Validity of International Health Regulations in Reporting Emerging Infectious Diseases

Autor: Julius Weinberg, David L Heymann, Johan Giesecke, Michael Edelstein
Rok vydání: 2012
Předmět:
Microbiology (medical)
medicine.medical_specialty
international health regulations
diagnosis
Epidemiology
media_common.quotation_subject
education
lcsh:Medicine
specificity
communicable diseases
World Health Organization
Communicable Diseases
Emerging
Sensitivity and Specificity
International Health Regulations
World health
lcsh:Infectious and parasitic diseases
emerging infectious diseases
Predictive Value of Tests
Environmental health
medicine
Humans
lcsh:RC109-216
Disease Notification
Health policy
media_common
reporting
business.industry
Health Policy
Research
Public health
lcsh:R
International health
sensitivity
decision instrument
Infectious Diseases
Population Surveillance
Communicable Disease Control
Emerging infectious disease
notification
Public Health
reproducibility of results
business
Seriousness
Zdroj: Emerging Infectious Diseases
Emerging Infectious Diseases, Vol 18, Iss 7, Pp 1115-1120 (2012)
ISSN: 1080-6059
1080-6040
DOI: 10.3201/eid1807.111608
Popis: Use of more prescriptive criteria and training of persons responsible for reporting could improve results.
Understanding which emerging infectious diseases are of international public health concern is vital. The International Health Regulations include a decision instrument to help countries determine which public health events are of international concern and require reporting to the World Health Organization (WHO) on the basis of seriousness, unusualness, international spread and trade, or need for travel restrictions. This study examined the validity of the International Health Regulations decision instrument in reporting emerging infectious disease to WHO by calculating its sensitivity, specificity, and positive predictive value. It found a sensitivity of 95.6%, a specificity of 38%, and a positive predictive value of 35.5%. These findings are acceptable if the notification volume to WHO remains low. Validity could be improved by setting more prescriptive criteria of seriousness and unusualness and training persons responsible for notification. However, the criteria should be balanced with the need for the instrument to adapt to future unknown threats.
Databáze: OpenAIRE
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