Kasolo Francis, Yoti Zabulon, Bakyaita Nathan, Gaturuku Peter, Katz Rebecca, Fischer Julie E, Perry Helen N
Biosecur Bioterror. 2013 Sep;11(3):163-9. doi: 10.1089/bsp.2013.0032.
Of the 46 countries in the World Health Organization (WHO) African region (AFRO), 43 are implementing Integrated Disease Surveillance and Response (IDSR) guidelines to improve their abilities to detect, confirm, and respond to high-priority communicable and noncommunicable diseases. IDSR provides a framework for strengthening the surveillance, response, and laboratory core capacities required by the revised International Health Regulations [IHR (2005)]. In turn, IHR obligations can serve as a driving force to sustain national commitments to IDSR strategies. The ability to report potential public health events of international concern according to IHR (2005) relies on early warning systems founded in national surveillance capacities. Public health events reported through IDSR to the WHO Emergency Management System in Africa illustrate the growing capacities in African countries to detect, assess, and report infectious and noninfectious threats to public health. The IHR (2005) provide an opportunity to continue strengthening national IDSR systems so they can characterize outbreaks and respond to public health events in the region.
在世界卫生组织（WHO）非洲区域（AFRO）的46个国家中，有43个国家正在实施综合疾病监测与应对（IDSR）指南，以提高其发现、确认和应对重点传染病和非传染病的能力。IDSR为加强经修订的《国际卫生条例》[《国际卫生条例（2005）》]所要求的监测、应对和实验室核心能力提供了一个框架。反过来，《国际卫生条例》规定的义务可以成为维持各国对IDSR战略承诺的动力。根据《国际卫生条例（2005）》报告国际关注的潜在公共卫生事件的能力依赖于建立在国家监测能力基础上的早期预警系统。通过IDSR向世卫组织非洲应急管理系统报告的公共卫生事件表明，非洲国家发现、评估和报告对公共卫生的传染病和非传染病威胁的能力在不断提高。《国际卫生条例（2005）》提供了一个机会，可继续加强各国的IDSR系统，以便它们能够描述疫情特征并应对该区域的公共卫生事件。
