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University of Nebraska Medical Center

International Programs & Innovation

Innovating through research, development, and external partnerships 

 

The GCHS actively builds relationships with international partners to share best practices, learn from past experiences, and prepare collaboratively for future disasters. Through its programs and global memberships, GCHS is not only expanding its international collaborations but also enhancing its specialized expertise in biocontainment and infection prevention and control. 

As natural and human-made emergencies continue to rise, there is an increasing demand
for innovative approaches to preparedness and response. The innovative minds at the GCHS
made significant contributions during the COVID-19 pandemic, advancing our understanding of
airborne transmission of SARS-CoV-2, disease prevalence, transmission and detection.Today,
these innovators remain focused on pioneering new strategies and solutions for emergency
preparedness and response. 

Innovation

Isolation System for Treatment and Agile Response (ISTARI)

Recognizing the critical need for innovation and infection prevention and control for COVID-19, James Lawler, M.D, Dr. Jana Broadhurst, MD, PhD, and Dr. David Brett-Major, MD accelarated an existing GCHS project called the Isolation System for Treatment and Agile Response for high-risk Infections (ISTARI). ISTARI is a modular structure that can be used to care for patients who are highly contagious, and is based on an earlier iteration developed for Ebola. It's a disposable structure that fits inside a standard hospital room and dramatically reduces the need for PPE by wrapping the PPE around the patient instead of the healthcare worker.

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Self-led Infection Control Evaluation (SLICE)

Funded by the CDC in partnership with Project Firstline, the Infection Prevention Support Center provides education, tools, and resources to support Infection Preventionists (IPs) across healthcare settings. The team has created Self-led Infection Control Evaluation (SLICE) tool, an online, programmatic self-assessment that empowers IPs to evaluate their IPC programs and provides an actionable report for improvement efforts. To date, SLICE has nearly 400 users in all 10 HHS regions.

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Open-MediciNE

The Open-MediciNE platform was developed in 2020 by Drs. Michael Wadman and Thanh Nguyen in response to the global supply shortage during the COVID-19 pandemic. The primary objective of the Open-MediciNE platform is to host free downloadable design schematics of innovative health care technologies. Many of the technologies on this platform have been validated to deliver on engineering parameters determined by each project team. The technologies on this platform may not have direct application to every user’s intended use case but we encourage the community use these design files as a baseline to improve upon.

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XR Education

Funded by the CDC in partnership with Project Firstline, the Infection Prevention Support Center provides education, tools, and resources to support Infection Preventionists (IPs) across healthcare settings. The Extended Reality (XR) Education program provides a five-module training bundle to improve IP knowledge of the Sterile Processing Department in a gamified and immersive virtual environment.

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PPE Decontamination Using UV Light

In response to the perilous shortage of N-95 respirators in the spring of 2020, Dr. John-Martin Lowe led a team to create a process to decontaminate PPE using ultraviolet light during the height of the COVID-19 pandemic. The process --the first of its kind to implement on a large scale -- involved collecting N-95 respirators at the end of each shift and utilizing ultraviolet light towers to decontaminate the masks and return them to hospital staff for re-use. This creative solution helped preserve a critical resource and allowed UNMC to maintain airborne precautions for its healthcare workers through the spring 2020 wave of COVID-19. As Dr. Lowe noted, "The pandemic has forced us to be as innovative as possible in filling gaps and responding to new challenges."

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PCR Diagnostics Test

Led by the Director of the UNMC Emerging Pathogens Laboratory, Dr. Jana Broadhurst, MD, PhD, and her team, UNMC was one of the first clinical laboratories in the U.S. to develop its own PCR diagnostic test for SARS-CoV-2 detection to support repatriated Americans in the National Quarantine Unit and Nebraska Biocontainment Unit before public health or commercial tests were available. The test received emergency authorization from the FDA, continues to support patient care at Nebraska Medicine and the surrounding community, and serves as a gold standard for the evaluation of novel diagnostic technologies.

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International Partnerships

Global Infectious Disease Preparedness Network (GIDPN)

Partnering with institutions with high-level isolation units in Singapore, Germany, South Korea and China, we are are developing a clinical trials network and clinical response force to ensure a rapid exchange of information and resources during pandemics. The goal: Local and worldwide health system and public health preparedness.

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Special Pathogens Research Network (SPRN)

SPRN is a network of U.S. institutions with high-level clinical isolations units that are committed to the development and maintenance of rapid response clinical research infrastructure. The GCHS leads the SPRN with the network Director at UNMC and with core network central IRB infrastructure being housed at UNMC. The network has been leveraged and funded by federal agencies such as NIH and BARDA as well as industry to rapidly implement special pathogens clinical trials and expand access investigational new drug protocols. The network receives longitudinal extramural funding through the National Emerging Special Pathogen Training and Education.

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The Global Outbreak Alert and Response Network (GOARN)

The Global Outbreak Alert and Response Network (GOARN), a World Health Organization network, provides international public health resources to control outbreaks and public health emergencies across the world. GCHS leadership has recently attended GOARN meetings in Switzerland, Rwanda, and Jordan. These meetings focused on the operational work of the steering committee to strengthen and advance GOARN's agenda and enhance regional strategic initiatives and collaborations.

International Engagement

East Africa

Through various programs and memberships to global organizations, the GCHS is steadily increasing not only their collaborations across the world but also their ability to provide specialized expertise in areas such as biocontainment and infection prevention and control. Specifically, work and partnership building is currently taking place in East Africa, specifically in Rwanda, Uganda, and Kenya, where the GCHS and UNMC’s College of Public Health are collaborating with academia, government, NGO’s, and private sector partners in the region to strengthen national infrastructure to prepare and respond to HCID outbreaks and other public health emergencies. The East Africa Region Global Health Security Summit was held in Mombasa, Kenya in January 2025.

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Tokyo

The GCHS and the Nebraska Biocontainment Unit (NBU began a reciprocal educational partnership with Japan’s National Center for Global Health and Medicine (NCMG) in March 2023. Over the course of a year, the two facilities met virtually to discuss biocontainment best practices and answer questions about processes and care that are unique to the respective nations.

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Ghana

In July 2019, Jocelyn Herstein, PhD joined GCHS directors John Lowe, PhD, and James Lawler, MD in Ghana to help strengthen existing efforts for infectious disease surveillance and response. Working with key leaders from the U.S. Embassy, U.S. Department of Agriculture, Centers for Disease Control and Prevention's Global Health Security, the Ghanaian Directorate of Agriculture, and the University of Ghana's School of Veterinary Medicine, our team explored new opportunities for OneHealth Research, investigating antimicrobial resistance with Ghanaian collaborators, and established collaborative partnerships with the 37th Military Hospital in Accra and the Komfo Anokye Teaching Hospital in Kumasi.

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Nigeria

A team of UNMC/Nebraska Medicine physicians, nurses, and researchers conducted the second round of preparedness and response training for Nigeria Biopreparedness Initiative in July 2019. The GCHS, in partnership with the Walter Reed Program Nigeria, Henry Jackson Foundation, Nigeria Ministry of Defense, and U.S. Consulate Nigeria, continues to lead the way in readiness training all over the world.

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Berlin

Dr. Lawler, GCHS executive director, and Dr. Herstein, director of the Sub-Saharan Africa Region, traveled to Berlin, Germany, to attend the 2019 World Health Summit to learn from notable speakers such as World Health Organization Director-General, Tedros Adhanom Ghebreyeus, PhD, and ministers of health representing Uganda, Ghana, Brazil, Paraguay, and Germany.

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Uganda

In 2016, the U.S. Department of Defense established a multi-institute project after the 2013-216 Ebola virus spread in West Africa: the Joint Mobile Emerging Disease Intervention Clinical Capability (JMEDICC). Since its inception, the GCHS has worked with the JMEDICC project in Fort Portal, Uganda.

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