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Vietnam

Vietnam

In partnership with CDC, the CDC Foundation seeks to strengthen the ability of the Ministry of Health in Vietnam to detect, respond and prevent outbreaks that threaten both the population of the country and world. This includes activities to strengthen influenza preparedness, improve advanced diagnostic laboratory capacity, strengthen the epidemiological workforce, improve antimicrobial resistance (AMR) surveillance and antibiotic use, expand health care service delivery for tuberculosis (TB) and improve immunization delivery. Specific public-private partnership resource needs in Vietnam include:

Disease Focus–Influenza

NEED

Vietnam is at high risk for emerging influenza viruses with pandemic potential.

INTERVENTION

Strengthen the surveillance system for Severe Viral Pneumonia, the primary system for detection of novel influenza viruses and other emerging respiratory pathogens in humans


Estimate the economic burden of influenza in Vietnam


Introduce seasonal flu vaccine and implement national scale up

TYPE OF ACTIVITIES 

Disease specific (Influenza)

APPROXIMATE FUNDING NEED

$3.8 million

Workforce Development–Epidemiology Training

NEED

Key to addressing the challenges of outbreak detection, prevention and response in Vietnam is the development of a public health workforce with solid practical epidemiological skills.

INTERVENTION

Expand the Field Epidemiology Training Program in Vietnam

TYPE OF ACTIVITIES 

Workforce development

APPROXIMATE FUNDING NEED

$1.6 million

Immunization–Policy Enhancement

NEED

There is a need to enhance Vietnam’s major immunization policy authorities for greater independence and technical expertise focused on linking decision-making to scientific evidence.

INTERVENTION

Strengthen the evidence-based decision-making capacity of national immunization policy authorities


Increase demand for and usage of existing, routinely recommended immunizations


Build economic analysis and financial planning capacity in the national immunization program


Strengthen sub-national capacity for surveillance and data management of vaccine-preventable diseases

TYPE OF ACTIVITIES 

Immunization

APPROXIMATE FUNDING NEED

$2.1 million

Laboratory–Reference Labs

NEED

The ministry of health has limited capacity to detect unusual or emerging pathogens in the course of outbreak investigations.

INTERVENTION

Establish a national public health reference laboratory network with the capacity for advanced diagnostic testing that produces credible results

TYPE OF ACTIVITIES 

Laboratory

APPROXIMATE FUNDING NEED

$1.2 million

Surveillance–Antimicrobial Resistance

NEED

Unpublished AMR surveillance data show carbapenem resistance to be highly endemic in Vietnam and an urgent threat to public health.

INTERVENTION

Establish a national AMR surveillance system to strengthen Vietnam’s ability to improve response to resistant infections and improve patient safety

TYPE OF ACTIVITIES 

Surveillance

APPROXIMATE FUNDING NEED

$2.6 million

Disease Focus–Tuberculosis

NEED

Among 30 high-burden TB countries in the world, Vietnam ranks sixteenth, with an estimated 124,000 new TB patients in 2017 alone, including 7,100 cases of multidrug-resistant TB and 12,000 TB-related deaths.

INTERVENTION

Rapidly reduce TB burden in Ho Chi Minh City and other priority provinces through demonstration projects and scale up


Prevent TB among US-bound immigrants and refugees from Vietnam

TYPE OF ACTIVITIES 

Disease specific (TB)

APPROXIMATE FUNDING NEED

$2.3 million

Funding Needed
$13,600,000
Key Facts
Vietnam yearly flu-like illnesses: over 1 million
Vietnam has 17,000 TB deaths annually
70% of U.S. TB cases are among those foreign-born
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Viet Nam
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Sierra Leone

Sierra Leone

In partnership with the Sierra Leone Ministry of Health and Sanitation, the CDC Foundation and CDC seek to maintain and build upon critical capacities developed during the 2014–2016 Ebola outbreak in West Africa. Specific public-private partnership resource needs in Sierra Leone include:

Laboratory–Public Health Lab

NEED

Renovations, equipment, supplies and workforce development are needed for the Central Public Health Laboratory (CPHRL) to serve the five reference laboratories within Sierra Leone and provide leadership and guidance within the MOHS public health systems.

INTERVENTION

Sustainably renovate and operationalize the CPHRL

TYPE OF ACTIVITIES 

Laboratory

APPROXIMATE FUNDING NEED

$2 million

Emergency Preparedness–Ebola Database

NEED

Preserving the informational legacy of the Ebola epidemic gives a unique opportunity to analyze the mortality impact of Ebola, improve future Ebola responses and build research capacity in Sierra Leone.

INTERVENTION

Improve secure access to the Sierra Leone Ebola Database

TYPE OF ACTIVITIES 

Emergency preparedness

APPROXIMATE FUNDING NEED

$900,000

Emergency Preparedness–Emergency Operations Center

NEED

Operational support of the National EOC will cease in June 2019 and additional planning is needed to ensure this support is successfully transitioned to the MoHS.

INTERVENTION

Build country ownership for the National Emergency Operations Center

TYPE OF ACTIVITIES 

Emergency preparedness

APPROXIMATE FUNDING NEED

$750,000

Workforce Development–Epidemiology Training

NEED

Currently, the Field Epidemiology Training Program relies on technical support from international mentors to maintain program quality.

INTERVENTION

Strengthen the Field Epidemiology Training Program so that graduates can serve as mentors for future cohorts

TYPE OF ACTIVITIES 

Workforce development

APPROXIMATE FUNDING NEED

$3.1 million

Disease Focus–Malaria

NEED

Indoor bites from mosquitoes account for 80%–100% of overnight malaria transmission in Africa, and while built-environment modifications were once staples of malaria vector control, they have been neglected for at least the past two decades.

INTERVENTION

Implement a pilot study to assess the impact of new screening strategies on malaria vector control

TYPE OF ACTIVITIES 

Disease specific (Malaria)

APPROXIMATE FUNDING NEED

$232,000

Funding Needed
$6,982,000
Key Facts
Malaria: leading cause of death in Sierra Leone
3,900 deaths during Sierra Leone’s Ebola outbreak
$120M:CDC/CDC Foundation Ebola response investment
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Sierra Leone
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Haiti

Haiti

In partnership with the Government of Haiti, CDC seeks to strengthen and further the significant but fragile global health security gains made in Haiti through CDC’s post-earthquake support, set to end in Fiscal Year 2020. Specific public-private partnership resource needs in Haiti include:

Surveillance–Disease Investigations

NEED

While great strides have been made in Haiti’s ability to detect diseases and support a One Health approach, additional support for the national surveillance program is needed to ensure sustainability for priority diseases.

INTERVENTION

Support infectious disease investigations by strengthening the national and departmental/site-level surveillance programs, including the HIV/AIDS integrated case-based surveillance system

TYPE OF ACTIVITIES 

Surveillance

APPROXIMATE FUNDING NEED

$4.1 million

Laboratory–Capacity Building

NEED

In order to accurately identify and detect pathogens, Haiti’s laboratory quality systems need improvement.

INTERVENTION

Improve pathogen detection by building public health laboratory capacity through expansion of Haiti’s specimen storage, operationalizing the country’s National Specimen Referral Network and building national and subnational laboratory capacity

TYPE OF ACTIVITIES 

Laboratory

APPROXIMATE FUNDING NEED

$2.9 million

Workforce Development–Epidemiology Training

NEED

Improve Haiti's public health workforce capacity in business administration to ensure proper management of public health projects.

INTERVENTION

Support the Field Epidemiology Training Program and provide community health workers with surveillance training and training in business management software

TYPE OF ACTIVITIES 

Workforce development

APPROXIMATE FUNDING NEED

$4.6 million

Emergency Preparedness–Operations Center

NEED

Hit by multiple natural disasters over the past decade, preparedness and emergency response capacity are critical in Haiti.

INTERVENTION

Fully operationalize an Emergency Operations Center in Haiti by finalizing interoperability of information technology and purchasing equipment, developing table top exercises and continuing training of EOC personnel

TYPE OF ACTIVITIES 

Emergency preparedness

APPROXIMATE FUNDING NEED

$464,000

Disease Focus–Cholera

NEED

While Haiti is recording the lowest levels of suspected cholera cases since 2011, cholera remains a public health threat and gains made since the last outbreak must be maintained.

INTERVENTION

Interrupt cholera transmission by enhancing Haiti’s laboratory cholera surveillance and response capacity and implementing water, sanitation and hygiene projects

TYPE OF ACTIVITIES 

Disease specific (Cholera)

APPROXIMATE FUNDING NEED

$4.1 million

Disease Focus–Lymphatic Filariasis

NEED

Lymphatic filariasis is on the cusp of elimination in Haiti, one of only four countries in the Americas where the disease remains.

INTERVENTION

Eliminate lymphatic filariasis through mass drug administration, morbidity management and disability prevention and surveillance

TYPE OF ACTIVITIES 

Disease specific (Neglected tropical disease)

APPROXIMATE FUNDING NEED

$15 million

Funding Needed
$31,164,000
Key Facts
1 of 4 areas in Americas with lymphatic filariasis
140K-180K: HIV-positive people in Haiti in 2018
Over 9,000 cholera deaths in Haiti since 2010
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Haiti
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Nigeria

Nigeria

The CDC Foundation, in partnership with CDC, aims to strengthen global health security by supporting the Government of Nigeria to address key gaps in disease surveillance and prevention, as well as multi-disease outbreak preparedness. This initiative will allow CDC Nigeria to develop and implement new, innovative public health activities that will have lasting impact on Nigeria’s ability to prevent, detect and respond to key public health threats. Specific public-private partnership resource needs in Nigeria include:

Surveillance–Diagnostics

NEED

The existing surveillance systems in Nigeria are often fragmented, disease specific, inconsistent and in need higher quality control.

INTERVENTION

Establish an integrated diagnostics and surveillance system

TYPE OF ACTIVITIES 

Surveillance

APPROXIMATE FUNDING NEED

$2.1 million

Laboratory–Disease Detection

NEED

Nigeria has more malaria cases than any other country, with a prevalence of 27 percent among children under five years of age.

INTERVENTION

Implement proactive community detection of malaria, pneumonia and diarrhea

TYPE OF ACTIVITIES 

Laboratory

APPROXIMATE FUNDING NEED

$5 million

Surveillance–Telehealth for Outbreaks

NEED

A surveillance and response clinical telecommunications network is needed to allow for enhanced detection and surveillance of high-risk pathogens, improved capacity of healthcare professionals to implement infection prevention and control protocols and strengthened outbreak response capabilities.

INTERVENTION

Apply telehealth concepts to outbreak preparation

TYPE OF ACTIVITIES 

Surveillance

APPROXIMATE FUNDING NEED

$2.3 million

Immunization–Hepatitis B

NEED

Nigeria is hyper-endemic for hepatitis B virus (HBV) infection, with an overall population prevalence of chronic HBV infection of 12.2 percent (an estimated 20 million persons).

INTERVENTION

Improve timely hepatitis B birth dose vaccination in key Nigerian states

TYPE OF ACTIVITIES 

Immunization

APPROXIMATE FUNDING NEED

$2.7 million

Funding Needed
$12,100,000
Key Facts
Lassa fever is on the rise in Nigeria
Nigeria has more malaria cases than any nation
20M in Nigeria are infected with hepatitis B
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Nigeria
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COVID-19 Response

COVID-19 Response

Partners Needed in the Coronavirus Response

In January 2020, the Centers for Disease Control and Prevention (CDC) requested the CDC Foundation activate our Emergency Response Fund to provide support to rapidly emerging response needs related to COVID-19. Support from individuals and organizations provides much needed funding to meet response needs where federal and state funding is not available or available quickly enough to meet the need.

Funds raised by the CDC Foundation through our Emergency Response Fund are being used to meet fast-emerging needs identified by CDC and public health authorities to help respond to the public health threat posed by this virus. These include additional support for state and local health departments, support for the global response, logistics, communications, data management, personal protective equipment, critical response supplies and more.

Learn how your contributions are making an impact.

For more information on how you can partner with the CDC Foundation, please contact Laura Croft, vice president for advancement, at 404.523.1788 or lcroft@cdcfoundation.org.

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HIV Epidemic Fund

The Ending the HIV Epidemic Fund

We have a unique, once-in-a-generation opportunity to leverage data, scientific tools and technology to eliminate HIV in the United States by 2030. The national initiative Ending the HIV Epidemic: A Plan for America is focused on the highest burden 48 counties, Washington, D.C., and San Juan, Puerto Rico, as well as seven states with the highest rural HIV burden. These jurisdictions together account for more than 50 percent of new HIV diagnoses in recent years.

The U.S. Department of Health and Human Services (HHS) is leading the End of the HIV Epidemic initiative. This plan aims to reduce the number of new HIV diagnoses by at least 90 percent within 10 years.

Importantly, this plan will leverage scientific advances in HIV prevention, diagnosis, treatment and care by coordinating the highly successful programs, resources and technical expertise of the Centers for Disease Control and Prevention (CDC) and other HHS agencies.

Success requires the involvement of the public, philanthropic and private sectors. The CDC Foundation’s Ending the HIV Epidemic Fund is designed to build on and extend public funding, enabling individual and organizational donors to support this historic opportunity to eliminate HIV in the United States.

Digital Education Strategy and Campaign

Need

It can be difficult to reach audiences most susceptible to HIV with effective messaging.

Intervention

Develop innovative digital campaigns to reach those living with and most vulnerable to HIV, in coordination with state and local partners, for maximum impact.

Type of Activities

Campaigns to increase diagnosis, link people to treatment, prevent HIV transmission, and respond quickly to outbreaks.

Approximate Funding Need

Funding needs are variable depending on specific activity.

Innovative Models of Community Care

Need

While traditional care approaches work for reaching some communities, reaching all those most vulnerable will require disruptive, innovative approaches.

Intervention

Design care delivery systems that deliver comprehensive, evidence-based prevention and treatment services, including support for syringe services programs.

Type of Activities

Prevention

Approximate Funding Need

Funding needs are variable depending on specific activity.

Rural Access to Treatment and Care

Need

Many rural communities lack sufficient access to preventive healthcare services, including PrEP, and HIV testing in their locations.

Intervention

Expand opportunities for care in rural communities by mobilizing and promoting programing and technologies such as community-based pharmacies, home-based HIV testing, and greater utilization of telemedicine.

Type of Activities

Linkage to Care

Approximate Funding Need

Funding needs are variable depending on specific activity.

Key Facts
2030 is the target for eliminating HIV in America
Plan aims to reduce HIV diagnoses 75% in 5 years
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United States of America
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India

India

The CDC Foundation, in collaboration with CDC, seeks to strengthen global health security by supporting the Indian Ministry of Health and Family Welfare (MOHFW) to address key gaps in disease detection, antimicrobial resistance monitoring, workforce development and tuberculosis diagnosis and treatment. In partnership with the MOHFW, CDC India has prioritized these areas as urgent, crosscutting activities where additional resources are required to maximize public health impact. Specific public-private partnership resource needs in India include:

Disease Focus –Tuberculosis

NEED

India has the largest tuberculosis (TB) burden in the world with 2.8 million estimated new TB cases and 480,000 TB deaths annually. India also has a rapidly growing multidrug-resistant TB (MDR-TB) problem, accounting for more new cases of MDR-TB than any other country in 2016.

INTERVENTION

Expand the successful clinical telementoring MDR-TB project in Delhi to other Indian states


Conduct a demonstration project to screen and treat household contacts for active and latent TB, then adapt approach to additional geographic sites


Assist the MOHFW in establishing airborne infection control in health care facilities


Strengthen TB surveillance by updating systems and evaluating treatment adherence tools and private sector case reporting


Support Zero TB and TB-Free Cities initiatives

TYPE OF ACTIVITIES 

Workforce development

APPROXIMATE FUNDING NEED

$8.4 million

Laboratory–Acute Febrile Illness

NEED

Acute febrile illness affects thousands of people every year in India, leading to severe morbidity and mortality.

INTERVENTION

Establish a tiered diagnostic system for seven acute febrile illness pathogens among hospitals across the country

TYPE OF ACTIVITIES 

Laboratory

APPROXIMATE FUNDING NEED

$880,000

Workforce Development–Epidemiology Training

NEED

A key priority of the Global Health Security Agenda and a major strategic objective of CDC India is the development of strong cadres of public health workers.

INTERVENTION

Expand the India Field Epidemiology Training Program to increase country capacity for disease surveillance and outbreak investigation

TYPE OF ACTIVITIES 

Workforce development

APPROXIMATE FUNDING NEED

$1.5 million

Funding Needed
$10,780,000
Key Facts
India has the world’s largest tuberculosis burden
India: most multi-drug resistant TB cases
Seven pathogens make up 80% of illness in India
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India
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Ending Tuberculosis in Vietnam

Tuberculosis (TB) is the world’s deadliest infectious disease. In 2018, the largest number of new TB cases occurred in the South-East Asian region, with 44 percent of new cases. Viet Nam ranks 11th among the 30 high-burden countries, with an estimated 174,000 TB patients in 2018. Over the past decade, Viet Nam has dramatically reduced the prevalence of smear-positive TB among adults, the most infectious type of TB. However, the TB burden based on the recent prevalence survey remains high, and the government of Viet Nam and CDC have recognized that intensified interventions are needed in order to “bend the curve” and accelerate the decline in TB prevalence.

This project is an important partnership between the Taiwan Centers for Disease Control (CDC); Ministry of Health and Welfare, R.O.C; the U.S. Centers for Disease Control and Prevention (CDC); and the CDC Foundation to support Viet Nam in their goal to move towards TB elimination. This project focuses on addressing TB in Ho Chih Minh City, Viet Nam by drawing on the collective public health expertise, experience and resources of Taiwan, Viet Nam, and the U.S. so that by working together, there can be more impact.  

The overall project objectives are to:

  • Evaluate current capacity and feasibility and develop a diagnosis and treatment model to find and cure adult and pediatric TB cases in Ho Chi Minh City using the most effective strategies demonstrated in the initial Zero TB Viet Nam pilot project; and
  • Help accelerate local elimination through TB prevention and detection efforts by expanding latent TB infection treatment to high-risk groups.

Eliminating TB in VietnamIn 2019, the project organized a Trilateral Forum focused on catalyzing regional partnerships towards ending TB in Viet Nam. The forum convened key partners including the National TB Program, the Ho Chih Minh City Department of Health (DoH), Pham Ngoc Thach Hospital, (responsible for the TB program in the south), Taiwan Ministry of Health and Welfare, Taiwan CDC, U.S. CDC, and local implementing partner Friends for International TB Relief (FIT). The Forum officially established a regional partnership to end TB in Ho Chih Minh City, and participants held technical exchanges in support of national planning, identifying program gaps and sharing lessons learned related to case finding, treatment and engaging the private healthcare sector in TB interventions.

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Global Health
Viet Nam
To move towards TB elimination through scaling up demonstrated effective case-finding and treatment methods for both active and latent TB in Ho Chi Minh City based on lessons learned from the TB Reach Zero TB Viet Nam (ZTV) project.
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Integrated Serosurveillance Center and Serologic Surveillance in Nigeria

Nigeria program

Many low- and middle-income countries lack the data necessary to fully describe disease threats in their countries and monitor the impact of public health efforts to prevent and control disease.

Serosurveillance—which involves monitoring the presence or absence of antibodies or proteins in the blood serum of a population—provides an objective biological measure for estimating population susceptibility, exposure and immunity. Serologic data are increasingly used to guide public health policy and strategy, from support of vaccine introduction to verification of disease elimination.

Currently, serosurveillance is often focused on a single disease. Integrated serosurveillance (multi-disease serologic surveillance) is a cost-effective approach that can dramatically scale up the availability of data for public health action, including for diseases currently unmonitored.

CDC has developed an approach to integrated serosurveillance for multiple diseases of public health importance using a multiplex bead assay platform. The platform can simultaneously measure up to 100 different disease-specific markers from a single dried blood spot, creating novel opportunities to establish integrated nationally representative serosurveillance programs. If well implemented, integrated serosurveillance could increase the quality and breadth of data available for infectious disease modeling and efforts to describe transmission risks. Data collected through integrated serosurveillance can also inform implementation of prevention opportunities across multiple diseases. 

But, implementation of integrated serosurveillance requires coordination of subject matter expertise and ongoing technical assistance to ensure generation of high-quality data for public health decision making. CDC’s vision is to expand capacity to implement this approach around the globe where data from integrated serosurveillance could drive critical aspects of public health programs.

In Nigeria, the Nigeria CDC has identified integrated serosurveillance as a priority for generating high-quality supplemental information to augment the existing surveillance network, and for their overall public health response. With funding from the Bill and Melinda Gates Foundation, the CDC Foundation is working with CDC and other partners to strengthen the capacity of Nigeria’s National Reference Laboratory to conduct integrated serosurveillance multiplex bead assay technology. The support is part of a multi-partner effort that includes multiple CDC programs, donors and partners.  

As results are available, CDC is working with the Nigeria CDC and government partners to analyze multiplex testing data and apply results to advance public health programs. In addition, CDC is applying lessons learned from Nigeria and previous projects to develop the tools and technical assistance capacity needed to accelerate the implementation of integrated serosurveillance in other countries.

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Global Health
Integrated Serosurveillance Center and Serologic Surveillance in Nigeria
Nigeria
To scale capacity for integrated serosurveillance in Africa and to conduct integrated serologic surveillance using stored samples from Nigeria’s HIV Impact Survey.
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