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Establishing Cross-Jurisdictional
Agreements
A New York Perspective
Background New York State receives funds for public
health preparedness & response to Bioterrorism– As a state with an international border, we
also receive a carve-out for the Early Warning Infectious Disease Surveillance Project (EWIDS)
– The level of funding is based upon the annual number of border crossings in the respective states on the CA/MX border.
EWIDS Objectives and Primary Areas of Focus Communication Infrastructure Epidemiology/Disease Surveillance
Investigation Coordination Public Information/ Risk Communication Drill & Exercise to Evaluate the Plans
New York State MapOur land/water border with Canada is approximately 500 miles in length touching the Province of Ontario and Quebec
Michigan began working with the Province of Ontario in 2004 on the EWIDS Project
New York, Minnesota and Wisconsin joined the group in 2005 and the Great Lakes Border Health Initiative began as a multi-state cross jurisdictional group
New York began working with the Province of Quebec in 2004 on the EWIDS Project
Vermont, New Hampshire and Maine joined with NY and the Northeastern Border Health Initiative began as a multi-state cross jurisdictional group
Recent expansion of the NE group will also include Nova Scotia and New Brunswick
Developing an Alliance Identify critical partners from participating state and Canadian
province on your border……..make a directory Plan face-to-face meeting for introductions and outline roles and
responsibilities……..move meetings around Develop a shared understanding of public health emergency
response systems……..use a staffing or flow chart Set up a steering committee and write a Term-of-Reference as a
guiding document Set up a sub-committee structure to meet the project’s objectives Set up a series of monthly tele-conference calls Design a work plan as a guide to accomplish project
objectives……..use due dates to prioritize the work
Reality Check (Challenges)
States can not enter into international agreements of any kind without Congressional approval
Have the lawyers at the table from the beginning Cultural, Political and Language differences (Quebec
and Mexico) must be acknowledged and be part of your alliance plan
Tribal Nations on the border present many unique circumstances
Scope of the EWIDS Project is extremely broad
ExampleActual EWIDS Grant Objective:
Rapidly detect a bioterrorist event along the US northern and southern border through a highly functioning mandatory reportable disease surveillance system
ExampleActual EWIDS Grant Example:
Ensure the electronic exchange of infectious disease related information(including clinical,laboratory and environmental data) in standard formats between the computer systems of grantee public health department and those of the counter part agency across the international border
Federal Guidance has been limited to date: New project with a very broad scope Complex project with multiple
federal/state/local partners who are all stakeholds
Example
Some federal partners include: DHS,DHHS,USCBP, CDC Division of Public Health Preparedness and Division of Global Migration & Quarantine, USDA
Some state partners include: DOH,SEMO, LHD, Tribal Nations
Lack of Coordination Example:
– International Agreement recently signed between the US and Canada to link the CDC’s PulseNet system to PulseNetCanada designed to trace outbreaks of nasty foodborne pathogens like e.coli
Example:– US, Canada and Mexico recently signed an International
Security and Prosperity Agreement to guard our borders– Entire section on biosecurity at the border with timeframes of
24 months for deliverables on inter-operable disease surveillance systems
– Draft and sign protocol within 24 months for mutual assistance and coordination in a cross border emergency
Ideas to Move Forward (Successes) Primary relationships have been
developed Professionalism of Partners Many plans are well underway Commitment to be prepared is there Federal Partners are listening to needs
expressed by the border states
Summary Meet who you want to work with face-to-face and build the
relationship you will need Write attainable short term goals so some degree of success
is visible and do-able Create a contact directory for communications and talk to one
another Set up a Steering Committee and sub-committee structure
and tele-conference frequently with one another Write a budget that can accommodate meeting your goals &
objectives Talk to your federal partners so they can hear what your up
against and then ask for more funding
Contact Information:
Richard Buck, Border Health Manager
Public Health Preparedness ProgramNYSDOH547 River StreetTroy, NY 12180518.402.7713rjb06@health.state.ny.us
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