4.2 Article

Using Timeliness Metrics to Track Progress and Identify Gaps in Disease Surveillance

Journal

HEALTH SECURITY
Volume 19, Issue 3, Pages 309-317

Publisher

MARY ANN LIEBERT, INC
DOI: 10.1089/hs.2020.0139

Keywords

Infectious diseases; Surveillance; Evaluation; Epidemic management; response; Public health preparedness; response; Communicable disease control

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This article discusses the importance of timely outbreak detection and response, introduces how to evaluate infectious disease surveillance systems through timeliness metrics, and provides implementation recommendations based on national-level pilot studies and expert consultation efforts.
Timely outbreak detection and response can translate into illnesses averted and lives saved. As such, timeliness is an important criterion for evaluating performance of infectious disease surveillance systems. Through the use of clearly defined outbreak milestones, timeliness metrics can capture the speed of outbreak detection, verification, response, and other key actions across the timeline of an outbreak and evaluate progress over time. In this article, we describe a series of country-level pilot studies designed to assess the feasibility and utility of tracking timeliness metrics and highlight key findings. We then discuss subsequent efforts to develop a timeliness metrics measurement framework through expert consultation and provide recommendations for implementation. National surveillance programs, international agencies, and donor organizations can use timeliness metrics to identify gaps in surveillance performance and track progress toward improved global health security.

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