Health Secur. 2015 Jan-Feb;13(1):9-19. doi: 10.1089/hs.2014.0047.
The Global Health Security Agenda (GHSA) describes a vision for a world that is safe and secure from infectious disease threats; it underscores the importance of developing the international capacity to prevent, detect, and respond to pandemic agents. In February 2014, the United States committed to support the GHSA by expanding and intensifying ongoing efforts across the US government. Implementing these goals will require interagency coordination and harmonization of diverse health security elements. Lessons learned from the Global Health Initiative (GHI), the President's Emergency Program for AIDS Relief (PEPFAR), and the Cooperative Threat Reduction (CTR) program underscore that centralized political, technical, and fiscal authority will be key to developing robust, sustainable, and integrated global health security efforts across the US government. In this article, we review the strengths and challenges of GHI, PEPFAR, and CTR and develop recommendations for implementing a unified US global health security program.
全球卫生安全议程（GHSA）描述了一个免受传染病威胁的安全世界的愿景；它强调了发展国际能力以预防、检测和应对大流行性病原体的重要性。2014 年 2 月，美国承诺支持 GHSA，扩大和加强美国政府正在进行的各项努力。实现这些目标将需要机构间协调，并协调卫生安全的各种要素。从全球卫生倡议（GHI）、总统艾滋病紧急救援计划（PEPFAR）和合作减少威胁（CTR）方案中吸取的经验教训强调，集中政治、技术和财政权力将是美国政府开展强有力、可持续和综合的全球卫生安全工作的关键。在本文中，我们审查了 GHI、PEPFAR 和 CTR 的优势和挑战，并为实施统一的美国全球卫生安全方案提出了建议。
