Global Health Chronicles

Dr. Frederick Angulo

David J. Sencer CDC Museum, Global Health Chronicles


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00:01:08 - Early life

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Partial Transcript: Backing up drastically, can you tell me when and where you were born?

Keywords: Marin County; aspirations; education; family; high school; microbiology; veterinary medicine

Subjects: California; Tahoe, Lake (Calif. and Nev.); United States. Army

00:05:25 - Veterinary and public health school

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Partial Transcript: Can you tell me about what vet school was like?

Keywords: environment; foodborne; parasites; zoonotic diseases

Subjects: Veterinary medicine

00:09:17 - Time in the US Army

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Partial Transcript: Was it really just straight to the PhD program?

Keywords: ROTC; children; family; foodborne; pets; veterinary practice

Subjects: Belgium; Italy; North Atlantic Treaty Organization; United States. Army. Reserve Officers' Training Corps; Veterinary medicine

00:11:42 - Public health PhD at UCLA/Epidemic Intelligence Service

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Partial Transcript: After those six years are up, can you tell me what happens from there?

Keywords: A. Rowe; D. Swerdlow; EIS; Enteric Diseases Branch (EDB); J. Einarsdóttir; P. Griffin; R. Tauxe; acid; behavior change; communication; culture; foodborne; funeral rites; health promotion; lemons; outbreak response; rice; trust

Subjects: Centers for Disease Control and Prevention (U.S.). Epidemic Intelligence Service; Cholera; Guinea-Bissau; Los Angeles (Calif.); Missouri; Salmonella; Texas; University of California, Los Angeles

00:21:45 - Work on enteric diseases after EIS

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Partial Transcript: What happens after that? You stay with enteric, right?

Keywords: D. Swerdlow; FoodNet; GDD; Global Foodborne Infections Network; NARMS; P. Griffin; W. Clinton; WHO; antibiotic resistance; enteric; foodborne; training

Subjects: Center for Global Health (U.S.); Escherichia coli; Global Disease Detection Program (U.S.); National Antimicrobial Resistance Monitoring System--Enteric Bacteria (U.S.); United States. Department of Agriculture; World Health Organization

00:27:00 - Work with CDC’s Center for Global Health

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Partial Transcript: These international collaborations increasingly put me in contact with CDC’s international offices, and I began to work a lot with the CDC Kenya office, the CDC Thailand office, CDC Guatemala office, in particular with the Global Disease Detection programs.

Keywords: CGH; D. Swerdlow; EOC; GDD; GDD Operations Center; Global Health Security Agenda (GHSA); funding; global health; infrastructure; international; outbreak; resources; response; systems

Subjects: CDC Emergency Operations Center; Center for Global Health (U.S.); Global Disease Detection Program (U.S.); SARS (Disease)

00:35:08 - Relationship with David Swerdlow/Beginning of 2014 Ebola response

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Partial Transcript: This gets into Ebola, how did I get involved in Ebola?

Keywords: B. Marston; D. Swerdlow; EIS; EOC; Epi-Aids; GDD Operations Center; International Task Force (ITF); R. Arthur; T. Frieden; USAID; cholera; creativity; epidemiologists; humor; imagination; mentor; mentorship; viral diseases; vision; writing

Subjects: CDC Emergency Operations Center; Centers for Disease Control and Prevention (U.S.). Epidemic Intelligence Service; Haiti; United States. Agency for International Development

00:41:13 - First days in the Ebola response/Ebola in Senegal

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Partial Transcript: When I came in in mid-August, I remember the first day I came in, I started trying to get oriented on what is happening.

Keywords: D. Swerdlow; Division of Global Migration and Quarantine (DGMQ); J. Thwing; M. Reynolds; Ministry of Health and Social Action; Viral Special Pathogens Branch (VSPB); airports; importation; travel

Subjects: Senegal; malaria

00:43:58 - Ebola in Nigeria

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Partial Transcript: It was before I arrived in the International Task Force, but the huge success was the spread of Ebola into Nigeria that had occurred a month earlier.

Keywords: EIS; F. Mahoney; Federal Ministry of Health; Field Epidemiology Training Program (FETP); Unaffected Countries Team; airports; emergency operations centers (EOCs); funding; importation; incident management system (IMS); travel

Subjects: Centers for Disease Control and Prevention (U.S.). Epidemic Intelligence Service; Côte d'Ivoire; Nigeria; Poliomyelitis; Senegal

00:49:16 - Work conditions/Recruiting volunteers

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Partial Transcript: At this time, now the end of August and throughout the month of September and October, we were working seven days a week.

Keywords: CSTE; leadership; recruiting; training

Subjects: CDC Foundation; Canada. Health Canada; Centers for Disease Control and Prevention (U.S.). Epidemic Intelligence Service; Council of State and Territorial Epidemiologists

00:55:26 - Assessing the readiness of at-risk unaffected countries

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Partial Transcript: We formed a lot of partnerships, as I mentioned, to try and accomplish the task of the Unaffected Countries Team.

Keywords: A. Greiner; WHO; assessment; contact tracing; evaluation; planning; preparation; quarantine; sample transport; specimen transport

Subjects: Senegal; United States. Agency for International Development; World Health Organization

01:00:14 - Staff rotations/Ready teams

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Partial Transcript: We were juggling all these things at once while we were then also trying to get staff on these rotations.

Keywords: passports; scaling up; staff rotation; visas

Subjects: United States. Department of State

01:03:25 - Ebola in Mali/Size of Unaffected Countries Team

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Partial Transcript: Before I mention the ready team, I’ll tell you about the second introduction.

Keywords: EIS; Field Epidemiology Training Program (FETP); French language; L. Moriarty; Ministry of Public Health and Hygiene; NCIRD; P. Rollin; R. Hajjeh; R. Novak; WHO; WHO African Regional Office (AFRO); assessment; burials; contact tracing; emergency operations centers (EOCs); funerals; imams; incident command structure (ICS); incident management system (IMS); languages; rapid response; religion; staff rotation; technical advice

Subjects: Centers for Disease Control and Prevention (U.S.). Epidemic Intelligence Service; Christmas; Mali; Meningitis; National Center for Immunization and Respiratory Diseases (U.S.); Nigeria; Peace Corps (U.S.); Senegal; World Health Organization

01:14:09 - Global health security and longer-term public health goals

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Partial Transcript: I would say that as the team extended, or as we felt like things were becoming under control and we were able to manage introductions and the timing was right, we began to have more discussions about, what about global health security?

Keywords: Field Epidemiology Training Program (FETP); Global Health Security Agenda (GHSA); Surveillance Training for Ebola Preparedness (STEP); capacity building; funding; infrastructure; laboratories; money; surveillance; training

Subjects: Côte d'Ivoire; Guinea-Bissau; Mali

01:21:01 - Importance of working with EIS officers/Seeing the progress

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Partial Transcript: I have to say, I’m very proud of the work that our team did, and it just was a thrill to do it.

Keywords: EIS; capacity building; contact tracing; infrastructure; laboratories

Subjects: Cameroon; Centers for Disease Control and Prevention (U.S.). Epidemic Intelligence Service; Côte d'Ivoire; Ghana

01:23:28 - Some of the individuals who stand out

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Partial Transcript: Regarding the EIS officers who you got to know, and kind of these foot soldiers who you were able to collect from

Keywords: A. Greiner; CSTE; D. Swerdlow; EIS; K. Mirkovic; P. Griffin; R. Tauxe; contact tracing; epidemiology; staff rotation

Subjects: Canada. Health Canada; Centers for Disease Control and Prevention (U.S.). Epidemic Intelligence Service; Council of State and Territorial Epidemiologists

01:27:40 - State Department support/Impact of EIS experience

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Partial Transcript: You mentioned something, it’s probably a minor thing in the grand scope of your work, but it was interesting.

Keywords: EIS; Epi-Aids; ambassadors; embassies; infection prevention and control (IPC); travel; visas

Subjects: Centers for Disease Control and Prevention (U.S.). Epidemic Intelligence Service; Guinea-Bissau; Mali; United States. Department of State

01:32:25 - Supporting teams from Atlanta/Conference calls

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Partial Transcript: Can you tell me about a time when somebody really needed something from you in the Atlanta office?

Keywords: T. Frieden; capacity building; communication; conference calls; contact tracing; flights; funding; laboratories; leadership; money; orientation; phone calls; resources; team spirit; teamwork; training; travel

Subjects: CDC Foundation; Côte d'Ivoire; Equatorial Guinea; Frieden, Tom; Gambia; Guinea-Bissau; Mali; Senegal

01:44:30 - Final reflections

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Partial Transcript: Can I ask, was there anything that looking back you wish had been different about the response?

Keywords: French language; Global Rapid Response Team (GRRT); MMWR; recruiting; staff rotation; staffing; volunteers

Subjects: Morbidity and Mortality Weekly Report. Recommendations and reports