{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T05:03:01Z","timestamp":1789534981588,"version":"build-2803163510"},"reference-count":27,"publisher":"F1000 Research Ltd","license":[{"start":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T00:00:00Z","timestamp":1770854400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100010269","name":"Wellcome Trust","doi-asserted-by":"publisher","award":["228152"],"award-info":[{"award-number":["228152"]}],"id":[{"id":"10.13039\/100010269","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["wellcomeopenresearch.org"],"crossmark-restriction":false},"short-container-title":["Wellcome Open Res"],"abstract":"<ns5:p>Background Infectious disease outbreaks result in unfavourable outcomes when swift actions fail. The 7-1-7 target (detect within 7 days, notify within 1 day, respond within 7 days) was proposed to improve timeliness. Thailand piloted 7-1-7 in 2024 and scaled it up nationwide in 2025. This study aimed to quantify the 7-1-7 target achievement, identify bottlenecks and enablers, and describe challenges and solutions for applying the 7-1-7 metrics. Methods A mixed-methods study was conducted with quantitative assessment of all events meeting the national health threat criteria during January 2024 and June 2025 for timeliness, bottlenecks and enablers for meeting the 7-1-7 target. A qualitative descriptive study with in-depth interviews of key stakeholders explored challenges and solutions for applying the 7-1-7 framework. Results Of the 1,435 events assessed, 15% were dangerous communicable diseases and 3% occurred in hotels. Among all the events, 50% achieved the 7-1-7 target; 85%, 73%, and 83% were detected, notified and responded to in a timely manner, respectively. The median (interquartile range) duration for detection, notification and response were 0 (0\u20135) days, 0 (0\u20132) days and 2 (0\u20135) days, respectively. Among events that occurred in hotels, none met the 7-1-7 target. Dangerous communicable diseases had the highest notification (95%) and response performance (99%), despite lower timely detection (71%). Key bottlenecks included delayed care-seeking and weak coordination. Key stakeholders felt that the 7-1-7 metrics was useful, but the lack of standardised data sources, disease-specific guidelines and centralised data extraction made implementation difficult. Proposed solutions focused on streamlining and decentralizing the application of 7-1-7. Conclusion It is appreciable that Thailand was able to apply the 7-1-7 framework and half of the events met the 7-1-7 target. However, to better the application of 7-1-7, future work should focus on strengthening data integration and formulating disease specific guidelines.<\/ns5:p>","DOI":"10.12688\/wellcomeopenres.25087.1","type":"journal-article","created":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T16:29:08Z","timestamp":1770913748000},"page":"108","update-policy":"https:\/\/doi.org\/10.12688\/wellcomeopenres.crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Implementation of 7-1-7 for improving timeliness in outbreak detection and response in Thailand: A mixed-methods study on challenges in application and achievement of targets in 2024-25"],"prefix":"10.12688","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9683-0695","authenticated-orcid":false,"given":"Peeriya","family":"Watakulsin","sequence":"first","affiliation":[{"name":"Division of Epidemiology, Department of Disease Control Nonthaburi 11000 Ministry of Public Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charuttaporn","family":"Jitpeera","sequence":"additional","affiliation":[{"name":"Division of Epidemiology, Department of Disease Control Nonthaburi 11000 Ministry of Public Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pitiphon","family":"Promduangsi","sequence":"additional","affiliation":[{"name":"Division of Communicable Diseases, Department of Disease Control Nonthaburi 11000 Ministry of Public Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khanuengnij","family":"Yueayai","sequence":"additional","affiliation":[{"name":"Office of Disease Prevention and Control Region 9, Department of Disease Control Nakhon Ratchasima 30000 Ministry of Public Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suphanat","family":"Wongsanuphat","sequence":"additional","affiliation":[{"name":"Division of Epidemiology, Department of Disease Control Nonthaburi 11000 Ministry of Public Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seesai","family":"Yeesoonsang","sequence":"additional","affiliation":[{"name":"Division of Epidemiology, Department of Disease Control Nonthaburi 11000 Ministry of Public Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patchanee","family":"Plernprom","sequence":"additional","affiliation":[{"name":"Division of Epidemiology, Department of Disease Control Nonthaburi 11000 Ministry of Public Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chonlada","family":"Siri","sequence":"additional","affiliation":[{"name":"Division of Epidemiology, Department of Disease Control Nonthaburi 11000 Ministry of Public Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kanyanach","family":"Kuljirakul","sequence":"additional","affiliation":[{"name":"Office of Disease Prevention and Control Region 2, Department of Disease Control Phitsanulok 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The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.","order":2,"name":"grant-information","label":"Grant Information"},{"value":"This is an open access article distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.","order":0,"name":"copyright-info","label":"Copyright"}]}}