Impediments to global surveillance of infectious diseases: consequences of open reporting in a global economy

Globalization has led to an increase in the spread of emerging and re-emerging infectious diseases. International efforts are being launched to control their dissemination through global surveillance, a major hindrance to which is the failure of some countries to report outbreaks. Current guidelines...

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Main Authors: Richard A. Cash, Vasant Narasimhan
Format: Article
Language:English
Published: The World Health Organization 2000-11-01
Series:Bulletin of the World Health Organization
Subjects:
Online Access:http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862000001100012&lng=en&tlng=en
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author Richard A. Cash
Vasant Narasimhan
author_facet Richard A. Cash
Vasant Narasimhan
author_sort Richard A. Cash
collection DOAJ
description Globalization has led to an increase in the spread of emerging and re-emerging infectious diseases. International efforts are being launched to control their dissemination through global surveillance, a major hindrance to which is the failure of some countries to report outbreaks. Current guidelines and regulations on emerging and re-emerging infectious diseases do not sufficiently take into account the fact that when developing countries report outbreaks they often derive few benefits and suffer disproportionately heavy social and economic consequences. In order to facilitate full participation in global surveillance by developing countries there should be: better and more affordable diagnostic capabilities to allow for timely and accurate information to be delivered in an open and transparent fashion; accurate, less sensationalist news reporting of outbreaks of diseases; adherence by countries to international regulations, including those of the World Trade Organization and the International Health Regulations; financial support for countries that are economically damaged by the diseases in question. The article presents two cases - plague in India and cholera in Peru - that illuminate some of the limitations of current practices. Recommendations are made on measures that could be taken by WHO and the world community to make global surveillance acceptable.
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spelling doaj.art-f41dfbf759ac48d690c8f38f69401f522024-03-02T16:46:26ZengThe World Health OrganizationBulletin of the World Health Organization0042-96862000-11-01781113581367S0042-96862000001100012Impediments to global surveillance of infectious diseases: consequences of open reporting in a global economyRichard A. Cash0Vasant Narasimhan1Harvard UniversityHarvard UniversityGlobalization has led to an increase in the spread of emerging and re-emerging infectious diseases. International efforts are being launched to control their dissemination through global surveillance, a major hindrance to which is the failure of some countries to report outbreaks. Current guidelines and regulations on emerging and re-emerging infectious diseases do not sufficiently take into account the fact that when developing countries report outbreaks they often derive few benefits and suffer disproportionately heavy social and economic consequences. In order to facilitate full participation in global surveillance by developing countries there should be: better and more affordable diagnostic capabilities to allow for timely and accurate information to be delivered in an open and transparent fashion; accurate, less sensationalist news reporting of outbreaks of diseases; adherence by countries to international regulations, including those of the World Trade Organization and the International Health Regulations; financial support for countries that are economically damaged by the diseases in question. The article presents two cases - plague in India and cholera in Peru - that illuminate some of the limitations of current practices. Recommendations are made on measures that could be taken by WHO and the world community to make global surveillance acceptable.http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862000001100012&lng=en&tlng=enepidemiological surveillancedisease outbreakscommunicable disease controlemerging diseasesplaguecholeraPeruIndia
spellingShingle Richard A. Cash
Vasant Narasimhan
Impediments to global surveillance of infectious diseases: consequences of open reporting in a global economy
Bulletin of the World Health Organization
epidemiological surveillance
disease outbreaks
communicable disease control
emerging diseases
plague
cholera
Peru
India
title Impediments to global surveillance of infectious diseases: consequences of open reporting in a global economy
title_full Impediments to global surveillance of infectious diseases: consequences of open reporting in a global economy
title_fullStr Impediments to global surveillance of infectious diseases: consequences of open reporting in a global economy
title_full_unstemmed Impediments to global surveillance of infectious diseases: consequences of open reporting in a global economy
title_short Impediments to global surveillance of infectious diseases: consequences of open reporting in a global economy
title_sort impediments to global surveillance of infectious diseases consequences of open reporting in a global economy
topic epidemiological surveillance
disease outbreaks
communicable disease control
emerging diseases
plague
cholera
Peru
India
url http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862000001100012&lng=en&tlng=en
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