Take as Directed

In this episode, Steve and Andrew speak with Senator Patty Murray (D-WA) on the most pressing health issues before America. What is driving the astonishing resurgence of Covid-19 in the south and west, and what is now required? Why are we as a nation still hung up politically over masks and failing to reach the true level of testing we need? What should guide the U.S. in the race for a vaccine? In the current environment, is it possible to avoid a collision between science and politics? Senator Patty Murray (D-WA) has served in the Senate since 193. She is ranking member of the Senate Health, Education, Labor and Pensions (HELP) Commission, a senior member of Senate Committees on Appropriations, Budget, and Veteran Affairs, as well as a member of the CSIS Commission on Strengthening America's Health Security.

In this episode, the hosts are joined by Julie Gerberding, a senior executive at Merck, a longstanding friend, and generous contributor to CSIS’s work. Congress was highly active the week of June 22 examining across several committees the hard lessons of the past months of the coronavirus pandemic in America and what needs to happen right now -- as the outbreak explodes in the west and south -- and looking into the future. Julie testified at two full Senate hearings. What were the key messages she sought to hammer home to policymakers? What is the status of debate in Congress over where we need to move next? Executive Vice President & Chief Patient Officer at Merck and Co., and co-Chair of the CSIS Commission on Strengthening America’s Health Security. She was formerly the Director of the Centers for Disease Control and Prevention (CDC) (2002 – 2009).

In this episode, the hosts engage with Sheryl Gay Stolberg, renowned Washington Correspondent at The New York Times. Since early this year she has been charged with unpacking -- in the midst of the pandemic -- the complex intersection of health, policy, politics and culture. She’s dived into the controversy around hydroxychloroquine, a saga that starkly revealed the collision between science and politics. Have Americans reached a point of exhaustion and resignation, in the face of continued high infections and deaths, and unrelenting economic pain? How to make sense of how these twin crises now mix with protests against racism, social injustice and police brutality? Are Americans at a moment of awakening?

In this episode, Renee DiResta, a prominent expert who studies malign narratives across social networks and what can be done to rebut them, walks Steve and Andrew through her thinking on several provocative questions: Why does the coronavirus pandemic invite pseudoscience, government conspiracy theories and misinformation campaigns? What to make of the recent release of the "Plandemic" video in which the discredited scientist Judy Miskovits makes outlandish, unsubstantiated claims of a secrete plot by global elites – Bill Gates and Tony Fauci – to use the pandemic to grab power, attracting 8 million viewers in short order? Why are CDC and WHO “behemoths” incapable of adapting to new realities? Where are other trusted authoritative sources? As the push accelerates for a vaccine for the planet, can we expect expansive personal attacks upon those developing the solutions? Renee DiResta is the technical research manager at the Stanford Internet Observatory and a regular contributor to Wired magazine.

In this episode, Steve speaks with Dr. Jean William (Bill) Pape, a renowned public health professor and practitioner appointed in late April by Haitian President Moïse to co-chair the country’s Covid-19 response commission. Having combatted HIV/AIDS, cholera, hurricanes, and an earthquake, Bill deems the coronavirus pandemic as the toughest challenge he has seen, a “perfect storm.” Haiti’s extreme challenges are undeniable – deep political divisions, stigma, economic decline, sudden return of Haitians from the Dominican Republic, gangs and insecurity. What is the urgent way forward? And how is it to be executed? Dr. Jean William Pape is Director of GHESKIO, based in Port au Prince, and Professor of Medicine at Weill Cornell Medical College.

In this episode, we speak with Professor Salim Abdool Karim (Slim), a preeminent HIV scientist based in Durban who chairs the scientific Covid-19 advisory group launched by President Cyril Ramaphosa to guide the national response. Looking back to March, Slim bluntly surveys South Africa’s successes and achievements, the acute vulnerabilities of those living with HIV and TB, tough controversies, major constraints, and mistakes that required correction. Early aggressive action by the President slowed the spread of the virus and bought precious time, though excessive reliance on the police and military backfired. An army of 60,000 health workers are the lead element in proactive outreach to communities. Testing has expanded, but lack of access internationally to reagents holds the country back. Modeling has illuminated alarming possibilities, while triggering calls for more transparency. Cape Town remains a dangerous epicenter; others likely lie ahead. The future is a continued, difficult fight to control hot spots and permit the reopening of the economy. Professor Salim Abdool Karim is a clinical infectious diseases epidemiologist, of world renown for achievements in HIV prevention and treatment. He is Director of the Centre for the AIDS Program of Research in South Africa (CAPRISA) in Durban and Professor at the University of Kwa-Zulu Natal and the Mailman School of Public Health at Columbia University.

In this episode, on the day when the number who have died from Covid-19 in America reached 100,000, we speak with special guests Eustace and Carol Theodore, both longtime friends of Steve. After vacationing in England in the first half of March, as the virus was swiftly and invisibly spreading throughout the UK, they returned to Vermont, just prior to President Trump imposing flight bans on Europe, the UK and Ireland. They describe Eustace’s accumulating symptoms, and the uncertain, extended process by which they finally came to discover he had indeed been infected with Covid-19 while abroad. In an extreme condition, Eustace is intubated and placed on a ventilator. How and why did he survive? How has recovery advanced? And what are the larger meanings of their profound, shared experiences? Eustace Theodore has had a long career in education, as a sociologist and residential at Yale College, Executive Director of the Association of Yale Alumni, and President of the Council for Advancement and Support of Education (CASE). Carol Theodore has had a distinguished career as a corporate lawyer.

In this episode, we are joined by a very special guest: Julien, a wonderfully insightful 13-year-old seventh-grader from Berkeley, California. We talk about his experience of over two months of shelter-in-place: how disruptive has this been to friendships, school, sports? What has he done to get greater control over his life? Are we going to get out from under this pandemic? And what’s a young person’s advice for the adults around him?

In this episode, U.S. Senator Chris Van Hollen of Maryland joins us to talk about what Congress can do to respond to Covid-19 right now, including ensuring access and affordability for new treatments and a vaccine, and building stimulus packages for every level of government. Senator Van Hollen shares his thoughts on how expanding national service could help to ramp up testing and contact tracing and alleviate unemployment. The Senator also unpacks why American global leadership is crucial and how China is taking advantage of this moment to gain strategic advantage.

In this crossover episode with CSIS's The Truth of the Matter podcast, Tulane University professor and historian John Barry, author of the New York Times bestseller The Great Influenza, joins the podcast from his home in New Orleans’ French Quarter to discuss the lessons gleaned from the 1918 Spanish Flu pandemic that speak to today’s coronavirus pandemic sweeping America and the world.

In this episode, we are joined by Director of the Africa CDC Dr. John Nkengasong and U.S. Ambassador to the African Union Jessica Lapenn. Africa CDC is advancing a continental plan to address the dire, burgeoning threat Covid-19 poses to Africa, where testing has been woeful, where the continent stands at the back of the line in access to test kits, protective gear, oxygen, and financing; and where lockdowns can trigger an economic shock, food crises and instability. WHO remains a vital, indispensable partner. South Africa President and AU Chairman Cyril Ramaphosa has led the charge. PEPFAR, the Global Fund, Gavi the Vaccine Alliance have created health infrastructure now adapting to the Covid-19 threat. Jack Ma, Alibaba Foundation, the Gates Foundation and others have moved with remarkable speed to support Africa CDC.

In this episode, we bring in Alisha Kramer, a star who cut her teeth right after college working with the CSIS Global Health Policy Center. Now a freshly-minted resident doctor, practicing obstetrics and gynecology in Atlanta hospitals, she assists young pregnant women in navigating the new realities of Covid-19. She shares with us reflections on the risks and fears of health providers, the racial and class divisions she sees every day, the dangers of prematurely lifting the shelter-in-place policies, and the acts of generosity from the community that bring her to tears.

In this episode, the conversation takes off from a recent piece published by Steve and Anna Carroll, Global Health Policy Center’s Associate Fellow, that examines President Trump’s decision to suspend U.S. assistance to the World Health Organization. What drives that decision? And with what consequences, at this historic moment in the pandemic? Is there any possibility of a diplomatic solution that might preserve U.S. support of the WHO?

In this episode, the hosts are joined by Scott Dowell, coronavirus response leader at the Bill & Melinda Gates Foundation. They discuss how successful the global response has been in saving so many lives, as well as get Dr. Dowell's thoughts on which response strategy is best when considering herd immunity, lockdowns, intense digital contact tracing, isolation and quarantine. While we wait for a vaccine, how do we exit this phase? Scott tells us how most transmission actually occurs in the household, and that we should focus on protecting the family of patients, and the most vulnerable, to get control of this pandemic. Dr. Scott Dowell is Deputy Director for Surveillance and Epidemiology and coronavirus response leader at the Bill & Melinda Gates Foundation.

This week marks World Immunization Week, an annual celebration of vaccines that raise awareness and increase rates of immunization against vaccine-preventable diseases around the world. To mark World Immunization Week, Take as Directed launches a conversation recorded earlier in the year to place immunization within the debate around Universal Health Coverage (UHC). In a world faced by not only a pandemic threat but also continuing infectious disease challenges, immunization and universal health coverage is more important than ever. In this episode, Senior Fellow Katherine Bliss talks to two immunization experts: Angela Shen, retired Captain from the U.S. Public Health Service with over 22 years of service at the U.S. Department of Health and Human Services; and Lora Shimp, Technical Director for Immunizations at John Snow Inc. They discuss what the difference is between universal health care and coverage, and how including immunizations under a larger package of preventative services means more people benefit for a cheaper cost. In an era of competing priorities, why should we be focusing on immunization? What does the Immunization Agenda provide for, and will it be accepted by the global community? And can this Agenda help us reach complete immunization coverage worldwide?

In this episode, Steve and Andrew are joined by Congressman Ami Bera (D-CA07) to talk about his work on the CSIS Commission on Strengthening America’s Health Security and his impressions of Covid-19, as both a doctor and an elected representative. They discuss how difficult it’s been to get Congress to spend resources on preparedness, and the work Rep. Bera is doing to build a crisis workforce. His main concerns: when the vaccine is found, how can we ensure the vaccines are distributed equitably to all countries, and who should get it first? Where would the supplies and workforce come from? Congressman Ami Bera has represented California’s 7th Congressional District in the U.S. House of Representatives since 2013. Before joining Congress, Rep. Bera had a twenty-year medical career as a physician, hospital administrator, professor, and as Sacramento County’s Chief Medical Officer. He is also a Member of the CSIS Commission on Strengthening America’s Health Security. Find his recent letter proposing a Covid-19 crisis corps here.

Former Senator Kelly Ayotte, co-chair of the CSIS Commission on Strengthening America’s Health Security, joins Steve and Andrew in explaining how the Commission’s November 2019 core recommendations remain compelling and essential in the midst of the pandemic, if we are to, once and for all, break the cycle of crisis and complacency. She offers her thoughts on the shocks we did not anticipate, such as our weak supply chains, which will now need to be strengthened for the future. Senator Ayotte also discusses China’s highly problematic role in the pandemic, and how the U.S. can reconfigure its dependence, along with a similar rethinking needed to strengthen and reform the World Health Organization.

In this episode, Peter Sands, executive director of The Global Fund to Fight AIDS, Tuberculosis and Malaria, joins Steve and Andrew in exploring the chasm separating the world of finance and economists from that of public health, the extraordinary threats the pandemic poses to historical gains in development and global health, and the rapidly evolving role of the Global Fund in racing to support partner countries in their response to the coronavirus.

In this episode, Andrew asks Steve to interpret the guidelines issued by President Trump yesterday in a three-phase process of reopening. Why the pivot away from “total authority” putting responsibility back onto governors? What’s in the guidelines, and what is missing? Amid the intensifying tension between protecting the health and lives of citizens versus the crushing decline of the U.S. economy, how are the calls to accelerate reopening being met across America? If a great gap persist in terms of testing and the capacity to surveil, isolate, quarantine, and contact trace, what are the options?

Dr. Christopher Murray joins Steve Morrison and Andrew Schwartz to discuss the “Murray Model,” what a rolling reopening of the economy would look like and what that would do to the Murray Model projections. Dr. Murray also discusses which states may be ready to reopen and what hotspots he’s worried about most.

In this episode, Susan Glasser, staff writer at The New Yorker, joins Steve and Andrew to discuss the full range of rapidly evolving issues surrounding President Trump and the White House’s engagement with the coronavirus pandemic and the companion economic crisis – from testing, to protecting essential item supply chains, to preparing the way of safely lifting social distancing to allow schooling and businesses to resume. All with the questions – how do we make sense of what is happening, and what does all of this tell us about the nature of this presidency? Susan B. Glasser is a staff writer at The New Yorker, where she writes a weekly column on life in Trump’s Washington. Ms. Glasser has had a long and distinguished career as a journalist, including founding Politico Magazine, serving as editor-in-chief of Foreign Policy, and a decade at the Washington Post. She is co-author of Kremlin Rising: Vladimir Putin’s Russia and the End of Revolution, written with her husband, Peter Baker.

In this episode, Steve and Andrew are joined by Congresswoman Susan Brooks (R-IN05) to talk about her work on the CSIS Commission on Strengthening America’s Health Security and her experience working through Covid-19. This week with Rep. Ami Bera (D-CA07), Rep. Brooks released a letter calling for the creation of a crisis response corps to manage the pandemic response. They discuss how this could include returned Peace Corps Volunteers, what essential duties this corps could cover, and how these workers could be protected from risk. From there, they move to how Rep. Brooks is now relating to her constituents under these new realities, how Hoosiers are experiencing the pandemic, and where she finds strength and hope. Congresswoman Susan W. Brooks represents the 5th District of Indiana, and is a Member of the CSIS Commission on Strengthening America’s Health Security. Find her letter on a Covid-19 crisis corps here.

Today’s guest is Ron Klain, former Ebola response coordinator in the Obama Administration and current senior adviser to presidential candidate former Vice President Joe Biden. At the top of this week, when the pandemic is predicted to reach horrific peak levels in the New York/New Jersey region, Steve and Andrew ask Ron to look out in time – what are the conclusions that future observers might make about how we reached this treacherous moment? And what will be the deep structural changes required, post-pandemic, if we are to break the cycle of crisis and neglect and protect Americans, and resume leadership to shape the rest of the world? We round off the conversation with a discussion of former Vice President Biden’s thinking on the pandemic response, and what gives Ron confidence and hope. ​Ron Klain served as chief of staff to two U.S. vice presidents – Al Gore and Joe Biden, and served as the United States Ebola response coordinator in the Obama Administration. He is currently a Washington Post columnist and adviser to the Joe Biden 2020 presidential campaign.

Steve and Andrew speak with Helen Branswell, a premiere journalist and one of the world’s leading experts on dangerous infectious disease outbreaks, based for the past five years at STAT. The conversation focuses on the acute challenges: as the coronavirus pandemic advances, how do journalists makes sense of this historic moment? As we fail in the United States and elsewhere to protect health workers, in the face of dangerously escalating demands, how are we to understand the profound human and institutional consequences?

Today, Andrew and Steve talk to Dr. Tom Frieden, President and CEO of Resolve to Save Lives and former CDC Director. They discuss why Dr. Frieden has ‘tears in my eyes’ about the infections and deaths in New York and the risk to healthcare workers. While different communities need different responses, there is a need for clear federal guidance. They discuss how political priorities have infiltrated the national approach and sidelined public health experts, and how we can organize to minimize the harm from this pandemic. Dr. Frieden details how every health system should be getting ready to deal with “World War C”, and how we need a global commitment after this pandemic to never let this happen again. Dr. Frieden serves as President and CEO of Resolve to Save Lives. He was formerly the director of the U.S. Centers for Disease Control and Prevention (CDC), and Commissioner of the New York City Department of Health and Mental Hygiene.

Today, Andrew and Steve talk to Secretary John Wiesman, Secretary of Health for Washington state. They discuss the testing and hospital capacity in Washington state, the scramble for resources that states are finding themselves in and how Washington is working with the private sector to develop these products, and when social distancing might end. Dr. John Wiesman was appointed secretary of health by Governor Jay Inslee in April 2013.

In mid-February, Steve Morrison of the CSIS Global Health Policy Center attended the Munich Security Conference. There, he moderated a roundtable on health in disordered settings, a town hall on COVID-19, and a dinner with Norwegian Prime Minister Erna Solberg. He also spoke with a variety of policymakers, donors, and agency heads that are leading the response to the coronavirus epidemic. In this fourth episode, Steve speaks with Paul Stoffels, Vice Chairman of the Executive Committee and Chief Scientific Officer at Johnson & Johnson. They discuss the unknowns surrounding the COVID-19 virus, the Chinese response, and the role J&J is playing in developing a vaccine.

In mid-February, Steve Morrison of the CSIS Global Health Policy Center attended the Munich Security Conference. There, he moderated a roundtable on health in disordered settings, a town hall on COVID-19, and a dinner with Norwegian Prime Minister Erna Solberg. He also spoke with a variety of policymakers, donors, and agency heads that are leading the response to the coronavirus epidemic. In this third episode, Steve speaks with Jeremy Farrar, Director of the Wellcome Trust. They talk about his experience with SARS in Vietnam, the number of unknowns surrounding the coronavirus, China's unprecedented response and its impacts, and the role Wellcome is playing.

Today, Andrew and Steve are joined by Jude Blanchette, Freeman Chair in China Studies at CSIS. They discuss how the U.S. and China are dealing with the pandemic in their own countries, and how this might affect U.S.-China trade and diplomacy, as well as scientific research partnerships between the U.S. and China.

Today, Andrew and Steve talk to Dr. Margaret "Peggy" Hamburg, foreign secretary of the National Academy of Medicine and member of the CSIS Commission on Strengthening America’s Health Security. They discuss what’s happened with testing in the U.S., the ‘global arms race’ to develop a vaccine, and how the U.S. and the world can develop, produce, and distribute any potential vaccine in an equitable way. Dr. Hamburg is an internationally recognized leader in public health and medicine. She currently serves as the foreign secretary of the National Academy of Medicine (NAM) and 2018 president of the American Association for the Advancement of Science (AAAS). Dr. Hamburg is a former Commissioner of the U.S. Food and Drug Administration (FDA), known for advancing regulatory science, modernizing regulatory pathways, and globalization of the agency.

In this episode, Steve and Andrew invite CSIS's Kathleen Hicks to discuss how the military can respond to COVID-19, and to what extent that can be done. They also examine how, as President Trump labels himself a 'wartime president,' more and more national guard units are operating at state capacity under the direction of governors, and what the Department of Defense can offer. Kathleen Hicks is senior vice president, Henry A. Kissinger Chair, and director of the International Security Program at the Center for Strategic and International Studies.

In this first remote episode, Steve and Andrew discuss what’s happening with the U.S. response: the wholesale suspension of work and cultural events, the mixed messages coming from the Administration, and the unknown period we’re currently in as we wait for the worst part of the pandemic. They also discuss the role Dr. Tony Fauci is playing in this crisis, the role the military could play in a response, and how people need to remain calm and comfortable.

In today’s episode, Steve and Andrew speak with Stephanie Segal, senior fellow and deputy director of the William E. Simon Chair in Political Economy. They talk about the economic shocks COVID-19 is causing, the so-far inadequate policy response, and the possible prolonged economic crisis to come.

The Center for Strategic and International Studies (CSIS) is closely watching the coronavirus outbreak, also known as COVID-19, as it spreads throughout China and around the world and the United States. As knowledge on COVID-19 evolves, Take as Directed will bring you the latest updates in this miniseries Coronavirus Crisis Update. In today’s episode, Steve and Andrew speak with Heather Conley, senior vice president for Europe, Eurasia, and the Arctic and director of the Europe Program at CSIS. They discuss the quarantine of 16 million people in northern Italy; how it came about, what it will mean for Italy’s economy and politics, and how Italy’s neighbors are responding.

The Center for Strategic and International Studies (CSIS) is closely watching the coronavirus outbreak, also known as COVID-19, as it spreads throughout China and around the world and the United States. As knowledge on COVID-19 evolves, Take as Directed will bring you the latest updates in this miniseries Coronavirus Crisis Update. In today’s episode, Steve Morrison speaks with Julie Gerberding, co-chair of the CSIS Commission on Strengthening America’s Health Security and chief patient officer at Merck. Dr. Gerberding is also the former Director of the CDC (2002-2009). Dr. Gerberding testified on March 4th before the U.S. House Committee on Homeland Security on “Confronting the Coronavirus: Perspectives on the Response to a Pandemic Threat.” They discuss the mood in Congress, the transition in the United States from a phase of containment to one of managing the spread of the virus, and her outstanding concerns and reasons for hope.

The Center for Strategic and International Studies (CSIS) is closely watching the coronavirus outbreak, also known as COVID-19, as it spreads quickly throughout China and around the world. As knowledge on COVID-19 evolves, Take as Directed will bring you the latest updates in this miniseries Coronavirus Crisis Update. In this episode, CSIS’s Steve Morrison and Andrew Schwartz discuss newly concentrated hotspots and the politicization of COVID-19, and how an adequate response to the outbreak requires more leadership, clarity and trust.

In mid-February, Steve Morrison of the CSIS Global Health Policy Center attended the Munich Security Conference. There, he moderated a roundtable on health in disordered settings, a town hall on COVID-19, and a dinner with Norwegian Prime Minister Erna Solberg. He also spoke with a variety of policymakers, donors, and agency heads that are leading the response to the coronavirus epidemic. In this second episode, Steve speaks with Dr. Mike Ryan, executive director of the World Health Organization’s (WHO) Health Emergencies Programme. They discuss what dynamics are driving this outbreak, why it should be seen as a security risk as well as a health risk, and what the WHO is doing. They also talk about “infodemics”: the online epidemic of misinformation and weaponized social media.

In mid-February, Steve Morrison of the CSIS Global Health Policy Center attended the Munich Security Conference. There, he moderated a roundtable on health in disordered settings, a town hall on COVID-19, and a dinner with Norwegian Prime Minister Erna Solberg. He also spoke with a variety of policymakers, donors, and agency heads that are leading the response to the coronavirus epidemic. In this first episode, Steve speaks with Orin Levine, director of Vaccine Delivery at the Bill & Melinda Gates Foundation. They discuss the investments the Foundation is making into the epidemic response, the urgent need for diagnostics and treatments, and how this infection might play out over the next year.

The Center for Strategic and International Studies (CSIS) is closely watching the coronavirus outbreak, also known as COVID-19, as it spreads quickly throughout China and around the world. As knowledge on COVID-19 evolves, Take as Directed will bring you the latest updates in this miniseries Coronavirus Crisis Update. CSIS’s Steve Morrison, Andrew Schwartz, and Jude Blanchette discuss the scientific, political, and economic ramifications of the virus with top experts in global health, China, international economics, and more.

Late last year, the CSIS Commission on Strengthening America's Health Security released its final report on ending the cycle of crisis and complacency in U.S. global health security. This miniseries of Take as Directed will delve into the detail of some of the Commission's recommendations. In this final episode of the miniseries, Steve talks with Rebecca Martin, Director of the Director of the Center for Global Health at the US Centers for Disease Control and Prevention (CDC). They discuss the CDC’s work on training field disease detectives and laboratory workers worldwide, how the CDC works across the world to respond to outbreaks, and the Commission’s recommendation that the US re-invest in Global Health Security Agenda (GHSA). They also discuss the CDC’s role in communicating credible science and evidence to children and to parents on social media.

Late last year, the CSIS Commission on Strengthening America's Health Security released its final report on ending the cycle of crisis and complacency in U.S. global health security. This miniseries of Take as Directed will delve into the detail of some of the Commission's recommendations. In this second episode of the miniseries, Steve talks with Ambassador Jimmy Kolker, former assistant secretary for global affairs at the US Department of Health and Human Services and a member of the Commission; and Carolyn Reynolds, senior associate at the Center. They discuss trends in global investment in health security, how countries have been preparing themselves for an outbreak, and the Commission’s recommendation that the World Bank establish a Pandemic Preparedness Challenge, that could incentivize countries to invest in their own preparedness.

Late last year, the CSIS Commission on Strengthening America's Health Security released its final report on ending the cycle of crisis and complacency in U.S. global health security. This miniseries of Take as Directed will delve into the detail of some of the Commission's recommendations. In this first episode of the miniseries, Steve talks with Dr. Richard Hatchett, CEO of Coalition for Epidemic Preparedness Innovations (CEPI). CEPI is a new model of partnership to finance and co-ordinate the development of technologies against high priority public health threats and emerging infectious diseases with pandemic or epidemic potential. Richard and Steve discuss the report's recommendation to systematically confront two urgent technology challenges: the need for new vaccines and therapeutics; and the public health communications crisis.

This episode examines the changing nature of war and conflict and why gender-based violence (GBV) has become a central feature in crises around the world. GHPC Senior Associate Janet Fleischman sits down with Melissa Dalton, senior fellow and deputy director of the CSIS International Security Program and Director of the Cooperative Defense Project (CDP); and Fatima Imam, executive director of Rehabilitation, Empowerment, and Better Health Initiative and Network of Civil Society Organizations in Nigeria. They discuss how GBV impacts women and girls in crises, focused especially on the Middle East and northern Nigeria, and how these ubiquitous and traumatizing realities undermine global health security and community resilience. This conversation is linked to a new CSIS report, How Can We Better Reach Women and Girls in Crises? and an October 31 conference on U.S. Action for Women’s and Girls’ Health Security, both under the auspices of the CSIS Commission on Strengthening America’s Health Security.

In this episode of Take as Directed, Nellie Bristol speaks with Dr. John Vertefeuille. Dr Vertefeuille is currently the polio eradication branch chief at the Centers for Disease Control and Prevention (CDC). His long career at the CDC has included stints in Haiti, Tanzania and Nigeria. Nellie and Dr. Vertefeuille discuss why there has been an increase in vaccine-derived polio since 2016, how it differs from wild poliovirus, and how the CDC plans to contain and prevent future outbreaks.

On September 27th, the CSIS Global Health Policy Center hosted a conference focused on Securing Healthy Populations in a New Era of Global Immunization. The program highlighted the progress that has been made in expanding access to immunization, but emphasized the need for a new push to increase global coverage from 85 to 100 percent. On this episode of Take as Directed, Senior Fellow Katherine Bliss walks through some of the conference panelists’ most striking comments and highlights the challenges of equity, trust, delivery, and insecurity that global immunization programs face as they develop new strategies for the next decade.

In 2018, more than 200 million people contracted malaria around the world, and nearly half a million died of it. As countries continue to battle malaria within their borders, the international discussion turns to a loftier goal—complete global eradication of malaria. In this episode of Take as Directed, J. Stephen Morrison sits down with Sir Richard Feachem, Director of the Global Health Group at UCSF Global Health Sciences, and Professor of Global Health at both UC San Francisco and the UC Berkeley. They discuss the Lancet Commission on Malaria Eradication, and their new report that lays out a vision to achieve the eradication of malaria, “Malaria eradication within a generation: ambitious, achievable, and necessary.” Just how plausible is this vision?

In the last decade, Russia has increased its global engagement, while at the same time pursuing policies at home that are giving rise to HIV/AIDS and drug-resistant tuberculosis epidemics that are a risk for its own populations, as well as its neighbors. These developments have unfolded against a backdrop of highly malevolent Russian behavior across many fronts that has resulted in the imposition of extensive sanctions. In this special joint episode of Take as Directed and Russian Roulette, J. Stephen Morrison sits down with Jeff Mankoff, Acting Director of the CSIS Russia and Eurasia Program; and Judyth Twigg, Professor of Political Science at Virginia Commonwealth University and a Senior Associate with the CSIS Russia and Eurasia Program. The three discuss Steve and Judy's recent analysis, “Putin and Global Health: Friend or Foe?” which outlines an opportunity to expand U.S. engagement to promote health security and counter Russian influence in Eastern Europe and Central Asia.

While the world has seen tremendous improvement in the availability of life-saving vaccines, coverage rates have stagnated over the last decade. The U.S. government, a leading player in global immunization, is working with international organizations as they develop new strategies to accelerate progress toward global goals. On Friday, September 27th, CSIS will host a conference on global immunization to explore these issues. As a primer to that event, we take you back to a conversation from last winter between Nellie Bristol and Dr. Orin Levine, Director of Global Delivery Programs and former Director of Vaccine Delivery for the Global Development Program at the Bill & Melinda Gates Foundation. Dr. Levine joined us on this episode of Take as Directed to discuss new innovations in achieving equity, increasing demand for immunization, and reaching the unreached with vaccines to secure the health and stability of all populations.

The population of Africa is expected to double over the next 20 years, which means that many countries are facing either a demographic dividend or potentially a disaster, with critical implications for global health and development. In this episode of Take as Directed, Janet Fleischman sits down with Amb. Mark Dybul, Director of the Center for Global Health and Quality, and Professor in the Department of Medicine at Georgetown University Medical Center, and formerly head of the Global Fund to Fight AIDS, Tuberculosis, and Malaria. They discuss why these demographic trends matter and how U.S. programs can better engage young people, especially adolescent girls and young women, to address their needs and support local innovation.

At the end of June, the Board of Gavi, the Vaccine Alliance, approved their new “5.0” strategy for 2021-2025, with an ambitious set of priorities for this new phase. In this episode of Take as Directed, Nellie Bristol sits down with Amanda Glassman, Executive Vice President and Senior Fellow of the Center for Global Development, and Katherine Bliss, Senior Fellow with the Global Health Policy Center, to discuss these changes and their implications for the broader immunization landscape beyond 2020.