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Table 5 Strengths and challenges of EBS steps tested by the full-scale exercise, After-Action Review findings, Vietnam, 2018

From: Testing early warning and response systems through a full-scale exercise in Vietnam

EBS steps FSX
objectives
Strengths Challenges
Detection and Reporting 1, 2 Commune level
• The CHS followed established protocols to detect and report signals to the DHC in a satisfactory manner.
• The CHS lacked visible poster/communication material with the list of signals under surveillance.
District level (hospital)
• The hospital emergency department clinician successfully detected and reported a signal in the presenting patient.
• The hospital emergency department clinician did not use a physical listing of hospital signal criteria to detect a signal in the presenting patient.
Triage 1, 4 Commune level
• The CHS followed established protocols to triage signals to the DHC in a satisfactory manner
• Incomplete triage by the CHS EBS Focal Point prevented certainty that the signal was true.
District level
• Triage by the DHC was successful
• None identified
Verification 1, 3, 4 District level
• The DHC followed protocols to verify suspect cases and report the public health event to the provincial level
• None identified
Risk Assessment 5, 6, 9–19 Provincial level
• The PCDC conducted a quick internal risk assessment to define response activities.
• PCDC didn’t include all available key players to conduct the risk assessment.
Northern Regional PHEOC
• The Northern Regional PHEOC shift from Alert mode to Response mode based on a decision-making process to assess risk.
• None identified
National PHEOC
The risk assessment was performed and agreed upon prior to the declaration of the emergency and activation of the PHEOC.
• None identified
  1. Abbreviation: CHS Commune Health Station; DHC District Health Center; EBS Event-based surveillance; FSX Full-scale exercise; PCDC Provincial Center for Diseases Control; PHEOC Public Health Emergency Operations Center