By December 31, the significance of the event was clear in the public health surveillance community and partners internationally were already aware of the signal. There were other event-based surveillance systems that had issued similar to the GPHIN daily report on that same day, and the external independent panel had identified that there would have been no opportunity for the GPHIN to identify this signal earlier than it had.
Absolutely, in the daily report from the GPHIN on December 31, that signal was identified to senior management within the agency, which immediately galvanized our response from the very beginning of 2020.