A disease signal can arrive in one sector while the authority to investigate sits in another. Sharing it requires more than a place to upload a report.
WHO’s October 29 account describes September workshops in Indonesia involving human-health, animal-health and wildlife authorities. Participants reviewed workflows, clarified responsibilities and practised moving signals through the Information System for Zoonosis and Emerging Infectious Diseases, known as SIZE. The activities received Pandemic Fund support. WHO
SIZE is an existing platform. Wider subnational use, stronger risk assessments and improvements in documenting and acting on signals are described as next steps. WHO’s report does not provide a before-and-after evaluation demonstrating reduced response times or prevented outbreaks. WHO
Implementation analysis: That boundary is important. A platform can make information available without ensuring that someone acknowledges it, assesses it or has resources to respond.
A useful evaluation would follow the handoffs. How long passes between detection and reporting? Between reporting and assessment? When multiple agencies are involved, is there a named lead? Does the reporting team learn what happened next?
These are proposed measures, not results reported for SIZE.
Testing those steps in exercises can expose ambiguity before an emergency: a missing contact, an unclear escalation rule or two agencies each expecting the other to lead. Software may support the process, but governance determines who can make decisions.
Expansion also creates an evaluation challenge. More reports could mean better detection rather than more disease. Faster reporting could coexist with a bottleneck in investigation. Counting platform activity alone would miss both distinctions.
Indonesia’s workshops make the operational work visible. The next evidence should show whether agreed workflows survive routine use—especially at the local level, where a signal first becomes somebody’s responsibility.
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