Ann Marie Kimball (USA) is Professor of Health Services
and Epidemiology at the University of Washington School
of Public Health and Community Medicine. She is also Adjunct
Professor in Medicine with the School of Medicine. She serves
as Director of the Masters in Public Health Program in Health
Services and as an attending physician at the International
Clinic at Harborview Medical Center in Seattle. Her research
interests are in Emerging Infections and global epidemic,
prevention, surveillance, investigation and control of infectious
diseases. Specifically, she has worked extensively in the
areas of trade policy and disease control, and telecommunications
and disease surveillance and alert systems.
Formerly, Dr. Kimball served as Regional Advisor for HIV/AIDS
with the Pan American Health Organization (WHO). She has
also served as Director of the Washington State HIV/AIDS/STD
Program with the state Department of Health, and as Chair
of the National Alliance of State and Territorial AIDS Directors
in the United States.
Dr. Kimball has served on numerous editorial and scientific
and technical committees. She serves on the Editorial Board
of the Control of Communicable Diseases Manual (APHA 2000)
and as a member of the Institute of Medicine Expert Committee
to review the Global Emerging Infections Surveillance program.
She is a fellow in the American College of Preventive Medicine.
She is Chair of the University of Washington Hogness Symposium
and a member of the International Faculty Council of the
· Kimball, AM, Horwitch C, O'Carroll P, et al. (1999)
The Asian Pacific Economic Emerging Infections Network.
Am J Prev. Med. 17(2) 156-8
· Kimball MA, Horwitch C, Harris T. Internet Outreach
in Teaching about Emerging Infections. 9th International
Congress, WFPHA Beijing, Selected Proceedings (in press
· Kimball AM Harris TG eds. (2000) Proceedings of
the APEC ISTWG Seminar on Emerging Infections. National
Institutes of Standards and Technology, Department of Commerce
· Kimball AM, Thant M (1996) A Role for businesses
in HIV/AIDS Prevention in Asia. Lancet: 347(9016)
· Kimball AM, Davis R. Costs of Epidemics in APEC
Economies. Chapter in Plagues Power and Politics.
Price-Smith, ed. (In press.)
Global and Local Communities of Public Health: Can Disease
Control and International Trading Interests be Synchronized?
Introduction: Epidemics of emergent and re-emergent infections
carry high human and economic costs. The risks of such losses
are preventable through the international application of
best practices in Public Health. As global interdependency
increases, risk of infectious disease transmission generalizes.
Public Health infrastructure is highly variable. Where preventive
services are ineffective, populations are placed at added
risk through globalization of trade and travel. Lack of
synchronous activity between the sectors of health and commerce
exacerbate this risk. This research will investigate feasibility
of applying new concepts of information exchange and increased
transparency at a regional and global (international organization)
level as a potential tool for narrowing this gap in intersectoral
Objectives: 1) To test the "Network of Networks"
concept for advancing public health communications networks
and disease surveillance efforts in Asia Pacific. 2) To
determine the potential utility of the Emergency Notifications
data as an information source about epidemics.
Methods: Objective 1 will be address by convening an APEC
regional network of networks meeting in Seattle in winter
of 2001 and evaluating the impact of this meeting through
observation and survey of participants six months after
the event. Objective 2 will be addressed through the systematic
analysis of the existing data set on urgent trade measures
of WTO. Linkage of this data set to other existing surveillance
and trade will be considered. Preliminary results will be
discussed in consultation with WHO and WTO to define additional
analyses to be undertaken.
Discussion: This research activity will contribute to the
understanding of and potentially change the context in which
member economies of APEC and international organizations
form their response to disease threats. It responds to the
program goal of addressing the interface between economic
and political issues and population health issues. Specifically
the research will enhance the understanding of how increased
transparency of communications through a network of networks
approach may actually occur in the APEC virtual public health
community. In addition the historic functioning of the regulatory
environment of trade policy in times of epidemics will be