diff --git a/agent-radar.json b/agent-radar.json index 3e1a0e4..50b6ada 100644 --- a/agent-radar.json +++ b/agent-radar.json @@ -4,12 +4,12 @@ "schema_version": 1, "total_packs": 107, "total_tasks": 554, - "scoped_tasks": 102, - "latent_tasks": 452, + "scoped_tasks": 101, + "latent_tasks": 453, "status_counts": { - "scoped": 102, + "scoped": 101, "needs-triage": 447, - "needs-review": 5 + "needs-review": 6 }, "owner_role_counts": { "literature-scout": 107, @@ -19,7 +19,7 @@ "field-reality-reviewer": 108 }, "scoped_role_counts": { - "literature-scout": 102 + "literature-scout": 101 }, "reviewer_needed_counts": { "domain-reviewer": 229, @@ -37,22 +37,6 @@ "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", @@ -228,6 +212,22 @@ "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": [ @@ -664,28 +664,28 @@ "scoped_tasks": 0, "latent_tasks": 108, "share_of_all_tasks": 0.195, - "share_of_latent_tasks": 0.239 + "share_of_latent_tasks": 0.238 }, { "owner_role": "red-team-reviewer", "scoped_tasks": 0, "latent_tasks": 107, "share_of_all_tasks": 0.193, - "share_of_latent_tasks": 0.237 + "share_of_latent_tasks": 0.236 }, { "owner_role": "data-cleaner", "scoped_tasks": 0, "latent_tasks": 103, "share_of_all_tasks": 0.186, - "share_of_latent_tasks": 0.228 + "share_of_latent_tasks": 0.227 }, { "owner_role": "literature-scout", - "scoped_tasks": 102, - "latent_tasks": 5, + "scoped_tasks": 101, + "latent_tasks": 6, "share_of_all_tasks": 0.193, - "share_of_latent_tasks": 0.011 + "share_of_latent_tasks": 0.013 } ] } diff --git a/docs/wiki/Agent-Radar.md b/docs/wiki/Agent-Radar.md index d68097c..f1d9ae5 100644 --- a/docs/wiki/Agent-Radar.md +++ b/docs/wiki/Agent-Radar.md @@ -15,8 +15,8 @@ Without routing, a new agent sees a flat task list and misses the actual shape o - **107 problem packs** - **554 total tasks** -- **102 scoped now** -- **452 follow-on tasks still latent** +- **101 scoped now** +- **453 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 @@ -25,19 +25,7 @@ Without routing, a new agent sees a flat task list and misses the actual shape o 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. 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 +### 1. 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 @@ -49,7 +37,7 @@ 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. -### 3. Youth Skills Training And Employment Outcome Gaps In Low-Income Countries +### 2. 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 @@ -61,7 +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 provider-data fragmentation, outcome-tracking rates, and informal-sector measurement gaps. -### 4. Obstetric Fistula Repair Backlog And Prevention Access In High-Burden Countries +### 3. 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 @@ -73,7 +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 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. -### 5. Stillbirth Measurement Gaps And Intrapartum Care Quality In High-Burden Countries +### 4. 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 @@ -85,7 +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 definition threshold, measure family, time reference, geographic grain, and relevance to intrapartum versus counting-system interpretation. -### 6. Satellite-Driven Deforestation Detection And Species Loss Risk In The Amazon Basin +### 5. 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 @@ -97,7 +85,7 @@ These are the best entry tasks for a fresh contributor. Ranking favors lower-ris - Why pick now: Completing this scoped task opens 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. Sea-Level Rise Coastal Exposure And Adaptation Prioritization In Small Island Developing States +### 6. 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 @@ -109,7 +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. -### 8. Cyclone Early Warning And Evacuation Signal Verification In Bangladesh +### 7. 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 @@ -121,7 +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 3 additional roles. - Done condition: At least five candidate data sources are classified as usable, limited, or rejected with explicit reasons. -### 9. PM2.5 Monitoring Gaps And Health Impact In South Asia +### 8. 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 @@ -133,7 +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 4 additional roles. - Done condition: At least five candidate data sources are classified as usable, limited, or rejected with explicit reasons. -### 10. Antimicrobial Resistance Surveillance Gaps In Low- And Middle-Income Countries +### 9. 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 @@ -145,7 +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: Five sources classified as usable, limited, or rejected. -### 11. Malaria Early Warning Signals In Sub-Saharan Africa +### 10. 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 @@ -157,7 +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: At least five candidate data sources are classified as usable, limited, or rejected with explicit reasons. -### 12. Aflatoxin Exposure From Contaminated Staple Grains In Sub-Saharan Africa +### 11. 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 @@ -169,6 +157,18 @@ 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. @@ -388,10 +388,10 @@ 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 | 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 | +| `field-reality-reviewer` | 0 | 108 | 0.195 | 0.238 | +| `red-team-reviewer` | 0 | 107 | 0.193 | 0.236 | +| `data-cleaner` | 0 | 103 | 0.186 | 0.227 | +| `literature-scout` | 101 | 6 | 0.193 | 0.013 | ## Protocol Alerts diff --git a/docs/wiki/Index.md b/docs/wiki/Index.md index aa5b3f1..b5065d5 100644 --- a/docs/wiki/Index.md +++ b/docs/wiki/Index.md @@ -9,9 +9,9 @@ | Total packs | 107 | | Packs with claims | 12 | | Packs with accepted claims | 0 | -| Total evidence records | 335 | +| Total evidence records | 340 | | Total tasks | 554 | -| Scoped tasks (ready for work) | 102 | +| Scoped tasks (ready for work) | 101 | | High-risk tasks | 288 | ## All Problem Packs @@ -102,7 +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/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 | 10 ev; 5 tasks | needs triage | | [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/problem-packs/public-health/rabies-pep-access-global/datasets.md b/problem-packs/public-health/rabies-pep-access-global/datasets.md index 457d02a..68163e1 100644 --- a/problem-packs/public-health/rabies-pep-access-global/datasets.md +++ b/problem-packs/public-health/rabies-pep-access-global/datasets.md @@ -1,48 +1,66 @@ # Dataset Inventory -## Usable For Framing +## Candidate Sources -### WHO rabies fact sheet +| Source family | Component measured | Timing reference | Grain | Status | Use | Why it belongs in this class | +| ------------------------------------------------------------------------------ | -------------------------------------------------------------------------------------------------- | ------------------------------------------------- | ------------------------------------------------------- | ----------------------------------------- | ------------------------------------------------------------------- | ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ | +| WHO rabies fact sheet | Burden, dog-mediated transmission share, basic PEP component definition | Updated June 2024 | Global and broad regional framing | Limited | Burden and component framing | Strong burden anchor, but it cannot identify country, district, or facility access to vaccine, RIG, monoclonal antibodies, triage, or completion. | +| Gavi, WHO, and UAR rabies vaccine support announcement | Human rabies vaccine support scope and exclusions | June 2024 programme launch | Gavi-eligible country programme eligibility | Usable for allocation-moment framing | Separates vaccine procurement support from RIG and dog-vaccine gaps | The source names the current financing window and explicitly prevents treating Gavi vaccine support as complete PEP access. | +| WHO rabies vaccine position paper | PEP policy, RIG use, route and regimen strategy | April 2018 | Global policy guidance | Limited | Component taxonomy and regimen guardrail | Useful for defining what complete PEP means; not a source for current stock, facility readiness, or patient delay. | +| WHO rabies vaccination and immunization page | Exposure category, RIG indication, intradermal route | Current WHO guidance page, accessed July 2026 | Global clinical and programme guidance | Limited | Bite-risk triage and route-capacity guardrail | It anchors the category I/II/III distinction and RIG requirement for category III exposure, but cannot prove that a health system applies the rules. | +| Rabies PEP logistics assessment, selected Asia and Africa countries, 2017-2018 | Vaccine cost, availability, distribution, intradermal use, reporting cadence | January 2017 to May 2018 data collection | 23 responding countries from a convenience sample | Limited baseline | Baseline taxonomy for source extraction | Best current pack source for the shape of PEP logistics variation, but too old and non-representative for present allocation. RIG scarcity meant the study focused on vaccine. | +| WHO GHO rabies topic | Reported human rabies deaths and WHO data-quality warning | Dynamic GHO topic page, accessed July 2026 | Country indicator surface | Limited | Reporting-cadence and burden-presence context | Useful as a warning that reported deaths are not a clean denominator. Low deaths can reflect low reporting, not sufficient PEP access. | +| WHO African Region rabies prevention and control WER | Surveillance, PEP decision trees, case investigation, IBCM, One Health programme requirements | June 2026 | Regional programme framing | Limited | Current Africa-region programme and tool inventory | Identifies live programme tools and surveillance requirements, but does not publish country facility-tier access records. | +| WOAH WAHIS animal-health data | Animal rabies reports, domestic and wildlife disease notifications, annual animal-health reporting | Dynamic WOAH reporting system, accessed July 2026 | Country and event reporting; sub-national detail varies | Usable only as animal-context layer | Dog-rabies and dog-vaccination context | Official animal-health reporting surface. It must be paired with human PEP data because animal rabies presence alone cannot prove the binding human-health bottleneck. | +| WHO Rabies Modelling Consortium PEP investment model | Modelled Gavi-eligible burden and PEP investment scenarios | Published 2019 | Gavi-eligible country model | Limited | Tractability and replication target | Supports why PEP investment can matter, but model assumptions cannot substitute for current source inventory or country readiness screening. | +| CDC rabies status by country | Travel and importation risk classification, including PEP access consideration | Updated April 2026 | Country classification for US public-health use cases | Rejected for canonical allocation ranking | External comparator only | The page is designed for US travelers and importation policy, not for exposing component-level endemic-country PEP gaps. | +| Media reports of bite clusters, deaths, or local alerts | Event anecdotes | Event date | Local narrative | Rejected for V0 ranking | Possible lead generation only | Without linked surveillance, PEP, RIG, animal-rabies, or denominator records, these reports cannot support canonical access classification. | +| Vaccine procurement totals alone | Human vaccine volume | Procurement period | National or procurement-unit aggregate | Rejected for complete PEP access | Procurement context only | Procurement does not prove timely first dose, completion, intradermal capacity, RIG or monoclonal availability, correct triage, patient cost, or rural reach. | -- 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. +## Classification Notes -### Gavi rabies vaccine support announcement +### Usable -- 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. +- **Gavi, WHO, and UAR rabies vaccine support announcement**: Use for the current allocation moment and for excluding overclaiming. The programme can support human rabies vaccine procurement and associated supplies, but the source does not prove RIG access, dog vaccination, country approval, delivery, or completion. +- **WOAH WAHIS animal-health data**: Use only as the dog-rabies and animal-surveillance side of a One Health evidence chain. It is usable because it is the official reporting surface for animal-health events, but it is insufficient without human bite, PEP, and biologics records from the same geography and time. -## Limited For Baseline +### Limited -### Rabies PEP logistics assessment, selected Asia and Africa countries, 2017-2018 +- **WHO rabies fact sheet**: Use for global burden, transmission source, and the complete PEP component chain. Do not use it for country readiness. +- **WHO rabies vaccine position paper and WHO rabies vaccination page**: Use for component definitions, exposure categories, RIG indication, and route/regimen guardrails. They are guidance sources, not implementation proof. +- **Sreenivasan et al. PEP logistics assessment**: Use as the baseline source taxonomy for vaccine availability, cost, distribution, intradermal use, and reporting cadence. Its age, convenience sample, and vaccine focus make it a source-discovery tool rather than a current ranking backbone. +- **WHO GHO rabies topic**: Use as a reported-deaths surface and a warning about surveillance weakness. Reported deaths can indicate presence, not full extent. +- **WHO African Region WER**: Use for current programme framing around surveillance, PEP decision trees, case investigation, and IBCM. It does not provide a country-by-country readiness table. +- **WHO Rabies Modelling Consortium model**: Use to identify assumptions a replicator must test. It does not classify present-day component gaps. -- 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. +### Rejected -### WHO Rabies Modelling Consortium Gavi-eligible country model +- **CDC rabies status by country**: Reject for canonical allocation ranking because its intended decision is US travel and animal-importation guidance. It can be checked as an external comparator after source-level country evidence exists. +- **Media reports of single bite clusters or deaths**: Reject unless they link to official surveillance, PEP utilization, RIG, animal-rabies, or denominator data. +- **Vaccine procurement totals alone**: Reject for complete PEP access. A country can procure vaccine and still fail on category-III RIG, monoclonal access, triage, cost, completion, or rural travel burden. -- 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. +## Required Properties Before Country Screening -## Needed Before Ranking +- Component measured: wound care, exposure-category triage, vaccine access, route/regimen capacity, RIG or monoclonal access, patient cost or travel burden, reporting cadence, or dog-vaccination and animal-rabies context. +- Geography and facility tier, not just national programme narrative. +- Time reference and reporting cadence. +- Numerator and denominator, including whether the denominator is bite victims, suspected exposures, category-II/III exposures, vaccine courses, completed schedules, RIG-eligible patients, dogs vaccinated, or animal rabies events. +- Access conditions and whether the source is public, archived, downloadable, or dashboard-only. +- Known mismatch against other components. A source measuring one component must not be promoted to complete PEP access. -- 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. +## Rejection Rule -## Rejected For V0 Ranking +A source is rejected for canonical component-level PEP access analysis if it lacks a dated source, a recoverable URL, a named component, a checkable grain, or a denominator. Sources valid only for burden framing, clinical guidance, travel advice, or animal-health context should be listed as limited rather than silently generalized. -- 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. +## Task Verdict + +This inventory satisfies the scoped `source-inventory` task because it classifies more than six candidate sources as usable, limited, or rejected with explicit reasons covering: + +- vaccine access and procurement scope +- RIG or monoclonal antibody indication and access limits +- bite-risk triage and exposure category +- reporting cadence and under-reporting +- patient cost and delivery-system baseline from the logistics assessment +- dog-vaccination and animal-rabies context through WOAH WAHIS + +It does **not** satisfy country-readiness screening. The next task should fail unless it pairs human PEP records with RIG or monoclonal availability, exposure-category or bite-risk data, and animal-rabies context for the same geography and time window. diff --git a/problem-packs/public-health/rabies-pep-access-global/evidence.json b/problem-packs/public-health/rabies-pep-access-global/evidence.json index f8bf1e3..a8e671d 100644 --- a/problem-packs/public-health/rabies-pep-access-global/evidence.json +++ b/problem-packs/public-health/rabies-pep-access-global/evidence.json @@ -95,5 +95,100 @@ "The source supports tractability framing but not a country ranking without replication." ], "confidence": "medium" + }, + { + "id": "who-rabies-gho-topic-2026", + "problem_id": "public-health/rabies-pep-access-global", + "claim": "WHO's Global Health Observatory rabies topic page provides a country-level reported human rabies deaths indicator and explicitly warns that rabies deaths, vaccine access, and animal-population occurrence data are limited by under-reporting, misdiagnosis, and under-diagnosis.", + "evidence_type": "dataset", + "source": { + "title": "WHO Global Health Observatory: Rabies", + "url": "https://www.who.int/data/gho/data/themes/topics/rabies" + }, + "source_date": "2026-07-09", + "access_date": "2026-07-09", + "method": "Reviewed the WHO GHO rabies topic page for available indicators and WHO's stated caveat about what reported rabies data can and cannot prove. Classified it as a reporting-cadence and burden-presence source, not a complete PEP access dataset.", + "limitations": [ + "The indicator is reported human rabies deaths, not bite incidence, PEP demand, vaccine stock, RIG access, or completion.", + "WHO explicitly warns that rabies is under-reported and mis- or under-diagnosed, so low reported deaths cannot be treated as low exposure or sufficient PEP access.", + "The page is country-level and does not provide facility-tier or district access measures." + ], + "confidence": "high" + }, + { + "id": "who-afro-rabies-prevention-control-2026", + "problem_id": "public-health/rabies-pep-access-global", + "claim": "WHO's 2026 Weekly Epidemiological Record article on rabies prevention and control in the African Region states that robust human and animal surveillance, PEP risk-assessment decision trees, case investigation forms, and integrated bite case management are required to monitor progress toward ending dog-mediated human rabies deaths.", + "evidence_type": "primary-source", + "source": { + "title": "Rabies prevention and control in the WHO African Region", + "url": "https://www.who.int/publications/i/item/who-wer10119-78-86" + }, + "source_date": "2026-06-12", + "access_date": "2026-07-09", + "method": "Reviewed the WHO publication page and WER summary for Africa-specific surveillance, PEP risk-assessment, IBCM, Gavi support, and One Health programme requirements. Classified it as a current programme-framing source rather than a country access dataset.", + "limitations": [ + "Regional WHO article; it does not publish a facility-level inventory of vaccine, RIG, monoclonal antibody, or PEP completion availability.", + "It names tools and programme capacities but does not prove that countries are using them consistently.", + "It cannot distinguish procurement bottlenecks from triage, reporting, or dog-vaccination bottlenecks without country records." + ], + "confidence": "high" + }, + { + "id": "who-rabies-vaccination-immunization-page-2026", + "problem_id": "public-health/rabies-pep-access-global", + "claim": "WHO's rabies vaccination and immunization page classifies exposure categories and states that category III exposure requires immediate vaccination and rabies immunoglobulin, while intradermal vaccination is a safe, immunogenic, dose- and cost-sparing alternative to intramuscular vaccination.", + "evidence_type": "primary-source", + "source": { + "title": "Control of Neglected Tropical Diseases: Rabies vaccines", + "url": "https://www.who.int/teams/control-of-neglected-tropical-diseases/rabies/vaccinations-and-immunization" + }, + "source_date": "2026-07-09", + "access_date": "2026-07-09", + "method": "Reviewed WHO's rabies vaccination and immunization page for the category I, II, and III exposure rules, RIG indication, and intradermal regimen statement. Used it to anchor the bite-risk and regimen-capacity components of the inventory.", + "limitations": [ + "Guidance page, not a country implementation dataset.", + "It cannot prove that facilities can classify exposures correctly or administer RIG where category III exposure is indicated.", + "Operational use of clinical guidance requires domain review; this record is only for source classification." + ], + "confidence": "high" + }, + { + "id": "woah-wahis-rabies-animal-health-data-2026", + "problem_id": "public-health/rabies-pep-access-global", + "claim": "WOAH's WAHIS portal is the official animal-health reporting surface for WOAH-listed diseases and provides public access to domestic-animal, wildlife, emerging-disease, zoonosis, and historical animal-health reports relevant to dog-rabies context.", + "evidence_type": "dataset", + "source": { + "title": "World Animal Health Information System", + "url": "https://www.woah.org/en/what-we-do/animal-health-and-welfare/disease-data-collection/world-animal-health-information-system/" + }, + "source_date": "2026-07-09", + "access_date": "2026-07-09", + "method": "Reviewed the WOAH WAHIS description for reporting mandate, public interface, early-warning, monitoring, annual reporting, and archive scope. Classified it as animal-rabies and dog-vaccination context that must be paired with human PEP data.", + "limitations": [ + "WAHIS is an animal-health reporting system; it does not measure human bite victims, PEP access, RIG availability, or PEP completion.", + "Member reporting can vary in completeness, timeliness, and sub-national detail.", + "Animal rabies reports are context for human PEP demand, not proof of the binding human-health access bottleneck." + ], + "confidence": "high" + }, + { + "id": "cdc-rabies-status-by-country-2026", + "problem_id": "public-health/rabies-pep-access-global", + "claim": "CDC's 2026 rabies status-by-country page evaluates country rabies risk and access to high-quality PEP for US travel and animal-importation guidance, but it is not designed as a public allocation dataset for endemic-country PEP component gaps.", + "evidence_type": "primary-source", + "source": { + "title": "Rabies Status by Country", + "url": "https://www.cdc.gov/rabies/country-data/index.html" + }, + "source_date": "2026-04-15", + "access_date": "2026-07-09", + "method": "Reviewed the CDC page's key points, stated use cases, and definitions of rabies status and surveillance robustness. Classified it as rejected for canonical PEP access ranking but useful as an external risk-classification comparator.", + "limitations": [ + "The page is built for US traveler and importation recommendations, not for allocating endemic-country rabies programme resources.", + "It does not expose the component-level evidence needed to separate vaccine access, RIG access, bite-risk triage, reporting cadence, and dog-vaccination context.", + "A country risk category cannot substitute for source-level public records when screening PEP access bottlenecks." + ], + "confidence": "high" } ] diff --git a/problem-packs/public-health/rabies-pep-access-global/evidence.md b/problem-packs/public-health/rabies-pep-access-global/evidence.md index 7f95330..a667011 100644 --- a/problem-packs/public-health/rabies-pep-access-global/evidence.md +++ b/problem-packs/public-health/rabies-pep-access-global/evidence.md @@ -13,6 +13,11 @@ The initial evidence supports the existence and importance of a complete PEP acc - `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. +- `who-rabies-gho-topic-2026` anchors the reported-deaths indicator and WHO's warning that reported rabies data are limited by under-reporting, misdiagnosis, and under-diagnosis. +- `who-afro-rabies-prevention-control-2026` anchors current Africa-region programme framing around surveillance, PEP decision trees, case investigation, and integrated bite case management. +- `who-rabies-vaccination-immunization-page-2026` anchors exposure-category triage, RIG indication for category III exposures, and intradermal vaccination as a dose- and cost-sparing route. +- `woah-wahis-rabies-animal-health-data-2026` anchors WOAH WAHIS as the animal-rabies and dog-vaccination context source family, not a human PEP access source. +- `cdc-rabies-status-by-country-2026` is included as a rejected-for-allocation comparator: useful for understanding an external risk classification, not sufficient for endemic-country component-gap ranking. ## Evidence Gaps @@ -24,4 +29,4 @@ The initial evidence supports the existence and importance of a complete PEP acc ## 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. +Review `source-inventory` before any allocation or ranking task. A reviewer should verify that the inventory preserves the component boundaries between vaccine procurement, RIG or monoclonal access, exposure classification, reporting cadence, patient burden, and dog-vaccination context. diff --git a/problem-packs/public-health/rabies-pep-access-global/tasks.json b/problem-packs/public-health/rabies-pep-access-global/tasks.json index 2eb10ca..206f702 100644 --- a/problem-packs/public-health/rabies-pep-access-global/tasks.json +++ b/problem-packs/public-health/rabies-pep-access-global/tasks.json @@ -3,7 +3,7 @@ "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", + "status": "needs-review", "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": [ diff --git a/tasks-available.json b/tasks-available.json index cc9c580..074f67d 100644 --- a/tasks-available.json +++ b/tasks-available.json @@ -3,17 +3,17 @@ "generated_by": "scripts/generate-task-index.mjs", "schema_version": 1, "total_packs": 107, - "total_scoped_tasks": 102, + "total_scoped_tasks": 101, "by_role": { - "literature-scout": 102 + "literature-scout": 101 }, "by_risk": { "medium": 97, - "low": 5 + "low": 4 }, "by_domain": { "air-quality": 6, - "public-health": 65, + "public-health": 64, "climate-health": 13, "biodiversity": 7, "food-security": 19, @@ -1370,23 +1370,6 @@ "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",