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TableÌý1 WHO’s 7–1–7 metrics for outbreak management evaluation

From: Evaluation of response to a cholera outbreak in January 2024 using the 7–1–7 timeliness metrics: a case study of Elegu Point of Entry, Uganda

Milestones

Date

DD/MM/YY

Narrative

Briefly describe key observations in this interval and how the date was determined

Date of emergence

For endemic diseases:

the date on which a predetermined increase in case incidence over baseline rates occurred

For non-endemic diseases:

the date on which the index case or first epidemiologically linked case first experienced symptoms

For other public health events:

date the threat first met criteria as a reportable event based on country reporting standards

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Date of detection

Date the event is first recorded by any source or in any system

Date of notification

Date the event is first reported to a public health authority responsible for action

Date of early response initiation

Date on which the first of the seven early response actions occurred (see below)

1. Initiate investigation or deploy investigation/response team

2. Conduct epidemiologic analysis of burden, severity, and risk factors, and perform initial risk assessment

3. Obtain laboratory confirmation of the outbreak etiology

4. Initiate appropriate case management and infection prevention and control (IPC) measures in health facilities

5. Initiate appropriate public health countermeasures in affected communities

6. Initiate appropriate risk communication and community engagement activities

7. Establish a coordination mechanism

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