PMC:7100305 / 39891-41413 JSONTXT

{"target":"https://pubannotation.org/docs/sourcedb/PMC/sourceid/7100305","sourcedb":"PMC","sourceid":"7100305","source_url":"https://www.ncbi.nlm.nih.gov/pmc/7100305","text":"The Credibility of Evidence that Informs Response Pathways\nGiven that resources available for public health spending tend to be scarce, it is important that the risk of an epidemic is not distorted and that credible evidence on the effectiveness of the interventions is used to inform responses and justify spending. During the SARS outbreak, some of the published literature questioned the evidence on the efficacy of the proposed interventions, quarantine (Jacobs 2007) and travel advisories (Paquin 2007). In Brazil, some evidence suggests that the spike in microcephaly cases is not a consequence of the Zika virus, but rather, the result of conditions of poverty, including poor sanitation and exposure to larvicides and insecticides (Diniz 2016). This calls into question recommendations to delay pregnancy due to the Zika virus. As discussed above, the quality of response from global health organizations to the Ebola outbreak in Liberia remains debatable and questions the evidence used to inform and justify these responses.\nIronically, disease outbreaks facilitated the development of the Global Public Health Intelligence Network (GPHIN), an information sharing platform whose aim is to improve the credibility and authority of public health specialists to manage an outbreak. The platform is thought to have reduced the time between the outbreak and reporting and is thought to contribute to 40% of WHO’s early warning and played a role in SARS notification, and subsequent outbreaks (Huff and Winnebah 2015).","divisions":[{"label":"Title","span":{"begin":0,"end":58}}],"tracks":[{"project":"2_test","denotations":[{"id":"32226719-17626386-45162421","span":{"begin":502,"end":506},"obj":"17626386"},{"id":"32226719-27060396-45162422","span":{"begin":746,"end":750},"obj":"27060396"},{"id":"T9727","span":{"begin":502,"end":506},"obj":"17626386"},{"id":"T40353","span":{"begin":746,"end":750},"obj":"27060396"}],"attributes":[{"subj":"32226719-17626386-45162421","pred":"source","obj":"2_test"},{"subj":"32226719-27060396-45162422","pred":"source","obj":"2_test"},{"subj":"T9727","pred":"source","obj":"2_test"},{"subj":"T40353","pred":"source","obj":"2_test"}]}],"config":{"attribute types":[{"pred":"source","value type":"selection","values":[{"id":"2_test","color":"#ec93b8","default":true}]}]}}