’s CDst ways to im

data that will gneed for goodlth crises.

r of candid exs that exist b

vidence-baseds on the one h

ging large pubsome extent, as agreement

c health infrastn makers withcisions.

erns about

opportunity tostitute of Micrin China, the e sciences coto promote a

ong scientistssciences. LikeU.S., Dr. Hua

ends and advlevant to ongiscussions undtion. Dr. Huanms to address

ing, Director, Divisof Health EmergenCicero, Tom Ingles

Observat

be a particulctive commund the media

during an outba.

DC are workinprove availabgive local leadd decision ma

xchanges withoth in the U.Sd public healhand and theblic health emthis tension wt that a well-rtructure is crih the best evi

Dual Use S

o speak with trobiology, DrU.S., and intemmunity abo

a culture of who researce the biosecuang and his covances in sciegoing concernder the Biolog actively pars dual-use iss

sion of Precaution,ncy, and his staff,  sby, and Dr. Gao X

tions an

ar nications

a. As in the break are

g hard to bility of ders the aking

h our hosts S. and th

e political mergencies will always resourced tical in dence and

Science

the r. Li Huang, ernationally

out dual-

h and urity policy olleagues nce and ns about gical rticipates in ues.  

,  

Xing 

d Highl

He hadual-uBoardworksAcadeon Bio We dilife scsystembioinfsharedvariouin thecounthave arespoto raisawarethese We dithe viwhile regulaan imrole toreseardual-uinhibitonero

Valu

We leother underin pubperspaboutnew ocolleafuturemore appropandeemergcommcomm

ights

as representeuse research wd for Biosecurshops on bioremy Panel onosecurity.

iscussed withciences that mms biology, syformatics, andd our concernus technologie science comtries a shared

onsibility se eness of

issues. iscussed ew that,

ation has portant o play in rch with use potential,ting the pract

ous security m

e of Conti

eft China withscientific and

rstanding we blic health em

pectives and idt U.S. prepareopportunities agues and to e. These kindsfamiliar with

oaches to newemic or othergency, we wil

mon understamon purpose

d CAS in bilawith the Natirity (NSABB); risks; and he in Internationa

h Dr. Huang immay have duaynthetic biolod gene silencn that the duaes is not wide

mmunity, and

, care should tice of good

measures.

nuing Exch

an interest ind health exchhave of Chin

mergency respdeas that willedness effortsto share viewfinding ways s of exchangeeach other’s

w epidemics ar internationall have these ndings to drato respond.

AudreyAnit

ateral conversonal Science he participatis a member oal Issues Work

mportant trenl-use potentiaogy, genomiccing, among oal-use potentely appreciatewe agreed th

be taken to ascience by im

hanges

n furthering thanges. The ima’s policy andponse gave ul inform our ths. We look fows with our Cto work toge

es help us to patterns of th

and crises. In l infectious drelationships

aw upon as w

China

y Li, Interpreter; Dta Cicero, and Tom

sations on Advisory

tes in WHO of the Inter-king Group

nds in the al, including cs, others. He tial of ed by many

hat our

avoid unduly mposing

hese and mproved d practices us valuable hinking rward to hinese

ether in the become hinking and the next flu isease and

we work in

Trip Report, pag

r. Gao Xing, m Inglesby 

ge 4