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Volume 22, Number 10—October 2016
Online Report

Global Capacity for Emerging Infectious Disease Detection, 1996–2014

Sheryl A. KlubergComments to Author , Sumiko R. Mekaru, David J. McIver, Lawrence C. Madoff, Adam W. Crawley, Mark S. Smolinski, and John S. Brownstein
Author affiliations: Boston Children’s Hospital, Boston, Massachusetts, USA (S.A. Kluberg, S.R. Mekaru, D.J. McIver, J.S. Brownstein); ProMED-mail, Brookline, Massachusetts, USA (L.C. Madoff); University of Massachusetts Medical School, Worcester, Massachusetts, USA (L.C. Madoff); Massachusetts Department of Public Health, Boston (L.C. Madoff); Skoll Global Threats Fund, San Francisco, California, USA (A.W. Crawley, M.S. Smolinski)

Main Article

Table 7

Results of univariate Cox proportional hazards regression analyses, by quartile of change in Human Development Index (HDI) rank, in a study assessing global capacity for emerging infectious disease detection, 1996–2014

HDI rank change quartile No. outbreaks* Days to discovery hazard ratio (95% CI) No. outbreaks* Days to communication hazard ratio (95% CI)
Q1: Most improvement 49 1.04 (0.98–1.09) 49 1.04 (0.98–1.09)
Q2: High-intermediate 43 1.09 (1.03–1.15)† 44 1.06 (1.00–1.12)†
Q3: Low-intermediate 60 1.08 (1.03–1.13)† 61 1.07 (1.02–1.12)†
Q4: Most decline 120 1.05 (1.01–1.08)† 121 1.00 (0.97–1.03)

*Quartiles are defined based on all countries with HDI scores from 1990 and 2013, regardless of whether they had outbreaks. Therefore, outbreaks are not evenly distributed across the quartiles.
†Statistically significant (α = 0.05).

Main Article

Page created: September 27, 2016
Page updated: September 27, 2016
Page reviewed: September 27, 2016
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
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