JEE domain/indicator | JEE score | Major JEE comment/ recommendation | Outbreak response observed | Degree of correspondance |
IHR Coordination P.2.1 | 2 | SOPs exist | Coordination weak especially in first month | H L H |
Zoonotic Diseases P.4.3 | 1 | Better coordination for response needed | Spread of vectors went unrecognised | H H H |
Biosafety P.6.1 | 1 | Funding and planning weaknesses | Use of Personal Protective Equipment and training inadequate; 17 health workers infected | H H H |
National Lab System D.1.1 | 3 | Capable laboratories but need for standardisation | International supply of reagents and training was essential. EOC actions key to make this happen | H M H |
Surveillance D.2.3 | 3 | Weak capacity in many states | Needed RRT staff from national level to take over from states | M H H |
Reporting D.3.2 | 2 | Officers in each state | Variable response from states. Needed RRT teams from central level to make this happen | H L H |
Workforce D.4.1 | 3 | Strong Field Epi Training Programme (FETP) | FETP trainees essential to response | H H H |
Preparedness R.1.2 | 1 | Logistics system weak; risk mapping needed | Lack of preparedness or awareness of rising risk of outbreak | H HH |
Emergency Operations Activation R.2.1 | 2 | SOPs not fully developed; state level EOCs missing | EOC key for this response; developing while doing | H M H |
Emergency Operations Function R.2.3 | 3 | Experience coordinating responses; procedures not standardised | EOC key for this response; developing while doing | M H H |
Emergency Operations Case Management R.2.4 | 2 | Some case management guidelines available | Not useful until adapted mid-epidemic | H M M |
Medical Countermeasures R.4.1 | 1 | Need for stockpile and logistics | Effective supply system created on the fly | H L M |
Risk Communication R.5.4 | 3 | Coordination from Federal to States weak | No Info (anecdotally, seemed to be weak) | M N/A N/A |
Points of entry PoE.2 | 1 | Contingency plans needed | Proactive response initiated on the fly | N/A L M |
EOC, Emergency Operations Centre; IPC, Infection Prevention and Control; JEE, joint external evaluation; RRT, Rapid Response Teams; SOP, Standard Operating Procedures.