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Principles of Disease Surveillance01:26

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Disease surveillance is the systematic collection, analysis, and interpretation of health data essential to the planning, implementation, and evaluation of public health practice. This process integrates data dissemination to entities responsible for preventing and controlling disease, injury, and disability. Surveillance systems provide crucial information for action, helping public health authorities make informed decisions to manage and prevent outbreaks, ensure public safety, optimize...
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Optimal capacity sharing for global genomic surveillance.

Zsombor Z Méder1, Robert Somogyi2

  • 1Institute of Psychology, Leiden University, P.O. Box 9555, 2300 RB Leiden, Netherlands.

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Genomic surveillance optimizes pathogen detection during pandemics. Optimal sequencing capacity distribution depends on whether the goal is variant prevalence estimation or new variant identification.

Keywords:
Capacity constraintGenomic surveillanceInternational cooperationOptimal allocation

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Area of Science:

  • Epidemiology
  • Genomics
  • Public Health

Background:

  • Technological advances and cost reductions enable pathogen genomic surveillance during pandemics.
  • Full genome sequencing is crucial for tracking pathogen evolution and spread.
  • Capacity constraints necessitate strategic allocation of sequencing resources.

Purpose of the Study:

  • To determine the optimal distribution of genomic sequencing capacities among countries.
  • To compare two primary goals of genomic surveillance: variant prevalence estimation and new variant identification.
  • To provide quantifiable guidance for enhancing pandemic genomic surveillance efficiency.

Main Methods:

  • Developed a model to solve for optimal distribution of sequencing capacities under constraints.
  • Analyzed the impact of different surveillance goals (prevalence estimation vs. variant detection) on capacity allocation.
  • Applied the model to SARS-CoV-2 sequencing data from 2021, comparing observed and optimal distributions globally and within the EU.

Main Results:

  • Optimal capacity distribution for prevalence estimation is less than proportional to country size.
  • Optimal capacity distribution for new variant detection favors regions with higher infection rates.
  • Significant differences were observed between actual and suggested optimal sequencing capacity distributions for SARS-CoV-2 in 2021.

Conclusions:

  • Strategic allocation of genomic sequencing resources is critical for effective pandemic response.
  • The optimal distribution of sequencing capacity is goal-dependent, prioritizing either broad prevalence monitoring or targeted variant detection.
  • Implementing data-driven capacity allocation can significantly improve the efficiency and impact of global genomic surveillance efforts.