Abstract
The global spread of severe acute respiratory syndrome highlighted the need to detect and control disease outbreaks at their source, as envisioned by the 2005 revised International Health Regulations (IHR). June 2012 marked the initial deadline by which all 194 World Health Organization (WHO) member states agreed to have IHR core capacities fully implemented for limiting the spread of public health emergencies of international concern. Many countries fell short of these implementation goals and requested a 2-year extension. The degree to which achieving IHR compliance will result in global health security is not clear, but what is clear is that progress against the threat of epidemic disease requires a focused approach that can be monitored and measured efficiently. We developed concrete goals and metrics for 4 of the 8 core capacities with other US government partners in consultation with WHO and national collaborators worldwide. The intent is to offer an example of an approach to implementing and monitoring IHR for consideration or adaptation by countries that complements other frameworks and goals of IHR. Without concrete metrics, IHR may waste its considerable promise as an instrument for global health security against public health emergencies.
Highlights
The global spread of severe acute respiratory syndrome highlighted the need to detect and control disease outbreaks at their source, as envisioned by the 2005 revised International Health Regulations (IHR)
The 2005 revised International Health Regulations (IHR) were established as a legally binding agreement providing a framework for improving detection, reporting, and response to public health emergencies of international concern [3]
The framework focuses on 4 of the core capacities and builds on World Health Organization (WHO)’s IHR Monitoring Framework by defining simple standards for these capacities [4]. The focus on these 4 capacities should not imply that they are more important than other capacities because implementation of IHR
Summary
Ensure adequate numbers of A national workforce plan and 1 Document that a workforce plan exists trained personnel are available trained field epidemiologist for and is maintained and updated, and to support the response to a every 200,000 persons monitor annual progress toward the goal public health emergency of 1 trained field epidemiologist for every.
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