Governmental Challenges of Disease Surveillance

Governmental Challenges of Disease Surveillance
Governmental Challenges of Disease Surveillance

Governmental Challenges of Disease Surveillance

National and State Challenges for Electronic Disease Surveillance

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Governmental Challenges of Disease Surveillance

Different levels of bureaucracy produce unique challenges. This holds true even in the context of disease surveillance. The inherent advantages and disadvantages of specific surveillance systems require each level of government to determine which system will best fulfill its needs.

elect two levels of government (e.g., local, state, regional, or national) and consider the challenges faced by the two levels in electronically monitoring conditions/diseases.

identify the two levels of government you selected and post an analysis of the challenges they face when implementing electronic disease surveillance systems. Then explain which challenges are common and which are unique to the two levels you selected. Consider the similarities and differences, and propose recommendations to mitigate the challenges.


National and State Challenges for Electronic Disease Surveillance

The first challenge occurs in the initial stages of implementing the electronic disease surveillance system: few or no personnel have the necessary knowledge and skills (Noah, 2006). Therefore, governments must begin by training personnel all over the country and states. At the same time, the trained personnel are frequently sent to remote areas, reducing the number of skilled personnel in their states.

More challenges arise when implementing the system in rural areas. Most of these areas have communication are less efficient compared to those in urban areas (Noah, 2006). Therefore, state and national governments must start by improving all the communication networks in all rural states. Worse still, many such areas lack modernized diagnostic laboratories, which hinder the speed of monitoring the diseases. Hence, the authorities must improve the laboratories first.

Also, epidemiological personnel find it hard moving from the old system to the electronic system due to the number of piled cases. Medical personnel spent much time reporting outbreaks and prevalence of diseases (Burdakov, Ukharov & Wahl, 2013). It is, usually, difficult to clear the many pending cases in the stations before normalizing the operations.

Lastly, the system encompasses many local sites, which must be compared with each other in determining the most affected areas. It is very difficult for the personnel to compare data for the purpose of giving preference to some areas. This exercise requires keen involvement since the personnel must go for very minor details (Noah, 2006).

National, state, regional and local authorities experience the same challenges in terms of skilled personnel, the lack of efficient resources in remote areas and the mobility of trained personnel. On the other hand, only the national and state authorities are affected by the problem of handling many affected sites. Regional and local governments have relatively fewer cases due to their geographic sizes (Burdakov, Ukharov & Wahl, 2013). Hence, they easily compare the prevalence of the diseases in different areas.

Mitigating these challenges requires training enough personnel and improving diagnostic laboratories and communication networks in every state before introducing the system. This ensures that the reporting of cases is not hampered by the mobility of personnel and poor communication networks.


Burdakov, A., Ukharov, A., & Wahl, T. (2013). One Health Surveillance with Electronic Integrated Disease Surveillance System. Online Journal Of Public Health Informatics, 5(1). https://www.doi:10.5210/ojphi.v5i1.4480

Noah, N. (2006). Controlling communicable disease. Maidenhead, England: Open University Press.

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