OPHEP LOGBOOK IHR ART. 6 · 24H NOTIFICATION IHR ART. 10 · 24H VERIFICATION ANNEX 2 · 48H ASSESSMENT GATE INDEPENDENT HISTORICAL LOGBOOK
EN / AR RTL ARCHIVE
Outbreak and Public Health Event Portal IHR (2005) Annex 2 Bilingual Signal Logbook
EN العربية
Standard Operating Timeline · EWARN & IHR Article 10

EWARN Signal Verification Protocol & Triage Timeline

Chronological field verification workflow separating unverified rumors from laboratory-confirmed clusters within statutory 24-hour and 48-hour clocks.

Cold-chain specimen transport cooler, barcoded sample tubes, and aluminum manifest clipboard at a border health post
Cold-chain specimen manifest and sample transport rack prepared during T+6h field verification.
Protocol Bottom Line

Every raw EWARN alert or informal rumor passes four time-bound checkpoints: immediate logbook registration at T+0h, district rapid-response line-listing by T+6h, initial verification feedback under IHR Article 10 within 24 hours, and formal Annex 2 scoring by T+48h.

Operational reference: IHR (2005) Article 10 Verification Rules and CDC Global Health IHR Core Capacities.

Four-Stage Signal Verification Stepper

  1. STEP 01 · T+0 HOURS (SIGNAL CAPTURE)

    Log Signal Source, Timestamp, and Administrative Code

    Assign a unique logbook identifier immediately upon receipt from a sentinel clinic, community volunteer, port-of-entry officer, or open-source media scan. Record raw case counts without overwriting prior tallies.

  2. STEP 02 · T+6 HOURS (FIELD LINE-LIST & SPECIMEN DISPATCH)

    Apply Case Definition and Rule Out Duplicate Reporting

    Deploy the district rapid response team to interview clinicians, construct a standardized line-list (age, sex, onset date, travel history), and dispatch cold-chain specimens with manifest tracking.

  3. STEP 03 · ≤24 HOURS (ARTICLE 10 VERIFICATION RESPONSE)

    Confirm Signal Validity or Dismiss False Rumor

    When WHO requests verification of an informal signal under IHR Article 10, the National IHR Focal Point must acknowledge and provide initial available public health information within 24 hours.

  4. STEP 04 · ≤48 HOURS (ANNEX 2 ASSESSMENT & ARTICLE 6)

    Run Annex 2 Gate and Mobilize PHEOC

    Complete the four-criterion Annex 2 evaluation within 48 hours. If Box A applies or ≥2 criteria are met, transmit formal notification to WHO within 24 hours; if inconclusive (1 criterion), initiate Article 8 consultation.

Verification Escalation Matrix

IHR (2005) Article Operational Obligation Statutory Window Responsible Authority Verification Status
Article 5 Core surveillance and response capacity maintenance at local, intermediate, and national tiers Continuous (5-year capacity baseline) Ministry of Health / National Surveillance Unit BASELINE
Article 6 (Assess) Apply Annex 2 decision instrument to all unusual or severe public health events Within 48 hours of detection National IHR Focal Point (NFP) 48H GATE
Article 6 (Notify) Notify WHO by most efficient communications means following affirmative Annex 2 assessment Within 24 hours of assessment National IHR Focal Point (NFP) 24H MANDATORY
Article 7 Information-sharing during unexpected or unusual events regardless of origin or source Immediate upon evidence emergence State Party NFP CONTINUOUS
Article 8 Confidential technical consultation with WHO when Annex 2 threshold is inconclusive (1 criterion met) Concurrent with 48h assessment National IHR Focal Point (NFP) CONSULTATIVE
Article 10 Verify non-State / informal epidemic intelligence signals upon WHO request Initial response within 24 hours National IHR Focal Point (NFP) 24H VERIFY

Verification Funnel Diagram

IHR (2005) Early Signal Verification and Notification Funnel STAGE 01 · T+0H Raw Signal Capture EWARN clinics, lab alerts, border desks & media triangulation intake Art. 5 Capacity STAGE 02 · <=24H Field Verification Rule out false rumors, confirm case definition & specimen transport Art. 10 Response STAGE 03 · <=48H Annex 2 Gate Screen Box A mandatory diseases or score 4 statutory risk criteria 48h Assessment STAGE 04 · <=24H WHO Notification NFP formal dispatch to WHO Contact Point & PHEOC mobilization Art. 6 Mandatory NFP assesses within 48h and notifies WHO within 24h once >= 2 Annex 2 criteria or Box A match.
Figure 1. Four-stage epidemic intelligence verification and IHR (2005) Article 6 / Article 10 statutory escalation funnel.
Historical Archive Anchor: /ewarn Verification Logbook

Legacy pointers targeting /ewarn signal triage resolve directly to this verification stepper, preserving historical context on EWARN field reporting workflows.