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. 2021 May 14;397(10292):2317–2319. doi: 10.1016/S0140-6736(21)01096-5

Table.

Core principles for integrated disease surveillance

Benefits Implementation requirement
Population-based Denominators for mortality rates and disease burden CRVS or sample registration system
Laboratory confirmation Cases accurately tracked Capacity to scale testing and sequence pathogens
Digital data Systems interconnected and privacy protected Unique health identifiers, standard metadata, web accessible
Data transparency Visibility of all national threats by NPHIs and by WHO for transnational threats Automated reporting to NPHI with a subset to WHO and regional bodies
Adequate financing Sustainable country-owned systems Invest US$1–4 per capita annually

CRVS=civil registration and vital statistics. NPHI=national public health institute.