The CommonHealth

Samaritan’s Purse (SP) has a well-established hospital and deep community ties in DRC's Ituri province. Vice President Ken Isaacs describes how SP pivoted during the unfolding Ebola outbreak, launching Ebola treatment centers. Humanitarian assistance reaches close to 200,000. Health workers have been very vulnerable to infection. "We have lost three." Expansion of international staff requires coping with the possibility of a 21-day isolation period before returning home. "What they need are Ebola fighters." Addressing malaria is essential. There is not yet a clear path to take care of international staff that get sick. If the U.S. facility in Kenya served a wide array of international Ebola fighters, that would be well received.

Dr. Chikwe Ihekweazu, Executive Director, WHO Health Emergencies Programme, spent several weeks in the hot zone in eastern Congo, mobilizing the international response to the late-discovered Ebola outbreak. Establishing community trust and confidence is the single most urgent challenge across all activities. At the six-week point, the response is scaling. However, "We have to be humble." "We are nowhere yet where we want to be." There is now a high-level UN figure in eastern Congo charged with addressing the complex security challenges. The absence of advanced US technical expertise in the deliberations and response, following the US withdrawal from WHO, is "strange." "Everyone pays a price."

In this episode of the CommonHealth Live! series, J. Stephen Morrison sits down with Representative Ami Bera (CA-06) to discuss the future of U.S. global health security strategy in an era of redefined alliances, geopolitical competition, and the rise of transformative but disruptive technologies such as AI. 

What is the future of global health assistance under the new structure created by the U.S. Health Memorandums of Understanding (MOUs)? How is this model reshaping the role of the State Department and the CDC in global health, and how is it playing out in the context of the unfolding Ebola outbreak? How durable is this compact model, and does it align with long-term strategies Congress is pursuing in other foreign assistance domains, including for critical minerals under the DOMINANCE Act? As the United States pursues a more robust industrial policy in the name of stronger national security, how can it maintain reasonable channels for cooperation with China in the highly interdependent bioeconomy?

Dr. Gerald Parker, an acclaimed biodefense/One Health expert and high-ranking official across several administrations, experienced New World screwworm (NWS) as a boy in Texas while assisting his veterinarian father treat pets invaded by the parasite. Michaela Simoneau, CSIS Fellow, joined the conversation. In the late 1950s, the scaled introduction of sterile male flies — 50 million per week — was a brilliant scientific discovery, combined with a public private partnership with the ranching community. NWS was cleared from the United States by 1966, and from Mexico and Central America by 2006. The barrier began to decay in this decade, a function of migration, illicit cattle trafficking, a decline in the effectiveness of the sterile flies, Covid interruptions, and complacency and bureaucratic inertia. NWS has now arrived in Texas and New Mexico. The race is now fully on to restore control. We need an "Operation Warp Speed" mentality to advance multiple technological innovations, diplomacy, financing, a massive expansion of flies — perhaps as high as one billion per week.

Jamie Bay Nishi, the dynamic CEO of the American Society of Tropical Medicine and Hygiene (ASTMH), is absorbed with the question: how do we navigate all the changes in government policy and programs and hold the global health community together? That includes philanthropies, universities, and companies. OMB’s proposed “Regulation for Federal Financial Assistance,” a 400-page document, would expand political oversight and weaken the authority of scientific advisory groups, changes that would alter the scientific research enterprise and create uncertainties. A 45-day period for comment is too little time to understand what is in the document and the ramifications if its proposed actions were enacted. It could further stigmatize collaboration with China. The June 3 White House Executive Order to reclassify the federal workforce will weaken career protections of GS-15 workers, leaving them open to firing at-will. CDC’s overseas country offices are to transition to a fee-for-service model, as part of the America First Global Health Strategy. This will not be sufficient to guarantee a sustainable work force, which requires a reliable surge capacity in CDC headquarters at Atlanta and stable expert in-country staff. It is incumbent upon Congress to change the funding scheme for CDC overseas experts and its surge capability.