martes, 4 de abril de 2017

CDC - ELC Cooperative Agreement - DPEI - NCEZID

CDC - ELC Cooperative Agreement - DPEI - NCEZID

Continued CDC Funding for States to Detect, Respond, Prevent and Innovate

Through CDC’s Epidemiology and Laboratory Capacity for Infectious Diseases (ELC) Cooperative Agreement, CDC continues to work with state and local health departments to implement tracking, prevention, and antibiotic stewardship activities – transforming how the nation combats and slows antibiotic resistance at all levels.
In addition to investments made last year, CDC is inviting grantees to participate in enhanced activities, potentially including:
  • Whole genome sequencing in all states to determine AR profiles for every Salmonella isolate, and expanding testing for other germs in the future.
  • Enhanced epidemiologic support for foodborne investigations—interviewing more patients faster and in greater detail—to ensure rapid response.
  • Identifying new ways to prevent human infection caused by resistant bacteria in food animals, through NARMS and partnerships with FDA and USDA.
  • Increased testing nationwide for the fungal threat Candida, including C. auris.
  • Using Integrated Food Safety Centers of Excellence to provide instructional materials on antimicrobial resistance for veterinarians.
These activities will enhance capacities to rapidly detect antibiotic resistance and prevent its spread to better protect Americans. Visit CDC’s antibiotic resistance website for the funding announcement.
See how CDC invested in every state in 2016 to combat antibiotic resistance in healthcare facilities, the community, and food.
Local CDC investments through ELC combat antibiotic resistance by strengthening the public health workforce and building stronger surveillance systems, modern and efficient laboratory facilities, and more integrated health information networks.

Epidemiology and Laboratory Capacity for Infectious Diseases (ELC) Cooperative Agreement

header image for ELC National Funding Strategy

CDC’s national funding strategy strengthens capacity to respond to domestic infectious disease threats


Since ELC’s inception, CDC’s national funding strategy has grown from assisting eight grantees with $2 million dollars to providing $90-240 million annually (2011 – 2016) to all 50 states, 8 U.S. territories, and 6 cities with the largest local health departments. In fact, the award distributed in August 2016 is the largest amount dispersed since the ELC Cooperative Agreement started. The ELC program currently covers more than 20 specific infectious disease areas and approximately 45 discrete projects. This crucial CDC investment helps strengthen an effective public health workforce, nimble surveillance systems, modern and efficient laboratory facilities, and more integrated information networks.


CDC’s Epidemiology and Laboratory Capacity for Infectious Diseases Cooperative Agreement (ELC) funds all 50 state health departments, six of the nation’s largest local health departments (Chicago, the District of Columbia, Houston, Los Angeles County, New York City and Philadelphia), and eight territories or U.S. affiliates, including U.S. Virgin Islands, Puerto Rico and Guam. There are 64 grantees.

Public Health Impact

As Americans are increasingly affected by infections emerging anywhere in the world, finding and stopping infectious disease health threats is essential to protecting public health and saving lives. Communities across the nation benefit from the actions taken by state, local, and territorial public health departments to detect, respond, prevent, and control known and emerging (or re-emerging) infectious diseases. Examples of other benefits:
  • Preventing future outbreaks.
  • Responding more quickly to occurrences of infectious diseases.
  • Executing science-based prevention and control strategies leading to decreased infectious diseases deaths and illnesses.
  • Improving health outcomes, health care quality, and health equity.

Grantee Activities

State, local, and territorial public health agencies each have unique needs and priorities because of the diverse infectious disease challenges they face, their organizational capacity, geography, and populations. Often, there are unanticipated events that may require the diversion of resources to a specific emerging or re-emerging disease. To better meet essential needs and reduce delays in responsiveness, cross-cutting ELC resources are designed to address planned-for and unanticipated infectious disease threats.
The ELC oversees an array of projects that strengthen the ability of public health agencies to respond to, prevent, and control known and emerging (or re-emerging) infectious diseases. These include the growing threat of drug-resistant infections , foodborne disease prevention and tracking , vaccine-preventable diseases , as well as activities to reduce healthcare-associated infections.Two primary classes of ELC funding include:

Flexible or Non-disease-specific funding

tackles high-priority needs that are NOT disease-specific. Funding in this category addresses integrated, cross-cutting activities related to epidemiology, laboratory, and health information systems. Resources are awarded so grantees can:
icon showing connections between people to represent 'Strengthen epidemiological capacity'
  • Strengthen epidemiological capacity:
    • Ensure health departments are well-equipped with staff, surveillance systems and other tools to identify, characterize, and provide rapid, effective, and flexible response to infectious disease threats.
    • Develop, execute, and evaluate public health interventions to promote early detection methods that will facilitate the timely implementation of control measures and minimize transmission of infectious diseases.
    • Support a variety of epidemiological activities.
Icon of beakers and test tubes to represent 'Enhance laboratory capacity'
  • Enhance laboratory capacity:
    • Develop modern and well-equipped public health laboratories, with well-trained staff, employing high quality laboratory processes and systems that foster communication and appropriate integration between laboratory and epidemiology functions.
    • Support a variety of laboratory activities
Icon of bar graph to represent 'Improve health information systems'
  • Improve health information systems:
    • Develop and enhance health information systems infrastructure in public health agencies, including public health laboratories, focusing on standards-based electronic data exchange, information systems interoperability, and enhancing and sustaining integrated surveillance information systems.
    • Enhance the electronic exchange of data between public health agencies and clinical care entities, focusing on electronic laboratory reporting (ELR) and electronic case reporting (eCR)
    • Increase informatics/IT capacity in public health agencies through staff, contracts, and training.

Disease-specific or Categorical funding

targets specific infectious diseases and other public health threats of importance. Examples include:

Additional Background

In 1995, the Epidemiology and Laboratory Capacity for Infectious Diseases (ELC) Cooperative Agreement was established to distribute resources to domestic public health departments to strengthen the nation’s infectious disease infrastructure.
In response to the Institute of Medicine's landmark report, Emerging Infections: Microbial Threats to Health in the United States, CDC created ELC as a key component of its national prevention strategy. In ELC’s early years, the focus was on helping to build general infectious disease surveillance capacity.
As the program became more established, it expanded to include specific pathogens. In 2010, the program reached an important milestone with the passage of the Affordable Care Act that established the Prevention and Public Health Fund (PPHF). This provided the first mandatory funding dedicated to improving the nation's public health system. The PPHF expanded national investment in prevention and public health programs to improve health and help restrain increasing private and public sector health care costs.

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