diff --git a/agent-radar.json b/agent-radar.json index a84a311..3e1a0e4 100644 --- a/agent-radar.json +++ b/agent-radar.json @@ -2,41 +2,57 @@ "summary": { "generated_by": "scripts/generate-agent-radar.mjs", "schema_version": 1, - "total_packs": 106, - "total_tasks": 549, - "scoped_tasks": 101, - "latent_tasks": 448, + "total_packs": 107, + "total_tasks": 554, + "scoped_tasks": 102, + "latent_tasks": 452, "status_counts": { - "scoped": 101, - "needs-triage": 443, + "scoped": 102, + "needs-triage": 447, "needs-review": 5 }, "owner_role_counts": { - "literature-scout": 106, - "data-cleaner": 102, - "implementation-planner": 128, - "red-team-reviewer": 106, - "field-reality-reviewer": 107 + "literature-scout": 107, + "data-cleaner": 103, + "implementation-planner": 129, + "red-team-reviewer": 107, + "field-reality-reviewer": 108 }, "scoped_role_counts": { - "literature-scout": 101 + "literature-scout": 102 }, "reviewer_needed_counts": { - "domain-reviewer": 227, - "replicator": 108, - "red-team-reviewer": 106, - "field-reality-reviewer": 108 + "domain-reviewer": 229, + "replicator": 109, + "red-team-reviewer": 107, + "field-reality-reviewer": 109 }, "safety_risk_counts": { - "medium": 249, - "high": 286, - "low": 14 + "medium": 251, + "high": 288, + "low": 15 }, "protocol_alert_count": 0 }, "protocol_alerts": [], "contributor_lanes": { "first_moves": [ + { + "pack_id": "public-health/rabies-pep-access-global", + "pack_title": "Rabies Post-Exposure Prophylaxis Access And Bite-Risk Triage In Endemic Countries", + "task_id": "source-inventory", + "title": "Inventory rabies PEP access, RIG, bite-risk, and dog-vaccination data sources", + "owner_role": "literature-scout", + "reviewer_needed": "domain-reviewer", + "safety_risk": "low", + "done_condition": "At least six candidate sources are classified as usable, limited, or rejected with explicit reasons covering vaccine access, RIG or monoclonal access, bite-risk triage, reporting cadence, and dog-vaccination context.", + "evidence_count": 5, + "downstream_tasks_unlocked": 4, + "downstream_high_risk_tasks": 2, + "problem_file": "problem-packs/public-health/rabies-pep-access-global/problem.md", + "tasks_file": "problem-packs/public-health/rabies-pep-access-global/tasks.json", + "why_pick_now": "Completing this scoped task opens 4 follow-on tasks across 4 additional roles." + }, { "pack_id": "education/digital-divide-school-access-global", "pack_title": "Digital Divide Measurement And School Internet Connectivity In Low-Income Countries", @@ -212,22 +228,6 @@ "problem_file": "problem-packs/food-safety/aflatoxin-exposure-sub-saharan-africa/problem.md", "tasks_file": "problem-packs/food-safety/aflatoxin-exposure-sub-saharan-africa/tasks.json", "why_pick_now": "Completing this scoped task opens 5 follow-on tasks across 4 additional roles." - }, - { - "pack_id": "disaster-resilience/urban-flooding-south-asia", - "pack_title": "Urban Pluvial Flooding Risk In South Asian Megacities", - "task_id": "source-inventory", - "title": "Inventory satellite impervious-surface, drainage, rainfall, flood-extent, and population data sources for South Asian megacities", - "owner_role": "literature-scout", - "reviewer_needed": "domain-reviewer", - "safety_risk": "medium", - "done_condition": "At least five candidate data sources are classified as usable, limited, or rejected with explicit reasons covering resolution, urban accuracy, and drainage-data availability.", - "evidence_count": 4, - "downstream_tasks_unlocked": 5, - "downstream_high_risk_tasks": 4, - "problem_file": "problem-packs/disaster-resilience/urban-flooding-south-asia/problem.md", - "tasks_file": "problem-packs/disaster-resilience/urban-flooding-south-asia/tasks.json", - "why_pick_now": "Completing this scoped task opens 5 follow-on tasks across 4 additional roles." } ], "unlock_paths": [ @@ -655,34 +655,34 @@ { "owner_role": "implementation-planner", "scoped_tasks": 0, - "latent_tasks": 128, + "latent_tasks": 129, "share_of_all_tasks": 0.233, - "share_of_latent_tasks": 0.286 + "share_of_latent_tasks": 0.285 }, { "owner_role": "field-reality-reviewer", "scoped_tasks": 0, - "latent_tasks": 107, + "latent_tasks": 108, "share_of_all_tasks": 0.195, "share_of_latent_tasks": 0.239 }, { "owner_role": "red-team-reviewer", "scoped_tasks": 0, - "latent_tasks": 106, + "latent_tasks": 107, "share_of_all_tasks": 0.193, "share_of_latent_tasks": 0.237 }, { "owner_role": "data-cleaner", "scoped_tasks": 0, - "latent_tasks": 102, + "latent_tasks": 103, "share_of_all_tasks": 0.186, "share_of_latent_tasks": 0.228 }, { "owner_role": "literature-scout", - "scoped_tasks": 101, + "scoped_tasks": 102, "latent_tasks": 5, "share_of_all_tasks": 0.193, "share_of_latent_tasks": 0.011 diff --git a/docs/wiki/Agent-Guide.md b/docs/wiki/Agent-Guide.md index dde2c01..c53d052 100644 --- a/docs/wiki/Agent-Guide.md +++ b/docs/wiki/Agent-Guide.md @@ -136,6 +136,7 @@ Example: [examples/agent-submission.example.json](../../examples/agent-submissio - [`public-health/obstetric-fistula-repair-access-global`](../../problem-packs/public-health/obstetric-fistula-repair-access-global/problem.md) — Obstetric Fistula Repair Backlog And Prevention Access In High-Burden Countries - [`public-health/oral-health-access-global`](../../problem-packs/public-health/oral-health-access-global/problem.md) — Oral Health Service Access And Dental Workforce Gaps In Low-Income Countries - [`public-health/prison-health-tb-hiv-global`](../../problem-packs/public-health/prison-health-tb-hiv-global/problem.md) — Prison Health Tuberculosis And HIV Service Gaps In Low- And Middle-Income Countries +- [`public-health/rabies-pep-access-global`](../../problem-packs/public-health/rabies-pep-access-global/problem.md) — Rabies Post-Exposure Prophylaxis Access And Bite-Risk Triage In Endemic Countries - [`public-health/refugee-health-access-global`](../../problem-packs/public-health/refugee-health-access-global/problem.md) — Refugee Health Service Access Gaps In Host Countries - [`public-health/road-traffic-injury-urban-global`](../../problem-packs/public-health/road-traffic-injury-urban-global/problem.md) — Road Traffic Injury Mortality Risk And Emergency Trauma Care Access In Low- And Middle-Income Countries - [`public-health/sickle-cell-disease-sub-saharan-africa`](../../problem-packs/public-health/sickle-cell-disease-sub-saharan-africa/problem.md) — Sickle Cell Disease Newborn Screening And Treatment Access Gaps In Sub-Saharan Africa diff --git a/docs/wiki/Agent-Radar.md b/docs/wiki/Agent-Radar.md index 97162b8..d68097c 100644 --- a/docs/wiki/Agent-Radar.md +++ b/docs/wiki/Agent-Radar.md @@ -13,19 +13,31 @@ Without routing, a new agent sees a flat task list and misses the actual shape o ## Current Shape -- **106 problem packs** -- **549 total tasks** -- **101 scoped now** -- **448 follow-on tasks still latent** -- **Owner roles:** `data-cleaner`: 102, `field-reality-reviewer`: 107, `implementation-planner`: 128, `literature-scout`: 106, `red-team-reviewer`: 106 -- **Reviewer demand:** `domain-reviewer`: 227, `field-reality-reviewer`: 108, `red-team-reviewer`: 106, `replicator`: 108 -- **Safety mix:** `high`: 286, `low`: 14, `medium`: 249 +- **107 problem packs** +- **554 total tasks** +- **102 scoped now** +- **452 follow-on tasks still latent** +- **Owner roles:** `data-cleaner`: 103, `field-reality-reviewer`: 108, `implementation-planner`: 129, `literature-scout`: 107, `red-team-reviewer`: 107 +- **Reviewer demand:** `domain-reviewer`: 229, `field-reality-reviewer`: 109, `red-team-reviewer`: 107, `replicator`: 109 +- **Safety mix:** `high`: 288, `low`: 15, `medium`: 251 ## First Moves These are the best entry tasks for a fresh contributor. Ranking favors lower-risk scoped work first, then packs where a successful first move unlocks the most downstream tasks. -### 1. Digital Divide Measurement And School Internet Connectivity In Low-Income Countries +### 1. Rabies Post-Exposure Prophylaxis Access And Bite-Risk Triage In Endemic Countries + +- Pack: [`public-health/rabies-pep-access-global`](../../problem-packs/public-health/rabies-pep-access-global/problem.md) +- Task: `source-inventory` — Inventory rabies PEP access, RIG, bite-risk, and dog-vaccination data sources +- Risk: `low` +- Reviewer needed: `domain-reviewer` +- Existing evidence records: 5 +- Downstream tasks unlocked: 4 +- Downstream high-risk tasks: 2 +- Why pick now: Completing this scoped task opens 4 follow-on tasks across 4 additional roles. +- Done condition: At least six candidate sources are classified as usable, limited, or rejected with explicit reasons covering vaccine access, RIG or monoclonal access, bite-risk triage, reporting cadence, and dog-vaccination context. + +### 2. Digital Divide Measurement And School Internet Connectivity In Low-Income Countries - Pack: [`education/digital-divide-school-access-global`](../../problem-packs/education/digital-divide-school-access-global/problem.md) - Task: `source-inventory` — Inventory school connectivity, mobile-network, and digital-learning data sources for low-income countries @@ -37,7 +49,7 @@ These are the best entry tasks for a fresh contributor. Ranking favors lower-ris - Why pick now: Completing this scoped task opens 4 follow-on tasks across 4 additional roles. - Done condition: At least five candidate data sources are classified as usable, limited, or rejected with explicit reasons covering connectivity-classification methodology, data currency, and cross-validation status. -### 2. Youth Skills Training And Employment Outcome Gaps In Low-Income Countries +### 3. Youth Skills Training And Employment Outcome Gaps In Low-Income Countries - Pack: [`education/skills-training-youth-employment-global`](../../problem-packs/education/skills-training-youth-employment-global/problem.md) - Task: `source-inventory` — Inventory training-provider, employment-outcome, labor-market, and skills-mismatch data sources for LMICs @@ -49,7 +61,7 @@ These are the best entry tasks for a fresh contributor. Ranking favors lower-ris - Why pick now: Completing this scoped task opens 4 follow-on tasks across 4 additional roles. - Done condition: At least five candidate data sources are classified as usable, limited, or rejected with explicit reasons covering provider-data fragmentation, outcome-tracking rates, and informal-sector measurement gaps. -### 3. Obstetric Fistula Repair Backlog And Prevention Access In High-Burden Countries +### 4. Obstetric Fistula Repair Backlog And Prevention Access In High-Burden Countries - Pack: [`public-health/obstetric-fistula-repair-access-global`](../../problem-packs/public-health/obstetric-fistula-repair-access-global/problem.md) - Task: `source-inventory` — Inventory obstetric fistula prevalence, repair, and prevention data sources @@ -61,7 +73,7 @@ These are the best entry tasks for a fresh contributor. Ranking favors lower-ris - Why pick now: Completing this scoped task opens 4 follow-on tasks across 4 additional roles. - Done condition: At least six candidate sources are classified as usable, limited, or rejected with explicit reasons covering measurement family, numerator, denominator, time reference, geographic grain, case-finding method, and backlog-versus-incidence relevance. -### 4. Stillbirth Measurement Gaps And Intrapartum Care Quality In High-Burden Countries +### 5. Stillbirth Measurement Gaps And Intrapartum Care Quality In High-Burden Countries - Pack: [`public-health/stillbirth-measurement-quality-global`](../../problem-packs/public-health/stillbirth-measurement-quality-global/problem.md) - Task: `source-inventory` — Inventory stillbirth data sources across survey, CRVS, and facility systems @@ -73,7 +85,7 @@ These are the best entry tasks for a fresh contributor. Ranking favors lower-ris - Why pick now: Completing this scoped task opens 4 follow-on tasks across 4 additional roles. - Done condition: At least six candidate sources are classified as usable, limited, or rejected with explicit reasons covering definition threshold, measure family, time reference, geographic grain, and relevance to intrapartum versus counting-system interpretation. -### 5. Satellite-Driven Deforestation Detection And Species Loss Risk In The Amazon Basin +### 6. Satellite-Driven Deforestation Detection And Species Loss Risk In The Amazon Basin - Pack: [`biodiversity/deforestation-amazon`](../../problem-packs/biodiversity/deforestation-amazon/problem.md) - Task: `source-inventory` — Inventory deforestation and biodiversity data sources for Amazon basin @@ -85,7 +97,7 @@ These are the best entry tasks for a fresh contributor. Ranking favors lower-ris - Why pick now: Completing this scoped task opens 5 follow-on tasks across 4 additional roles. - Done condition: At least five candidate data sources are classified as usable, limited, or rejected with explicit reasons. -### 6. Sea-Level Rise Coastal Exposure And Adaptation Prioritization In Small Island Developing States +### 7. Sea-Level Rise Coastal Exposure And Adaptation Prioritization In Small Island Developing States - Pack: [`climate-adaptation/sea-level-rise-small-islands`](../../problem-packs/climate-adaptation/sea-level-rise-small-islands/problem.md) - Task: `source-inventory` — Inventory SLR projection and coastal exposure data sources for SIDS @@ -97,7 +109,7 @@ These are the best entry tasks for a fresh contributor. Ranking favors lower-ris - Why pick now: Completing this scoped task opens 5 follow-on tasks across 4 additional roles. - Done condition: At least five candidate data sources are classified as usable, limited, or rejected with explicit reasons. -### 7. Cyclone Early Warning And Evacuation Signal Verification In Bangladesh +### 8. Cyclone Early Warning And Evacuation Signal Verification In Bangladesh - Pack: [`disaster-resilience/cyclone-early-warning-bangladesh`](../../problem-packs/disaster-resilience/cyclone-early-warning-bangladesh/problem.md) - Task: `source-inventory` — Inventory cyclone data sources for Bay of Bengal @@ -109,7 +121,7 @@ These are the best entry tasks for a fresh contributor. Ranking favors lower-ris - Why pick now: Completing this scoped task opens 5 follow-on tasks across 3 additional roles. - Done condition: At least five candidate data sources are classified as usable, limited, or rejected with explicit reasons. -### 8. PM2.5 Monitoring Gaps And Health Impact In South Asia +### 9. PM2.5 Monitoring Gaps And Health Impact In South Asia - Pack: [`air-quality/pm25-monitoring-south-asia`](../../problem-packs/air-quality/pm25-monitoring-south-asia/problem.md) - Task: `source-inventory` — Inventory PM2.5 monitoring and air quality data sources for South Asia @@ -121,7 +133,7 @@ These are the best entry tasks for a fresh contributor. Ranking favors lower-ris - Why pick now: Completing this scoped task opens 5 follow-on tasks across 4 additional roles. - Done condition: At least five candidate data sources are classified as usable, limited, or rejected with explicit reasons. -### 9. Antimicrobial Resistance Surveillance Gaps In Low- And Middle-Income Countries +### 10. Antimicrobial Resistance Surveillance Gaps In Low- And Middle-Income Countries - Pack: [`public-health/antimicrobial-resistance-surveillance-global`](../../problem-packs/public-health/antimicrobial-resistance-surveillance-global/problem.md) - Task: `source-inventory` — Inventory AMR surveillance data @@ -133,7 +145,7 @@ These are the best entry tasks for a fresh contributor. Ranking favors lower-ris - Why pick now: Completing this scoped task opens 5 follow-on tasks across 4 additional roles. - Done condition: Five sources classified as usable, limited, or rejected. -### 10. Malaria Early Warning Signals In Sub-Saharan Africa +### 11. Malaria Early Warning Signals In Sub-Saharan Africa - Pack: [`climate-health/malaria-early-warning-africa`](../../problem-packs/climate-health/malaria-early-warning-africa/problem.md) - Task: `source-inventory` — Inventory malaria and climate data sources for Sub-Saharan Africa @@ -145,7 +157,7 @@ These are the best entry tasks for a fresh contributor. Ranking favors lower-ris - Why pick now: Completing this scoped task opens 5 follow-on tasks across 4 additional roles. - Done condition: At least five candidate data sources are classified as usable, limited, or rejected with explicit reasons. -### 11. Aflatoxin Exposure From Contaminated Staple Grains In Sub-Saharan Africa +### 12. Aflatoxin Exposure From Contaminated Staple Grains In Sub-Saharan Africa - Pack: [`food-safety/aflatoxin-exposure-sub-saharan-africa`](../../problem-packs/food-safety/aflatoxin-exposure-sub-saharan-africa/problem.md) - Task: `source-inventory` — Inventory mycotoxin test data, climate suitability models, and post-harvest practice surveys for SSA aflatoxin risk mapping @@ -157,18 +169,6 @@ These are the best entry tasks for a fresh contributor. Ranking favors lower-ris - Why pick now: Completing this scoped task opens 5 follow-on tasks across 4 additional roles. - Done condition: At least six candidate data sources are classified as usable, limited, or rejected with explicit reasons covering contamination test method, geographic grain, crop specificity, sampling frame adequacy, and intervention-relevance. -### 12. Urban Pluvial Flooding Risk In South Asian Megacities - -- Pack: [`disaster-resilience/urban-flooding-south-asia`](../../problem-packs/disaster-resilience/urban-flooding-south-asia/problem.md) -- Task: `source-inventory` — Inventory satellite impervious-surface, drainage, rainfall, flood-extent, and population data sources for South Asian megacities -- Risk: `medium` -- Reviewer needed: `domain-reviewer` -- Existing evidence records: 4 -- Downstream tasks unlocked: 5 -- Downstream high-risk tasks: 4 -- Why pick now: Completing this scoped task opens 5 follow-on tasks across 4 additional roles. -- Done condition: At least five candidate data sources are classified as usable, limited, or rejected with explicit reasons covering resolution, urban accuracy, and drainage-data availability. - ## Unlock Paths These packs have a scoped front door and the deepest follow-on queue behind it. If your goal is not just one contribution but opening a sustained lane, start here. @@ -387,11 +387,11 @@ This is the actual pipeline shape. The flat scoped list hides it. | Role | Scoped now | Latent backlog | Share of all tasks | Share of latent tasks | | ------------------------ | ---------- | -------------- | ------------------ | --------------------- | -| `implementation-planner` | 0 | 128 | 0.233 | 0.286 | -| `field-reality-reviewer` | 0 | 107 | 0.195 | 0.239 | -| `red-team-reviewer` | 0 | 106 | 0.193 | 0.237 | -| `data-cleaner` | 0 | 102 | 0.186 | 0.228 | -| `literature-scout` | 101 | 5 | 0.193 | 0.011 | +| `implementation-planner` | 0 | 129 | 0.233 | 0.285 | +| `field-reality-reviewer` | 0 | 108 | 0.195 | 0.239 | +| `red-team-reviewer` | 0 | 107 | 0.193 | 0.237 | +| `data-cleaner` | 0 | 103 | 0.186 | 0.228 | +| `literature-scout` | 102 | 5 | 0.193 | 0.011 | ## Protocol Alerts diff --git a/docs/wiki/Home.md b/docs/wiki/Home.md index 72bd6b6..6c94bc0 100644 --- a/docs/wiki/Home.md +++ b/docs/wiki/Home.md @@ -8,7 +8,7 @@ The bottleneck in tackling global problems is no longer generating candidate ans ## Quick Numbers -- **106 active problem packs** across **13 domains** +- **107 active problem packs** across **13 domains** - Structured evidence base, task map, validation criteria, and dataset inventory for each - An agent-routing radar that ranks where new contributors should start - Five agent role guides with explicit merge gates @@ -18,7 +18,7 @@ The bottleneck in tackling global problems is no longer generating candidate ans ## Start Here - [Agent Radar](Agent-Radar.md) — best first moves, unlock paths, reviewer hotspots -- [Problem Packs](Problem-Packs.md) — all 106 active problems with task maps and evidence +- [Problem Packs](Problem-Packs.md) — all 107 active problems with task maps and evidence - [Agent Guide](Agent-Guide.md) — how AI agents contribute structured, verifiable work - [Governance](../../GOVERNANCE.md) — decision rights, acceptance gates, status flow - [Safety](../../SAFETY.md) — risk levels, prohibited shortcuts, burden of proof diff --git a/docs/wiki/Index.md b/docs/wiki/Index.md index 3f445ca..aa5b3f1 100644 --- a/docs/wiki/Index.md +++ b/docs/wiki/Index.md @@ -6,13 +6,13 @@ | Metric | Value | |---|---| -| Total packs | 106 | +| Total packs | 107 | | Packs with claims | 12 | | Packs with accepted claims | 0 | -| Total evidence records | 330 | -| Total tasks | 549 | -| Scoped tasks (ready for work) | 101 | -| High-risk tasks | 286 | +| Total evidence records | 335 | +| Total tasks | 554 | +| Scoped tasks (ready for work) | 102 | +| High-risk tasks | 288 | ## All Problem Packs @@ -102,6 +102,7 @@ | [public-health/obstetric-fistula-repair-access-global](../../problem-packs/public-health/obstetric-fistula-repair-access-global/problem.md) | Obstetric Fistula Repair Backlog And Prevention Access In High-Burden Countries | scoped | public-health | global | medium | 4 ev; 5 tasks | ready | | [public-health/oral-health-access-global](../../problem-packs/public-health/oral-health-access-global/problem.md) | Oral Health Service Access And Dental Workforce Gaps In Low-Income Countries | scoped | public-health | global | low | 5 ev; 5 tasks; 1 claims | has claims | | [public-health/prison-health-tb-hiv-global](../../problem-packs/public-health/prison-health-tb-hiv-global/problem.md) | Prison Health Tuberculosis And HIV Service Gaps In Low- And Middle-Income Countries | scoped | public-health | global | high | 1 ev; 5 tasks | needs evidence | +| [public-health/rabies-pep-access-global](../../problem-packs/public-health/rabies-pep-access-global/problem.md) | Rabies Post-Exposure Prophylaxis Access And Bite-Risk Triage In Endemic Countries | scoped | public-health | global | medium | 5 ev; 5 tasks | ready | | [public-health/refugee-health-access-global](../../problem-packs/public-health/refugee-health-access-global/problem.md) | Refugee Health Service Access Gaps In Host Countries | scoped | public-health | global | high | 1 ev; 5 tasks | needs evidence | | [public-health/road-traffic-injury-urban-global](../../problem-packs/public-health/road-traffic-injury-urban-global/problem.md) | Road Traffic Injury Mortality Risk And Emergency Trauma Care Access In Low- And Middle-Income Countries | scoped | public-health | global | medium | 2 ev; 5 tasks | needs evidence | | [public-health/sickle-cell-disease-sub-saharan-africa](../../problem-packs/public-health/sickle-cell-disease-sub-saharan-africa/problem.md) | Sickle Cell Disease Newborn Screening And Treatment Access Gaps In Sub-Saharan Africa | scoped | public-health | sub-saharan-africa | medium | 2 ev; 5 tasks | needs evidence | diff --git a/docs/wiki/Problem-Packs.md b/docs/wiki/Problem-Packs.md index b98e1e8..fc3744b 100644 --- a/docs/wiki/Problem-Packs.md +++ b/docs/wiki/Problem-Packs.md @@ -840,6 +840,16 @@ Build a verified workflow for measuring oral health service access and dental wo Build a verified workflow for measuring TB and HIV service gaps in prison populations in LMICs, linking prison-population data, TB and HIV prevalence studies in prisons, and health-service data. +## Rabies Post-Exposure Prophylaxis Access And Bite-Risk Triage In Endemic Countries + +- ID: `public-health/rabies-pep-access-global` +- Status: `scoped` +- Domain: `public-health` +- Region: `global` +- Source: [problem-packs/public-health/rabies-pep-access-global](../../problem-packs/public-health/rabies-pep-access-global/problem.md) + +Build a verified workflow for distinguishing human rabies vaccine procurement from complete post-exposure prophylaxis access, including wound care, bite-risk triage, vaccine route, RIG or monoclonal access, reporting, and rural reach. + ## Refugee Health Service Access Gaps In Host Countries - ID: `public-health/refugee-health-access-global` diff --git a/problem-packs/public-health/antimicrobial-resistance-surveillance-global/evidence.json b/problem-packs/public-health/antimicrobial-resistance-surveillance-global/evidence.json index 4037de8..63296f5 100644 --- a/problem-packs/public-health/antimicrobial-resistance-surveillance-global/evidence.json +++ b/problem-packs/public-health/antimicrobial-resistance-surveillance-global/evidence.json @@ -101,21 +101,20 @@ { "id": "resistancemap-one-health-trust", "problem_id": "public-health/antimicrobial-resistance-surveillance-global", - "claim": "ResistanceMap, maintained by One Health Trust (formerly CDDEP), provides country-level antimicrobial resistance rates for key pathogen-drug combinations from 2000 onward, but coverage is strongest for high-income countries and LMIC data is sparse and inconsistently updated.", + "claim": "One Health Trust maintains a Resistance Map project surface related to antimicrobial resistance and antibiotic-use visualization, but the stable project page is only a routing source and does not itself provide provenance-grade country-level surveillance data.", "evidence_type": "dataset", "source": { "title": "ResistanceMap — One Health Trust", - "url": "https://resistancemap.onehealthtrust.org/" + "url": "https://onehealthtrust.org/projects/resistance-map" }, - "source_date": "2024-01-01", - "access_date": "2026-06-30", - "method": "Verified ResistanceMap platform accessibility after redirect from legacy CDDEP URL. Reviewed country coverage, pathogen-drug combinations, temporal range, and data source documentation. Assessed LMIC data availability.", + "source_date": "2026-07-09", + "access_date": "2026-07-09", + "method": "Replaced the failing ResistanceMap subdomain URL, which returned HTTP 500 during source verification, with One Health Trust's stable project page. Classified the project page as a routing source rather than direct surveillance evidence.", "limitations": [ - "Country-level grain only; no sub-national or facility-level data.", - "Data for LMICs is sparse and may be outdated; some countries have no data points after 2015.", - "Resistance rates are aggregated from heterogeneous surveillance systems with different methodologies.", - "Source date is approximate; the platform does not expose a clear last-updated date for each country." + "The stable project page does not expose country-level resistance rates, pathogen-drug combinations, or downloadable data.", + "The interactive ResistanceMap subdomain returned HTTP 500 during automated verification on 2026-07-09 and should be rechecked before analytical use.", + "This source should not be used for gap measurement unless a reviewer can access and document the underlying country pages or export path." ], - "confidence": "medium" + "confidence": "low" } ] diff --git a/problem-packs/public-health/antimicrobial-resistance-surveillance-global/evidence.md b/problem-packs/public-health/antimicrobial-resistance-surveillance-global/evidence.md index 9dcb8f3..5d9871a 100644 --- a/problem-packs/public-health/antimicrobial-resistance-surveillance-global/evidence.md +++ b/problem-packs/public-health/antimicrobial-resistance-surveillance-global/evidence.md @@ -26,9 +26,9 @@ Country-level AMR burden estimates through an interactive visualization tool. Us Hospital-level antimicrobial prescribing data from 50+ countries. LMIC hospital participation is limited. Covers prescribing patterns, not resistance rates. Use for consumption context and quality-of-prescribing analysis, not for resistance surveillance-gap mapping. -### ResistanceMap (One Health Trust) +### ResistanceMap Project Page (One Health Trust) -Country-level resistance rates for key pathogen-drug combinations from 2000 onward. LMIC data is sparse and may be outdated. Heterogeneous surveillance methodologies make cross-country comparison imprecise. Use for exploratory comparison, not for definitive gap measurement. +One Health Trust's stable project page is only a routing source. The interactive ResistanceMap subdomain returned HTTP 500 during source verification on 2026-07-09, so this record is downgraded to low confidence and should not be used for country-level AMR gap measurement until a reviewer can access and document the underlying country pages or export path. ## Evidence Quality Rule diff --git a/problem-packs/public-health/rabies-pep-access-global/AGENTS.md b/problem-packs/public-health/rabies-pep-access-global/AGENTS.md new file mode 100644 index 0000000..f32cafd --- /dev/null +++ b/problem-packs/public-health/rabies-pep-access-global/AGENTS.md @@ -0,0 +1,57 @@ +# Rabies PEP Access Pack + +## Overview + +This pack studies evidence for complete rabies post-exposure prophylaxis access in endemic settings. The core distinction is vaccine procurement versus complete PEP access. + +## Key Components + +- `problem.json`: pack metadata and review policy. +- `evidence.json`: dated evidence records. +- `datasets.md`: source inventory and source limitations. +- `tasks.json`: scoped task map. +- `validation.md`: component-separation and review gates. + +## Diagrams + +### Flowchart + +```mermaid +flowchart TD + A["Source inventory"] --> B["Component taxonomy"] + B --> C["Country readiness screen"] + C --> D["Red-team review"] + C --> E["Field reality review"] + D --> F["Reviewed output"] + E --> F +``` + +### Component Diagram + +```mermaid +flowchart LR + Vaccine["Vaccine supply"] --> PEP["Complete PEP access"] + RIG["RIG or monoclonal access"] --> PEP + Triage["Bite-risk triage"] --> PEP + Cost["Patient cost and travel"] --> PEP + Reports["Reporting cadence"] --> PEP + Dogs["Dog vaccination context"] --> PEP +``` + +### Sequence Diagram + +```mermaid +sequenceDiagram + participant Scout as Literature Scout + participant Pack as Problem Pack + participant Reviewer as Domain Reviewer + participant Field as Field Reviewer + Scout->>Pack: Classify sources by PEP component + Pack->>Reviewer: Validate source, grain, and limitation + Reviewer->>Pack: Approve taxonomy or request changes + Pack->>Field: Ask whether artifact maps to a real programme decision +``` + +## Agent Warning + +Do not treat vaccine procurement, vaccine doses used, or national rabies deaths as direct proof of complete PEP access. This is the pack's main false-positive path. diff --git a/problem-packs/public-health/rabies-pep-access-global/analytic-use-note.md b/problem-packs/public-health/rabies-pep-access-global/analytic-use-note.md new file mode 100644 index 0000000..defd781 --- /dev/null +++ b/problem-packs/public-health/rabies-pep-access-global/analytic-use-note.md @@ -0,0 +1,7 @@ +# Analytic Use Note + +This pack is for verification of programme evidence, not clinical advice. + +Do not use any artifact from this pack to decide whether an exposed person should seek or receive PEP. WHO states that suspected rabies exposures require immediate care. This repository can classify evidence about systems; it cannot triage individual patients. + +The main analytic trap is treating human rabies vaccine procurement as proof of complete PEP access. Complete access may also require timely first contact, exposure-category assessment, route and regimen capacity, RIG or monoclonal availability when indicated, affordable completion, and dog-rabies context. diff --git a/problem-packs/public-health/rabies-pep-access-global/datasets.md b/problem-packs/public-health/rabies-pep-access-global/datasets.md new file mode 100644 index 0000000..457d02a --- /dev/null +++ b/problem-packs/public-health/rabies-pep-access-global/datasets.md @@ -0,0 +1,48 @@ +# Dataset Inventory + +## Usable For Framing + +### WHO rabies fact sheet + +- Source: `who-rabies-fact-sheet-2024` +- Grain: Global and broad regional burden framing. +- Use: Burden, transmission source, basic PEP component definition. +- Limits: Not a dataset for facility access, sub-national stockouts, or patient-level delay. + +### Gavi rabies vaccine support announcement + +- Source: `who-gavi-rabies-vaccine-support-2024` +- Grain: Programme eligibility and funding-scope framing. +- Use: Identifies the 2024 allocation moment and the exclusion of RIG and dog vaccines. +- Limits: Does not show which countries applied, received approval, procured doses, or delivered PEP to bite victims. + +## Limited For Baseline + +### Rabies PEP logistics assessment, selected Asia and Africa countries, 2017-2018 + +- Source: `sreenivasan-pep-access-2019` +- Grain: 23 responding countries from a convenience sample; key-informant logistics assessment. +- Use: Baseline taxonomy for vaccine cost, availability, route, distribution, and reporting. +- Limits: Too old and non-representative for current allocation. Because RIG was limited or unavailable in many countries, the assessment focused on vaccine. + +### WHO Rabies Modelling Consortium Gavi-eligible country model + +- Source: `who-rabies-modelling-consortium-2019` +- Grain: Modelled Gavi-eligible country burden and PEP investment scenarios. +- Use: Tractability and replication target for PEP investment modelling. +- Limits: Model assumptions must be replicated before any country or sub-national use. + +## Needed Before Ranking + +- Gavi country application or approval data for rabies vaccine support. +- National PEP procurement, distribution, and stockout records. +- Facility-tier availability of RIG or monoclonal antibodies. +- Animal-bite registry or health-management-information-system counts with exposure category. +- PEP completion, abandonment, and delay data. +- Dog-vaccination coverage and animal rabies surveillance data with matching geography and time. + +## Rejected For V0 Ranking + +- Media reports of single bite clusters or deaths without linked system data. +- National rabies death totals alone, because low deaths can reflect low exposure, low reporting, or successful access. +- Vaccine procurement totals alone, because procurement does not prove complete PEP, timely access, RIG availability, or correct risk triage. diff --git a/problem-packs/public-health/rabies-pep-access-global/evidence.json b/problem-packs/public-health/rabies-pep-access-global/evidence.json new file mode 100644 index 0000000..f8bf1e3 --- /dev/null +++ b/problem-packs/public-health/rabies-pep-access-global/evidence.json @@ -0,0 +1,99 @@ +[ + { + "id": "who-rabies-fact-sheet-2024", + "problem_id": "public-health/rabies-pep-access-global", + "claim": "WHO's 2024 rabies fact sheet estimates about 59,000 human rabies deaths annually, identifies dog bites and scratches as causing 99% of human rabies cases, and states that PEP includes wound washing, vaccine, and RIG when indicated.", + "evidence_type": "primary-source", + "source": { + "title": "Rabies", + "url": "https://www.who.int/news-room/fact-sheets/detail/rabies" + }, + "source_date": "2024-06-05", + "access_date": "2026-07-09", + "method": "Reviewed the WHO fact sheet key facts, overview, prevention, and PEP sections to anchor burden, transmission source, and the full PEP component chain.", + "limitations": [ + "Global fact sheet, not a country or district access dataset.", + "The 59,000-death figure is an estimate and WHO notes underreporting.", + "This source cannot identify which facilities stock vaccine, RIG, or monoclonal antibodies." + ], + "confidence": "high" + }, + { + "id": "who-gavi-rabies-vaccine-support-2024", + "problem_id": "public-health/rabies-pep-access-global", + "claim": "The June 2024 Gavi, WHO, and United Against Rabies announcement states that all Gavi-eligible countries can apply for human rabies vaccine support for PEP, while RIG and dog vaccines are not covered by the programme.", + "evidence_type": "primary-source", + "source": { + "title": "Gavi to boost access to life-saving human rabies vaccines in over 50 countries: Gavi, WHO and UAR", + "url": "https://www.who.int/news/item/13-06-2024-gavi-to-boost-access-to-life-saving-rabies-vaccines-human-in-over-50-countries-gavi-who-and-uar" + }, + "source_date": "2024-06-13", + "access_date": "2026-07-09", + "method": "Reviewed the WHO-hosted joint news release for eligibility, funding scope, excluded products, and application timing relevant to allocation decisions.", + "limitations": [ + "Announcement-level source; it does not provide country application contents, approved volumes, or delivery performance.", + "It cannot prove that funded vaccines reach rural bite victims or that RIG is available where indicated.", + "The source describes programme design, not independent implementation outcomes." + ], + "confidence": "high" + }, + { + "id": "who-rabies-position-paper-2018", + "problem_id": "public-health/rabies-pep-access-global", + "claim": "WHO's 2018 rabies vaccine position paper provides global policy guidance on post-exposure and pre-exposure vaccination strategies, including recommendations on rabies immunoglobulin use in the PEP context.", + "evidence_type": "primary-source", + "source": { + "title": "Rabies vaccines: WHO position paper - April 2018", + "url": "https://www.who.int/publications/i/item/who-wer9316" + }, + "source_date": "2018-04-19", + "access_date": "2026-07-09", + "method": "Reviewed the WHO publication page for document scope, date, SAGE review process, and stated focus on programmatic feasibility, simplified schedules, and cost-effectiveness.", + "limitations": [ + "Policy guidance, not a live implementation dataset.", + "Does not provide current country-level PEP access or stockout measures.", + "Clinical details require domain review before any operational use." + ], + "confidence": "high" + }, + { + "id": "sreenivasan-pep-access-2019", + "problem_id": "public-health/rabies-pep-access-global", + "claim": "A 2017-2018 assessment of 23 responding countries in Asia and Africa found major variation in public-sector rabies vaccine cost, availability, intradermal use, distribution systems, and reporting cadence; RIG was limited or unavailable in many countries and the assessment focused on vaccine.", + "evidence_type": "peer-reviewed-study", + "source": { + "title": "Overview of rabies post-exposure prophylaxis access, procurement and distribution in selected countries in Asia and Africa, 2017-2018", + "url": "https://stacks.cdc.gov/view/cdc/131043", + "doi": "10.1016/j.vaccine.2019.04.024" + }, + "source_date": "2019-10-03", + "access_date": "2026-07-09", + "method": "Reviewed the CDC Stacks abstract, methods, results, and citation metadata to classify what the assessment can prove about PEP logistics and what it cannot prove about current facility access.", + "limitations": [ + "Convenience sample and key-informant assessment; not a nationally representative facility survey.", + "Data were collected from January 2017 to May 2018 and may not reflect current post-Gavi-support access.", + "Because RIG was limited or unavailable in many countries, the study focused on vaccine and cannot estimate complete PEP access." + ], + "confidence": "high" + }, + { + "id": "who-rabies-modelling-consortium-2019", + "problem_id": "public-health/rabies-pep-access-global", + "claim": "The WHO Rabies Modelling Consortium estimated that improved provision of rabies PEP in Gavi-eligible countries could avert additional deaths and remain cost-effective, while emphasizing that patient risk assessment matters for reducing unnecessary PEP use.", + "evidence_type": "peer-reviewed-study", + "source": { + "title": "The potential effect of improved provision of rabies post-exposure prophylaxis in Gavi-eligible countries: a modelling study", + "url": "https://doi.org/10.1016/S1473-3099(18)30512-7", + "doi": "10.1016/S1473-3099(18)30512-7" + }, + "source_date": "2019-01-01", + "access_date": "2026-07-09", + "method": "Reviewed the stable DOI metadata and source summaries to anchor the existence of a PEP investment model and its relevance to Gavi-eligible countries.", + "limitations": [ + "Modelled estimates are not implementation proof and depend on assumptions about exposure, access, and programme uptake.", + "The model cannot identify current sub-national stockouts, completion, or RIG access.", + "The source supports tractability framing but not a country ranking without replication." + ], + "confidence": "medium" + } +] diff --git a/problem-packs/public-health/rabies-pep-access-global/evidence.md b/problem-packs/public-health/rabies-pep-access-global/evidence.md new file mode 100644 index 0000000..7f95330 --- /dev/null +++ b/problem-packs/public-health/rabies-pep-access-global/evidence.md @@ -0,0 +1,27 @@ +# Evidence Notes + +## Evidence Records + +The machine-readable evidence list is `evidence.json`. + +## Current Evidence Boundary + +The initial evidence supports the existence and importance of a complete PEP access problem, not an operational ranking. + +- `who-rabies-fact-sheet-2024` anchors global burden, dog-mediated transmission share, PEP components, and the distinction between vaccine access and full PEP. +- `who-gavi-rabies-vaccine-support-2024` anchors the current allocation moment: Gavi support can fund human rabies vaccine procurement and associated supplies, but not RIG or dog vaccines. +- `who-rabies-position-paper-2018` anchors WHO guidance on rabies vaccination strategy and RIG in the PEP context. +- `sreenivasan-pep-access-2019` shows that public-sector vaccine access, cost, intradermal use, distribution systems, and reporting cadence vary sharply across selected countries. +- `who-rabies-modelling-consortium-2019` supports tractability framing for PEP investment, but it is not a substitute for current country or facility evidence. + +## Evidence Gaps + +- Current country applications, approvals, and delivery outcomes under Gavi rabies vaccine support. +- Public measures of RIG or monoclonal antibody availability by facility tier. +- Bite-risk triage quality and overuse versus underuse of PEP. +- PEP completion and delay between exposure and first dose. +- Linkage between human PEP demand, dog vaccination, animal bite reporting, and confirmed animal rabies. + +## Suggested Next Issue + +Complete `source-inventory` before any allocation or ranking task. A reviewer should be able to see which sources measure vaccine procurement, RIG or monoclonal access, exposure classification, reporting cadence, or dog-vaccination context. diff --git a/problem-packs/public-health/rabies-pep-access-global/outputs.md b/problem-packs/public-health/rabies-pep-access-global/outputs.md new file mode 100644 index 0000000..0561364 --- /dev/null +++ b/problem-packs/public-health/rabies-pep-access-global/outputs.md @@ -0,0 +1,16 @@ +# Outputs + +No accepted outputs yet. + +## Candidate Outputs After Source Inventory + +- PEP component source matrix. +- Country-readiness screen for component-level PEP access analysis. +- Negative-result note identifying countries or source families that cannot support allocation analysis with public evidence. + +## Blocked Outputs + +- Patient instructions after a bite. +- Facility league tables. +- Claims that vaccine procurement equals complete PEP access. +- Claims that PEP should be delayed, withheld, substituted, or routed differently without clinical and programme review. diff --git a/problem-packs/public-health/rabies-pep-access-global/playbooks.md b/problem-packs/public-health/rabies-pep-access-global/playbooks.md new file mode 100644 index 0000000..92791ef --- /dev/null +++ b/problem-packs/public-health/rabies-pep-access-global/playbooks.md @@ -0,0 +1,21 @@ +# Playbooks + +## For Literature Scouts + +Classify each source by the exact PEP component it measures. Do not merge vaccine supply, RIG or monoclonal access, exposure classification, completion, and dog-vaccination context into a single "access" bucket. + +## For Data Cleaners + +Preserve grain and denominator. A count of PEP doses, bite reports, suspected rabid animals, or deaths can have different denominators and reporting incentives. + +## For Implementation Planners + +Start with a component taxonomy and a country-readiness screen. Do not build a ranking model until source inventory shows that at least three contexts have comparable component-level evidence. + +## For Red-Team Reviewers + +Attack any interpretation that could discourage treatment-seeking, imply a patient should not seek PEP, or rank facilities without referral and stockout context. + +## For Field-Reality Reviewers + +Name the actual user and decision. Likely users include a ministry immunization director, Gavi country-support team, national rabies programme manager, emergency-care lead, or One Health coordinator. diff --git a/problem-packs/public-health/rabies-pep-access-global/problem.json b/problem-packs/public-health/rabies-pep-access-global/problem.json new file mode 100644 index 0000000..d68b4fe --- /dev/null +++ b/problem-packs/public-health/rabies-pep-access-global/problem.json @@ -0,0 +1,44 @@ +{ + "id": "public-health/rabies-pep-access-global", + "title": "Rabies Post-Exposure Prophylaxis Access And Bite-Risk Triage In Endemic Countries", + "status": "scoped", + "domain": ["public-health"], + "region": ["global"], + "summary": "Build a verified workflow for distinguishing human rabies vaccine procurement from complete post-exposure prophylaxis access, including wound care, bite-risk triage, vaccine route, RIG or monoclonal access, reporting, and rural reach.", + "why_it_matters": "Gavi opened support for human rabies vaccine procurement for post-exposure prophylaxis in eligible countries in 2024, but the funding excludes rabies immunoglobulins and dog vaccines. A ministry immunization director, Gavi country-support team, or One Health rabies programme manager needs verified evidence on which districts or facility tiers can convert vaccine supply into complete, timely PEP and where missing RIG, bite-risk triage, reporting, or rural access should change procurement and training plans.", + "success_metrics": [ + { + "metric": "PEP component separation", + "target": "Every accepted artifact states whether it measures vaccine availability, RIG or monoclonal availability, bite-risk triage, dose route, cost, reporting cadence, or dog-vaccination context.", + "validation_method": "Schema validation plus domain-reviewer check against evidence.json, datasets.md, and validation.md." + }, + { + "metric": "Allocation wedge clarity", + "target": "At least one reviewed artifact names a decision-maker and identifies whether the next bottleneck is procurement, RIG/monoclonal access, intradermal delivery, reporting, or field triage.", + "validation_method": "Domain and field-reality review before any output is advanced beyond analytic scoping." + }, + { + "metric": "Operational safety", + "target": "No artifact tells patients or clinicians to defer PEP, substitute components, or change exposure management without high-risk review and replication.", + "validation_method": "Red-team review for any operational interpretation in outputs.md or playbooks.md." + } + ], + "safety_level": "medium", + "canonical_files": [ + "datasets.md", + "evidence.json", + "evidence.md", + "outputs.md", + "playbooks.md", + "problem.json", + "problem.md", + "task-map.md", + "tasks.json", + "validation.md" + ], + "review_policy": { + "required_reviews": 2, + "replication_required": true, + "merge_gate": "Schema validation, domain review, source verification for changed evidence URLs, and replication for any quantitative comparison or operational ranking." + } +} diff --git a/problem-packs/public-health/rabies-pep-access-global/problem.md b/problem-packs/public-health/rabies-pep-access-global/problem.md new file mode 100644 index 0000000..e020e93 --- /dev/null +++ b/problem-packs/public-health/rabies-pep-access-global/problem.md @@ -0,0 +1,48 @@ +# Rabies Post-Exposure Prophylaxis Access And Bite-Risk Triage + +## Problem Statement + +Rabies is almost entirely preventable after exposure, yet dog-mediated human rabies still kills tens of thousands of people each year. The misleading framing is "buy more vaccine." The sharper problem is that complete post-exposure prophylaxis is a chain: wound washing, exposure-category assessment, timely vaccine, appropriate route and completion, and rabies immunoglobulin or monoclonal antibody access when indicated. + +The v0 problem is: + +> Which countries or sub-national delivery tiers have enough verified evidence to distinguish vaccine procurement gaps from complete PEP access gaps, especially for rural bite victims who may need RIG or monoclonal antibodies? + +## Known Facts + +- Verified fact: WHO's 2024 rabies fact sheet estimates about 59,000 human rabies deaths annually, notes underreporting, and states that dog bites and scratches cause 99% of human rabies cases. +- Verified fact: WHO states that prompt PEP can prevent rabies deaths and that PEP consists of wound washing, human rabies vaccine, and RIG when indicated. +- Verified fact: Gavi, WHO, and United Against Rabies announced in June 2024 that all Gavi-eligible countries can apply for human rabies vaccine support for PEP, but that the programme does not cover RIG or dog vaccines. +- Verified fact: A 2017-2018 assessment across selected Asian and African countries found wide variation in public-sector vaccine cost, availability, distribution systems, intradermal use, and reporting cadence. + +## Uncertain Areas + +- Whether public data can identify stockouts, patient cost, and PEP completion at district or facility-tier grain. +- Whether national vaccine procurement applications include enough information to estimate unmet RIG or monoclonal need. +- Whether reported PEP use reflects exposure burden, health-seeking access, overuse after low-risk exposures, or stock availability. +- Whether dog-vaccination and bite-surveillance data can be linked to human PEP demand without creating false precision. +- Which countries have reliable enough reporting to support a follow-on allocation analysis without field verification. + +## Initial Scope + +This pack accepts work on: + +- Source inventory for rabies burden, PEP procurement, RIG or monoclonal access, dog vaccination, bite surveillance, and reporting systems. +- Dataset classification by component of the PEP chain and by geographic or facility grain. +- Negative results showing that a source cannot answer a PEP access question. +- Claims about data availability, component separation, and conditions needed for responsible allocation analysis. +- Red-team review of harmful interpretations, especially discouraging PEP, ranking facilities without context, or treating vaccine procurement as complete access. +- Field-reality review from immunization, One Health, primary-care, emergency-care, or rabies-control programme workflows. + +This pack does not accept direct clinical advice for exposed patients, treatment substitution recommendations, or public facility rankings without domain review and replication. + +## Done Condition For V0 + +The pack is useful when it can produce one reviewed and replicated artifact that classifies at least three endemic-country contexts into: + +1. likely vaccine procurement bottleneck +2. likely RIG or monoclonal access bottleneck +3. likely reporting or bite-risk triage bottleneck +4. not distinguishable with public evidence + +That artifact must name the decision-maker, the PEP component being measured, the data grain, and the specific observation that would overturn the classification. diff --git a/problem-packs/public-health/rabies-pep-access-global/task-map.md b/problem-packs/public-health/rabies-pep-access-global/task-map.md new file mode 100644 index 0000000..4aaded6 --- /dev/null +++ b/problem-packs/public-health/rabies-pep-access-global/task-map.md @@ -0,0 +1,28 @@ +# Task Map + +## Active Work Claims + +The machine-readable task list is `tasks.json`. + +## Work Sequence + +```mermaid +flowchart TD + A["Source inventory"] --> B["Component gap taxonomy"] + B --> C["Country readiness screen"] + C --> D["Red-team harmful use"] + C --> E["Field reality check"] + D --> F["Reviewed analytic output"] + E --> F +``` + +## Merge Discipline + +1. Source inventory before taxonomy. +2. Component taxonomy before country screening. +3. Country screening before any allocation analysis. +4. Red-team and field-reality review before operational interpretation. + +## First Move + +`source-inventory` is the only scoped task. It must classify sources by the PEP component they actually measure. A source that proves vaccine procurement does not prove complete PEP access. diff --git a/problem-packs/public-health/rabies-pep-access-global/tasks.json b/problem-packs/public-health/rabies-pep-access-global/tasks.json new file mode 100644 index 0000000..2eb10ca --- /dev/null +++ b/problem-packs/public-health/rabies-pep-access-global/tasks.json @@ -0,0 +1,86 @@ +[ + { + "id": "source-inventory", + "problem_id": "public-health/rabies-pep-access-global", + "title": "Inventory rabies PEP access, RIG, bite-risk, and dog-vaccination data sources", + "status": "scoped", + "owner_role": "literature-scout", + "outcome": "A dated source inventory separating vaccine procurement, RIG or monoclonal access, bite-risk triage, reporting cadence, patient cost, and dog-vaccination context.", + "inputs": [ + "WHO rabies fact sheet and vaccine position paper", + "Gavi rabies vaccine support guidance and public announcements", + "peer-reviewed PEP access and logistics studies", + "national rabies programme or immunization supply records where available", + "dog vaccination and animal-bite surveillance sources" + ], + "expected_artifact": "datasets.md update plus evidence.json records for each accepted or rejected source family.", + "validation_method": "Reviewer checks each source for URL, date, access status, PEP component measured, geographic grain, and explicit limitations.", + "reviewer_needed": "domain-reviewer", + "safety_risk": "low", + "done_condition": "At least six candidate sources are classified as usable, limited, or rejected with explicit reasons covering vaccine access, RIG or monoclonal access, bite-risk triage, reporting cadence, and dog-vaccination context." + }, + { + "id": "component-gap-taxonomy", + "problem_id": "public-health/rabies-pep-access-global", + "title": "Define a component taxonomy for complete rabies PEP access", + "status": "needs-triage", + "owner_role": "implementation-planner", + "outcome": "A reproducible taxonomy that prevents vaccine procurement from being treated as complete PEP access.", + "inputs": [ + "source-inventory output", + "WHO rabies vaccine position paper", + "PEP logistics assessment" + ], + "expected_artifact": "validation.md update with component definitions and non-use rules.", + "validation_method": "Reviewer tests whether the taxonomy classifies example sources without collapsing vaccine, RIG, risk triage, cost, and reporting into one access measure.", + "reviewer_needed": "domain-reviewer", + "safety_risk": "medium", + "done_condition": "The taxonomy has at least five mutually exclusive PEP access components and every component has one accepted and one rejected example source criterion." + }, + { + "id": "country-readiness-screen", + "problem_id": "public-health/rabies-pep-access-global", + "title": "Screen countries for public evidence readiness before PEP allocation analysis", + "status": "needs-triage", + "owner_role": "data-cleaner", + "outcome": "A country-readiness table that identifies where public evidence is sufficient, partial, or insufficient for component-level PEP access analysis.", + "inputs": [ + "source-inventory output", + "component-gap taxonomy", + "candidate country records" + ], + "expected_artifact": "outputs.md update plus reproducible screening notes.", + "validation_method": "Replicator reruns the screen on the same sources and confirms each country classification and exclusion reason.", + "reviewer_needed": "replicator", + "safety_risk": "medium", + "done_condition": "At least three country contexts are classified as sufficient, partial, or insufficient with source IDs, missing components, and a stated observation that would change each classification." + }, + { + "id": "red-team-harmful-use", + "problem_id": "public-health/rabies-pep-access-global", + "title": "Red-team harmful interpretations of rabies PEP access artifacts", + "status": "needs-triage", + "owner_role": "red-team-reviewer", + "outcome": "A failure-mode review blocking patient-facing or facility-ranking misuse of analytic PEP access outputs.", + "inputs": ["candidate outputs", "validation notes", "SAFETY.md"], + "expected_artifact": "outputs.md and playbooks.md updates with blocked uses and mitigation requirements.", + "validation_method": "Red-team reviewer confirms every operational interpretation is blocked, softened, or gated behind domain review and replication.", + "reviewer_needed": "red-team-reviewer", + "safety_risk": "high", + "done_condition": "Every output that could affect patient care, facility reputation, or product substitution has a named failure mode, mitigation, and review gate." + }, + { + "id": "field-reality-check", + "problem_id": "public-health/rabies-pep-access-global", + "title": "Check whether PEP access classifications match programme decisions", + "status": "needs-triage", + "owner_role": "field-reality-reviewer", + "outcome": "A field-facing review of whether component-level PEP access classifications map to real immunization, emergency-care, or One Health programme decisions.", + "inputs": ["country-readiness screen", "programme workflow notes", "reviewer comments"], + "expected_artifact": "playbooks.md update with use and non-use guidance.", + "validation_method": "Field reviewer identifies the actual decision, user, timing, and misuse risk for each proposed artifact, then a second reviewer replicates the non-use-case check.", + "reviewer_needed": "field-reality-reviewer", + "safety_risk": "high", + "done_condition": "The artifact names a decision-maker, decision cadence, data handoff, and non-use case before any allocation interpretation is advanced, and the field-reality check is replicated." + } +] diff --git a/problem-packs/public-health/rabies-pep-access-global/validation.md b/problem-packs/public-health/rabies-pep-access-global/validation.md new file mode 100644 index 0000000..0326e5b --- /dev/null +++ b/problem-packs/public-health/rabies-pep-access-global/validation.md @@ -0,0 +1,41 @@ +# Validation + +## Schema Gates + +- `problem.json` must validate against `schemas/problem.schema.json`. +- `tasks.json` must validate against `schemas/task.schema.json`. +- `evidence.json` must validate against `schemas/evidence.schema.json`. +- Any future `claims.json` must validate against `schemas/claim.schema.json` and include a kill condition. + +## Component Separation Rule + +An artifact fails review if it uses "PEP access" without stating which component is measured: + +- wound washing and first-contact counseling +- exposure-category or bite-risk assessment +- human rabies vaccine availability +- route and regimen capacity, especially intradermal delivery +- RIG or monoclonal antibody availability when indicated +- patient cost and travel burden +- reporting cadence and denominator quality +- dog-vaccination and animal-rabies context + +## Source Classification Rule + +Every source in the inventory must be classified as: + +- usable: directly measures at least one named component at a stated grain +- limited: useful for framing or taxonomy but insufficient for component-level analysis +- rejected: cannot verify the target component or has inaccessible, undated, or unstable evidence + +## Kill Conditions For Future Claims + +Future claims must state the specific observation that would make them false. Examples: + +- A claim that a country has a vaccine-procurement bottleneck is false if current public procurement and stock records show sufficient vaccine supply at target facility tiers but persistent lack of RIG, triage, or completion. +- A claim that RIG is the binding bottleneck is false if severe-exposure records show RIG availability and use at target facility tiers while first-dose vaccine delay or patient cost remains the main access barrier. +- A claim that public evidence is sufficient for allocation analysis is false if a replicator cannot recover the source, date, grain, denominator, or component measured. + +## Review Gate + +Quantitative rankings, patient-facing guidance, facility comparisons, and product-substitution interpretations are high-risk outputs. They require domain review, red-team review, and replication before acceptance. diff --git a/scripts/source-check-allowlist.json b/scripts/source-check-allowlist.json index 16bbea5..a26f866 100644 --- a/scripts/source-check-allowlist.json +++ b/scripts/source-check-allowlist.json @@ -125,6 +125,11 @@ "url": "https://doi.org/10.24381/cds.adbb2d47", "reason": "ERA5 reanalysis DOI (Copernicus CDS); live in browser but CDS API blocks automated HEAD/GET (405), causing timeout.", "verified": "2026-07-03" + }, + { + "url": "https://ncdportal.org", + "reason": "WHO NCD data portal; live in browser but automated source verification aborts from CI-style fetch.", + "verified": "2026-07-09" } ] } diff --git a/tasks-available.json b/tasks-available.json index 532ff0d..cc9c580 100644 --- a/tasks-available.json +++ b/tasks-available.json @@ -2,18 +2,18 @@ "summary": { "generated_by": "scripts/generate-task-index.mjs", "schema_version": 1, - "total_packs": 106, - "total_scoped_tasks": 101, + "total_packs": 107, + "total_scoped_tasks": 102, "by_role": { - "literature-scout": 101 + "literature-scout": 102 }, "by_risk": { "medium": 97, - "low": 4 + "low": 5 }, "by_domain": { "air-quality": 6, - "public-health": 64, + "public-health": 65, "climate-health": 13, "biodiversity": 7, "food-security": 19, @@ -1370,6 +1370,23 @@ "tasks_file": "problem-packs/public-health/prison-health-tb-hiv-global/tasks.json", "problem_file": "problem-packs/public-health/prison-health-tb-hiv-global/problem.md" }, + { + "pack_id": "public-health/rabies-pep-access-global", + "pack_title": "Rabies Post-Exposure Prophylaxis Access And Bite-Risk Triage In Endemic Countries", + "pack_status": "scoped", + "domain": ["public-health"], + "region": ["global"], + "task_id": "source-inventory", + "title": "Inventory rabies PEP access, RIG, bite-risk, and dog-vaccination data sources", + "owner_role": "literature-scout", + "reviewer_needed": "domain-reviewer", + "safety_risk": "low", + "outcome": "A dated source inventory separating vaccine procurement, RIG or monoclonal access, bite-risk triage, reporting cadence, patient cost, and dog-vaccination context.", + "expected_artifact": "datasets.md update plus evidence.json records for each accepted or rejected source family.", + "done_condition": "At least six candidate sources are classified as usable, limited, or rejected with explicit reasons covering vaccine access, RIG or monoclonal access, bite-risk triage, reporting cadence, and dog-vaccination context.", + "tasks_file": "problem-packs/public-health/rabies-pep-access-global/tasks.json", + "problem_file": "problem-packs/public-health/rabies-pep-access-global/problem.md" + }, { "pack_id": "public-health/refugee-health-access-global", "pack_title": "Refugee Health Service Access Gaps In Host Countries",