ABSTRACT

Biosurveillance serves as a cornerstone of epidemiology in public health practice, while epidemiology-the study of the distribution of diseases and their determinants in populations-provides the framework for designing and shaping effective responses to current and emerging health threats that

CONTENTS

17.1 Current Operation of the Public Health Response System ................. 327 17.2 Current Strengths and Weaknesses of the Public Health

Detection and Response System ......................................................... 331 17.2.1 Physical and Electronic Connectivity .................................... 331 17.2.2 Collaboration across Sectors .................................................... 333 17.2.3 Laboratory Capacity for Rapid Diagnosis ............................. 335 17.2.4 Workforce Capacity ................................................................... 337

17.3 Maximizing Linkage between Detection and Response .................... 338 17.3.1 System Objectives Should Drive Design ................................ 339 17.3.2 Conducting Surveillance for Emerging Threats ................... 341

17.5 Conclusions ................................................................................................ 343 References ............................................................................................................ 344

menace society. To successfully link the activities and outputs of detection systems to effective responses, one must understand the origins and operations of the current public health system.