Strengthening and
Sustaining a Network of
Public and Animal Health
Clinical Laboratories
in Pakistan
_____
In Cooperation with the
Pakistan Academy of Sciences
Proceedings of a Joint Workshop
NATIONAL ACADEMIES PRESS 500 Fifth Street, NW Washington, DC 20001
This activity was supported by Contract/Grant No. S-ISNCT-15-CA-1019 between the National Academies of Sciences, Engineering, and Medicine and the U.S. State Department. Additional funding was provided by the National Academy of Sciences. Any opinions, findings, conclusions, or recommendations expressed in this publication do not necessarily reflect the views of any organization or agency that provided support for the project.
International Standard Book Number-13: 978-0-309-48572-2
International Standard Book Number-10: 0-309-48572-X
Digital Object Identifier: https://doi.org/10.17226/25288
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Suggested citation: National Academies of Sciences, Engineering, and Medicine. 2023. Strengthening and Sustaining a Network of Public and Animal Health Clinical Laboratories in Pakistan: Proceedings of a Joint Workshop. Washington, DC: The National Academies Press. https://doi.org/10.17226/25288.
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PLANNING COMMITTEE FOR THE JOINT PAKISTAN-U.S. WORKSHOP ON STRENGTHENING AND SUSTAINING A NETWORK OF PUBLIC AND ANIMAL HEALTH CLINICAL LABORATORIES IN PAKISTAN
David R. Franz, D.V.M., Ph.D., Independent Consultant
Diane E. Griffin, M.D., Ph.D., Professor and Alfred and Jill Sommer Chair, W. Harry Feinstone Department of Molecular Microbiology and Immunology, Johns Hopkins University
Margaret A. Hamburg, M.D., Foreign Secretary, National Academy of Medicine
Ali S. Khan, M.D., M.P.H., Dean, University of Nebraska Medical Center College of Public Health
Julie Pavlin, Board Director, National Academies of Sciences, Engineering, and Medicine
Staff
Rita Guenther, Senior Program Officer
Benjamin Rusek, Senior Program Officer
Nicole Cervenka, Research Associate (from December 2018)
Hope Hare, Administrative Assistant (from July 2018)
LaTasha Morgan, Senior Program Assistant (until March 2018)
Joanna Roberts, Research Associate (January to November 2018)
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Acknowledgments
This Proceedings of a Workshop was reviewed in draft form by individuals chosen for their diverse perspectives and technical expertise. The purpose of this independent review is to provide candid and critical comments that will assist the National Academies of Sciences, Engineering, and Medicine in making each published summary as sound as possible and to ensure that it meets the institutional standards for quality, objectivity, evidence, and responsiveness to the charge. The review comments and draft manuscript remain confidential to protect the integrity of the process.
We thank the following individuals for their review of this workshop proceedings: Uzma Aamir, World Health Organization; Corrie Brown, University of Georgia; Joanna Davis, United States Department of Agriculture; Hamid Irshad, University of Agriculture, Faisalabad; and Ali Khan, University of Nebraska.
Although the reviewers listed above have provided many constructive comments and suggestions, they did not see the final draft of the workshop proceedings before its release. The review of this summary was overseen by Marilyn Baker. She was responsible for making certain that an independent examination of this proceedings was carried out in accordance with standards of the National Academies and that all review comments were carefully considered. Responsibility for the final content of this summary rests entirely with the rapporteur and the National Academies.
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Contents
Workshop Goals and Organization
Organization of This Proceedings
Toward a One Health Reality in Pakistan
2 CLINICAL LABORATORY NETWORKS FOR HUMAN AND ANIMAL HEALTH IN PAKISTAN AND NORTH AMERICA
Public Health Clinical Labs in Pakistan
Laboratory Networks in the United States and Canada
Strengthening the Network of Animal Health Clinical and Diagnostic Laboratories in Pakistan
Animal Health Laboratories in the United States
3 KEY ELEMENTS OF EFFECTIVE CLINICAL LABS AND LABORATORY NETWORKS
Leadership in a Changing World
Building the Next Generation of Clinical Scientists and Practitioners in Pakistan
Regulatory and Legal Frameworks
Communication and Information Systems
Intermediate Steps and Future Goals
Accreditation of Medical Testing Laboratories According to ISO/IEC 15189
Core Competencies and Required Equipment for an Effective Laboratory System
4 EFFECTIVE USE OF CLINICAL LABORATORY DATA
Harnessing Modern Communication for Improved Disease Surveillance
Using Data from Laboratory Networks Effectively
Current Use of Clinical Lab Data Across Pakistan
The Role of Laboratory Networks
Value of Data from Clinical Laboratories for Public Health, Animal Health, and Outbreak Response
5 GLOBAL LABORATORY NETWORKS: INTEGRATING FROM THE GROUND UP
Working Toward Long-Term Goals of Disease Surveillance
Laboratory Response Within the United States
Global Health Security Agenda and the Lab Component
Laboratories’ Exchange of Information
Effective Clinical Diagnostic Systems for Resource-Challenged Environments: An African Perspective
6 FUTURE COLLABORATION TO ENHANCE CLINICAL LABS FOR HUMAN AND ANIMAL HEALTH
Key Insights from Breakout Sessions
Information and Capability Needs of Remote Labs
Information Needs at the Central Government Level
Working Toward an Electronic Morbidity and Mortality Weekly Report Model
A NATIONAL ACADEMIES OF SCIENCES, ENGINEERING, AND MEDICINE PLANNING COMMITTEE AND SPEAKER BIOS
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