Improving Global Influenza Surveillance

Strategies for the U.S. Government

by Melinda Moore, Edward W. Chan, Nicole Lurie, Agnes Gereben Schaefer, Danielle M. Varda, John A. Zambrano

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In May 2006, the U.S. government issued its comprehensive government-wide plan to prepare for the next influenza pandemic: the National Strategy for Pandemic Influenza Implementation Plan, which lays out responsibilities for federal agency actions in the United States. One of the Implementation Plan’s three pillars is Surveillance and Detection, which prominently focuses on international surveillance activities. This documents reports on a RAND study, conducted from October 2005 through November 2006, which identifies strategies for improving global influenza surveillance and suggests practical steps that the U.S. Department of Health and Human Services might consider for implementing them. The study’s systematic analytic approach also resulted in the development of an interactive tool that agencies can use to evaluate the effects of selected strategies. The interactive tool and the approach described in the study approach should also be of interest to public administrators who routinely must determine strategies for a variety of public policy issues.

Table of Contents

  • Chapter One


  • Chapter Two


  • Chapter Three

    Conceptual Framework

  • Chapter Four

    A Process Model and Interactive Tool for Comparing Strategies to Improve Probability and Timeliness of Case Detection

  • Chapter Five

    Leveraging Strategic Partners: Identifying Partnership Opportunities

  • Chapter Six

    Leveraging Strategic Partners: Quantifying Relationships

  • Chapter Seven

    Conclusions and Recommendations

  • Appendix A

    Interactive Tool for comparing Surveillance Improvement Strategies

  • Appendix B

    Organizations Present in 210 Countries

  • Appendix C

    Application of Social Network Analysis to Global Influenza Surveillance: Sample Value Survey

  • Appendix D

    Application of Social Network Analysis to Global Influenza Surveillance: Sample Interactions Survey

The research described in this report was prepared for the U.S. Department of Health and Human Services Office of the Assistant Secretary for Preparedness and Response and performed under the auspices of RAND Health.

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