Which disease come under international surveillance
First, I need to recall which diseases are part of international surveillance. The core concept here is the International Health Regulations (IHR) by the WHO. These regulations require member states to report certain diseases to the WHO. The IHR 2005 lists diseases like cholera, plague, yellow fever, and smallpox as notifiable. Also, diseases that could constitute a public health emergency of international concern, like Ebola or influenza, are included.
The correct answer is likely one of these. Common options in such questions might include cholera, plague, yellow fever, and maybe others like dengue or HIV. Let's say the options were A. Cholera, B. Malaria, C. Dengue, D. Influenza. Then the correct answer would be A. Cholera, as it's a classic notifiable disease.
For the explanation, I need to outline the core concept about IHR. Then explain why cholera is correct—because it's a communicable disease with high mortality and international spread potential. The wrong options like malaria and dengue aren't under IHR but might be under other surveillance systems. Influenza is monitored but under different categories. The clinical pearl would be to remember the classic three: cholera, plague, yellow fever. And end with the correct answer line.
**Core Concept**
The International Health Regulations (IHR) 2005, administered by the WHO, require member states to report specific diseases that pose a public health risk of international concern. These include classical quarantinable diseases like cholera, plague, and yellow fever, as well as newly emerging threats.
**Why the Correct Answer is Right**
Cholera is classified as an IHR-notifiable disease due to its potential for rapid international spread via contaminated water and food. It causes severe dehydration and mortality if untreated, necessitating global surveillance to prevent outbreaks. The WHO mandates reporting to enable timely containment and coordinate international response efforts.
**Why Each Wrong Option is Incorrect**
**Option B:** Malaria is not an IHR-notifiable disease but is monitored under regional and national programs. **Option C:** Dengue is not listed in IHR 2005 but is tracked by the WHO as an emerging threat. **Option D:** Influenza is reported under the WHO’s Global Influenza Surveillance and Response System (GISRS), not the IHR, though pandemic strains trigger IHR reporting.
**Clinical Pearl / High-Yield Fact**
Remember the "classic three" IHR quarantinable diseases: **Cholera**, **Plague**, and **Yellow Fever**. These are the only diseases explicitly listed in the IHR for mandatory reporting, though other diseases (e.g., Ebola, novel coronaviruses) may be added if they meet public health emergency criteria.
**Correct Answer: A. Cholera**