ProMED-mail

Program for Monitoring Emerging Diseases (also known as ProMED-mail, abbreviated ProMED) is among the largest publicly available emerging diseases and outbreak reporting systems in the world. The central purpose of ProMED is to promote communication amongst the international infectious disease community, including scientists, physicians, veterinarians, epidemiologists, public health professionals, and others interested in infectious diseases on a global scale. Founded in 1994, ProMED has pioneered the concept of electronic, Internet-based emerging disease and outbreak detection reporting. In 1999, ProMED became a program of the International Society for Infectious Diseases. As of 2016, ProMED has more than 75,000 subscribers in over 185 countries. With an average of 13 posts per day, ProMED provides users with up-to-date information concerning infectious disease outbreaks on a global scale.

ProMED’s guiding principles include:

One of the essential global health priorities is the timely recognition and reporting of emerging and re-emerging infectious diseases. Early recognition can enable coordinated and rapid responses to an outbreak, preventing catastrophic morbidity and mortality. Additionally, early detection can alleviate grave economic hardship brought upon by pandemics and emerging diseases. Burgeoning globalization of commerce, finance, manufacturing, and services has fostered ever-increasing movement of people, animals, plants, food, and feed. Other contributing factors to the risk of new pathogens emerging and known pathogens re-emerging include climate change, urbanization, land use changes, and political instability. Outbreaks that begin in the most remote parts of the world now spread swiftly to urban centers in countries far away. The epidemiological data in ProMED posts has been used to estimate mortality rates and demographic parameters for specific diseases.

The severe acute respiratory syndrome (SARS) outbreak in 2003 and the Middle East respiratory syndrome (MERS) outbreak in 2012 demonstrated the importance of early identification for emerging disease occurrences. The initial outbreak reports in both events were posted by astute clinicians. The use of non-traditional information sources can provide prompt information to the international community on emerging infectious disease problems that have yet to be officially reported. The early dissemination of information may lead to rapid official confirmation of ongoing outbreaks. The Epicore program, launched in March 2016, makes use of volunteers throughout the world to find and report outbreaks using non-traditional methods.

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