Implications
Results from this project will provide baseline assessment regarding the timeliness of data from different disease reporting system. Findings on the validity of public reporting system will provide information supporting the possibility of integrating public reports to improve the routine surveillance system. This study will encourage the collaboration among four participating countries (data sharing) in response to public health emergency. The results can be used a reference for countries/region and will be disseminated through progress report, final report, and scientific publications. Most importantly, results will be used to identify changes or improvements in surveillance practice will allow for reducing time to outbreak detection and help to guide future investments in public health surveillance.