Is there a significant risk of international travel or trade restrictions?
CDC has established the CDC PHEIC Analysis Team, which will have the responsibility of making a determination of whether the criteria in Annex 2 are met. If the criteria are met, CDC’s Emergency Operations Center will notify the Secretary’s Operation Center (SOC), Department of Health and Human Services, of the event. The HHS SOC will report the event to WHO. WHO then makes the final determination about whether the event is a PHEIC. The 2003 heat wave in Europe was an international event and 11 European countries were affected, meeting the first two criteria, but a similar event in the United States likely would not be reported to WHO. CDC’s Acting Interim IHR Governance Council is currently discussing with the Council of State and Territorial Epidemiologists (CSTE) the need to draft additional guidance to use with the IHR algorithm at the local public health levels. In addition, the Council is discussing with CSTE a collaboration to develop case studies to apply against the IHR algori
