2.2.4: Determine the date of early response completion
The 7-1-7 approach identifies seven early response actions that should be completed within seven days of notification. The date of early response completion is defined as the latest date on which any of these seven early response actions are completed:
- Initiate investigation or deploy investigation/response team;
- Conduct epidemiologic analysis of burden, severity and risk factors, and perform initial risk assessment;
- Obtain laboratory confirmation of the outbreak etiology;
- Initiate appropriate case management and infection prevention and control (IPC) measures in health facilities;
- Initiate appropriate public health countermeasures in affected communities;
- Initiate appropriate risk communication or community engagement activities;
- Establish a coordination mechanism.
All seven early response actions may not be applicable for some public health events. For example, an event may be determined to be low risk, such that countermeasures and establishment of a coordination mechanism are not necessary. For events where some response actions are not applicable, the latest date among the applicable actions should be used as the date of early response completion.
In addition to the date of early response completion, it is also recommended to review the date of early response initiation: the date when the first of the seven early response actions was completed. While date of early response initiation is not used to calculate the 7-1-7 metrics, this date is useful to identify bottlenecks to response initiation. It is suggested to aim to initiate the early response within 1 day of notification. The initiation of response actions (i.e., the first action taken) within 1 day can support monitoring of existing guidance for response initiation, as well as monitoring towards WHO’s GPW 13 targets.
The early response actions, defined below, indicate initiation rather than completion of a response, and provide a framework to ensure that the relevant pillars of a response have been activated. They provide simple indicators, modified through pilot testing, to clearly identify a date when actions were taken. Some countries have found that expanding the early response actions into event or disease-specific job aids that outline detailed, specific response actions enhances performance improvement and improves accountability.
|Early response actions||Examples*|
|Initiate investigation or deploy investigation/response team||
|Conduct epidemiologic analysis of burden, severity and risk factors, and perform initial risk assessment||
|Obtain laboratory confirmation of the outbreak etiology||
|Initiate appropriate case management and infection prevention and control (IPC) measures in health facilities||
|Initiate appropriate public health countermeasures in affected communities||
|Initiate appropriate risk communication and community engagement activities||
|Establish a coordination mechanism||
*The earliest date should be used for 7-1-7 purposes; these examples are not comprehensive
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