The Joint External Evaluation (JEE) team would like to express its appreciation to Indonesia for volunteering for a second round of JEE. This demonstrates commitment, foresight, and leadership from the highest levels of government, crucial for long-term success in building and sustaining Indonesia’s core capacities under the International Health Regulations (2005) (IHR). The external team commends Indonesia for enhancing health security by implementing IHR through committed leadership, which is of significant importance not just regionally, but also globally. As a large country spread over 17 000 islands, Indonesia’s size, population, and vulnerability to natural disasters, along with its social, economic, and administrative diversity, pose unique challenges to public health. The country has robustly responded to these challenges, taking public health leadership roles both regionally and globally.

In response to the call of the 48th World Health Assembly for a substantial revision of the International Health Regulations, this new edition of the Regulations will enter into force on June 15, 2007. The purpose and scope of the Regulations are "to prevent, protect against, control and provide a public health response to the international spread of disease in ways that are commensurate with and restricted to public health risks, and which avoid unnecessary interference with international traffic and trade." The Regulations also cover certificates applicable to international travel and transport, and requirements for international ports, airports and ground crossings.

The National Academies of Sciences, Engineering, and Medicine was asked to articulate a 5-year strategic vision for international health security programs and provide findings and recommendations on how to optimize the impact of the Department of Defense (DOD) Biological Threat Reduction Program (BTRP) in fulfilling its biosafety and biosecurity mission. Because BTRP is just one of several U.S. government programs conducting international health security engagement, both the strategic vision and the success of the program rely on coordinating actions with the U.S. government as a whole and with its international partners. This report provides several recommendations for optimizing BTRP success in its current mission and the wider-looking strategic vision it proposes.

Despite significant improvements in many health outcomes over the past 60 years, many chronic problems in Indonesia’s health system including financial sustainability, governance and inequities in accessing health care have long been apparent, even before the COVID-19 pandemic. The epidemiological transition associated with demographic and socioeconomic change in recent decades makes Indonesia one of many countries that still struggle to address the issues of communicable, maternal and nutritional diseases while facing an increasing burden of non-communicable diseases. The contributors to In Sickness and In Health: Diagnosing Indonesia investigate challenges and opportunities facing the Indonesian health system and assess hurdles that Indonesians have to navigate in their quest to achieve a longer and better quality of life. Politics shaping recent health policy reforms in Indonesia, barriers to the supply of specialist doctors and quality medicines, availability of accurate health and population data, and the financial toll of the COVID-19 pandemic are among the topics discussed in this book. Accessing essential health services for mothers and children and for those living with disability, discrimination and mental illness, as well as an innovative trial to control dengue, are also examined.

This edited volume examines the multifaceted impact of the COVID-19 pandemic on peoples and states in East Asia. The book brings together selected case studies in Southeast Asia and the wider East Asian region that analyse how states in the region have responded to the pandemic and its multi-dimensional threats to human security, including risks of atrocity crimes. In the context of protecting human security and upholding the Responsibility to Protect (R2P), the work analyses how such a consequential crisis has compounded socio-economic and political problems, exacerbated societal fault lines, and created new types of risks for people’s safety and security. Using the United Nations Framework of Analysis for Atrocity Crimes: A Tool for Prevention, the book presents seven case studies that identify relevant risks factors confronting selected countries and the extent to which the global pandemic has magnified and/or exacerbated such risks for affected populations. It draws key lessons on how states should manage extant and emerging risks for atrocity crimes and how they can build and enhance their capabilities for preventing atrocities in both conflict-affected and relatively stable states, particularly within the context of Pillar 1 (prevention) and Pillar 2 (capacity building) of the R2P principle. This book will be of much interest to students of the Responsibility to Protect, humanitarian protection, Asian politics, International Relations, and Security studies.

Animal disease surveillance is key to improving disease analysis, early warning and predicting disease emergence and spread. As a preventive measure, disease surveillance is aimed at reducing animal health-related risks and major consequences of disease outbreaks on food production and livelihoods. Early warning systems are dependent on the quality of animal disease information collected at all levels via effective surveillance; therefore, data gathering and sharing is essential to understand the dynamics of animal diseases in diverse agro-ecological settings to support effective decision-making to prevent disease and for emergency response. Animal disease surveillance systems track zoonotic dieases and identify emerging diseases and, as such, are recognized as a global public good to support improved animal and global public health.

H1N1 ("swine flu"), SARS, mad cow disease, and HIV/AIDS are a few examples of zoonotic diseases-diseases transmitted between humans and animals. Zoonotic diseases are a growing concern given multiple factors: their often novel and unpredictable nature, their ability to emerge anywhere and spread rapidly around the globe, and their major economic toll on several disparate industries. Infectious disease surveillance systems are used to detect this threat to human and animal health. By systematically collecting data on the occurrence of infectious diseases in humans and animals, investigators can track the spread of disease and provide an early warning to human and animal health officials, nationally and internationally, for follow-up and response. Unfortunately, and for many reasons, current disease surveillance has been ineffective or untimely in alerting officials to emerging zoonotic diseases. Sustaining Global Surveillance and Response to Emerging Zoonotic Diseases assesses some of the disease surveillance systems around the world, and recommends ways to improve early detection and response. The book presents solutions for improved coordination between human and animal health sectors, and among governments and international organizations. Parties seeking to improve the detection and response to zoonotic diseases-including U.S. government and international health policy makers, researchers, epidemiologists, human health clinicians, and veterinarians-can use this book to help curtail the threat zoonotic diseases pose to economies, societies, and health.