Global Health Chronicles

Julie Thwing

David J. Sencer CDC Museum, Global Health Chronicles

 

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00:01:11 - Youth and education/Growing up in and returning to the developing world

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

Keywords: MD-PhD; animals; biology; developing countries; international school; languages; linguists; missionaries; pre-medical studies; prosthetics; public health; surveys; translation; travel

Subjects: Cameroon; Dallas (Tex.); Harvard University

00:11:50 - Public health, medical school, and residency

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Partial Transcript: So what happens then?

Keywords: HIV/AIDS; J. Tarpley; P. Farmer; global health; human physiology; internal medicine; medical school; medicine; mission hospitals; parasitology; pediatrics; residency; surgery

Subjects: Cameroon; Costa Rica; French language; Harvard School of Public Health; Spanish language; Vanderbilt University. School of Medicine; malaria; vaccination; vaccines

00:22:03 - Epidemic Intelligence Service

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Partial Transcript: Neat. So, you finish your residency—

Keywords: EIS; Malaria Branch; R. Newman; case management; developing countries; developing world; food; infectious disease; insecticide-treated bed nets; internal medicine; mosquitoes; pediatrics; surveys; trainings; travel; vector control

Subjects: Africa; Centers for Disease Control and Prevention (U.S.). Epidemic Intelligence Service; French language; Malaria; Niger

00:29:37 - Working in the CDC Malaria Branch/Becoming PMI resident advisor in Senegal

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Partial Transcript: At the end of your two years, what happens then?

Keywords: A. Linn; C. Tandian; District Health Management Team (DHMT); Global Health Security Agenda (GHSA); I. Hennessee; Malaria Branch; Ministry of Health and Social Action; National Malaria Control Programme (NMCP); PMI; S. Gaye; USAID; Y. Ndiaye; active case finding; capacity building; colleagues; community health; developing countries; district medical officers (DMOs); funding; grant making; grants; insecticide-treated bed nets; limited resources; medical epidemiology; money; partners; public health infrastructure; public health interventions; resident advisors; resources; testing

Subjects: Peace Corps (U.S.); President's Malaria Initiative (U.S.); Senegal; United States. Agency for International Development; malaria

00:49:16 - The state of Senegal's public health system in 2014/Early conversations about the West African Ebola epidemic

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Partial Transcript: Are you still the resident advisor when you start hearing about Ebola in 2014?

Keywords: A. M. Coll-Seck; B. Boxer; D. Gittelman; District Health Management Team (DHMT); J. Isakson; Ministry of Health and Social Action; National Malaria Control Programme (NMCP); T. Frieden; USAID; Unaffected Countries Team; WHO; borders; country offices

Subjects: Africa, West; Frieden, Tom; Guinea; President's Malaria Initiative (U.S.); Senegal; United States. Agency for International Development; World Health Organization; malaria

00:54:42 - Ebola arrives in Senegal/A response coalesces

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Partial Transcript: One night, I had—for whatever reason, I was exhausted, and I’d gone to sleep along with my child, who was three at the time, so probably at eight o’clock.

Keywords: B. Dahl; F. Angulo; Ministry of Health and Social Action; USAID; WHO; announcement; deployers; directives; emergency operations centers (EOCs); emergency preparation; guidance; health communications; incident management systems (IMSs); meetings; organization; politics; power; staff on temporary duty assignment (TDYers); structures

Subjects: Ebola virus disease; French language; United States. Agency for International Development; World Health Organization

01:01:49 - Details of Senegal's Ebola case/Starting contact tracing

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Partial Transcript: I should probably tell you—do you want any details about the case itself?

Keywords: Ebola treatment units (ETUs); Fann University; Institut Pasteur; bleeding; burials; case definitions; communication; contact tracing; cross-border communication; family; fear; funerals; hemorrhage; household transmission; meetings; quarantine; rites; students; transmission; travel; twenty-one days

Subjects: Africa, West; Dakar (Senegal); Guinea

01:08:25 - Communicating to the Senegalese public about Ebola

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Partial Transcript: At this point, now, there has been messaging about Ebola, and they sort of just imported all the Guinea messaging.

Keywords: borders; bush animal; bush meat; communications; deportation; diplomacy; food; messages; messaging; poverty; prejudice; safety; stigma

Subjects: Congo (Democratic Republic); Guinea; Islam; Senegal

01:11:27 - What makes for a successful Ebola response

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Partial Transcript: For the record, there’s no record of him transmitting to anybody else in Senegal, is that right?

Keywords: F. Angulo; T. Frieden; borders; difficulty; evaluation; fear; transmission

Subjects: Frieden, Tom; Nigeria

01:14:04 - CDC's role in Senegal: border screenings and facilitating communication,

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Partial Transcript: Were you in contact with these other—I forget what the acronyms stand for, HUAC, is the highly—with the other surrounding countries, aside from the highly affected ones?

Keywords: EIS; F. Angulo; K. Mirkovic; M. Reynolds; US military; Unaffected Countries Team; borders; calls; epidemiology; logistics; meetings; resources; shipping; staff on temporary duty assignment (TDYers); supplies; traveler screening

Subjects: Africa, West; Centers for Disease Control and Prevention (U.S.). Epidemic Intelligence Service

01:18:56 - CDC's role in Senegal: epidemiology/Working with multiple partners

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Partial Transcript: So then on the epi side, there was great interest—because we only had one case, who had fairly clearly defined contacts

Keywords: Institut Pasteur; MMWR; Ministry of Health and Social Action; USAID; WHO; collaboration; contact tracing; country offices; credit; exposures; household transmission; institutional review boards (IRBs); interviewing; interviews; partners; protocols; quarantine; studies; surveys

Subjects: Morbidity and mortality weekly report. Recommendations and reports; United States. Agency for International Development; World Health Organization

01:29:08 - Determining needs and setting priorities in-country

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Partial Transcript: The other thing that was really challenging is you didn’t know what you needed.

Keywords: Ebola treatment units (ETUs); Ministry of Health and Social Action; P. Rzeszotarski; budgeting; deployers; donors; emergency operations centers (EOCs); emergency preparedness; incident management systems (IMSs); planning; publications; staff on temporary duty assignment (TDYers); staffing; standard operating procedures (SOPs); studies; trainings

Subjects: Bill & Melinda Gates Foundation; McKinsey and Company

01:33:58 - Lessons for CDC moving forward

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Partial Transcript: When you think about all of this work with multiple partners, with WHO and Institut Pasteur, are there lessons that come to mind for you, or for CDC working in the future?

Keywords: Institut Pasteur; Ministry of Health and Social Action; National Malaria Control Programme (NMCP); WHO; country offices; emergency preparedness; field epidemiology; incident command structure; incident management systems (IMSs); investment; learning; lessons learned; long-term; partners; relationships; staff on temporary duty assignment (TDYers); training

01:38:39 - Some deployers with whom worked

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Partial Transcript: I was going to say more about some of the TDYers that came out that were really helpful.

Keywords: CSTE; Global Health Security Agenda (GHSA); J. Maillard; Ministry of Health and Social Action; R. Arrazola; deployers; funding; money; staff on temporary duty assignment (TDYers)

Subjects: Council of State and Territorial Epidemiologists; French language

01:44:40 - How the Ebola response affected malaria work in Senegal

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Partial Transcript: I think maybe my last question is, what’s going on—how does this big response to Ebola and all this attention affect your malaria work while you’re over there?

Keywords: MMWR; USAID; borders; economics; trade

Subjects: Guinea; Morbidity and mortality weekly report. Recommendations and reports; Senegal; United States. Agency for International Development; malaria

01:49:44 - Final reflections

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Partial Transcript: Julie, can you tell me how your experience during Ebola and your participation in making sure Senegal was prepared and dealing with it, how that affected you?

Keywords: A. Bousso; Field Epidemiology Training Program (FETP); Ministry of Health and Social Action; PMI; emergency operations centers (EOCs); resident advisors; work conditions; work load

Subjects: President's Malaria Initiative (U.S.)