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The document provides a standardized protocol for evaluating the Early Warning Alert and Response Network (EWARN), a surveillance system used during humanitarian emergencies when regular national health surveillance may be disrupted. The purpose of
...
EWARN is to detect outbreaks of communicable diseases early and enable rapid public health response. The guidance explains how the system should be assessed in terms of its structure, implementation, effectiveness, and usefulness. It outlines the key steps of evaluation: preparation, system description, data collection, and post-evaluation reporting. The protocol highlights common challenges observed in previous EWARN implementations, such as delays in establishing the system, limited data quality, weak outbreak response, and lack of clear transition plans back to routine surveillance systems. It emphasizes the need to evaluate both weekly disease reporting and alert verification processes, and to review attributes such as simplicity, data quality, timeliness, sensitivity, and stability. The document also provides templates for interviews, data review forms, and laboratory assessment, as well as guidance on conducting remote evaluations when access is limited. The overall goal of the protocol is to ensure that EWARN functions effectively to detect and respond to outbreaks and that practical recommendations are developed to improve the system’s performance and sustainability in emergency settings.
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Integrated Disease Surveillance and Response (IDSR) is a strategy adopted by countries in the WHO African Region for implementing comprehensive public health surveillance and response systems for pr
...
iority diseases, conditions and events at all levels of health systems. Successful implementation will require a well-trained, competent and dedicated workforce
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The document “Communicable Disease Surveillance and Response Systems: A Guide to Planning” is a World Health Organization (WHO) guide designed to help countries develop and strengthen national surveillance and
...
response systems for communicable diseases . It explains why surveillance is essential for early detection of outbreaks, informed decision-making, and effective public health action, especially in the context of the revised International Health Regulations (2005).
The guide provides a structured approach to strategic and operational planning. It outlines how countries should assess their existing systems, define a vision and goals, identify expected key result areas (EKRAs), prioritize activities, set realistic targets, allocate resources, and monitor progress. It also includes practical tools such as templates, worksheets, and examples to support ministries of health in organizing planning workshops and developing multi-year strategic plans and annual operational plans. Overall, the document serves as a practical framework to improve preparedness, early warning, and response to public health emergencies.
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Early Warning and Response to Outbreaks and other Public Health Events: A Guide provides practical guidance for strengthening early warning functions within existing public health surveillance systems in WHO’s South-East Asia Region. The document
...
explains how countries can detect, verify, and respond rapidly to outbreaks and other unusual public health events in line with the International Health Regulations (2005). It describes the five key steps of an Early Warning and Response (EWAR) system—information collection, signal detection, event verification, response, and communication—and outlines how to set alert thresholds, identify signals, and ensure timely reporting. The guide also includes recommendations for monitoring and evaluating system performance to improve timeliness, sensitivity, and overall effectiveness in preventing and controlling public health threats.
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Populations affected by emergencies are continually at risk of outbreaks of epidemic-prone diseases and other public health hazards. This operational guidance aims to guide decision-making on when and how to implement and strengthen Early Warning Alert and
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Response (EWAR) in preparation for and response to emergencies. Each module aims to provide updated operational guidance for EWAR practices, which may be more easily understood and applied during emergencies. Through its application, this operational guidance aims to contribute to:
- earlier detection of acute public health events
- earlier and more effective response
- reduced impact of emergencies on health
- increased trust of the population in the (public) health system
- fulfilling our collective commitments to the International Health Regulations (IHR,
2005).
This guidance was developed jointly by 69 experts from more than 20 organizations from global level to country level.
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The webpage “Health emergency preparedness, response and resilience” on the OpenWHO platform presents an online learning channel developed by the World Health Organization (WHO). It provides educational resources and training materials aimed at
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strengthening knowledge and skills related to preparing for, responding to and recovering from health emergencies. The content introduces key concepts such as risk assessment, emergency coordination, surveillance systems, community engagement and resilient health systems. The courses are designed to help public-health professionals, responders and policymakers better understand how to prevent, detect and manage health threats and build stronger systems that can withstand future crises. Overall, the webpage serves as a global training resource to improve preparedness and resilience in public-health emergency management.
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Annex of Environmental Health in Emergencies and Disaster; page 245 - 252
Information in Tables 1–4 summarizes the actions of the World Health Organization,
the International Atomic Energy Authority, other international organizations, and local
health authorities in
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response to a nuclear accident, in compliance with the Convention
on Early Notification and the Assistance Convention.
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Community Assessment For Public Health Emergency Response (Casper) Toolkit; third edition 3.2
recommended
2nd edition
THE SYRIAN ARAB REPUBLIC, IRAQ, JORDAN, LEBANON, TURKEY, WEST BANK AND GAZA STRIP, EGYPT
As part of a wider organisational undertaking to better capture and communicate the effectiveness of its work, Oxfam developed an evaluative method to assess the quality of targeted humanitarian responses. This method uses a global humanitarian indicator tool which is intended to enable Oxfam GB to
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estimate how many disaster-affected men and women globally have received humanitarian aid that meets establishes standards for excellence. This method was used after the independence of South Sudan, which was followed by political tensions with its neighbour on issues unresolved from the Comprehensive Peace Agreement (CPA) which include border demarcation, wealth-sharing and the fate of the disputed territory of Abyei.
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Epidemic diarrhoeal disease preparedness and response. training and practice. Facilitator's guide
World Health Organization
(2014)
Accessed November 2014
Epidemic diarrhoeal disease preparedness and response. Training and practice. Participant's manual
recommended
Accessed November 2014
Mobilising informal health workers for the Ebola response: potential and programme considerations
Annie Wilkinson, Almudena Marí Sáez, Jonah Lipton, Fred Martineau and Clare Chandler
IDS, US University of Sussex, University of Exeter, London School of Higiene and Tropical Medicine
(2014)
Informal health workers are important care providers in the region and continue to be so during the current Ebola Virus Disease (EVD) outbreak. Many are well respected and trusted members of the community who can mobilise large numbers of people for a particular activity and lend legitimacy to a par
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ticular programme.
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