PNNL

Abstract

This research follows the Updated Guidelines for Evaluating Public Health Surveillance Systems, Recommendations from the Guidelines Working Group, published by the Centers for Disease Control and Prevention nearly a decade ago. Since then, models have been developed and complex systems have evolved with a breadth of disparate data to detect or forecast chemical, biological, and radiological events that have significant impact in the One Health landscape. How the attributes identified in 2001 relate to the new range of event-based biosurveillance (EBB) technologies is unclear. This manuscript frames the continuum of EBB methods, models, and constructs through an operational lens (i.e., aspects and attributes associated with operational considerations in the development, testing, and validation of the EBB methods and models and their use in an operational environment). A 2-day subject matter expert workshop was held to scientifically identify, develop, and vet a set of attributes for the broad range of such operational considerations. Workshop participants identified and described comprehensive attributes for the characterization of EBB. The identified attributes are: (1) event, (2) readiness, (3) operational aspects, (4) geographic coverage, (5) population coverage, (6) input data, (7) output, and (8) cost. Ultimately, the analyses herein discuss the broad scope, complexity, and relevant issues germane to EBB useful in an operational environment.