Epidemics in a Changing World - Department of Innovation, Industry ...
Epidemics in a Changing World - Department of Innovation, Industry ...
Epidemics in a Changing World - Department of Innovation, Industry ...
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Chair’s Comments<br />
As the first cases <strong>of</strong> a new H1N1 <strong>in</strong>fluenza have appeared <strong>in</strong> Australia, and as<br />
north Queenslanders are experienc<strong>in</strong>g the largest epidemic <strong>of</strong> dengue fever<br />
<strong>in</strong> years, it is timely to report to the Prime M<strong>in</strong>ister’s Science, Eng<strong>in</strong>eer<strong>in</strong>g and<br />
<strong>Innovation</strong> Council on “<strong>Epidemics</strong> <strong>in</strong> a chang<strong>in</strong>g world”.<br />
We appreciate the strong cont<strong>in</strong>u<strong>in</strong>g <strong>in</strong>terest <strong>in</strong> this area <strong>of</strong> the Prime M<strong>in</strong>ister,<br />
the Honorable Kev<strong>in</strong> Rudd MP, s<strong>in</strong>ce his 2005 policy statement while Shadow<br />
M<strong>in</strong>ister for Foreign Affairs.<br />
Australia now faces new challenges from epidemics triggered by global climate<br />
change and other chang<strong>in</strong>g factors such as demographics, land use, mobility<br />
and trade.<br />
In 2005, there was “Plague <strong>in</strong> Parliament” – a hypothetical on viral epidemics as<br />
part <strong>of</strong> the annual Science meets Parliament event. The Deputy Prime M<strong>in</strong>ister,<br />
the Honorable Julia Gillard MP, was a participant <strong>in</strong> her former role as Shadow<br />
M<strong>in</strong>ister for Health. The hypothetical panel was unanimous <strong>in</strong> decid<strong>in</strong>g that the<br />
probability <strong>of</strong> a new flu pandemic was a “when, not if” scenario.<br />
However, we must also be prepared for events we cannot foresee. The last few<br />
decades have demonstrated how difficult it is to predict epidemics <strong>of</strong> emerg<strong>in</strong>g<br />
<strong>in</strong>fectious diseases such as SARS, avian <strong>in</strong>fluenza, Hendra, Ebola-Reston, and<br />
chikungunya. The last is caused by a moderately <strong>in</strong>nocuous virus which was<br />
known <strong>in</strong>itially from African forests, and appeared almost 50 years later as a<br />
major epidemic, <strong>in</strong>volv<strong>in</strong>g over 2 million people <strong>in</strong> the Indian Ocean and India.<br />
As outl<strong>in</strong>ed <strong>in</strong> this report, we live <strong>in</strong> a chang<strong>in</strong>g world and we must expect the<br />
unexpected. The best defence aga<strong>in</strong>st the unknown is to ensure that we are<br />
build<strong>in</strong>g sufficient national and regional capacity <strong>in</strong> a broad range <strong>of</strong> epidemicrelevant<br />
discipl<strong>in</strong>es to deliver quality risk assessments and responses.<br />
We hope the deliberations <strong>of</strong> the Expert Work<strong>in</strong>g Group will lead to better<br />
preparedness for emerg<strong>in</strong>g epidemics <strong>in</strong> the face <strong>of</strong> global change.<br />
I commend this report to the Prime M<strong>in</strong>ister, Cab<strong>in</strong>et and PMSEIC and, <strong>in</strong><br />
do<strong>in</strong>g so, thank the Expert Work<strong>in</strong>g Group for its sterl<strong>in</strong>g efforts.<br />
EpidemICs <strong>in</strong> a Chang<strong>in</strong>g <strong>World</strong><br />
Report <strong>of</strong> the Expert Work<strong>in</strong>g Group<br />
v<br />
Brian Kay AM, PhD, FACTM, FAA<br />
Chair, PMSEIC Expert Work<strong>in</strong>g Group on <strong>Epidemics</strong> <strong>in</strong> a chang<strong>in</strong>g world<br />
The members <strong>of</strong> the Expert Work<strong>in</strong>g Group are detailed <strong>in</strong> Appendix 1.