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Full Text: 31 pp, PDF, 562 KB

1.Welcoming Remarks
2. Objectives of the Meeting

3. Background
A. Summary of the Previous Recommendations (by country)
B. Description of Participating Institutions
C.Surveillance Activities Already Underway

4. Plan of Action
A. Disease Syndromes
B. Infectious Agents
C. Specimens
D. Reagents and Diagnostic Tests
E. Quality Control
F. Equipment
G. Project Management
H. Associated Institutions
I. Study Sites and Populations
J. Number of Subjects
K. Follow-up
L. Disease Questionnaires
M. Banking of Specimens
N. Communications/Networking
O. Training
P. Transfer of Funds
Q. Evaluation
R. Integration of Network with National Surveillance Systems

5. Conclusions

Figure 1: Location of Proposed Study Sites for Surveillance of Emerging Infectious Diseases in the Amazon Region (map)
Table 1: Surveillance Activities Already Underway by Partner Laboratories of the Amazon Region Emerging Diseases Network
List of Participants


Final Report: Meeting to Establish a Network of Laboratories for the Surveillance of Emerging Infectious Diseases (EID) in the Amazon Region

(Manaus, Amazonas, Brazil,
9–11 February 1998)


General objective: To create a functional network of laboratories within the greater Amazon Region, able to obtain accurate, high-quality laboratory results on new, emerging and reemerging infections found in the Region.

The specific objectives include development of

  • Accurate laboratory results.
  • Prompt information-sharing.
  • Strong linkage to epidemiological studies.
  • Implementation of common protocols to address specific diseases, using identical or comparable laboratory procedures with good quality control to ensure accuracy of results obtained.
  • A forum for rapid technology transfer.


  1. Participants agreed to form a network of laboratories to carry out surveillance and to share information on the incidence and prevalence of emerging infectious disease in the greater Amazon Region, to collaborate in conducing studies to define better the infectious etiology of human disease in the Region, to share laboratory techniques and reagents, and to participate actively in a Regional quality control and proficiency testing program.
  2. Participants agreed to create an executive committee that will meet annually to discuss progress in implementing common projects and protocols, to share results and to define strategies to address Regional problems. The next meeting will be held in Lima, Peru, and subsequent annual meetings will rotate among all collaborating laboratories as appropriate. A goal will be to obtain funding for the network including support for the participation of at least two representatives from each collaborating laboratory at each meeting.
  3. Participants agreed to joint presentation and publication of findings resulting from collaborations undertaken by laboratories of the network in appropriate scientific journals and meetings. All formal publications will share authorship. This agreement is not meant to exclude publication of their own results separately by workers in individual laboratories.

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