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First,what

are

non

traditional

securitythreats?

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Contents

1.

TheProblems

2.

Timeline Context

3.

Indonesia

Case

Study

4.

CambodiaCaseStudy

5.

H1N1

6.

Conclusion

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MyriadProblems

Poortononexistent

surveillance Poordiagnostic

laboratory

capability Disincentivestoreport

Viralsovereignty

(Indonesia)

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Page213:

In

2006,

Indonesia

claimed

viral

sovereignty

oversamplesof

H5N1collectedwithinitsborders

andannouncedthatitwouldnot

sharethem

until

the

WHO

and

developedcountriesestablished

anequitablemeansofsharingthe

benefits(e.g.,

vaccine)

that

could

derivefromsuchviruses.

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Page3:

inthepoorestcountries

percapitaexpenditureonall

aspectsof

health

care

[is]

3%

expenditureinhighincome

countries staffinover90%

notfamiliar

with

quality

assuranceprinciples more

than60%oflaboratory

equipmentisoutdatedor

notfunctioning

August2001report

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2010

[F]rom

myownexperiencesincountries(

CentralAsia,

Southeast

Asia,

India,

Sub

Saharan

Africa)Ibelievethestatushasnotchanged

muchfromthedateofthe

[2001GAO]

report.

DirectorofLaboratorySystemsDevelopmentata

majorAmericanuniversity

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TimelineContextHuman

Pandemic

Flu

Timeline

Spanish(H1N1)

HK

flu

H3N2

HPAI

H5N1

H7N2

H7N3

H10N7

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DownsideofGlobalization:

GlobalReach

of

Diseases

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QualityofHealthCare,2002

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H5N1:HighlyPathogenicAvianInfluenza

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IndonesiaCaseStudy

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AfterFOUR

decades,the

NavalArea

Medical

Research

Unit2

(Namru2)is

kickedoutof

Indonesia

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AndallbecauseofoneMinister?AndallbecauseofoneMinister?

Maybenot.Maybe

not.

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IssuesRaisedinIndonesia

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CambodiaCaseStudy

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H5N1Animal

Outbreaks

2004

2008

2008

2007

2006

2005

2004

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2007

2006

2005

2008

H5N1Human

Victims

2005

2008

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IssuesRaisedinCambodia

Goal: reduce pandemic potential that could

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Goal:reducepandemicpotentialthatcould

strikedonorcountriesthemselves

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ButletButletsendwherewestarted,withsendwherewestarted,with

Indonesia

and

CambodiaIndonesiaandCambodia

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Dateline:11April2010

Namru2Jakartaisshuttingdown.Ihavebeenvery

sad.Not

only

because

I

amlosingmyjob,butmorethanthat,Indonesia

willloss

[sic]

an

establishedlaboratoryresearchcoz[sic]ofpoliticalreasons

SeniorIndonesianscientist

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Churchill

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Thankyou.

Questions?Thank

you.

Questions?