Implementation during the coming year
The specific tools to help countries implement the mosaic surveillance
framework will include those to help prioritize respiratory surveillance
objectives, map existing systems to priority objectives; and to identify
priority enhancements needed. However associated tools will also help
national authorities consider the need to strengthen broader enabling
structures for surveillance in their countries.
Our vision is that all countries develop well-coordinated mosaics of
multiple fit-for-purpose surveillance approaches that address priority
surveillance objectives for influenza, SARS-CoV-2, RSV, and other
respiratory viruses of epidemic and pandemic potential according to
country context. Respiratory viruses serve as a prototypical example of
the way surveillance systems can work together resiliently to provide a
comprehensive picture of disease emergence, spread and impact. There are
several respiratory viruses that have important commonalities in terms
of virological, epidemiological and clinical surveillance approaches.
However, there are areas where this framework has applicability beyond
respiratory viruses, and in some cases beyond respiratory pathogens. The
next respiratory pandemic remains imminent, and the time is now to apply
lessons learned to assure that newly strengthened and properly focused
routine surveillance may better support epidemic, pandemic, and other
emergency monitoring needs.