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To protect Americans from serious diseases, the National Notifiable Diseases Surveillance System (NNDSS) helps public health monitor, control, and prevent about 120 diseases. About 3,000 public health departments gather and use data on these diseases to protect their local communities. Through NNDSS, CDC receives and uses these data to keep people healthy and defend America from health threats. NNDSS is a multifaceted program that includes the surveillance system for collection, analysis, and sharing of health data. It also includes policies, laws, electronic messaging standards, people, partners, information systems, processes, and resources at the local, state, territorial, and national levels. (CDC, 2019)

Gaps or limitations of NNDSS are the jurisdictional laws and regulations mandating the reporting of cases of specified infectious and noninfectious conditions to health departments. The health departments are dependent on healthcare providers, laboratories, hospitals, and other partners to obtain the information needed to monitor, control, and prevent the occurrence and spread of these health conditions. The strength of NNDSS is the CDC Division of Health Informatics and Surveillance (DHIS) supports NNDSS by receiving, securing, processing, and providing nationally notifiable infectious disease data to disease-specific CDC programs. DHIS also supports local, state, and territorial public health departments in helping them collect, manage and submit case notification data to CDC for NNDSS. (CDC, 2019)

Healthcare professionals around the world are traditionally mandated to notify public health authorities about cases of specified diseases within a certain timeframe. The authorities then analyze the data and take appropriate action. Surveillance systems, therefore, tend to be the responsibility of the government. Most countries provide routine surveillance data to multilateral agencies, which analyze and disseminate information on disease trends at the regional or global level. These agencies also receive data from countries when the impact of a public health event crosses national borders, a standard of practice codified by the 2005 International Health Regulations (IHR 2005), the international legal instrument aimed at assisting the global community to prevent and respond to public health threats that have the potential to affect populations worldwide (Edelstein et al., 2018).

Sharing surveillance data improves public health. We propose an approach to data sharing that creates an environment conducive to sharing, encourages good practice, and ensures that the benefits derived from the sharing process are equitably distributed. The public health surveillance landscape is complex, with a range of government and nongovernment stakeholders who can provide and receive data as well as facilitate sharing. Stakeholders can be divided into 3 groups that need to be engaged for optimal data sharing: 1) data providers, who generate public health surveillance data either from the community, the healthcare system, or nonhealth sources; 2) data recipients, who interpret and use data generated by others; and 3) data sharing facilitators, those who make sharing between data providers and recipients possible. Optimal sharing requires an understanding of the roles and responsibilities of these stakeholders. Sharing of public health surveillance data is best done with an agreement that takes into account those principles, which will help to ensure that data are shared optimally and ethically while fulfilling the expectations of stakeholders and facilitating equitable distribution of benefits (Edelstein et al., 2018).


CDC. (2019). National Notifiable Diseases Surveillance System (NNDSS). Retrieved from https://wwwn.cdc.gov/nndss/

Edelstein, M., Lee, L. M., Herten-Crabb, A., Heymann, D. L., & Harper, D. R. (2018). Strengthening Global Public Health Surveillance through Data and Benefit Sharing. Emerging Infectious Diseases, 24(7), 1324-1330. https://dx.doi.org/10.3201/eid2407.151830.

Respond to the bold paragraph ABOVE by using one of the option below… in APA format with At least two references and a minimum of 200 words….. .(The List of References should not be older than 2016 and should not be included in the word count.)

  • Ask a probing question.
  • Share an insight from having read your colleague’s posting.
  • Offer and support an opinion.

  • Validate an idea with your own experience.
  • Make a suggestion.
  • Expand on your colleague’s posting.

Be sure to support your postings and responses with specific references to the Learning Resources.

It is important that you cover all the topics identified in the assignment. Covering the topic does not mean mentioning the topic BUT presenting an explanation from the context of ethics and the readings for this class

To get maximum points you need to follow the requirements listed for this assignments 1) look at the word/page limits 2) review and follow APA rules 3) create subheadings to identify the key sections you are presenting and 4) Free from typographical and sentence construction errors.


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