Sufficient Surveillance for SO-H1N1 Situational Awareness?

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Sufficient Surveillance for SO-H1N1 Situational Awareness?

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There is a concern that the WHO and CDC confirmed case reports is being used in ways that were never intended. For example, the public, now empowered on the internet, is expecting to gain situational awareness regarding the presence and risks associated with SO-H1N1 "Swine Flu" in their communities, so they can take appropriate actions to avoid and mitigate risks. The CDC and WHO case reports and too slow to report and grossly underestimate the actual disease prevalence in real-time for use in a pandemic or other rapidly moving outbreaks. The CDC confirmed cases are, of course, not a good measure of the density of infection and risks involved. Many are arguing that another more effective, multi-pronged approach to disease surveillance is now needed. A proposed third generation biosurveillance system, initially focused primarily on the prevalence of SO-H1N1 infections, clusters of severe illness, and case fatalities, must be global, transparent, and near real time. Any comments?

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