Emerging Infectious Disease Surveillance in Southeast Asia: Cambodia,Indonesia, and the US Naval Area Medical Research Unit 2

Abstract

Emerging infectious diseases (EIDs) pose international security threats. What cultural, political, and economic challenges stand in the way of setting up EID Surveillance infrastructure? Are there general principles that might guide engagement with developing countries and support such infrastructure? Using the US Naval Area Medical Research Unit 2 as a common denominator, this study compares barriers to EID surveillance in Cambodia and Indonesia and presents key factors that constrain disease surveillance systems. As extensive interviews revealed, low levels of development in general are the main impediments to building EID surveillance infrastructure and are perhaps beyond the scope of health and scientific agencies at this point. Ultimately, political economy matters and promoting greater understanding of these issues is a critical first step in mitigating negative outcomes.