Important Documents, Best Practices & Helpful Resources



Great Lakes Border Health Initiative's Terms of Reference (2017)
A description of the membership, key tasks, and governance of the Great Lakes Border Health Initiative.

Great Lakes Border Health Initiative's Data Sharing Agreement (2009) 
The legal guideline developed by GLBHI for sharing health information across borders (both interstate and international communications) based on the World Health Organization's International Health Regulations while respecting the individual GLBHI states'/province's data sharing laws.

Great Lakes Border Health Initiative's Infectious Disease Emergency Communications Guideline (2017) 
A reference utilized by GLBHI members in order to facilitate emergency communications between states/provinces.

Great Lakes Border Health Initiative Jurisdiction Website Addresses of Immediately Notifiable Diseases (2017)
This document provides the links to each GLBHI jurisdiction's website where their most current immediately notifiable disease listings are available.


CDC Emergency Preparedness and Response Website 
The CDC Emergency Preparedness and Response website is CDC's primary source of information and resources for preparing for and responding to public health emergencies. Search for phrases such as "cross-border" and "border health."

CDC Public Health Law Program 
Established in 2000, the U.S. Centers for Disease Control and Prevention (CDC) Public Health Law Program, located in the Office of the Chief of Public Health Practice in the CDC Office of the Director, seeks to improve the health of the public through law.

World Health Organization's International Health Regulations (IHRs) 
The new International Health Regulations (2005), which took effect on June 15, 2007, are a public health landmark for the World Health Organization (WHO) and its Member States. The global community has a new legal framework to better manage its collective defenses against acute public health risks that can spread internationally and have devastating impacts on human health as well as unnecessary negative interference on trade and travel.

International Travel Resources for Americans and Canadians

United States Centers for Disease Control and Prevention (CDC) Travelers' Health
Select travel health information by your destination countries: What to know before you go...

CDC - Travelers' Health Yellow Book 
The Yellow Book is published every two years by CDC as a reference for those who advise international travelers of health risks. The Yellow Book is written primarily for health care providers, although others might find it useful.

Health Canada - Travel Health 
Health Canada provides information that will help ensure safe and healthy travels.  In English and French.

United States Customs and Border Protection (CBP) 
U.S. Customs and Border Protection (CBP) is the unified border agency within the Department of Homeland Security (DHS). CBP combined the inspectional workforces and broad border authorities of U.S. Customs, U.S. Immigration, Animal and Plant Health Inspection Service and the entire U.S. Border Patrol.

Canada Border Services Agency (CBSA) 
The Canada Border Services Agency (CBSA) ensures the security and prosperity of Canada by managing the access of people and goods to and from Canada.

CBSA - Traveler Information 
The Traveler page is host to current rules and regulations, along with links to travel services and information.

United States Department of State - Bureau of Consular Affairs (CA) 
The mission of the Bureau of Consular Affairs is to protect the lives and interests of American citizens overseas and to strengthen U.S. border security. CA deals with events and issues that have a personal impact: birth, death, marriage, adoption, child custody, citizenship, and relocation to another country. They also provide passports and are available to assist when citizens fall victim to crime, accident or illness in other countries.

Canada - Consular Affairs Bureau 
The Consular Affairs Bureau provides information and assistance services to Canadians living and traveling abroad. In English and French.


Related Organizations

United States Department of Health & Human Services (DHHS)
DHHS is the United States government's principal agency for protecting the health of all Americans and providing essential human services.

Health Canada (HC)
HC is the Federal department responsible for helping Canadians maintain and improve their health, while respecting individual choices and circumstances. In English and French.

United States Centers for Disease Control and Prevention (CDC)
The CDC's mission is to promote health and quality of life by preventing and controlling disease, injury, and disability.

CDC - Global Migration and Quarantine (DGMQ)
DGMQ is committed to reducing morbidity and mortality due to infectious diseases among immigrants, refugees, international travelers, and other mobile populations that cross international borders.

Public Health Agency of Canada (PHAC)
Focused on more effective efforts to prevent chronic diseases, like cancer and heart disease, prevent injuries and respond to public health emergencies and infectious disease outbreaks, PHAC works closely with provinces and territories to keep Canadians healthy and help reduce pressures on the health care system. In English and French.

Early Warning Infectious Disease Surveillance (EWIDS)
EWIDS was a unique collaboration of state, federal and international partners to provide rapid and effective laboratory confirmation of urgent infectious disease case reports in the border regions of the United States, Canada, and Mexico.  Original Federal funding ended in 2012

Eastern Border Health Initiative (EBHI)
Similar to GLBHI, EBHI is a product of the EWIDS grant provided by U.S. DHHS and CDC. Maine, New Brunswick, New Hampshire, New York, Nova Scotia, Quebec and Vermont work together to improve cross-border infectious disease surveillance.

Pacific NorthWest Border Health Alliance (PNWBHA)
PNWBHA is also a product of the EWIDS grant provided by U.S. DHHS and CDC. This group is comprised of Washington, Alaska, British Columbia, Idaho, Oregon, Montana, Saskatchewan and Yukon, and they are also working to improve cross-border infectious disease surveillance in their region.

The U.S.-Mexico Border Infectious Disease Surveillance Project (BIDS)
BIDS was designed to bring together the United States' and Mexico's complementary experiences in syndromic and laboratory-based surveillance in order to work to effectively control and prevent the transmission of infectious diseases that move easily through the geopolitical boundary. BIDS serves to bridge this former surveillance gap by forming partnerships among institutions in both countries serving the region.

Canada-United States Pan-Border Public Health Preparedness Council (PBPHPC)
PBPHPC, comprised of health departments/ministries representatives from the three regional border health collaboratives (EBHI, GLBHI and PNWBHA); three non-aligned provinces and states (Alberta, Manitoba and North Dakota); and the Canada and United States federal government, was established to collectively strengthen bi-national capacity at all levels to address public health threats. Multi-lingual translator available.

United States Department of Agriculture (USDA)
Enhancing the quality of life for the American people by supporting production of agriculture.

USDA - Food Safety & Recalls (FSIS)
This page contains summary data on active recall cases.

United States Food and Drug Administration (FDA)
The FDA is responsible for protecting the public health by assuring the safety, efficacy, and security of human and veterinary drugs, biological products, medical devices, our nation's food supply, cosmetics, and products that emit radiation.

Canadian Food Inspection Agency (CFIA)
CFIA is dedicated to safeguarding food, animals and plants, which enhances the health and well-being of Canada's people, environment and economy. In English and French.

Associations & Alliances

Association of State and Territorial Health Officials (ASTHO)
ASTHO is the national nonprofit organization representing the state and territorial public health agencies of the United States, the U.S. Territories, and the District of Columbia. ASTHO's members, the chief health officials of these jurisdictions, are dedicated to formulating and influencing sound public health policy, and to assuring excellence in state-based public health practice.

Council of State and Territorial Epidemiologists (CSTE)
CSTE is a professional association of over 1,050 public health epidemiologists working in states, local health agencies, and territories. CSTE works to establish more effective relationships among state and other health agencies. It also provides technical advice and assistance to partner organizations, such as ASTHO, and to federal public health agencies such as the U.S. CDC

National Association of County and City Health Officials (NACCHO)
NACCHO is the national organization representing local health departments. NACCHO works to support efforts that protect and improve the health of all people and all communities by promoting national policy, developing resources and programs, seeking health equity and supporting effective local public health practice and systems.

Western New York Public Health Alliance (WNYPHA)
An alliance of eight counties in western New York, WNYPHA, through public/private partnerships and collaborations, will attract resources to enable an integrated regional approach to achieving healthier communities through surveillance, education, prevention and intervention.

International Organizations

World Health Organization (WHO)
WHO is the directing and coordinating authority for health within the United Nations system. It is responsible for providing leadership on global health matters, shaping the health research agenda, setting norms and standards, articulating evidence-based policy options, providing technical support to countries and monitoring and assessing health trends.

European Union Early Warning and Response System (EWRS)
In order to ensure a rapid and effective response by the EU to events (including emergencies) related to communicable diseases, the Commission has put in place an early warning and response system (EWRS). EWRS is a web-based system linking the Commission, the public health authorities in Member States responsible for measures to control communicable diseases and the European Centre for Disease Prevention and Control (ECDC). EEA Countries (Iceland, Lichtenstein and Norway) are also linked to the system. This program is similar to the U.S.'s EWIDS project.