Implications of the International Health Regulations (2005) for communicable disease surveillance systems: Tunisia's experience

Public Health ◽  
2007 ◽  
Vol 121 (9) ◽  
pp. 690-695 ◽  
Author(s):  
S. Lyons ◽  
A. Zidouh ◽  
M. Ali Bejaoui ◽  
M. Ben Abdallah ◽  
S. Amine ◽  
...  
Author(s):  
Sara E. Davies

In a world of fast-paced, globalised travel and trade, early detection of communicable disease outbreaks has become ever more important to prevent the rapid spread of disease. To facilitate surveillance and reporting, detection and communication must be as fast paced as the movement of the outbreak. This sense of urgency has prompted a pivot to technology as the best solution to keep up with the spread of disease. Reliance on a variety of state and nonstate informants with access to surveillance platforms to report potential disease outbreak events to the World Health Organization (WHO) has led to its formal recognition in the revised International Health Regulations (IHRs). However, as this chapter discusses, the inclusion of nonstate reports in disease surveillance and reporting remains a practical and political challenge.


2010 ◽  
Vol 10 (Suppl 1) ◽  
pp. S7 ◽  
Author(s):  
Steven Specter ◽  
Lily Schuermann ◽  
Celestin Hakiruwizera ◽  
Mah-Séré Sow

2007 ◽  
Vol 1 (2) ◽  
pp. 117-121 ◽  
Author(s):  
Jessica L. Sturtevant ◽  
Aranka Anema ◽  
John S. Brownstein

ABSTRACTGlobal public health surveillance is critical for the identification and prevention of emerging and reemerging infectious diseases. The World Health Organization recently released revised International Health Regulations (IHR) that serve as global legislation and provide guidelines for surveillance systems. The IHR aim to identify and prevent spread of these infectious diseases; however, there are some practical challenges that limit the usability of these regulations. IHR requires Member States to build necessary infrastructure for global surveillance, which may not be possible in underdeveloped countries. A large degree of freedom is given to each individual government and therefore different levels of reporting are common, with substantial emphasis on passive reporting. The IHR need to be enforceable and enforced without impinging on government autonomy or human rights. Unstable governments and developing countries require increased assistance in setting up and maintaining surveillance systems. This article addresses some challenges and potential solutions to the ability of national governments to adhere to the global health surveillance requirements detailed in the IHR. The authors review some practical challenges such as inadequate surveillance and reporting infrastructure, and legal enforcement and maintenance of individual human rights. (Disaster Med Public Health Preparedness. 2007;1:117–121)


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