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      Challenges to global surveillance and response to infectious disease outbreaks of international importance.

      Biosecurity and bioterrorism : biodefense strategy, practice, and science
      Disease Outbreaks, Humans, Internationality, Internet, Population Surveillance, methods, Program Development, United States

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          Abstract

          This article presents a notional scheme of global surveillance and response to infectious disease outbreaks and reviews 14 international surveillance and response programs. In combination, the scheme and the programs illustrate how, in an ideal world and in the real world, infectious disease outbreaks of public health significance could be detected and contained. Notable practices and achievements of the programs are cited; these may be useful when instituting new programs or redesigning existing ones. Insufficiencies are identified in four critical areas: health infrastructure; scientific methods and concepts of operation; essential human, technical, and financial resources; and international policies. These insufficiencies challenge global surveillance of and response to infectious disease outbreaks of international importance. This article is intended to help policymakers appreciate the complexity of the problem and assess the impact and cost-effectiveness of proposed solutions. An assessment of the potential contribution of appropriate diagnostic tests to surveillance and response is included.

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          Author and article information

          Journal
          17903090
          10.1089/bsp.2007.0041

          Chemistry
          Disease Outbreaks,Humans,Internationality,Internet,Population Surveillance,methods,Program Development,United States

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