Interconnected and Interdependent Anticipating Infectious Disease - - PowerPoint PPT Presentation
Interconnected and Interdependent Anticipating Infectious Disease Risks in an Increasingly Mobile World ACRP Insight Event March 6 th 2018 Kamran Khan MD, MPH Division of Infectious Diseases St. Michaels Hospital Associate Professor
Interconnected and Interdependent
Anticipating Infectious Disease Risks in an Increasingly Mobile World
ACRP Insight Event March 6th 2018
Associate Professor Faculty of Medicine Dalla Lana School of Public Health University of Toronto Kamran Khan MD, MPH Division of Infectious Diseases
Founder, BlueDot
22 000+ Round Trips
Trillions of Kms Traveled 1.25 2.5 3.75 5
2007 2016
4.5 2.8 2.2 1.5
Domestic International
Trends in Global Air Travel
Distance Traveled Worldwide via Commercial Flights
+53% +60%
51.5% 2.8% 2.9% 3.1% 3.3% 3.4% 3.7% 3.8% 4.9% 6.3% 14.3%
USA UK China Germany Spain J a p a n Australia France I n d i a Canada Rest of the World
25% of the world’s mobility via air comes from just three countries Nearly 50% of the world’s mobility via air comes from just ten countries
I n t e r n a t i
a l K m T r a v e l e d i n 2 1 6
1 London 398 2 New York 261 3 Paris 212 4 Tokyo 181 5 Bangkok 169 6 Hong Kong 162 7 Los Angeles 162 8 Seoul 156 9 Singapore 151 10 Dubai 138 11 Shanghai 131 12 Sydney 115 13 Beijing 110 14 Frankfurt 105 15 San Francisco 102 16 Amsterdam 97 17 Toronto 93 18 Taipei 91 19 Manila 90 20 Madrid 86
Billions of KM traveled on international flights in 2016
These 20 cities account for one-third of the international distance traveled worldwide in 2016
D i s e a s e s S p r e a d F a s t . I n s i g h t s C a n S p r e a d F a s t e r .
Artificial Intelligence Human Intelligence
Public Health Healthcare The Public
Anticipating the International Spread of Zika
Anticipating the International Spread of Zika
Bogoch I.B. et al. Lancet 2016; 387(10016): 335-6
Anticipating the International Spread of Zika
1 2 X
Khan K et al. Bull WHO 2013; 91: 368-376
pathogen causing infectious disease
Yes Yes Yes Yes No No No No Global area(s) with community-based epidemic activity Heighten local infectious disease surveillance and mobilize resources for public-health control Effective exit screening implemented? Evaluate role of entry screening Screening of travellers not suggested Evaluate role of entry screening Screening of travellers not suggested Non-stop flights arriving directly from affected area? Infectious agent with short incubation period? Non-stop flights arriving directly from affected area? Evaluate role of entry screening
Khan K et al. Bull WHO 2013; 91: 368-376
Public Health Healthcare The Public
Health Companion for Travelers
Thank You
Associate Professor Faculty of Medicine Dalla Lana School of Public Health University of Toronto Kamran Khan MD, MPH Division of Infectious Diseases
Founder, BlueDot