Table 2.
Calibration of EpiRisk tool with nine historic outbreaks
Hepatitis A (Australia) |
Measles (Japan) | Hepatitis A (Italy) |
Ebola (USA) | Zika (Brazil) | Diphtheria (Bangladesh) |
Cholera (South Sudan) |
Ebola (Sierra Leone) |
Lassa fever (Nigeria) | |
Outbreak characteristics | |||||||||
Duration | 10 weeks | 8 weeks | 18 months | 12 weeks | >10 months | 6 weeks | 18 months | 19 months | 13 months |
Cases (suspected and confirmed) | 30 | 161 | 1803 | 4 | 218 931 | 804 | 20 438 | 13 683 | 4466 |
Deaths (probable and confirmed) | 1 | 0 | 1 | 1 | 11 | 15 | 436 | 3953 | 142 |
International aid received | No | No | No | No | Yes | Yes | Yes | Yes | Yes |
Reference | 55 | 56 | 57 | 58 | 59 | 60 | 59 | 61 | 62 |
Country parameters | |||||||||
Income | 1 | 1 | 1 | 1 | 2 | 2 | 3 | 3 | 2 |
HE total (% of GDP) | 2 | 1 | 2 | 1 | 1 | 3 | 2 | 1 | 3 |
The state of peace | 1 | 1 | 1 | 2 | 2 | 2 | 3 | 1 | 3 |
Country’s border | 1 | 1 | 2 | 2 | 2 | 2 | 3 | 2 | 2 |
Physician density (per 1000) | 1 | 2 | 1 | 2 | 2 | 3 | 3 | 3 | 3 |
Hospital bed density (per 1000) | 2 | 1 | 2 | 2 | 2 | 3 | 3 | 3 | 3 |
Population density | 1 | 3 | 3 | 1 | 1 | 3 | 1 | 2 | 3 |
Total country score | 9 | 10 | 12 | 11 | 12 | 18 | 18 | 15 | 19 |
Disease parameters | |||||||||
Pathogen | 3 | 3 | 3 | 3 | 3 | 2 | 2 | 3 | 3 |
Basic reproductive number | 2 | 3 | 2 | 3 | 3 | 3 | 3 | 3 | 3 |
Mode of transmission | 2 | 3 | 2 | 2 | 1 | 3 | 2 | 2 | 2 |
Asymptomatic stage | 3 | 3 | 3 | 1 | 3 | 3 | 3 | 1 | 3 |
Case fatality rate | 1 | 3 | 1 | 3 | 3 | 3 | 3 | 3 | 3 |
Therapy/drug availability | 3 | 3 | 3 | 3 | 3 | 1 | 1 | 3 | 3 |
Vaccine availability | 1 | 1 | 1 | 3 | 3 | 1 | 1 | 3 | 3 |
Total disease score | 15 | 19 | 15 | 18 | 19 | 16 | 15 | 18 | 20 |
Overall score | 24 | 29 | 27 | 29 | 31 | 34 | 33 | 33 | 39 |
Risk classification | Moderate | Moderate | Moderate | Moderate | High | High | High | High | Extreme |