%PDF-1.6
%
1 0 obj
<>
endobj
2 0 obj
<>stream
Saranath Lawpoolsri, Jaranit Kaewkungwal, Amnat Khamsiriwatchara, Ly Sovann, Bun Sreng, Bounlay Phommasack, Viengsavanh Kitthiphong, Soe Lwin Nyein, Nyan Win Myint, Nguyen Dang Vung, Pham Hung, Mark S. Smolinski, Adam W. Crawley, Moe Ko Oo
Data quality and timeliness of outbreak reporting system among countries in Greater Mekong subregion: Challenges for international data sharing
www.plosntds.org
www.plosntds.org
endstream
endobj
3 0 obj
<>/XObject<>>>/CropBox[0 0 612 792]/MediaBox[0 0 612 792]/Parent 11 0 R/Annots 12 0 R/Contents 13 0 R/TrimBox[0 0 612 792]>>
endobj
12 0 obj
[14 0 R 15 0 R 16 0 R 17 0 R 18 0 R 19 0 R]
endobj
14 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0006425.ref001)>>
endobj
15 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0006425.ref002)>>
endobj
16 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0006425.ref003)>>
endobj
17 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0006425.ref004)>>
endobj
18 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0006425.ref005)>>
endobj
19 0 obj
<>/Border[0 0 0]/A 20 0 R>>
endobj
20 0 obj
<>
endobj
13 0 obj
[21 0 R 22 0 R 23 0 R 24 0 R 25 0 R 26 0 R 27 0 R]
endobj
21 0 obj
<>stream
q
0.955 g
0 w
199.9998 641.23 m
575.9997 641.23 l
575.9997 389.2306 l
199.9998 389.2306 l
f*
0.45 0.36 0.35 0.01 k
575.9997 666.2299 m
199.9998 666.2299 l
199.9998 666.7299 l
575.9997 666.7299 l
f*
0.83 0.64 0.02 0 k
222.463 263.9055 m
227.1685 263.9055 l
h
f*
232.2709 263.9055 m
236.9764 263.9055 l
h
f*
541.1339 146.948 m
545.8394 146.948 l
h
f*
547.9937 146.948 m
552.6992 146.948 l
h
f*
480.9827 107.9433 m
485.7449 107.9433 l
h
f*
0 g
1 j
1 J
9.5 0 0 9.5 200.0125 707.7543 cm
BT
/F0 1 Tf
1 TL
-0.0042 Tc
0 0 Td
(national)Tj
3.6701 0 Td
(outbreak)Tj
4.0639 0 Td
(reporting)Tj
4.1177 0 Td
(system.)Tj
3.6463 0 Td
(Differences)Tj
5.2216 0 Td
(in)Tj
0.9847 0 Td
(data)Tj
2.1424 0 Td
(quality)Tj
3.0674 0 Td
(and)Tj
1.8679 0 Td
(timeliness)Tj
4.6129 0 Td
(of)Tj
1.0444 0 Td
(outbreak)Tj
-34.4393 -1.474 Td
(reporting)Tj
4.1117 0 Td
(system)Tj
3.3657 0 Td
(among)Tj
3.2464 0 Td
(member)Tj
3.8611 0 Td
(countries)Tj
4.2251 0 Td
(should)Tj
3.1271 0 Td
(be)Tj
1.3188 0 Td
(considered)Tj
5.0486 0 Td
(when)Tj
2.584 0 Td
(planning)Tj
3.9387 0 Td
(data)Tj
2.1483 0 Td
(shar-)Tj
-36.9755 -1.474 Td
(ing)Tj
1.5336 0 Td
(strategies)Tj
4.5056 0 Td
(within)Tj
2.7392 0 Td
(a)Tj
0.7698 0 Td
(regional)Tj
3.7238 0 Td
(network.)Tj
ET
Q
q
1 j
1 J
0 w
11.9999 0 0 11.9999 209.9905 623.2251 cm
BT
/F0 1 Tf
1 TL
-0.0033 Tc
0 0 Td
(Author)Tj
3.137 0 Td
(summary)Tj
ET
Q
q
1 j
1 J
0 w
10 0 0 10 209.9905 605.2535 cm
BT
/F6 1 Tf
1 TL
-0.004 Tc
0 0 Td
(The)Tj
1.7858 0 Td
(rapid)Tj
2.3357 0 Td
(growth)Tj
3.0727 0 Td
(in)Tj
1.0375 0 Td
(cross-border)Tj
5.3008 0 Td
(trade)Tj
2.2733 0 Td
(and)Tj
1.7292 0 Td
(transportation)Tj
5.9867 0 Td
(networks)Tj
3.9061 0 Td
(has)Tj
1.542 0 Td
(led)Tj
1.4174 0 Td
(to)Tj
1.0261 0 Td
(massive)Tj
-31.4133 -1.3039 Td
(population)Tj
4.592 0 Td
(movements)Tj
4.8756 0 Td
(across)Tj
2.6759 0 Td
(borders,)Tj
3.5149 0 Td
(which)Tj
2.6532 0 Td
(increase)Tj
3.4696 0 Td
(the)Tj
1.4684 0 Td
(risk)Tj
1.7178 0 Td
(of)Tj
1.0147 0 Td
(disease)Tj
3.0161 0 Td
(spread)Tj
2.8573 0 Td
(across)Tj
-31.8555 -1.2982 Td
(countries.)Tj
4.1725 0 Td
(A)Tj
0.9071 0 Td
(regional)Tj
3.4809 0 Td
(surveillance)Tj
4.9493 0 Td
(network,)Tj
3.7757 0 Td
(where)Tj
2.6476 0 Td
(disease)Tj
3.016 0 Td
(outbreak)Tj
3.7871 0 Td
(data)Tj
1.9162 0 Td
(of)Tj
1.0148 0 Td
(each)Tj
2.0239 0 Td
(member)Tj
-31.6911 -1.2983 Td
(country)Tj
3.3505 0 Td
(are)Tj
1.4513 0 Td
(shared)Tj
2.863 0 Td
(through)Tj
3.4469 0 Td
(the)Tj
1.4683 0 Td
(network,)Tj
3.7758 0 Td
(plays)Tj
2.2336 0 Td
(an)Tj
1.2019 0 Td
(important)Tj
4.2803 0 Td
(role)Tj
1.7688 0 Td
(in)Tj
1.0375 0 Td
(prevention)Tj
4.5807 0 Td
(and)Tj
1.7292 0 Td
(con-)Tj
-33.1878 -1.3039 Td
(trol)Tj
1.644 0 Td
(of)Tj
1.0148 0 Td
(cross-border)Tj
5.3008 0 Td
(outbreaks.)Tj
4.371 0 Td
(However,)Tj
4.0762 0 Td
(variation)Tj
3.804 0 Td
(in)Tj
1.0375 0 Td
(national)Tj
3.5036 0 Td
(outbreak)Tj
3.7814 0 Td
(reporting)Tj
3.9912 0 Td
(systems)Tj
-32.5245 -1.2983 Td
(and)Tj
1.7291 0 Td
(guidelines)Tj
4.2803 0 Td
(used)Tj
2.0579 0 Td
(for)Tj
1.389 0 Td
(outbreak)Tj
3.7814 0 Td
(detection)Tj
3.9401 0 Td
(and)Tj
1.7291 0 Td
(response)Tj
3.7361 0 Td
(in)Tj
1.0318 0 Td
(different)Tj
3.6566 0 Td
(countries)Tj
3.9515 0 Td
(can)Tj
1.6214 0 Td
(pose)Tj
2.0296 0 Td
(a)Tj
-34.9339 -1.2982 Td
(challenge)Tj
3.9571 0 Td
(to)Tj
1.0261 0 Td
(cross-border)Tj
5.3008 0 Td
(communication)Tj
6.616 0 Td
(for)Tj
1.3833 0 Td
(outbreak)Tj
3.7871 0 Td
(investigation.)Tj
5.5842 0 Td
(In)Tj
1.1112 0 Td
(this)Tj
1.6724 0 Td
(study,)Tj
2.6135 0 Td
(we)Tj
-33.0517 -1.304 Td
(evaluated)Tj
3.9911 0 Td
(outbreak)Tj
3.7871 0 Td
(data)Tj
1.9105 0 Td
(reported)Tj
3.6623 0 Td
(from)Tj
2.2054 0 Td
(four)Tj
1.9105 0 Td
(countries,)Tj
4.1783 0 Td
(including)Tj
4.0421 0 Td
(Cambodia,)Tj
4.6035 0 Td
(Lao)Tj
1.6951 0 Td
(PDR,)Tj
-31.9859 -1.2982 Td
(Myanmar,)Tj
4.3993 0 Td
(and)Tj
1.7348 0 Td
(Vietnam,)Tj
3.9288 0 Td
(in)Tj
1.0375 0 Td
(the)Tj
1.4683 0 Td
(Mekong)Tj
3.5546 0 Td
(Basin)Tj
2.4094 0 Td
(Disease)Tj
3.2259 0 Td
(Surveillance)Tj
5.0626 0 Td
(network)Tj
3.549 0 Td
(\(MBDS\).)Tj
3.8097 0 Td
(We)Tj
-34.1799 -1.2983 Td
(found)Tj
2.6191 0 Td
(that)Tj
1.7802 0 Td
(the)Tj
1.4683 0 Td
(definition)Tj
4.1613 0 Td
(of)Tj
1.0148 0 Td
(outbreak)Tj
3.787 0 Td
(varied)Tj
2.6986 0 Td
(across)Tj
2.6759 0 Td
(countries.)Tj
4.1725 0 Td
(Vietnam)Tj
3.7077 0 Td
(reported)Tj
3.6624 0 Td
(severe)Tj
-31.7478 -1.2983 Td
(diarrhea)Tj
3.5773 0 Td
(outbreaks)Tj
4.1442 0 Td
(when)Tj
2.4037 0 Td
(only)Tj
1.9786 0 Td
(12)Tj
1.6894 0 Td
(cases)Tj
2.2224 0 Td
(were)Tj
2.1203 0 Td
(detected,)Tj
3.7927 0 Td
(whereas)Tj
3.4469 0 Td
(severe)Tj
2.6759 0 Td
(diarrhea)Tj
3.5773 0 Td
(outbreak)Tj
-31.6287 -1.3039 Td
(reported)Tj
3.6623 0 Td
(in)Tj
1.0318 0 Td
(Myanmar)Tj
4.1782 0 Td
(consisted)Tj
3.9345 0 Td
(of)Tj
1.0148 0 Td
(more)Tj
2.3414 0 Td
(than)Tj
2.0296 0 Td
(20)Tj
1.1735 0 Td
(cases)Tj
2.2224 0 Td
(per)Tj
1.5307 0 Td
(outbreak.)Tj
4.0138 0 Td
(Overall,)Tj
3.3675 0 Td
(the)Tj
1.4684 0 Td
(outbreak)Tj
-31.9689 -1.2982 Td
(was)Tj
1.7007 0 Td
(reported)Tj
3.6567 0 Td
(and)Tj
1.7348 0 Td
(responded)Tj
4.4277 0 Td
(within)Tj
2.8119 0 Td
(115)Tj
2.1657 0 Td
(days)Tj
1.9956 0 Td
(after)Tj
2.0352 0 Td
(the)Tj
1.4684 0 Td
(first)Tj
1.8085 0 Td
(case)Tj
1.8595 0 Td
(was)Tj
1.7007 0 Td
(detected,)Tj
3.7871 0 Td
(depending)Tj
-31.1525 -1.2983 Td
(on)Tj
1.2755 0 Td
(country)Tj
3.3506 0 Td
(and)Tj
1.7291 0 Td
(how)Tj
1.9389 0 Td
(fast)Tj
1.6044 0 Td
(each)Tj
2.0296 0 Td
(disease)Tj
3.016 0 Td
(requires)Tj
3.4696 0 Td
(public)Tj
2.7099 0 Td
(health)Tj
2.6816 0 Td
(response.)Tj
3.9571 0 Td
(Understanding)Tj
6.2759 0 Td
(out-)Tj
-34.0382 -1.3039 Td
(break)Tj
2.4547 0 Td
(reporting)Tj
3.9855 0 Td
(data)Tj
1.9162 0 Td
(would)Tj
2.7156 0 Td
(help)Tj
1.9332 0 Td
(not)Tj
1.5704 0 Td
(only)Tj
1.9786 0 Td
(to)Tj
1.0261 0 Td
(improve)Tj
3.583 0 Td
(disease)Tj
3.016 0 Td
(reporting)Tj
3.9912 0 Td
(systems)Tj
3.2938 0 Td
(in)Tj
1.0375 0 Td
(each)Tj
-32.5018 -1.2983 Td
(country,)Tj
3.5773 0 Td
(but)Tj
1.5533 0 Td
(also)Tj
1.7688 0 Td
(improve)Tj
3.5773 0 Td
(communication)Tj
6.6161 0 Td
(and)Tj
1.7291 0 Td
(response)Tj
3.7303 0 Td
(to)Tj
1.0262 0 Td
(cross-border)Tj
5.3007 0 Td
(outbreaks)Tj
-28.8791 -1.2982 Td
(among)Tj
2.9933 0 Td
(neighboring)Tj
5.1194 0 Td
(countries.)Tj
ET
Q
q
1 j
1 J
0 w
11.9999 0 0 11.9999 200.0125 347.0173 cm
BT
/F2 1 Tf
1 TL
-0.0033 Tc
0 0 Td
(Introduction)Tj
ET
Q
q
1 j
1 J
0 w
10 0 0 10 200.0125 330.0094 cm
BT
/F6 1 Tf
1 TL
-0.01 Tc
0 0 Td
(The)Tj
1.7631 0 Td
(rapid)Tj
2.3074 0 Td
(growth)Tj
3.0387 0 Td
(in)Tj
1.0205 0 Td
(economy)Tj
3.8664 0 Td
(and)Tj
1.7121 0 Td
(infrastructure)Tj
5.6466 0 Td
(of)Tj
1.0034 0 Td
(countries)Tj
3.8948 0 Td
(in)Tj
1.0205 0 Td
(the)Tj
1.4513 0 Td
(Greater)Tj
3.2202 0 Td
(Mekong)Tj
3.5149 0 Td
(Subregion)Tj
-33.4599 -1.2982 Td
(\(GMS\))Tj
2.9536 0 Td
(has)Tj
1.5251 0 Td
(brought)Tj
3.3788 0 Td
(new)Tj
1.8596 0 Td
(challenges)Tj
4.2632 0 Td
(in)Tj
1.0205 0 Td
(public)Tj
2.6759 0 Td
(health)Tj
2.6419 0 Td
(among)Tj
2.9593 0 Td
(six)Tj
1.2983 0 Td
(member)Tj
3.5489 0 Td
(countries,)Tj
4.1102 0 Td
(including)Tj
-32.2353 -1.3039 Td
(Cambodia,)Tj
4.5524 0 Td
(China)Tj
2.6305 0 Td
(\(Yunnan)Tj
3.753 0 Td
(and)Tj
1.7122 0 Td
(Guangxi)Tj
3.6056 0 Td
(provinces\),)Tj
4.5921 0 Td
(Lao)Tj
1.6781 0 Td
(PDR,)Tj
2.3414 0 Td
(Myanmar,)Tj
4.354 0 Td
(Thailand,)Tj
3.9855 0 Td
(and)Tj
1.7121 0 Td
(Viet-)Tj
-34.9169 -1.2983 Td
(nam.)Tj
2.2223 0 Td
(Improvements)Tj
6.0321 0 Td
(in)Tj
1.0261 0 Td
(cross-border)Tj
5.2271 0 Td
(trade)Tj
2.245 0 Td
(and)Tj
1.7121 0 Td
(transportation)Tj
5.9017 0 Td
(networks)Tj
3.8608 0 Td
(have)Tj
2.0352 0 Td
(led)Tj
1.4003 0 Td
(to)Tj
1.0148 0 Td
(massive)Tj
-32.6775 -1.2983 Td
(population)Tj
4.5297 0 Td
(movements)Tj
4.8189 0 Td
(across)Tj
2.6418 0 Td
(borders,)Tj
3.4696 0 Td
(which)Tj
2.6192 0 Td
(increase)Tj
3.4242 0 Td
(the)Tj
1.4514 0 Td
(risk)Tj
1.6951 0 Td
(of)Tj
1.0034 0 Td
(disease)Tj
2.9707 0 Td
(spread)Tj
2.8233 0 Td
(across)Tj
2.6419 0 Td
(coun-)Tj
-34.0892 -1.3039 Td
(tries)Tj
1.9105 0 Td
([)Tj
0.83 0.64 0.02 0 k
(1)Tj
0 g
()Tj
0.83 0.64 0.02 0 k
(2)Tj
0 g
(].)Tj
2.5568 0 Td
(A)Tj
0.9014 0 Td
(well-established)Tj
6.4516 0 Td
(disease)Tj
2.9764 0 Td
(surveillance)Tj
4.8756 0 Td
(system)Tj
2.897 0 Td
(within)Tj
2.7779 0 Td
(an)Tj
1.1905 0 Td
(individual)Tj
4.2293 0 Td
(country)Tj
3.3108 0 Td
(may)Tj
1.9106 0 Td
(not)Tj
-35.9884 -1.2982 Td
(be)Tj
1.1395 0 Td
(sufficient)Tj
3.8494 0 Td
(for)Tj
1.372 0 Td
(the)Tj
1.4513 0 Td
(early)Tj
2.1203 0 Td
(detection)Tj
3.8834 0 Td
(of)Tj
0.9978 0 Td
(outbreaks)Tj
4.0932 0 Td
(that)Tj
1.7575 0 Td
(arrive)Tj
2.5058 0 Td
(from)Tj
2.1827 0 Td
(neighboring)Tj
5.0513 0 Td
(countries.)Tj
4.1102 0 Td
(A)Tj
-34.5144 -1.2983 Td
(regional)Tj
3.4355 0 Td
(disease)Tj
2.9764 0 Td
(surveillance)Tj
4.8755 0 Td
(network)Tj
3.5036 0 Td
(that)Tj
1.7575 0 Td
(involve)Tj
3.0784 0 Td
(collaboration)Tj
5.4368 0 Td
(among)Tj
2.965 0 Td
(neighboring)Tj
5.0514 0 Td
(countries)Tj
-33.0801 -1.3039 Td
(can)Tj
1.6043 0 Td
(assist)Tj
2.2678 0 Td
(cross-border)Tj
5.2327 0 Td
(sharing)Tj
3.1521 0 Td
(of)Tj
1.0034 0 Td
(outbreak)Tj
3.7361 0 Td
(data)Tj
1.8878 0 Td
(and)Tj
1.7122 0 Td
(human)Tj
3.05 0 Td
(resources)Tj
3.9345 0 Td
(and)Tj
1.7121 0 Td
(expertise)Tj
3.719 0 Td
(to)Tj
1.0148 0 Td
(control)Tj
-34.0268 -1.2983 Td
(cross-border)Tj
5.227 0 Td
(outbreaks.)Tj
4.3143 0 Td
(Several)Tj
3.0047 0 Td
(regional)Tj
3.4356 0 Td
(disease)Tj
2.9763 0 Td
(surveillance)Tj
4.8756 0 Td
(networks)Tj
3.8608 0 Td
(have)Tj
2.0352 0 Td
(been)Tj
2.1033 0 Td
(established)Tj
-31.8328 -1.2983 Td
(worldwide,)Tj
4.6204 0 Td
(such)Tj
2.0409 0 Td
(as)Tj
1.0035 0 Td
(the)Tj
1.4513 0 Td
(Pacific)Tj
2.8403 0 Td
(Public)Tj
2.7099 0 Td
(Health)Tj
2.8857 0 Td
(Surveillance)Tj
4.9889 0 Td
(Network)Tj
3.6964 0 Td
(\(PPHSN\))Tj
3.9514 0 Td
(among)Tj
2.9651 0 Td
(Pacific)Tj
-33.1538 -1.3039 Td
(Island)Tj
2.6418 0 Td
(countries)Tj
3.8948 0 Td
(and)Tj
1.7121 0 Td
(territories,)Tj
4.3313 0 Td
(the)Tj
1.4514 0 Td
(Mekong)Tj
3.5206 0 Td
(Basin)Tj
2.3754 0 Td
(Disease)Tj
3.1861 0 Td
(Surveillance)Tj
4.989 0 Td
(\(MBDS\))Tj
3.5489 0 Td
(Network)Tj
-31.6514 -1.2982 Td
(among)Tj
2.965 0 Td
(six)Tj
1.2926 0 Td
(countries)Tj
3.8947 0 Td
(in)Tj
1.0262 0 Td
(the)Tj
1.4513 0 Td
(Greater)Tj
3.2145 0 Td
(Mekong)Tj
3.5149 0 Td
(Subregion,)Tj
4.4787 0 Td
(and)Tj
1.7121 0 Td
(the)Tj
1.4514 0 Td
(East)Tj
1.8595 0 Td
(African)Tj
3.1974 0 Td
(Integrated)Tj
4.2917 0 Td
(Disease)Tj
-34.35 -1.2983 Td
(Surveillance)Tj
4.9889 0 Td
(Network)Tj
3.6963 0 Td
(\(EAIDSNet\))Tj
5.1024 0 Td
(among)Tj
2.965 0 Td
(African)Tj
3.1918 0 Td
(countries.)Tj
4.1159 0 Td
(These)Tj
2.5398 0 Td
(networks)Tj
3.8608 0 Td
(have)Tj
2.0352 0 Td
(played)Tj
2.7893 0 Td
(an)Tj
-35.2854 -1.2983 Td
(important)Tj
4.2292 0 Td
(role)Tj
1.7405 0 Td
(in)Tj
1.0261 0 Td
(the)Tj
1.4513 0 Td
(effective)Tj
3.4526 0 Td
(control)Tj
3.0841 0 Td
(of)Tj
1.0035 0 Td
(outbreaks)Tj
4.0875 0 Td
(occurring)Tj
4.0762 0 Td
(at)Tj
0.9354 0 Td
(local)Tj
2.0523 0 Td
(and)Tj
1.7121 0 Td
(global)Tj
2.5852 0 Td
(levels)Tj
2.3414 0 Td
([)Tj
0.83 0.64 0.02 0 k
(3)Tj
0 g
(,)Tj
0.83 0.64 0.02 0 k
(4)Tj
0 g
(].)Tj
-0.004 Tc
-32.5812 -1.3039 Td
(The)Tj
1.7858 0 Td
(Mekong)Tj
3.5546 0 Td
(Basin)Tj
2.4094 0 Td
(Disease)Tj
3.2258 0 Td
(Surveillance)Tj
5.0627 0 Td
(Network)Tj
3.736 0 Td
(\(MBDS\))Tj
3.583 0 Td
(established)Tj
4.5978 0 Td
(in)Tj
1.0374 0 Td
(1999)Tj
2.1203 0 Td
(in)Tj
1.0375 0 Td
(collabora-)Tj
-33.3465 -1.2982 Td
(tion)Tj
1.8425 0 Td
(with)Tj
1.9955 0 Td
(the)Tj
1.4684 0 Td
(Ministries)Tj
4.2803 0 Td
(of)Tj
1.0148 0 Td
(Health)Tj
2.914 0 Td
(\(MoH\))Tj
3.067 0 Td
(among)Tj
2.9934 0 Td
(the)Tj
1.474 0 Td
(six)Tj
1.3096 0 Td
(participating)Tj
5.3291 0 Td
(countries,)Tj
4.1726 0 Td
(with)Tj
2.0012 0 Td
(support)Tj
-33.8624 -1.2983 Td
(from)Tj
2.2053 0 Td
(the)Tj
1.4683 0 Td
(World)Tj
2.8403 0 Td
(Health)Tj
2.914 0 Td
(Organization)Tj
5.5219 0 Td
(and)Tj
1.7291 0 Td
(the)Tj
1.474 0 Td
(Rockefeller)Tj
4.6885 0 Td
(Foundation)Tj
4.9152 0 Td
([)Tj
0.83 0.64 0.02 0 k
(5)Tj
0 g
(].)Tj
1.5988 0 Td
(The)Tj
1.7801 0 Td
(main)Tj
2.2904 0 Td
(purpose)Tj
-33.4259 -1.3039 Td
(of)Tj
1.0147 0 Td
(the)Tj
1.4684 0 Td
(MBDS)Tj
2.9026 0 Td
(network)Tj
3.549 0 Td
(is)Tj
0.8504 0 Td
(to)Tj
1.0261 0 Td
(monitor)Tj
3.5376 0 Td
(disease)Tj
3.0161 0 Td
(outbreaks)Tj
4.1499 0 Td
(and)Tj
1.7291 0 Td
(contain)Tj
3.2485 0 Td
(or)Tj
1.0941 0 Td
(prevent)Tj
3.2599 0 Td
(significant)Tj
-30.8464 -1.2983 Td
(spread)Tj
2.8516 0 Td
(of)Tj
1.0148 0 Td
(infectious)Tj
4.1329 0 Td
(diseases)Tj
3.3788 0 Td
(through)Tj
3.447 0 Td
(all)Tj
1.1451 0 Td
(neighboring)Tj
5.1194 0 Td
(countries.)Tj
4.1726 0 Td
(Disease)Tj
3.2258 0 Td
(surveillance)Tj
4.9492 0 Td
(data)Tj
1.9106 0 Td
(are)Tj
ET
Q
q
1 j
1 J
0 w
576 737.1 m
36 737.1 l
36 737.6 l
576 737.6 l
f*
36 741.2598 183.2882 23.6976 re
W* n
q
183.2315 0 0 23.6409 36 741.3165 cm
q
/I0 Do
Q
Q
Q
q
0 0 612 792 re
W* n
1 j
1 J
0 w
7.9999 0 0 7.9999 355.5779 745.7952 cm
BT
/F0 1 Tf
1 TL
-0.005 Tc
0 0 Td
(Data)Tj
2.3031 0 Td
(quality)Tj
3.0473 0 Td
(and)Tj
1.8567 0 Td
(timeliness)Tj
4.5851 0 Td
(of)Tj
1.0417 0 Td
(outbre)Tj
2.778 0 Td
(ak)Tj
1.2614 0 Td
(reporting)Tj
4.089 0 Td
(system)Tj
3.3449 0 Td
(in)Tj
0.9851 0 Td
(GMS)Tj
ET
Q
q
1 j
1 J
0 w
36 48.0002 m
576 48.0002 l
576 47.5002 l
36 47.5002 l
f*
0.83 0.64 0.02 0 k
163.5591 34.9228 m
317.7071 34.9228 l
h
f*
0 g
7.9999 0 0 7.9999 36 36 cm
BT
/F0 1 Tf
1 TL
-0.005 Tc
0 0 Td
(PLOS)Tj
2.8559 0 Td
(Neglected)Tj
4.6417 0 Td
(Tropical)Tj
3.7135 0 Td
(Disease)Tj
3.5433 0 Td
(s)Tj
0.7158 0 Td
(|)Tj
0.83 0.64 0.02 0 k
0.4748 0 Td
(https://doi.or)Tj
5.4142 0 Td
(g/10.137)Tj
3.8197 0 Td
(1/journal.pn)Tj
5.1237 0 Td
(td.00064)Tj
3.8197 0 Td
(25)Tj
0 g
2.0905 0 Td
(April)Tj
2.1827 0 Td
(25,)Tj
1.5804 0 Td
(2018)Tj
25.1647 0 Td
(2)Tj
0.7654 0 Td
(/)Tj
0.496 0 Td
(22)Tj
/F7 1 Tf
-0.025 Tc
-66.402 84.0904 Td
(Competing)Tj
4.3795 0 Td
(interests)Tj
3.3307 0 Td
(:)Tj
/F8 1 Tf
0.4819 0 Td
(The)Tj
1.5875 0 Td
(authors)Tj
3.0401 0 Td
(declare)Tj
2.8843 0 Td
(no)Tj
-15.704 -1.3748 Td
(potential)Tj
3.3803 0 Td
(conflicts)Tj
3.3307 0 Td
(of)Tj
0.9426 0 Td
(interest)Tj
2.9693 0 Td
(with)Tj
1.7858 0 Td
(respect)Tj
2.941 0 Td
(to)Tj
0.9496 0 Td
(the)Tj
ET
endstream
endobj
22 0 obj
<>stream
endstream
endobj
23 0 obj
<>stream
endstream
endobj
24 0 obj
<>stream
endstream
endobj
25 0 obj
<>stream
endstream
endobj
26 0 obj
<>stream
endstream
endobj
27 0 obj
<>stream
BT
0 81.3407 Td
(research.)Tj
ET
Q
endstream
endobj
28 0 obj
<>/XObject<>>>/CropBox[0 0 612 792]/MediaBox[0 0 612 792]/Parent 11 0 R/Annots 30 0 R/Contents 31 0 R/TrimBox[0 0 612 792]>>
endobj
30 0 obj
[32 0 R 33 0 R 34 0 R 35 0 R 36 0 R 37 0 R 38 0 R 39 0 R 40 0 R 41 0 R 42 0 R 43 0 R 44 0 R 45 0 R 46 0 R 47 0 R 48 0 R 49 0 R 50 0 R 51 0 R 52 0 R]
endobj
32 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0006425.ref006)>>
endobj
33 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0006425.ref007)>>
endobj
34 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0006425.ref006)>>
endobj
35 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0006425.ref009)>>
endobj
36 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0006425.ref006)>>
endobj
37 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0006425.ref010)>>
endobj
38 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0006425.ref011)>>
endobj
39 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0006425.ref012)>>
endobj
40 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0006425.ref013)>>
endobj
41 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0006425.ref014)>>
endobj
42 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0006425.ref015)>>
endobj
43 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0006425.ref010)>>
endobj
44 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0006425.ref014)>>
endobj
45 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0006425.ref016)>>
endobj
46 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0006425.ref006)>>
endobj
47 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0006425.ref006)>>
endobj
48 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0006425.ref009)>>
endobj
49 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0006425.ref011)>>
endobj
50 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0006425.ref012)>>
endobj
51 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0006425.ref006)>>
endobj
52 0 obj
<>/Border[0 0 0]/A 53 0 R>>
endobj
53 0 obj
<>
endobj
31 0 obj
[54 0 R 55 0 R 56 0 R 57 0 R 58 0 R 59 0 R 60 0 R 61 0 R 62 0 R 63 0 R 64 0 R 65 0 R 66 0 R]
endobj
54 0 obj
<>stream
q
0.83 0.64 0.02 0 k
259.5402 602.3055 m
264.3024 602.3055 l
h
f*
269.4614 602.3055 m
274.2236 602.3055 l
h
f*
440.1071 563.3008 m
444.8693 563.3008 l
h
f*
450.0283 563.3008 m
454.7906 563.3008 l
h
f*
312.4913 524.2961 m
317.2535 524.2961 l
h
f*
321.6756 524.2961 m
331.2 524.2961 l
h
f*
239.9811 498.3307 m
249.5055 498.3307 l
h
f*
254.6646 498.3307 m
264.189 498.3307 l
h
f*
246.1606 472.3087 m
255.685 472.3087 l
h
f*
260.8441 472.3087 m
270.3685 472.3087 l
h
f*
222.8031 446.3433 m
232.3276 446.3433 l
h
f*
509.8961 433.3039 m
519.4205 433.3039 l
h
f*
523.8992 433.3039 m
533.4236 433.3039 l
h
f*
537.8457 433.3039 m
547.3701 433.3039 l
h
f*
227.5087 368.3339 m
232.2709 368.3339 l
h
f*
320.0882 355.3512 m
324.8504 355.3512 l
h
f*
329.2724 355.3512 m
334.0346 355.3512 l
h
f*
277.5685 290.3244 m
287.0929 290.3244 l
h
f*
292.252 290.3244 m
301.7764 290.3244 l
h
f*
364.1953 277.3417 m
368.9575 277.3417 l
h
f*
0 g
1 j
1 J
0 w
10 0 0 10 200.0125 707.4141 cm
BT
/F6 1 Tf
1 TL
-0.004 Tc
0 0 Td
(required)Tj
3.6396 0 Td
(to)Tj
1.0261 0 Td
(be)Tj
1.1452 0 Td
(shared)Tj
2.8687 0 Td
(between)Tj
3.5263 0 Td
(selected)Tj
3.3505 0 Td
(border)Tj
2.9253 0 Td
(provinces)Tj
4.0932 0 Td
(through)Tj
3.4469 0 Td
(the)Tj
1.4684 0 Td
(network.)Tj
3.7757 0 Td
(However,)Tj
4.0762 0 Td
(the)Tj
-35.3421 -1.3039 Td
(surveillance)Tj
4.9435 0 Td
(system)Tj
2.9424 0 Td
(of)Tj
1.0148 0 Td
(each)Tj
2.0296 0 Td
(country)Tj
3.3505 0 Td
(may)Tj
1.9276 0 Td
(vary)Tj
1.9332 0 Td
(depending)Tj
4.4673 0 Td
(on)Tj
1.2756 0 Td
(its)Tj
1.1509 0 Td
(needs)Tj
2.5001 0 Td
(and)Tj
1.7348 0 Td
(resources,)Tj
4.2123 0 Td
(which)Tj
-33.4826 -1.2982 Td
(could)Tj
2.4491 0 Td
(potentially)Tj
4.4617 0 Td
(impact)Tj
2.982 0 Td
(the)Tj
1.4683 0 Td
(integration)Tj
4.6488 0 Td
(and)Tj
1.7292 0 Td
(interpretation)Tj
5.7939 0 Td
(of)Tj
1.0148 0 Td
(outbreak)Tj
3.7871 0 Td
(information)Tj
5.074 0 Td
(in)Tj
1.0374 0 Td
(the)Tj
-34.4463 -1.2983 Td
(overall)Tj
2.9026 0 Td
(sub-region.)Tj
4.7735 0 Td
(Understanding)Tj
6.2759 0 Td
(basic)Tj
2.2167 0 Td
(data)Tj
1.9105 0 Td
(structure)Tj
3.8211 0 Td
(and)Tj
1.7348 0 Td
(data)Tj
1.9105 0 Td
(quality)Tj
2.9537 0 Td
(of)Tj
1.0148 0 Td
(outbreak)Tj
3.7871 0 Td
(reporting)Tj
-33.3012 -1.2983 Td
(systems)Tj
3.2995 0 Td
(in)Tj
1.0318 0 Td
(each)Tj
2.0296 0 Td
(country)Tj
3.3505 0 Td
(is)Tj
0.8504 0 Td
(critically)Tj
3.651 0 Td
(important)Tj
4.2803 0 Td
(to)Tj
1.0261 0 Td
(enhance)Tj
3.549 0 Td
(the)Tj
1.4683 0 Td
(performance)Tj
5.3518 0 Td
(of)Tj
1.0148 0 Td
(cross-border)Tj
-30.9031 -1.3039 Td
(outbreak)Tj
3.7813 0 Td
(detection)Tj
3.9402 0 Td
(and)Tj
1.7291 0 Td
(control.)Tj
-8.2544 -1.2982 Td
(To)Tj
1.3379 0 Td
(enable)Tj
2.8063 0 Td
(early)Tj
2.1486 0 Td
(detection)Tj
3.9402 0 Td
(of)Tj
1.0148 0 Td
(outbreaks,)Tj
4.371 0 Td
(data)Tj
1.9105 0 Td
(on)Tj
1.2756 0 Td
(case)Tj
1.8652 0 Td
(reports)Tj
3.067 0 Td
(must)Tj
2.2281 0 Td
(be)Tj
1.1508 0 Td
(received)Tj
3.532 0 Td
(and)Tj
1.7348 0 Td
(reviewed)Tj
-33.579 -1.2983 Td
(in)Tj
1.0318 0 Td
(a)Tj
0.6576 0 Td
(timely)Tj
2.7269 0 Td
(manner,)Tj
3.5943 0 Td
(and)Tj
1.7291 0 Td
(analytic)Tj
3.3279 0 Td
(tools)Tj
2.1373 0 Td
(should)Tj
2.9197 0 Td
(be)Tj
1.1508 0 Td
(established)Tj
4.5921 0 Td
(to)Tj
1.0262 0 Td
(enhance)Tj
3.5489 0 Td
(recognition)Tj
4.8472 0 Td
(of)Tj
1.0148 0 Td
(poten-)Tj
-34.3046 -1.3039 Td
(tial)Tj
1.4626 0 Td
(outbreaks)Tj
4.1499 0 Td
([)Tj
0.83 0.64 0.02 0 k
(6)Tj
0 g
()Tj
0.83 0.64 0.02 0 k
(7)Tj
0 g
(].)Tj
2.5909 0 Td
(Assessing)Tj
4.0535 0 Td
(data)Tj
1.9162 0 Td
(quality)Tj
2.9537 0 Td
(is,)Tj
1.0715 0 Td
(therefore,)Tj
4.0818 0 Td
(the)Tj
1.4684 0 Td
(necessary)Tj
4.0195 0 Td
(first)Tj
1.8085 0 Td
(step)Tj
1.8198 0 Td
(to)Tj
1.0261 0 Td
(determine)Tj
-32.4224 -1.2983 Td
(the)Tj
1.4569 0 Td
(capability)Tj
4.0592 0 Td
(of)Tj
1.0092 0 Td
(an)Tj
1.1905 0 Td
(outbreak)Tj
3.7757 0 Td
(detection)Tj
3.9288 0 Td
(system,)Tj
3.1578 0 Td
(including)Tj
4.0308 0 Td
(the)Tj
1.4627 0 Td
(validity)Tj
3.1578 0 Td
(of)Tj
1.0034 0 Td
(analysis)Tj
3.3222 0 Td
(results.)Tj
3.0217 0 Td
(Evalua-)Tj
-34.5767 -1.2983 Td
(tion)Tj
1.8311 0 Td
(of)Tj
1.0035 0 Td
(the)Tj
1.4626 0 Td
(system,)Tj
3.1522 0 Td
(particularly)Tj
4.8018 0 Td
(in)Tj
1.0261 0 Td
(the)Tj
1.4627 0 Td
(aspect)Tj
2.6702 0 Td
(of)Tj
1.0035 0 Td
(data)Tj
1.9049 0 Td
(quality)Tj
2.948 0 Td
(and)Tj
1.7178 0 Td
(timeliness,)Tj
4.456 0 Td
(is)Tj
0.8334 0 Td
(critical)Tj
2.9423 0 Td
(to)Tj
1.0205 0 Td
(improve)Tj
-34.2366 -1.3039 Td
(outbreak)Tj
3.7813 0 Td
(detection)Tj
3.9402 0 Td
(performance)Tj
5.3461 0 Td
(across)Tj
2.6815 0 Td
(the)Tj
1.4684 0 Td
(MBDS)Tj
2.9026 0 Td
(network)Tj
3.549 0 Td
([)Tj
0.83 0.64 0.02 0 k
(6)Tj
0 g
()Tj
0.83 0.64 0.02 0 k
(9)Tj
0 g
(].)Tj
-22.4729 -1.2982 Td
(Timeliness)Tj
4.5524 0 Td
(of)Tj
1.0148 0 Td
(surveillance)Tj
4.9436 0 Td
(data)Tj
1.9162 0 Td
(can)Tj
1.627 0 Td
(affect)Tj
2.3755 0 Td
(the)Tj
1.4683 0 Td
(ability)Tj
2.6929 0 Td
(to)Tj
1.0261 0 Td
(respond)Tj
3.4753 0 Td
(rapidly)Tj
3.0387 0 Td
(and)Tj
1.7348 0 Td
(implement)Tj
4.5808 0 Td
(con-)Tj
-35.6426 -1.2983 Td
(trol)Tj
1.644 0 Td
(measures.)Tj
4.1669 0 Td
(Timeliness)Tj
4.5468 0 Td
(can)Tj
1.6271 0 Td
(be)Tj
1.1508 0 Td
(measured)Tj
4.1046 0 Td
(using)Tj
2.3924 0 Td
(different)Tj
3.6567 0 Td
(timeline)Tj
3.5149 0 Td
(milestones)Tj
4.473 0 Td
(common)Tj
3.8438 0 Td
(in)Tj
1.0375 0 Td
(the)Tj
-36.1585 -1.3039 Td
(outbreak)Tj
3.7813 0 Td
(detection)Tj
3.9402 0 Td
(process)Tj
3.1861 0 Td
([)Tj
0.83 0.64 0.02 0 k
(6)Tj
0 g
(,)Tj
0.83 0.64 0.02 0 k
1.2586 0 Td
(10)Tj
0 g
(].)Tj
1.7348 0 Td
(Timeliness)Tj
4.5524 0 Td
(of)Tj
1.0148 0 Td
(reporting)Tj
3.9911 0 Td
(is)Tj
0.8447 0 Td
(generally)Tj
3.8325 0 Td
(defined)Tj
3.2258 0 Td
(as)Tj
1.0148 0 Td
(the)Tj
1.474 0 Td
(time)Tj
-33.8511 -1.2983 Td
(lapse)Tj
2.1996 0 Td
(between)Tj
3.532 0 Td
(the)Tj
1.4683 0 Td
(date)Tj
1.9049 0 Td
(of)Tj
1.0148 0 Td
(diagnosis)Tj
3.9571 0 Td
(or)Tj
1.0942 0 Td
(illness)Tj
2.6759 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.4683 0 Td
(first)Tj
1.8085 0 Td
(case)Tj
1.8595 0 Td
(and)Tj
1.7291 0 Td
(the)Tj
1.474 0 Td
(date)Tj
1.8992 0 Td
(that)Tj
1.7802 0 Td
(the)Tj
1.4683 0 Td
(case)Tj
1.8652 0 Td
(is)Tj
-34.2139 -1.2982 Td
(reported)Tj
3.6566 0 Td
([)Tj
0.83 0.64 0.02 0 k
(11)Tj
0 g
()Tj
0.83 0.64 0.02 0 k
(12)Tj
0 g
(].)Tj
3.549 0 Td
(Timeliness)Tj
4.5467 0 Td
(of)Tj
1.0148 0 Td
(reporting)Tj
3.9912 0 Td
(can)Tj
1.627 0 Td
(vary)Tj
1.9333 0 Td
(according)Tj
4.1895 0 Td
(to)Tj
1.0205 0 Td
(different)Tj
3.6567 0 Td
(reporting)Tj
3.9911 0 Td
(processes)Tj
-33.1764 -1.2983 Td
(\(electronic)Tj
4.49 0 Td
(or)Tj
1.0998 0 Td
(paper)Tj
2.4832 0 Td
(reports\))Tj
3.4072 0 Td
(and)Tj
1.7348 0 Td
(hierarchical)Tj
4.9322 0 Td
(structures,)Tj
4.4107 0 Td
(defined)Tj
3.2258 0 Td
(by)Tj
1.1849 0 Td
(the)Tj
1.4683 0 Td
(national)Tj
3.5036 0 Td
(surveillance)Tj
-31.9405 -1.3039 Td
(guidelines)Tj
4.2746 0 Td
([)Tj
0.83 0.64 0.02 0 k
(13)Tj
0 g
()Tj
0.83 0.64 0.02 0 k
(14)Tj
0 g
(].)Tj
3.5489 0 Td
(In)Tj
1.1055 0 Td
(addition,)Tj
3.8268 0 Td
(differences)Tj
4.5637 0 Td
(in)Tj
1.0375 0 Td
(health)Tj
2.6759 0 Td
(seeking)Tj
3.2031 0 Td
(behaviors)Tj
4.0762 0 Td
(and)Tj
1.7291 0 Td
(the)Tj
1.4684 0 Td
(accessibility)Tj
4.9549 0 Td
(to)Tj
-36.4646 -1.2983 Td
(healthcare)Tj
4.3313 0 Td
(services)Tj
3.3051 0 Td
(can)Tj
1.6214 0 Td
(affect)Tj
2.3755 0 Td
(the)Tj
1.474 0 Td
(timeliness)Tj
4.2349 0 Td
(of)Tj
1.0148 0 Td
(outbreak)Tj
3.7814 0 Td
(detection)Tj
3.9401 0 Td
(and)Tj
1.7291 0 Td
(report)Tj
2.71 0 Td
(in)Tj
1.0374 0 Td
(different)Tj
3.6567 0 Td
(coun-)Tj
-35.2117 -1.2983 Td
(tries)Tj
1.9388 0 Td
([)Tj
0.83 0.64 0.02 0 k
(15)Tj
0 g
(].)Tj
2.0807 0 Td
(Outbreak)Tj
4.0195 0 Td
(occurrences)Tj
5.0286 0 Td
(reported)Tj
3.6567 0 Td
(through)Tj
3.4469 0 Td
(non-governmental)Tj
7.7158 0 Td
(communication)Tj
6.6104 0 Td
(and)Tj
-34.4974 -1.3039 Td
(social)Tj
2.4547 0 Td
(media)Tj
2.6929 0 Td
(may)Tj
1.9276 0 Td
(reach)Tj
2.4037 0 Td
(the)Tj
1.4684 0 Td
(public)Tj
2.7099 0 Td
(faster)Tj
2.3924 0 Td
(than)Tj
2.0296 0 Td
(traditional)Tj
4.422 0 Td
(government)Tj
5.0797 0 Td
(reports)Tj
3.067 0 Td
([)Tj
0.83 0.64 0.02 0 k
(10)Tj
0 g
(,)Tj
0.83 0.64 0.02 0 k
1.7405 0 Td
(14)Tj
0 g
(,)Tj
0.83 0.64 0.02 0 k
1.3946 0 Td
(16)Tj
0 g
(].)Tj
-33.783 -1.2982 Td
(However,)Tj
4.0761 0 Td
(validity)Tj
3.1692 0 Td
(of)Tj
1.0148 0 Td
(data)Tj
1.9162 0 Td
(from)Tj
2.2053 0 Td
(these)Tj
2.2507 0 Td
(informal)Tj
3.702 0 Td
(sources)Tj
3.1975 0 Td
(remains)Tj
3.4469 0 Td
(a)Tj
0.652 0 Td
(major)Tj
2.6078 0 Td
(concern)Tj
3.4639 0 Td
(for)Tj
1.389 0 Td
(outbreak)Tj
-33.0914 -1.2983 Td
(detection)Tj
3.9344 0 Td
(and)Tj
1.7348 0 Td
(response.)Tj
-4.473 -1.3039 Td
(Data)Tj
2.1259 0 Td
(quality)Tj
2.9537 0 Td
(is)Tj
0.8504 0 Td
(a)Tj
0.652 0 Td
(crucial)Tj
2.914 0 Td
(factor)Tj
2.5398 0 Td
(to)Tj
1.0261 0 Td
(determine)Tj
4.3257 0 Td
(the)Tj
1.4683 0 Td
(validity)Tj
3.1691 0 Td
(of)Tj
1.0148 0 Td
(an)Tj
1.2019 0 Td
(outbreak)Tj
3.7871 0 Td
(detection)Tj
3.9344 0 Td
(system.)Tj
-33.1594 -1.2983 Td
(Incomplete)Tj
4.7565 0 Td
(or)Tj
1.0885 0 Td
(inaccurate)Tj
4.3596 0 Td
(data)Tj
1.9049 0 Td
(can)Tj
1.6157 0 Td
(influence)Tj
3.9061 0 Td
(the)Tj
1.4627 0 Td
(detection)Tj
3.9231 0 Td
(of)Tj
1.0092 0 Td
(an)Tj
1.1905 0 Td
(unusual)Tj
3.3845 0 Td
(trend)Tj
2.3755 0 Td
(of)Tj
1.0091 0 Td
(disease)Tj
3.0047 0 Td
(occur-)Tj
-34.9906 -1.2983 Td
(rence)Tj
2.4094 0 Td
([)Tj
0.83 0.64 0.02 0 k
(6)Tj
0 g
(].)Tj
1.5987 0 Td
(Data)Tj
2.126 0 Td
(quality)Tj
2.9537 0 Td
(can)Tj
1.627 0 Td
(be)Tj
1.1509 0 Td
(evaluated)Tj
3.9855 0 Td
(in)Tj
1.0375 0 Td
(terms)Tj
2.4944 0 Td
(of)Tj
1.0148 0 Td
(completeness,)Tj
5.7997 0 Td
(validity)Tj
3.1691 0 Td
(of)Tj
1.0148 0 Td
(data,)Tj
2.1373 0 Td
(representa-)Tj
-32.5188 -1.2982 Td
(tiveness,)Tj
3.5829 0 Td
(and)Tj
1.7291 0 Td
(other)Tj
2.3471 0 Td
(attributes)Tj
4.0082 0 Td
([)Tj
0.83 0.64 0.02 0 k
(6)Tj
0 g
(,)Tj
0.83 0.64 0.02 0 k
1.2586 0 Td
(9)Tj
0 g
(].)Tj
1.2642 0 Td
(For)Tj
1.6271 0 Td
(an)Tj
1.2019 0 Td
(outbreak)Tj
3.7813 0 Td
(reporting)Tj
3.9912 0 Td
(network,)Tj
3.7757 0 Td
(data)Tj
1.9106 0 Td
(quality)Tj
2.9593 0 Td
(should)Tj
2.914 0 Td
(be)Tj
-36.3512 -1.3039 Td
(evaluated)Tj
3.9911 0 Td
(according)Tj
4.1839 0 Td
(to)Tj
1.0262 0 Td
(the)Tj
1.4683 0 Td
(agreed)Tj
2.8686 0 Td
(minimum)Tj
4.286 0 Td
(epidemiological)Tj
6.565 0 Td
(dataset.)Tj
3.2201 0 Td
(Variables)Tj
3.9572 0 Td
(may)Tj
1.9275 0 Td
(include)Tj
-33.4939 -1.2983 Td
(those)Tj
2.3357 0 Td
(that)Tj
1.7801 0 Td
(describe)Tj
3.5206 0 Td
(disease)Tj
3.0218 0 Td
(distribution)Tj
4.9662 0 Td
(in)Tj
1.0375 0 Td
(terms)Tj
2.4945 0 Td
(of)Tj
1.0148 0 Td
(time,)Tj
2.2507 0 Td
(place,)Tj
2.4888 0 Td
(and)Tj
1.7348 0 Td
(personfor)Tj
5.0343 0 Td
(example,)Tj
3.7757 0 Td
(dates)Tj
-35.4555 -1.2983 Td
(at)Tj
0.9524 0 Td
(different)Tj
3.6567 0 Td
(reporting)Tj
3.9854 0 Td
(milestones)Tj
4.4788 0 Td
(such)Tj
2.0579 0 Td
(as)Tj
1.0148 0 Td
(date)Tj
1.9049 0 Td
(of)Tj
1.0148 0 Td
(onset,)Tj
2.5851 0 Td
(date)Tj
1.8992 0 Td
(of)Tj
1.0148 0 Td
(outbreak)Tj
3.7871 0 Td
(report,)Tj
2.9367 0 Td
(date)Tj
1.8992 0 Td
(of)Tj
1.0148 0 Td
(public)Tj
-34.2026 -1.3039 Td
(communication,)Tj
6.8371 0 Td
(geographic)Tj
4.6204 0 Td
(distribution)Tj
4.9663 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.474 0 Td
(outbreak,)Tj
4.0082 0 Td
(number)Tj
3.4185 0 Td
(of)Tj
1.0148 0 Td
(cases)Tj
2.2224 0 Td
(reported,)Tj
3.8834 0 Td
(and)Tj
-33.4599 -1.2982 Td
(demographic)Tj
5.5048 0 Td
(data)Tj
1.9105 0 Td
([)Tj
0.83 0.64 0.02 0 k
(11)Tj
0 g
()Tj
0.83 0.64 0.02 0 k
(12)Tj
0 g
(].)Tj
3.549 0 Td
(Evaluation)Tj
4.507 0 Td
(of)Tj
1.0148 0 Td
(data)Tj
1.9106 0 Td
(quality)Tj
2.9537 0 Td
(can)Tj
1.627 0 Td
(potentially)Tj
4.4617 0 Td
(identify)Tj
3.2939 0 Td
(errors)Tj
2.6249 0 Td
(that)Tj
1.7801 0 Td
(might)Tj
-35.138 -1.2983 Td
(occur)Tj
2.4717 0 Td
(during)Tj
2.9254 0 Td
(the)Tj
1.474 0 Td
(data)Tj
1.9105 0 Td
(collection)Tj
4.1102 0 Td
(process)Tj
3.1862 0 Td
([)Tj
0.83 0.64 0.02 0 k
(6)Tj
0 g
(].)Tj
-14.8818 -1.3039 Td
(In)Tj
1.1111 0 Td
(the)Tj
1.4684 0 Td
(GMS)Tj
2.3074 0 Td
(subregion)Tj
4.1952 0 Td
(where)Tj
2.6532 0 Td
(outbreak)Tj
3.7814 0 Td
(reporting)Tj
3.9912 0 Td
(systems)Tj
3.2995 0 Td
(vary)Tj
1.9332 0 Td
(across)Tj
2.6759 0 Td
(countries,)Tj
4.1782 0 Td
(disease)Tj
3.0161 0 Td
(sur-)Tj
-35.807 -1.2983 Td
(veillance)Tj
3.6793 0 Td
(networks)Tj
3.9061 0 Td
(plays)Tj
2.2337 0 Td
(an)Tj
1.1962 0 Td
(important)Tj
4.2803 0 Td
(role)Tj
1.7631 0 Td
(as)Tj
1.0092 0 Td
(a)Tj
0.6519 0 Td
(collaborating)Tj
5.4709 0 Td
(center)Tj
2.7042 0 Td
(for)Tj
1.3776 0 Td
(data)Tj
1.9106 0 Td
(sharing)Tj
3.1918 0 Td
(and)Tj
1.7291 0 Td
(moni-)Tj
-35.104 -1.2983 Td
(toring)Tj
2.6758 0 Td
(of)Tj
1.0148 0 Td
(outbreaks)Tj
4.1443 0 Td
(across)Tj
2.6815 0 Td
(borders.)Tj
3.515 0 Td
(However,)Tj
4.0762 0 Td
(variations)Tj
4.1612 0 Td
(in)Tj
1.0375 0 Td
(reporting)Tj
3.9854 0 Td
(systems)Tj
3.2996 0 Td
(can)Tj
1.627 0 Td
(pose)Tj
2.0296 0 Td
(a)Tj
0.652 0 Td
(great)Tj
-34.8999 -1.3039 Td
(challenge)Tj
3.9571 0 Td
(for)Tj
1.389 0 Td
(data)Tj
1.9105 0 Td
(integration,)Tj
4.8756 0 Td
(analysis,)Tj
3.5489 0 Td
(and)Tj
1.7348 0 Td
(interpretation)Tj
5.794 0 Td
(of)Tj
1.0148 0 Td
(cross-border)Tj
5.3007 0 Td
(outbreak)Tj
3.7871 0 Td
(scenarios.)Tj
-33.3125 -1.2982 Td
(Understanding)Tj
6.2758 0 Td
(the)Tj
1.4684 0 Td
(structure)Tj
3.8267 0 Td
(and)Tj
1.7291 0 Td
(capability)Tj
4.0705 0 Td
(of)Tj
1.0148 0 Td
(reporting)Tj
3.9855 0 Td
(systems)Tj
3.2995 0 Td
(used)Tj
2.0636 0 Td
(in)Tj
1.0319 0 Td
(different)Tj
3.6566 0 Td
(countries)Tj
-32.4224 -1.2983 Td
(would)Tj
2.7099 0 Td
(be)Tj
1.1508 0 Td
(useful)Tj
2.5965 0 Td
(for)Tj
1.3833 0 Td
(strengthening)Tj
5.7713 0 Td
(the)Tj
1.4684 0 Td
(disease)Tj
3.016 0 Td
(surveillance)Tj
4.9493 0 Td
(system)Tj
2.9366 0 Td
(and)Tj
1.7292 0 Td
(data)Tj
1.9162 0 Td
(sharing)Tj
3.1918 0 Td
(among)Tj
-32.8193 -1.2983 Td
(countries)Tj
3.9458 0 Td
(within)Tj
2.8119 0 Td
(the)Tj
1.474 0 Td
(network.)Tj
3.7701 0 Td
(This)Tj
1.9899 0 Td
(study)Tj
2.3867 0 Td
(aimed)Tj
2.6929 0 Td
(to)Tj
1.0262 0 Td
(evaluate)Tj
3.4639 0 Td
(timeliness)Tj
4.2349 0 Td
(and)Tj
1.7291 0 Td
(data)Tj
1.9162 0 Td
(quality)Tj
2.9537 0 Td
(of)Tj
-34.3953 -1.3039 Td
(national)Tj
3.5035 0 Td
(outbreak)Tj
3.7814 0 Td
(reporting)Tj
3.9912 0 Td
(for)Tj
1.389 0 Td
(four)Tj
1.9105 0 Td
(countries)Tj
3.9515 0 Td
(in)Tj
1.0318 0 Td
(the)Tj
1.474 0 Td
(MBDS)Tj
2.9026 0 Td
(network,)Tj
3.7758 0 Td
(which)Tj
2.6475 0 Td
(could)Tj
2.4548 0 Td
(potentially)Tj
-32.8136 -1.2983 Td
(reflect)Tj
2.6928 0 Td
(the)Tj
1.4684 0 Td
(performance)Tj
5.3518 0 Td
(of)Tj
1.0148 0 Td
(different)Tj
3.651 0 Td
(outbreak)Tj
3.787 0 Td
(detection)Tj
3.9402 0 Td
(approaches)Tj
4.7338 0 Td
(in)Tj
1.0375 0 Td
(different)Tj
3.6566 0 Td
(countries.)Tj
ET
Q
q
1 j
1 J
0 w
11.9999 0 0 11.9999 200.0125 131.0173 cm
BT
/F2 1 Tf
1 TL
-0.0033 Tc
0 0 Td
(Methods)Tj
/F10 1 Tf
0 -1.5023 Td
(Ethics)Tj
2.7779 0 Td
(statement)Tj
ET
Q
q
1 j
1 J
0 w
10 0 0 10 200.0125 95.9811 cm
BT
/F6 1 Tf
1 TL
-0.004 Tc
0 0 Td
(This)Tj
1.9842 0 Td
(study)Tj
2.3924 0 Td
(used)Tj
2.058 0 Td
(secondary)Tj
4.2689 0 Td
(aggregated)Tj
4.5297 0 Td
(data)Tj
1.9162 0 Td
(at)Tj
0.9525 0 Td
(provincial)Tj
4.2576 0 Td
(level)Tj
2.0126 0 Td
(from)Tj
2.2053 0 Td
(public)Tj
2.7099 0 Td
(health)Tj
2.6759 0 Td
(surveillance)Tj
-31.9632 -1.2982 Td
(reports.)Tj
3.2938 0 Td
(The)Tj
1.7801 0 Td
(Ministry)Tj
3.685 0 Td
(of)Tj
1.0148 0 Td
(Health)Tj
2.914 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.4684 0 Td
(four)Tj
1.9162 0 Td
(countries)Tj
3.9458 0 Td
(provided)Tj
3.8211 0 Td
(permission)Tj
4.6601 0 Td
(to)Tj
1.0261 0 Td
(use)Tj
1.5307 0 Td
(the)Tj
1.474 0 Td
(data.)Tj
2.1373 0 Td
(The)Tj
ET
Q
q
1 j
1 J
0 w
576 737.1 m
36 737.1 l
36 737.6 l
576 737.6 l
f*
36 741.2598 183.2882 23.6976 re
W* n
q
183.2315 0 0 23.6409 36 741.3165 cm
q
/I0 Do
Q
Q
Q
q
0 0 612 792 re
W* n
1 j
1 J
0 w
7.9999 0 0 7.9999 355.5779 745.7952 cm
BT
/F0 1 Tf
1 TL
-0.005 Tc
0 0 Td
(Data)Tj
2.3031 0 Td
(quality)Tj
3.0473 0 Td
(and)Tj
1.8567 0 Td
(timeliness)Tj
4.5851 0 Td
(of)Tj
1.0417 0 Td
(outbre)Tj
2.778 0 Td
(ak)Tj
1.2614 0 Td
(reporting)Tj
4.089 0 Td
(system)Tj
3.3449 0 Td
(in)Tj
0.9851 0 Td
(GMS)Tj
ET
Q
q
1 j
1 J
0 w
36 48.0002 m
576 48.0002 l
576 47.5002 l
36 47.5002 l
f*
0.83 0.64 0.02 0 k
163.5591 34.9228 m
317.7071 34.9228 l
h
f*
0 g
7.9999 0 0 7.9999 36 36 cm
BT
/F0 1 Tf
1 TL
-0.005 Tc
0 0 Td
(PLOS)Tj
2.8559 0 Td
(Neglected)Tj
4.6417 0 Td
(Tropical)Tj
3.7135 0 Td
(Disease)Tj
3.5433 0 Td
(s)Tj
0.7158 0 Td
(|)Tj
0.83 0.64 0.02 0 k
0.4748 0 Td
(https://doi.or)Tj
5.4142 0 Td
(g/10.137)Tj
3.8197 0 Td
(1/journal.pn)Tj
5.1237 0 Td
(td.00064)Tj
3.8197 0 Td
(25)Tj
0 g
2.0905 0 Td
(April)Tj
2.1827 0 Td
(25,)Tj
1.5804 0 Td
(2018)Tj
25.1647 0 Td
(3)Tj
0.7654 0 Td
(/)Tj
ET
endstream
endobj
55 0 obj
<>stream
endstream
endobj
56 0 obj
<>stream
endstream
endobj
57 0 obj
<>stream
endstream
endobj
58 0 obj
<>stream
endstream
endobj
59 0 obj
<>stream
endstream
endobj
60 0 obj
<>stream
endstream
endobj
61 0 obj
<>stream
endstream
endobj
62 0 obj
<>stream
endstream
endobj
63 0 obj
<>stream
endstream
endobj
64 0 obj
<>stream
endstream
endobj
65 0 obj
<>stream
endstream
endobj
66 0 obj
<>stream
BT
66.402 0 Td
(22)Tj
ET
Q
endstream
endobj
67 0 obj
<>/XObject<>>>/CropBox[0 0 612 792]/MediaBox[0 0 612 792]/Parent 11 0 R/Annots 69 0 R/Contents 70 0 R/TrimBox[0 0 612 792]>>
endobj
69 0 obj
[71 0 R 72 0 R]
endobj
71 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0006425.t001)>>
endobj
72 0 obj
<>/Border[0 0 0]/A 73 0 R>>
endobj
73 0 obj
<>
endobj
70 0 obj
[74 0 R 75 0 R 76 0 R 77 0 R]
endobj
74 0 obj
<>stream
q
0.83 0.64 0.02 0 k
316.6299 133.9087 m
345.7701 133.9087 l
h
f*
0 g
1 j
1 J
0 w
10 0 0 10 200.0125 707.4141 cm
BT
/F6 1 Tf
1 TL
-0.004 Tc
0 0 Td
(project)Tj
3.016 0 Td
(was)Tj
1.7008 0 Td
(exempted)Tj
4.1159 0 Td
(for)Tj
1.3889 0 Td
(ethical)Tj
2.8403 0 Td
(review)Tj
2.8403 0 Td
(by)Tj
1.1849 0 Td
(the)Tj
1.4683 0 Td
(Ethics)Tj
2.6702 0 Td
(Committee)Tj
4.7395 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.4684 0 Td
(Faculty)Tj
3.1294 0 Td
(of)Tj
1.0148 0 Td
(Tropical)Tj
-32.5925 -1.3039 Td
(Medicine,)Tj
4.2179 0 Td
(Mahidol)Tj
3.6226 0 Td
(University)Tj
4.405 0 Td
(\(MUTM-EXMPT)Tj
7.3247 0 Td
(2017004\).)Tj
ET
Q
q
1 j
1 J
0 w
11.9999 0 0 11.9999 200.0125 665.6881 cm
BT
/F10 1 Tf
1 TL
-0.0033 Tc
0 0 Td
(Data)Tj
2.2441 0 Td
(sources)Tj
ET
Q
q
1 j
1 J
0 w
10 0 0 10 200.0125 648.6803 cm
BT
/F6 1 Tf
1 TL
-0.004 Tc
0 0 Td
(Data)Tj
2.1203 0 Td
(on)Tj
1.2755 0 Td
(disease)Tj
3.0161 0 Td
(outbreaks)Tj
4.1499 0 Td
(occurring)Tj
4.1215 0 Td
(from)Tj
2.2054 0 Td
(2010)Tj
2.1259 0 Td
(to)Tj
1.0262 0 Td
(2015)Tj
2.1203 0 Td
(were)Tj
2.1203 0 Td
(obtained)Tj
3.736 0 Td
(from)Tj
2.2054 0 Td
(the)Tj
1.4683 0 Td
(national)Tj
3.5036 0 Td
(dis-)Tj
-35.1947 -1.2982 Td
(ease)Tj
1.8595 0 Td
(surveillance)Tj
4.9492 0 Td
(and)Tj
1.7291 0 Td
(outbreak)Tj
3.7871 0 Td
(investigation)Tj
5.3575 0 Td
(reports)Tj
3.0727 0 Td
(of)Tj
1.0148 0 Td
(each)Tj
2.0296 0 Td
(participating)Tj
5.3291 0 Td
(country,)Tj
3.5716 0 Td
(including)Tj
-32.7002 -1.2983 Td
(Cambodia,)Tj
4.6034 0 Td
(Lao)Tj
1.7008 0 Td
(PDR,)Tj
2.3584 0 Td
(Myanmar,)Tj
4.405 0 Td
(and)Tj
1.7291 0 Td
(Vietnam.)Tj
3.9288 0 Td
(China)Tj
2.6589 0 Td
(and)Tj
1.7348 0 Td
(Thailand)Tj
3.8154 0 Td
(did)Tj
1.542 0 Td
(not)Tj
1.5761 0 Td
(participate)Tj
4.4673 0 Td
(in)Tj
1.0375 0 Td
(the)Tj
-35.5575 -1.3039 Td
(study)Tj
2.3867 0 Td
(for)Tj
1.389 0 Td
(logistical)Tj
3.736 0 Td
(reasons.)Tj
3.4469 0 Td
(The)Tj
1.7858 0 Td
(authorities)Tj
4.5014 0 Td
(from)Tj
2.2054 0 Td
(the)Tj
1.4683 0 Td
(Ministry)Tj
3.685 0 Td
(of)Tj
1.0148 0 Td
(Health)Tj
2.914 0 Td
(of)Tj
1.0148 0 Td
(all)Tj
1.1509 0 Td
(participating)Tj
-30.699 -1.2983 Td
(countries)Tj
3.9458 0 Td
(set)Tj
1.3039 0 Td
(criteria)Tj
3.0784 0 Td
(and)Tj
1.7291 0 Td
(definition)Tj
4.1612 0 Td
(for)Tj
1.389 0 Td
(minimal)Tj
3.6227 0 Td
(epidemiological)Tj
6.5593 0 Td
(data)Tj
1.9162 0 Td
(variables)Tj
3.7134 0 Td
(to)Tj
1.0261 0 Td
(be)Tj
1.1509 0 Td
(shared)Tj
-33.596 -1.2982 Td
(and)Tj
1.7291 0 Td
(analyzed.)Tj
3.9288 0 Td
(The)Tj
1.7801 0 Td
(dataset)Tj
2.999 0 Td
(consisted)Tj
3.9345 0 Td
(of)Tj
1.0148 0 Td
(basic)Tj
2.211 0 Td
(epidemiological)Tj
6.565 0 Td
(information,)Tj
5.3008 0 Td
(regarding)Tj
4.0932 0 Td
(time,)Tj
-33.5563 -1.2983 Td
(place,)Tj
2.4888 0 Td
(and)Tj
1.7291 0 Td
(total)Tj
2.0069 0 Td
(cases)Tj
2.2223 0 Td
(of)Tj
1.0148 0 Td
(each)Tj
2.0296 0 Td
(outbreak)Tj
3.7814 0 Td
(occurrence.)Tj
4.8926 0 Td
(Time)Tj
2.3414 0 Td
(variables)Tj
3.7134 0 Td
(included)Tj
3.7133 0 Td
(date)Tj
1.9049 0 Td
(of)Tj
1.0148 0 Td
(symptom)Tj
-32.8533 -1.3039 Td
(onset)Tj
2.3584 0 Td
(in)Tj
1.0318 0 Td
(the)Tj
1.474 0 Td
(index)Tj
2.4491 0 Td
(case)Tj
1.8652 0 Td
(\(index)Tj
2.7892 0 Td
(onset\),)Tj
2.9254 0 Td
(date)Tj
1.9049 0 Td
(when)Tj
2.4037 0 Td
(the)Tj
1.4684 0 Td
(number)Tj
3.4185 0 Td
(of)Tj
1.0148 0 Td
(cases)Tj
2.2224 0 Td
(reached)Tj
3.3505 0 Td
(the)Tj
1.4683 0 Td
(minimum)Tj
-32.1446 -1.2983 Td
(outbreak)Tj
3.7813 0 Td
(threshold)Tj
4.0139 0 Td
(definition)Tj
4.1612 0 Td
(\(threshold\),)Tj
4.9153 0 Td
(outbreak)Tj
3.787 0 Td
(detection)Tj
3.9402 0 Td
(date)Tj
1.8992 0 Td
(\(detect\),)Tj
3.5206 0 Td
(date)Tj
1.9048 0 Td
(of)Tj
1.0148 0 Td
(report)Tj
2.7099 0 Td
(to)Tj
-35.6482 -1.2982 Td
(Ministry)Tj
3.6793 0 Td
(of)Tj
1.0148 0 Td
(Health)Tj
2.9197 0 Td
(\(report\),)Tj
3.6113 0 Td
(laboratory)Tj
4.354 0 Td
(confirmation)Tj
5.4991 0 Td
(date)Tj
1.8992 0 Td
(if)Tj
0.7767 0 Td
(available)Tj
3.668 0 Td
(\(lab)Tj
1.7462 0 Td
(sent\),)Tj
2.4151 0 Td
(date)Tj
1.9048 0 Td
(of)Tj
1.0148 0 Td
(initial)Tj
-34.503 -1.304 Td
(public)Tj
2.7099 0 Td
(health)Tj
2.6758 0 Td
(response)Tj
3.7304 0 Td
(or)Tj
1.0998 0 Td
(control)Tj
3.1238 0 Td
(measures)Tj
3.9401 0 Td
(\(response\),)Tj
4.6375 0 Td
(date)Tj
1.9049 0 Td
(of)Tj
1.0148 0 Td
(public)Tj
2.7099 0 Td
(communication)Tj
6.6103 0 Td
(or)Tj
-34.1572 -1.2982 Td
(announcement)Tj
6.2701 0 Td
(of)Tj
1.0148 0 Td
(outbreak)Tj
3.7871 0 Td
(to)Tj
1.0261 0 Td
(public)Tj
2.7043 0 Td
(by)Tj
1.1849 0 Td
(Ministry)Tj
3.6793 0 Td
(of)Tj
1.0148 0 Td
(Health)Tj
2.9197 0 Td
(about)Tj
2.4944 0 Td
(the)Tj
1.4684 0 Td
(outbreak)Tj
3.7814 0 Td
(\(MOH)Tj
2.9707 0 Td
(com-)Tj
-34.316 -1.2983 Td
(munication\),)Tj
5.4254 0 Td
(and)Tj
1.7292 0 Td
(date)Tj
1.9048 0 Td
(of)Tj
1.0148 0 Td
(report)Tj
2.7099 0 Td
(to)Tj
1.0262 0 Td
(the)Tj
1.4683 0 Td
(World)Tj
2.8346 0 Td
(Health)Tj
2.9197 0 Td
(Organization)Tj
5.5218 0 Td
(if)Tj
0.7767 0 Td
(available)Tj
3.6624 0 Td
(\(report)Tj
3.05 0 Td
(to)Tj
-34.0438 -1.3039 Td
(WHO\).)Tj
3.2654 0 Td
(In)Tj
1.1055 0 Td
(addition,)Tj
3.8268 0 Td
(information)Tj
5.074 0 Td
(on)Tj
1.2756 0 Td
(geography,)Tj
4.6091 0 Td
(including)Tj
4.0421 0 Td
(state)Tj
2.0353 0 Td
(or)Tj
1.0998 0 Td
(province)Tj
3.7361 0 Td
(that)Tj
1.7745 0 Td
(the)Tj
1.4683 0 Td
(outbreak)Tj
-33.3125 -1.2983 Td
(occurred,)Tj
4.0195 0 Td
(and)Tj
1.7291 0 Td
(number)Tj
3.4185 0 Td
(of)Tj
1.0148 0 Td
(suspected,)Tj
4.3087 0 Td
(probable,)Tj
3.9571 0 Td
(confirmed,)Tj
4.6261 0 Td
(and)Tj
1.7291 0 Td
(fatal)Tj
1.9219 0 Td
(cases)Tj
2.2224 0 Td
(were)Tj
2.1203 0 Td
(also)Tj
1.7688 0 Td
(included)Tj
3.7133 0 Td
(in)Tj
-36.5496 -1.2982 Td
(the)Tj
1.4683 0 Td
(dataset.)Tj
3.2201 0 Td
(Even)Tj
2.2167 0 Td
(though)Tj
3.0727 0 Td
(the)Tj
1.474 0 Td
(consensus)Tj
4.2803 0 Td
(on)Tj
1.2756 0 Td
(the)Tj
1.4684 0 Td
(selected)Tj
3.3505 0 Td
(variables)Tj
3.7133 0 Td
(was)Tj
1.7008 0 Td
(reached,)Tj
3.5773 0 Td
(it)Tj
0.7881 0 Td
(was)Tj
1.6951 0 Td
(agreed)Tj
-33.3012 -1.3039 Td
(that)Tj
1.7744 0 Td
(the)Tj
1.474 0 Td
(outbreak)Tj
3.7814 0 Td
(definition)Tj
4.1669 0 Td
(would)Tj
2.7099 0 Td
(still)Tj
1.6384 0 Td
(follow)Tj
2.6986 0 Td
(standard)Tj
3.7247 0 Td
(practices)Tj
3.7361 0 Td
(in)Tj
1.0374 0 Td
(each)Tj
2.0296 0 Td
(country,)Tj
3.5773 0 Td
(and)Tj
1.7291 0 Td
(could)Tj
2.4548 0 Td
(be)Tj
-36.5326 -1.2983 Td
(different)Tj
3.6566 0 Td
(across)Tj
2.6759 0 Td
(countries.)Tj
4.1726 0 Td
(There)Tj
2.5795 0 Td
(was)Tj
1.6951 0 Td
(no)Tj
1.2756 0 Td
(attempt)Tj
3.3108 0 Td
(to)Tj
1.0262 0 Td
(standardize)Tj
4.8245 0 Td
(such)Tj
2.0636 0 Td
(information.)Tj
5.3008 0 Td
(Each)Tj
2.1713 0 Td
(mem-)Tj
-34.7525 -1.2983 Td
(ber)Tj
1.5193 0 Td
(country)Tj
3.3505 0 Td
(assigned)Tj
3.6114 0 Td
(a)Tj
0.6519 0 Td
(responsible)Tj
4.7509 0 Td
(person)Tj
2.9536 0 Td
(to)Tj
1.0205 0 Td
(extract)Tj
2.9367 0 Td
(the)Tj
1.4683 0 Td
(data)Tj
1.9162 0 Td
(according)Tj
4.1896 0 Td
(to)Tj
1.0205 0 Td
(the)Tj
1.474 0 Td
(agreed)Tj
2.863 0 Td
(minimal)Tj
-33.7264 -1.2982 Td
(epidemiological)Tj
6.5593 0 Td
(dataset)Tj
2.999 0 Td
(in)Tj
1.0375 0 Td
(Microsoft)Tj
4.1329 0 Td
(Excel)Tj
2.347 0 Td
(format.)Tj
3.1635 0 Td
(This)Tj
1.9899 0 Td
(information)Tj
5.074 0 Td
(was)Tj
1.7008 0 Td
(sent)Tj
1.8481 0 Td
(to)Tj
1.0262 0 Td
(the)Tj
1.4683 0 Td
(MBDS)Tj
-33.3465 -1.304 Td
(secretariat)Tj
4.3256 0 Td
(for)Tj
1.3833 0 Td
(data)Tj
1.9162 0 Td
(integration)Tj
4.6488 0 Td
(and)Tj
1.7291 0 Td
(further)Tj
3.0274 0 Td
(analysis.)Tj
ET
Q
q
1 j
1 J
0 w
11.9999 0 0 11.9999 200.0125 360 cm
BT
/F10 1 Tf
1 TL
-0.0033 Tc
0 0 Td
(Data)Tj
2.2441 0 Td
(analysis)Tj
ET
Q
q
1 j
1 J
0 w
10 0 0 10 200.0125 342.9921 cm
BT
/F6 1 Tf
1 TL
-0.004 Tc
0 0 Td
(The)Tj
1.7801 0 Td
(agreed)Tj
2.8686 0 Td
(minimal)Tj
3.6227 0 Td
(epidemiological)Tj
6.5593 0 Td
(dataset)Tj
2.9991 0 Td
(of)Tj
1.0148 0 Td
(each)Tj
2.0239 0 Td
(country)Tj
3.3562 0 Td
(was)Tj
1.6951 0 Td
(cleaned)Tj
3.2485 0 Td
(and)Tj
1.7291 0 Td
(reconciled.)Tj
4.6091 0 Td
(Nine)Tj
-35.5065 -1.2982 Td
(diseases)Tj
3.3675 0 Td
(or)Tj
1.0885 0 Td
(syndromes)Tj
4.5864 0 Td
(with)Tj
1.9899 0 Td
(public)Tj
2.6986 0 Td
(health)Tj
2.6702 0 Td
(importance,)Tj
5.0456 0 Td
(as)Tj
1.0092 0 Td
(agreed)Tj
2.8573 0 Td
(by)Tj
1.1735 0 Td
(the)Tj
1.457 0 Td
(authorities)Tj
4.4957 0 Td
(of)Tj
1.0092 0 Td
(the)Tj
1.457 0 Td
(Minis-)Tj
-34.9056 -1.2983 Td
(tries)Tj
1.9388 0 Td
(of)Tj
1.0148 0 Td
(Health)Tj
2.9197 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.4683 0 Td
(four)Tj
1.9162 0 Td
(participating)Tj
5.3291 0 Td
(countries,)Tj
4.1726 0 Td
(were)Tj
2.1203 0 Td
(selected)Tj
3.3505 0 Td
(for)Tj
1.3833 0 Td
(analysis,)Tj
3.5547 0 Td
(including)Tj
4.0421 0 Td
(dengue,)Tj
-34.2252 -1.3039 Td
(food)Tj
2.0466 0 Td
(poisoning)Tj
4.2122 0 Td
(&)Tj
0.9241 0 Td
(diarrhea,)Tj
3.7984 0 Td
(severe)Tj
2.6816 0 Td
(diarrhea,)Tj
3.7984 0 Td
(diphtheria,)Tj
4.6091 0 Td
(measles,)Tj
3.5149 0 Td
(H5N1)Tj
2.6759 0 Td
(influenza,)Tj
4.1385 0 Td
(H1N1)Tj
2.6759 0 Td
(influ-)Tj
-35.0756 -1.2983 Td
(enza,)Tj
2.262 0 Td
(rabies,)Tj
2.8119 0 Td
(and)Tj
1.7292 0 Td
(pertussis.)Tj
3.9344 0 Td
(The)Tj
1.7802 0 Td
(total)Tj
2.0069 0 Td
(number)Tj
3.4129 0 Td
(of)Tj
1.0148 0 Td
(outbreaks)Tj
4.1499 0 Td
(reported)Tj
3.6566 0 Td
(during)Tj
2.931 0 Td
(2010)Tj
2.1203 0 Td
(to)Tj
1.0262 0 Td
(2015)Tj
2.1203 0 Td
(in)Tj
-34.9566 -1.2982 Td
(each)Tj
2.0295 0 Td
(country)Tj
3.3506 0 Td
(were)Tj
2.1203 0 Td
(described.)Tj
4.2803 0 Td
(The)Tj
1.7801 0 Td
(number)Tj
3.4186 0 Td
(of)Tj
1.0148 0 Td
(confirmed)Tj
4.3936 0 Td
(cases)Tj
2.2224 0 Td
(and)Tj
1.7348 0 Td
(suspected)Tj
4.0818 0 Td
(cases)Tj
2.2224 0 Td
(reported)Tj
3.6623 0 Td
(for)Tj
-36.3115 -1.3039 Td
(each)Tj
2.0295 0 Td
(disease)Tj
3.0161 0 Td
(outbreak)Tj
3.7871 0 Td
(were)Tj
2.1203 0 Td
(also)Tj
1.7688 0 Td
(summarized)Tj
5.1817 0 Td
(by)Tj
1.1848 0 Td
(year)Tj
1.9049 0 Td
(and)Tj
1.7291 0 Td
(country,)Tj
3.5773 0 Td
(using)Tj
2.3868 0 Td
(median)Tj
3.2428 0 Td
(and)Tj
1.7291 0 Td
(inter-)Tj
-33.6583 -1.2983 Td
(quartile)Tj
3.2938 0 Td
(range.)Tj
-2.0976 -1.2983 Td
(Completeness)Tj
5.8166 0 Td
(of)Tj
1.0148 0 Td
(date)Tj
1.9049 0 Td
(data)Tj
1.9105 0 Td
(for)Tj
1.389 0 Td
(each)Tj
2.0239 0 Td
(variable)Tj
3.3619 0 Td
(required)Tj
3.6396 0 Td
(in)Tj
1.0319 0 Td
(the)Tj
1.474 0 Td
(dataset)Tj
2.9933 0 Td
(was)Tj
1.7008 0 Td
(defined)Tj
3.2258 0 Td
(as)Tj
1.0148 0 Td
(a)Tj
0.652 0 Td
(non-)Tj
-34.35 -1.3039 Td
(missing)Tj
3.3108 0 Td
(date)Tj
1.8992 0 Td
(entered)Tj
3.2371 0 Td
(for)Tj
1.389 0 Td
(that)Tj
1.7745 0 Td
(variable.)Tj
3.583 0 Td
(Percent)Tj
3.2711 0 Td
(completeness)Tj
5.5729 0 Td
(was)Tj
1.7008 0 Td
(calculated)Tj
4.2009 0 Td
(by)Tj
1.1849 0 Td
(number)Tj
3.4185 0 Td
(of)Tj
1.0148 0 Td
(non-)Tj
-35.5575 -1.2983 Td
(missing)Tj
3.3108 0 Td
(date)Tj
1.8992 0 Td
(data)Tj
1.9162 0 Td
(records)Tj
3.2031 0 Td
(divided)Tj
3.2202 0 Td
(by)Tj
1.1792 0 Td
(number)Tj
3.4185 0 Td
(of)Tj
1.0148 0 Td
(total)Tj
2.0013 0 Td
(records)Tj
3.2088 0 Td
(in)Tj
1.0318 0 Td
(each)Tj
2.0296 0 Td
(date)Tj
1.9048 0 Td
(variable.)Tj
3.583 0 Td
(The)Tj
1.7802 0 Td
(com-)Tj
-34.7015 -1.2982 Td
(pleteness)Tj
3.821 0 Td
(was)Tj
1.7008 0 Td
(calculated)Tj
4.2009 0 Td
(separately)Tj
4.1839 0 Td
(for)Tj
1.389 0 Td
(each)Tj
2.0296 0 Td
(disease)Tj
3.016 0 Td
(and)Tj
1.7292 0 Td
(country.)Tj
-20.8742 -1.3039 Td
(Data)Tj
2.1259 0 Td
(validity)Tj
3.1691 0 Td
(was)Tj
1.7008 0 Td
(measured)Tj
4.1046 0 Td
(using)Tj
2.3924 0 Td
(two)Tj
1.7064 0 Td
(methods:)Tj
3.9118 0 Td
(an)Tj
1.2019 0 Td
(inconsistent)Tj
5.074 0 Td
(date)Tj
1.9049 0 Td
(recorded)Tj
3.7927 0 Td
(or)Tj
1.0998 0 Td
(an)Tj
1.2019 0 Td
(out-of-)Tj
-34.5824 -1.2983 Td
(range)Tj
2.4604 0 Td
(date)Tj
1.9049 0 Td
(recorded.)Tj
4.0195 0 Td
(The)Tj
1.7858 0 Td
(validity)Tj
3.1691 0 Td
(was)Tj
1.6951 0 Td
(determined)Tj
4.8529 0 Td
(only)Tj
1.9786 0 Td
(for)Tj
1.3833 0 Td
(three)Tj
2.2677 0 Td
(date)Tj
1.8992 0 Td
(variables,)Tj
3.9458 0 Td
(including)Tj
-31.3623 -1.2983 Td
(report)Tj
2.7099 0 Td
(date,)Tj
2.1259 0 Td
(response)Tj
3.7361 0 Td
(date,)Tj
2.1259 0 Td
(and)Tj
1.7292 0 Td
(MOH)Tj
2.6305 0 Td
(report)Tj
2.7042 0 Td
(date,)Tj
2.1317 0 Td
(since)Tj
2.245 0 Td
(these)Tj
2.2507 0 Td
(three)Tj
2.2677 0 Td
(variables)Tj
3.719 0 Td
(had)Tj
1.7065 0 Td
(the)Tj
1.4683 0 Td
(most)Tj
-33.5506 -1.2982 Td
(complete)Tj
3.8777 0 Td
(data)Tj
1.9162 0 Td
(in)Tj
1.0318 0 Td
(all)Tj
1.1452 0 Td
(countries.)Tj
4.1783 0 Td
(The)Tj
1.7801 0 Td
(definition)Tj
4.1612 0 Td
(of)Tj
1.0148 0 Td
(epidemiological)Tj
6.565 0 Td
(parameters)Tj
4.6715 0 Td
(for)Tj
1.389 0 Td
(outbreak)Tj
-31.7308 -1.3039 Td
(investigation)Tj
5.3574 0 Td
(are)Tj
1.4513 0 Td
(provided)Tj
3.8154 0 Td
(in)Tj
0.83 0.64 0.02 0 k
1.0375 0 Td
(Table)Tj
2.4378 0 Td
(1)Tj
0 g
(.)Tj
0.9241 0 Td
(Date)Tj
2.1089 0 Td
(records)Tj
3.2088 0 Td
(were)Tj
2.1203 0 Td
(considered)Tj
4.6035 0 Td
(inconsistent)Tj
5.0683 0 Td
(if)Tj
0.7767 0 Td
(those)Tj
2.3357 0 Td
(dates)Tj
-35.2457 -1.2983 Td
(were)Tj
2.1146 0 Td
(reported)Tj
3.651 0 Td
(earlier)Tj
2.7496 0 Td
(than)Tj
2.0239 0 Td
(date)Tj
1.8935 0 Td
(of)Tj
1.0092 0 Td
(index)Tj
2.4491 0 Td
(onset,)Tj
2.5738 0 Td
(as)Tj
1.0091 0 Td
(the)Tj
1.4627 0 Td
(index)Tj
2.4435 0 Td
(onset)Tj
2.3527 0 Td
(date)Tj
1.8935 0 Td
(is)Tj
0.8448 0 Td
(considered)Tj
4.592 0 Td
(as)Tj
1.0092 0 Td
(an)Tj
1.1962 0 Td
(initial)Tj
-35.2684 -1.2983 Td
(point)Tj
2.3584 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.4683 0 Td
(outbreak.)Tj
4.0082 0 Td
(Durations)Tj
4.2746 0 Td
(between)Tj
3.5263 0 Td
(index)Tj
2.4547 0 Td
(onset)Tj
2.3585 0 Td
(date)Tj
1.8992 0 Td
(and)Tj
1.7347 0 Td
(each)Tj
2.0296 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.4684 0 Td
(three)Tj
2.262 0 Td
(selected)Tj
3.3505 0 Td
(date)Tj
-35.223 -1.3039 Td
(variables)Tj
3.719 0 Td
(\(report,)Tj
3.2711 0 Td
(response,)Tj
3.9572 0 Td
(and)Tj
1.7348 0 Td
(MOH)Tj
2.6248 0 Td
(report\))Tj
3.0501 0 Td
(were)Tj
2.1203 0 Td
(also)Tj
1.7688 0 Td
(calculated.)Tj
4.4277 0 Td
(Date)Tj
2.1146 0 Td
(records)Tj
3.2032 0 Td
(that)Tj
1.7801 0 Td
(had)Tj
-33.7717 -1.2983 Td
(duration)Tj
/F11 1 Tf
0 Tc
3.702 0 Td
(>)Tj
/F6 1 Tf
-0.004 Tc
0.9921 0 Td
(90)Tj
1.1679 0 Td
(days)Tj
2.0012 0 Td
(were)Tj
2.1203 0 Td
(considered)Tj
4.5978 0 Td
(as)Tj
1.0148 0 Td
(out-of-range)Tj
5.2951 0 Td
(records.)Tj
3.4299 0 Td
(Percent)Tj
3.2654 0 Td
(of)Tj
1.0148 0 Td
(invalid)Tj
2.9651 0 Td
(records)Tj
3.2088 0 Td
(was)Tj
ET
Q
q
1 j
1 J
0 w
576 737.1 m
36 737.1 l
36 737.6 l
576 737.6 l
f*
36 741.2598 183.2882 23.6976 re
W* n
q
183.2315 0 0 23.6409 36 741.3165 cm
q
/I0 Do
Q
Q
Q
q
0 0 612 792 re
W* n
1 j
1 J
0 w
7.9999 0 0 7.9999 355.5779 745.7952 cm
BT
/F0 1 Tf
1 TL
-0.005 Tc
0 0 Td
(Data)Tj
2.3031 0 Td
(quality)Tj
3.0473 0 Td
(and)Tj
1.8567 0 Td
(timeliness)Tj
4.5851 0 Td
(of)Tj
1.0417 0 Td
(outbre)Tj
2.778 0 Td
(ak)Tj
1.2614 0 Td
(reporting)Tj
4.089 0 Td
(system)Tj
3.3449 0 Td
(in)Tj
0.9851 0 Td
(GMS)Tj
ET
Q
q
1 j
1 J
0 w
36 48.0002 m
576 48.0002 l
576 47.5002 l
36 47.5002 l
f*
0.83 0.64 0.02 0 k
163.5591 34.9228 m
317.7071 34.9228 l
h
f*
0 g
7.9999 0 0 7.9999 36 36 cm
BT
/F0 1 Tf
1 TL
-0.005 Tc
0 0 Td
(PLOS)Tj
2.8559 0 Td
(Neglected)Tj
4.6417 0 Td
(Tropical)Tj
3.7135 0 Td
(Disease)Tj
3.5433 0 Td
(s)Tj
0.7158 0 Td
(|)Tj
0.83 0.64 0.02 0 k
0.4748 0 Td
(https://doi.or)Tj
5.4142 0 Td
(g/10.137)Tj
3.8197 0 Td
(1/journal.pn)Tj
5.1237 0 Td
(td.00064)Tj
3.8197 0 Td
(25)Tj
0 g
2.0905 0 Td
(April)Tj
2.1827 0 Td
(25,)Tj
1.5804 0 Td
(2018)Tj
25.1647 0 Td
(4)Tj
0.7654 0 Td
(/)Tj
ET
endstream
endobj
75 0 obj
<>stream
endstream
endobj
76 0 obj
<>stream
endstream
endobj
77 0 obj
<>stream
BT
66.402 0 Td
(22)Tj
ET
Q
endstream
endobj
78 0 obj
<>/XObject<>>>/CropBox[0 0 612 792]/MediaBox[0 0 612 792]/Parent 11 0 R/Annots 80 0 R/Contents 81 0 R/TrimBox[0 0 612 792]>>
endobj
79 0 obj
<>stream
x\U§(VDTAPQP: |҅H(EBI@@ H]z-I4
$$$7[{f̽sy}f~Zk?1/رcܹskۧE/ȑ#'LPΨu(A>C~_뮻;|זInᆝvp饗vRCVD@D@D@D@DS 0}7D7͂
6^ {x衇Κ5`;믿.Rg+_Zkꫯ~,sI'dM~͎vmizxA͙3c=/~G>^zSŦ4C?/QF
>~vI1
_Ygk[=JiӦ}ӟuQo=>ExGO?}6K3G1(X]wꫯn%V]ud
}ۮXf!g̘Q0j9Ex?{K~gķS,jfuٳgU!l&{g#ַx
;k9N~_2+Bg
g?;}Ick3<ӟկ~UNSj]@w%PBvm^5~
ib N
z[ot,@d5X#SԤIR;Δ)SB;eSN9nY;G@@U" " " " "ЄJ_s{٦eoo9I? OYgٔ=ܑNyk}6"`j7'7 *Bϗe+8/wcgg}>}cG?۷V# YتfhB%dsO`rUWO QJ< @PSO=E]vI%\bM,Fl4hКkiSnA'Dg'N1.e:" yswR)f
(ڌ-b;Tt:lZD@D@D@D@D xxe\ Mm7u_!?&,C'l`Pњnj|jf5},pwX0mX:V~]&Ѯ*_\9M,yС!^ھyH[츁V1y`ϋc=v
7d
n'!P1YGE~-+R=>hțf`OC6"NKyFv eQD@D@D@D@D 'dyu[n'}W^yed,~}G
|q,C'\Hj00D;'x"aSE#,g
H4cCGy,Cq},[lqZ,Y^g!
ٟmn lt\cZWJ7Ul4*4MMYFl=<©1ٷzH.}k>O~3gc3Aac#ԐG$|=JO 1j+{9Ȃ#{Yzkd.ND~ V3dV31{H=\{,X`͕/6,\O>7o.̶ K>s;E">E][} }ٔ.-1k >c
|:R]m밻f/