Infectious Disease Prioritization for Multijurisdictional Engagement at the United States Southern Border Region

US Southern Border Region Infectious Disease Prioritization Report

CDC facilitated a disease prioritization workshop with state, local and other federal partners to strengthen and focus joint efforts to address infectious disease challenges in the US southern border region. The process aimed to provide a common set of diseases for border-wide project development such as data visualizations and gap analyses. The workshop was held September 27-28, 2018, in San Diego, CA. During the workshop, participants identified infectious diseases of particular importance for the US southern border region, defined the criteria for prioritization, and established questions and weights relevant to each criterion. The workshop focused on diseases that can be introduced and amplified, or cause an outbreak, due to the movement of people, products, or animals between the United States and Mexico.

Participants selected four infectious diseases or disease groups as priorities using a mixed-methods prioritization process, the One Health Zoonotic Disease Prioritization (OHZDP) Process, developed by CDC. Following the workshop, participants devised specific steps to address the prioritized diseases or disease groups.

The specific workshop goals were to:

  • Identify and prioritize endemic and emerging infectious diseases in the US southern border region of mutual concern to US federal, state, and local partners.
  • Develop plans to jointly address gaps in surveillance, response, or other relevant activities for the prioritized diseases.
Top Infectious Diseases of Concern for the United States Southern Border Region

The 2018 initiative prioritized the following four infectious diseases or disease groups for the US southern border region:

  1. Tuberculosis
  2. Aedes mosquito–transmitted arboviral diseases (dengue, chikungunya, Zika)
  3. Enteric diseases (Vibrio, Listeria monocytogenes, nontyphoidal Salmonella, Brucella spp.)
  4. Rickettsioses (R. rickettsia, R. typhi, R. parkeri)
Participating Organizations
  • Arizona Department of Health Services
  • California Department of Public Health
  • New Mexico Department of Health
  • Texas Department of State Health Services
  • Imperial County Public Health Department
  • San Diego County Health and Human Services Agency
  • United States Health and Human Services Agency, Office of Global Affairs
  • Centers for Disease Control and Prevention (CDC)
    • Division of Global Migration and Quarantine, US-Mexico Unit (DGMQ, USMU)
    • Division of Vector-Borne Diseases (DVBD)
    • Office of Public Health Preparedness and Response (OPHPR)
    • One Health Office