Annex 2 of the International Health Regulations (2005)
Overview
Under the International Health Regulations (2005) (IHR (2005)), States Parties are required to carry out an assessment of public health events occurring within their territories utilizing the decision instrument provided in Annex 2 of the Regulations, and then to notify WHO of all qualifying events within 24 hours of such an assessment.
- WHO guidance for the use of Annex 2 of the International Health Regulations (2005)
- Tutorials on the use of Annex 2 of the International Health Regulations (2005)
- Report of consultation on Annex 2
- Case definitions for the four diseases requiring notification to WHO in all circumstances under the IHR (2005)
Evaluation of the functioning of Annex 2 of the International Health Regulations (2005)
The IHR (2005) and the related resolution adopting them require that the functioning of Annex 2 be regularly assessed after the Regulations entered into force. As discussed in the IHR Review Committee Report the functioning of the Annex has been evaluated for the first time in 2009/2010.
Studies on the functioning of Annex 2
Quantitative and qualitative studies carried out by the University of Ottawa sought to ascertain the level of awareness and knowledge among NFPs of Annex 2, the practical use of the tool, their activities taken to implement it, and its perceived usefulness and user-friendliness. A survey conducted by the University of Geneva investigated the reliability of the public health event notification assessment process under the IHR to better understand the strengths and weaknesses of the Annex. The overall goal of the Annex 2 studies was to improve our understanding of the strengths and weaknesses of Annex 2 which will guide WHO in providing support to States Parties in the consistent use of Annex 2.
Conclusions made by researchers
The researchers concluded that barriers to notification are unlikely to be due to a malfunctioning of Annex 2, but to barriers within countries, e.g. inadequate surveillance infrastructure, poor flow of information within countries, or political considerations based on the threat of travel and trade restrictions.