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Some countries have not established a functional surveillance system to monitor tobacco use and tobacco control measures.
There is the need for these to be monitored through a functional surveillance system so as to understand the epidemiological profile.
Whereas decentralization aims at bringing services closer to the people, maintaining a functional surveillance system amidst such rapid changes can be very challenging and requires adequate advance planning (Anokbonggo et al. 2004).
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Also, additional resources should be made available to ensure functional surveillance systems in areas where elimination has been achieved to prevent reintroduction.
The ability of the United States to assess a public health event under the assessment criteria of the IHR decision instrument depends on the following: 1) the federal government becomes aware of an event; 2) federal, state, and local subject matter experts investigating the event are familiar with IHR reporting obligations; 3) and functional surveillance systems are in operation.
Ultimately, by developing effective health communication measures, functional surveillance systems with strong epidemiologic and laboratory support, and capable multisectoral rapid response teams, it may be possible to curtail spread of a lethal pandemic strain and buy time to develop and deliver effective human-administered vaccines (13, 14 ).
A functional disease surveillance system, for both humans and animals, is essential for the effective control of leptospirosis.
The WHO SISA project demonstrated the feasibility of building a functional influenza surveillance system in Sierra Leone, integrated into existing national IDSR system.
The ISS system started functioning in August 2011 with subsequent capacity to contribute surveillance activity data to global influenza databases, FluID and FluNet, demonstrating a functional influenza surveillance system in Sierra Leone within the period of the WHO SISA project support.
The WHO SISA project demonstrated the feasibility of building a functional influenza surveillance system in Sierra Leone, integrated into the existing national IDSR system and generating relevant surveillance data within a seven-month in-country project phase and sustained with support of local partners.
As in the case of a functional communicable disease surveillance system, which provides "information for action", environmental health surveillance information should be a crucial instrument for public health decision-making.
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