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Volume 16, Number 5—May 2010

Research

Capacity of Public Health Surveillance to Comply with Revised International Health Regulations, USA

Kia E. ArmstrongComments to Author , Scott J. N. McNabb, Lisa D. Ferland, Tim Stephens, Anna Muldoon, Jose A. Fernandez, and Stephen Ostroff
Author affiliations: Centers for Disease Control and Prevention; Atlanta, Georgia, USA (K.E. Armstrong, S.J.N. McNabb); Council of State and Territorial Epidemiologists, Atlanta (L.D. Ferland); US Department of Health and Human Services, Washington, DC, USA (T. Stephens, A. Muldoon, J.A. Fernandez); Pennsylvania Department of Health, Harrisburg, Pennsylvania, USA (S. Ostroff)

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Table 1

Reported circumstances and time frames for reporting and notification of International Health Regulations conditions by state epidemiologists, USA, 2009*

Circumstance Immediately, no. (%) Within 4 h, no. (%) Same business day, no. (%) Within 24 h, no. (%) Total no.
Novel influenza virus
Time frame for reporting
Suspected 23 (52) 2 (5) 1 (2) 5 (11) 37
Probable 1 (2) 0 0 1 (2) 4
Total† 25 2 1 6 44
Time frame for notification
Suspected 16 (36) 9 (20) 3 (7) 1 (2) 29
Probable 9 (20) 0 3 (7) 1 (2) 14
Confirmed 0 0 1 (2) 0 1
Total†
26
9
7
2
45
Severe acute respiratory syndrome
Time frame for reporting
Suspected 25 (56) 1 (2) 4 (9) 8 (18) 41
Probable 1 (2) 1 (2) 0 0 2
Confirmed 0 0 0 1 (2) 1
Total† 27 2 4 9 45
Time frame for notification
Suspected 16 (36) 9 (20) 4 (9) 2 (4) 32
Probable 8 (18) 1 (2) 3 (7) 0 12
Confirmed 1 (2) 0 0 0 1
Total†
25
10
7
2
45
Smallpox
Time frame for reporting
Suspected 30 (67) 2 (4) 1 (2) 6 (13) 41
Probable 0 1 (2) 0 0 2
Confirmed 0 0 0 1 (2) 1
Total† 31 3 1 7 45
Time frame for notification
Suspected 23 (51) 5 (11) 4 (9) 1 (2) 33
Probable 8 (18) 2 (4) 0 0 11
Total†
32
7
4
1
45
Poliomyelitis, wild type
Time frame for reporting
Suspected 22 (49) 1 (2) 1 (2) 9 (20) 37
Probable 2 (4) 2 (4) 0 0 4
Confirmed 0 0 0 1 (2) 3
Total† 25 3 1 10 45
Time frame for notification
Suspected 11 (24) 9 (20) 5 (11) 1 (2) 27
Probable 8 (18) 1 (2) 3 (7) 2 (4) 14
Confirmed 1 (2) 0 0 1 (2) 3
Total† 21 10 8 4 45

*n = 45 for all percentages except time frame for reporting of novel influenza virus (n = 44).
†Includes states that did not have a specified time for reporting and/or notification or they were not sure of the time frame for reporting and/or notification.

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