Perceptions of communicable disease surveillance system attributes among key informants at primary healthcare centers in Jeddah, Saudi Arabia

Perceptions of communicable disease surveillance... | F1000Research "use strict";function _typeof(t){return(_typeof="function"==typeof Symbol&&"symbol"==typeof Symbol.iterator?function(t){return typeof t}:function(t){return t&&"function"==typeof Symbol&&t.constructor===Symbol&&t!==Symbol.prototype?"symbol":typeof t})(t)}!function(){var t=function(){var t,e,o=[],n=window,r=n;for(;r;){try{if(r.frames.__tcfapiLocator){t=r;break}}catch(t){}if(r===n.top)break;r=r.parent}t||(!function t(){var e=n.document,o=!!n.frames.__tcfapiLocator;if(!o)if(e.body){var r=e.createElement("iframe");r.style.cssText="display:none",r.name="__tcfapiLocator",e.body.appendChild(r)}else setTimeout(t,5);return!o}(),n.__tcfapi=function(){for(var t=arguments.length,n=new Array(t),r=0;r 3&&2===parseInt(n[1],10)&&"boolean"==typeof n[3]&&(e=n[3],"function"==typeof n[2]&&n[2]("set",!0)):"ping"===n[0]?"function"==typeof n[2]&&n[2]({gdprApplies:e,cmpLoaded:!1,cmpStatus:"stub"}):o.push(n)},n.addEventListener("message",(function(t){var e="string"==typeof t.data,o={};if(e)try{o=JSON.parse(t.data)}catch(t){}else o=t.data;var n="object"===_typeof(o)&&null!==o?o.__tcfapiCall:null;n&&window.__tcfapi(n.command,n.version,(function(o,r){var a={__tcfapiReturn:{returnValue:o,success:r,callId:n.callId}};t&&t.source&&t.source.postMessage&&t.source.postMessage(e?JSON.stringify(a):a,"*")}),n.parameter)}),!1))};"undefined"!=typeof module?module.exports=t:t()}(); dataLayer = dataLayer || []; // Standard GTM initialization - Google Consent Mode handles consent automatically (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start': new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0], j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src= 'https://www.googletagmanager.com/gtm.js?id='+i+dl+ '>m_auth=hzk0Vc3qFsQYhCrIoHz68A>m_preview=env-1>m_cookies_win=x';f.parentNode.insertBefore(j,f); })(window,document,'script','dataLayer','GTM-MWFK8L5J'); ;window.NREUM||(NREUM={});NREUM.init={distributed_tracing:{enabled:true},privacy:{cookies_enabled:true},ajax:{deny_list:["bam.nr-data.net"]}}; ;NREUM.loader_config={accountID:"438030",trustKey:"438030",agentID:"772317073",licenseKey:"97f8f67f26",applicationID:"772317073"} ;NREUM.info={beacon:"bam.nr-data.net",errorBeacon:"bam.nr-data.net",licenseKey:"97f8f67f26",applicationID:"772317073",sa:1} ;/*! For license information please see nr-loader-spa-1.236.0.min.js.LICENSE.txt */ (()=>{"use strict";var e,t,r={5763:(e,t,r)=>{r.d(t,{P_:()=>l,Mt:()=>g,C5:()=>s,DL:()=>v,OP:()=>T,lF:()=>D,Yu:()=>y,Dg:()=>h,CX:()=>c,GE:()=>b,sU:()=>_});var n=r(8632),i=r(9567);const o={beacon:n.ce.beacon,errorBeacon:n.ce.errorBeacon,licenseKey:void 0,applicationID:void 0,sa:void 0,queueTime:void 0,applicationTime:void 0,ttGuid:void 0,user:void 0,account:void 0,product:void 0,extra:void 0,jsAttributes:{},userAttributes:void 0,atts:void 0,transactionName:void 0,tNamePlain:void 0},a={};function s(e){if(!e)throw new Error("All info objects require an agent identifier!");if(!a[e])throw new Error("Info for ".concat(e," was never set"));return a[e]}function c(e,t){if(!e)throw new Error("All info objects require an agent identifier!");a[e]=(0,i.D)(t,o),(0,n.Qy)(e,a[e],"info")}var u=r(7056);const d=()=>{const e={blockSelector:"[data-nr-block]",maskInputOptions:{password:!0}};return{allow_bfcache:!0,privacy:{cookies_enabled:!0},ajax:{deny_list:void 0,enabled:!0,harvestTimeSeconds:10},distributed_tracing:{enabled:void 0,exclude_newrelic_header:void 0,cors_use_newrelic_header:void 0,cors_use_tracecontext_headers:void 0,allowed_origins:void 0},session:{domain:void 0,expiresMs:u.oD,inactiveMs:u.Hb},ssl:void 0,obfuscate:void 0,jserrors:{enabled:!0,harvestTimeSeconds:10},metrics:{enabled:!0},page_action:{enabled:!0,harvestTimeSeconds:30},page_view_event:{enabled:!0},page_view_timing:{enabled:!0,harvestTimeSeconds:30,long_task:!1},session_trace:{enabled:!0,harvestTimeSeconds:10},harvest:{tooManyRequestsDelay:60},session_replay:{enabled:!1,harvestTimeSeconds:60,sampleRate:.1,errorSampleRate:.1,maskTextSelector:"*",maskAllInputs:!0,get blockClass(){return"nr-block"},get ignoreClass(){return"nr-ignore"},get maskTextClass(){return"nr-mask"},get blockSelector(){return e.blockSelector},set blockSelector(t){e.blockSelector+=",".concat(t)},get maskInputOptions(){return e.maskInputOptions},set maskInputOptions(t){e.maskInputOptions={...t,password:!0}}},spa:{enabled:!0,harvestTimeSeconds:10}}},f={};function l(e){if(!e)throw new Error("All configuration objects require an agent identifier!");if(!f[e])throw new Error("Configuration for ".concat(e," was never set"));return f[e]}function h(e,t){if(!e)throw new Error("All configuration objects require an agent identifier!");f[e]=(0,i.D)(t,d()),(0,n.Qy)(e,f[e],"config")}function g(e,t){if(!e)throw new Error("All configuration objects require an agent identifier!");var r=l(e);if(r){for(var n=t.split("."),i=0;i {r.d(t,{D:()=>i});var n=r(50);function i(e,t){try{if(!e||"object"!=typeof e)return(0,n.Z)("Setting a Configurable requires an object as input");if(!t||"object"!=typeof t)return(0,n.Z)("Setting a Configurable requires a model to set its initial properties");const r=Object.create(Object.getPrototypeOf(t),Object.getOwnPropertyDescriptors(t)),o=0===Object.keys(r).length?e:r;for(let a in o)if(void 0!==e[a])try{"object"==typeof e[a]&&"object"==typeof t[a]?r[a]=i(e[a],t[a]):r[a]=e[a]}catch(e){(0,n.Z)("An error occurred while setting a property of a Configurable",e)}return r}catch(e){(0,n.Z)("An error occured while setting a Configurable",e)}}},6818:(e,t,r)=>{r.d(t,{Re:()=>i,gF:()=>o,q4:()=>n});const n="1.236.0",i="PROD",o="CDN"},385:(e,t,r)=>{r.d(t,{FN:()=>a,IF:()=>u,Nk:()=>f,Tt:()=>s,_A:()=>o,il:()=>n,pL:()=>c,v6:()=>i,w1:()=>d});const n="undefined"!=typeof window&&!!window.document,i="undefined"!=typeof WorkerGlobalScope&&("undefined"!=typeof self&&self instanceof WorkerGlobalScope&&self.navigator instanceof WorkerNavigator||"undefined"!=typeof globalThis&&globalThis instanceof WorkerGlobalScope&&globalThis.navigator instanceof WorkerNavigator),o=n?window:"undefined"!=typeof WorkerGlobalScope&&("undefined"!=typeof self&&self instanceof WorkerGlobalScope&&self||"undefined"!=typeof globalThis&&globalThis instanceof WorkerGlobalScope&&globalThis),a=""+o?.location,s=/iPad|iPhone|iPod/.test(navigator.userAgent),c=s&&"undefined"==typeof SharedWorker,u=(()=>{const e=navigator.userAgent.match(/Firefox[/\s](\d+\.\d+)/);return Array.isArray(e)&&e.length>=2?+e[1]:0})(),d=Boolean(n&&window.document.documentMode),f=!!navigator.sendBeacon},1117:(e,t,r)=>{r.d(t,{w:()=>o});var n=r(50);const i={agentIdentifier:"",ee:void 0};class o{constructor(e){try{if("object"!=typeof e)return(0,n.Z)("shared context requires an object as input");this.sharedContext={},Object.assign(this.sharedContext,i),Object.entries(e).forEach((e=>{let[t,r]=e;Object.keys(i).includes(t)&&(this.sharedContext[t]=r)}))}catch(e){(0,n.Z)("An error occured while setting SharedContext",e)}}}},8e3:(e,t,r)=>{r.d(t,{L:()=>d,R:()=>c});var n=r(2177),i=r(1284),o=r(4322),a=r(3325);const s={};function c(e,t){const r={staged:!1,priority:a.p[t]||0};u(e),s[e].get(t)||s[e].set(t,r)}function u(e){e&&(s[e]||(s[e]=new Map))}function d(){let e=arguments.length>0&&void 0!==arguments[0]?arguments[0]:"",t=arguments.length>1&&void 0!==arguments[1]?arguments[1]:"feature";if(u(e),!e||!s[e].get(t))return a(t);s[e].get(t).staged=!0;const r=[...s[e]];function a(t){const r=e?n.ee.get(e):n.ee,a=o.X.handlers;if(r.backlog&&a){var s=r.backlog[t],c=a[t];if(c){for(var u=0;s&&u {let[t,r]=e;return r.staged}))&&(r.sort(((e,t)=>e[1].priority-t[1].priority)),r.forEach((e=>{let[t]=e;a(t)})))}function f(e,t){var r=e[1];(0,i.D)(t[r],(function(t,r){var n=e[0];if(r[0]===n){var i=r[1],o=e[3],a=e[2];i.apply(o,a)}}))}},2177:(e,t,r)=>{r.d(t,{c:()=>f,ee:()=>u});var n=r(8632),i=r(2210),o=r(1284),a=r(5763),s="nr@context";let c=(0,n.fP)();var u;function d(){}function f(e){return(0,i.X)(e,s,l)}function l(){return new d}function h(){u.aborted=!0,u.backlog={}}c.ee?u=c.ee:(u=function e(t,r){var n={},c={},f={},g=!1;try{g=16===r.length&&(0,a.OP)(r).isolatedBacklog}catch(e){}var p={on:b,addEventListener:b,removeEventListener:y,emit:v,get:x,listeners:w,context:m,buffer:A,abort:h,aborted:!1,isBuffering:E,debugId:r,backlog:g?{}:t&&"object"==typeof t.backlog?t.backlog:{}};return p;function m(e){return e&&e instanceof d?e:e?(0,i.X)(e,s,l):l()}function v(e,r,n,i,o){if(!1!==o&&(o=!0),!u.aborted||i){t&&o&&t.emit(e,r,n);for(var a=m(n),s=w(e),d=s.length,f=0;fn,p:()=>i});var n=r(2177).ee.get("handle");function i(e,t,r,i,o){o?(o.buffer([e],i),o.emit(e,t,r)):(n.buffer([e],i),n.emit(e,t,r))}},4322:(e,t,r)=>{r.d(t,{X:()=>o});var n=r(5546);o.on=a;var i=o.handlers={};function o(e,t,r,o){a(o||n.E,i,e,t,r)}function a(e,t,r,i,o){o||(o="feature"),e||(e=n.E);var a=t[o]=t[o]||{};(a[r]=a[r]||[]).push([e,i])}},3239:(e,t,r)=>{r.d(t,{bP:()=>s,iz:()=>c,m$:()=>a});var n=r(385);let i=!1,o=!1;try{const e={get passive(){return i=!0,!1},get signal(){return o=!0,!1}};n._A.addEventListener("test",null,e),n._A.removeEventListener("test",null,e)}catch(e){}function a(e,t){return i||o?{capture:!!e,passive:i,signal:t}:!!e}function s(e,t){let r=arguments.length>2&&void 0!==arguments[2]&&arguments[2],n=arguments.length>3?arguments[3]:void 0;window.addEventListener(e,t,a(r,n))}function c(e,t){let r=arguments.length>2&&void 0!==arguments[2]&&arguments[2],n=arguments.length>3?arguments[3]:void 0;document.addEventListener(e,t,a(r,n))}},4402:(e,t,r)=>{r.d(t,{Ht:()=>u,M:()=>c,Rl:()=>a,ky:()=>s});var n=r(385);const i="xxxxxxxx-xxxx-4xxx-yxxx-xxxxxxxxxxxx";function o(e,t){return e?15&e[t]:16*Math.random()|0}function a(){const e=n._A?.crypto||n._A?.msCrypto;let t,r=0;return e&&e.getRandomValues&&(t=e.getRandomValues(new Uint8Array(31))),i.split("").map((e=>"x"===e?o(t,++r).toString(16):"y"===e?(3&o()|8).toString(16):e)).join("")}function s(e){const t=n._A?.crypto||n._A?.msCrypto;let r,i=0;t&&t.getRandomValues&&(r=t.getRandomValues(new Uint8Array(31)));const a=[];for(var s=0;s {r.d(t,{Bq:()=>n,Hb:()=>o,oD:()=>i});const n="NRBA",i=144e5,o=18e5},7894:(e,t,r)=>{function n(){return Math.round(performance.now())}r.d(t,{z:()=>n})},7243:(e,t,r)=>{r.d(t,{e:()=>o});var n=r(385),i={};function o(e){if(e in i)return i[e];if(0===(e||"").indexOf("data:"))return{protocol:"data"};let t;var r=n._A?.location,o={};if(n.il)t=document.createElement("a"),t.href=e;else try{t=new URL(e,r.href)}catch(e){return o}o.port=t.port;var a=t.href.split("://");!o.port&&a[1]&&(o.port=a[1].split("/")[0].split("@").pop().split(":")[1]),o.port&&"0"!==o.port||(o.port="https"===a[0]?"443":"80"),o.hostname=t.hostname||r.hostname,o.pathname=t.pathname,o.protocol=a[0],"/"!==o.pathname.charAt(0)&&(o.pathname="/"+o.pathname);var s=!t.protocol||":"===t.protocol||t.protocol===r.protocol,c=t.hostname===r.hostname&&t.port===r.port;return o.sameOrigin=s&&(!t.hostname||c),"/"===o.pathname&&(i[e]=o),o}},50:(e,t,r)=>{function n(e,t){"function"==typeof console.warn&&(console.warn("New Relic: ".concat(e)),t&&console.warn(t))}r.d(t,{Z:()=>n})},2587:(e,t,r)=>{r.d(t,{N:()=>c,T:()=>u});var n=r(2177),i=r(5546),o=r(8e3),a=r(3325);const s={stn:[a.D.sessionTrace],err:[a.D.jserrors,a.D.metrics],ins:[a.D.pageAction],spa:[a.D.spa],sr:[a.D.sessionReplay,a.D.sessionTrace]};function c(e,t){const r=n.ee.get(t);e&&"object"==typeof e&&(Object.entries(e).forEach((e=>{let[t,n]=e;void 0===u[t]&&(s[t]?s[t].forEach((e=>{n?(0,i.p)("feat-"+t,[],void 0,e,r):(0,i.p)("block-"+t,[],void 0,e,r),(0,i.p)("rumresp-"+t,[Boolean(n)],void 0,e,r)})):n&&(0,i.p)("feat-"+t,[],void 0,void 0,r),u[t]=Boolean(n))})),Object.keys(s).forEach((e=>{void 0===u[e]&&(s[e]?.forEach((t=>(0,i.p)("rumresp-"+e,[!1],void 0,t,r))),u[e]=!1)})),(0,o.L)(t,a.D.pageViewEvent))}const u={}},2210:(e,t,r)=>{r.d(t,{X:()=>i});var n=Object.prototype.hasOwnProperty;function i(e,t,r){if(n.call(e,t))return e[t];var i=r();if(Object.defineProperty&&Object.keys)try{return Object.defineProperty(e,t,{value:i,writable:!0,enumerable:!1}),i}catch(e){}return e[t]=i,i}},1284:(e,t,r)=>{r.d(t,{D:()=>n});const n=(e,t)=>Object.entries(e||{}).map((e=>{let[r,n]=e;return t(r,n)}))},4351:(e,t,r)=>{r.d(t,{P:()=>o});var n=r(2177);const i=()=>{const e=new WeakSet;return(t,r)=>{if("object"==typeof r&&null!==r){if(e.has(r))return;e.add(r)}return r}};function o(e){try{return JSON.stringify(e,i())}catch(e){try{n.ee.emit("internal-error",[e])}catch(e){}}}},3960:(e,t,r)=>{r.d(t,{K:()=>a,b:()=>o});var n=r(3239);function i(){return"undefined"==typeof document||"complete"===document.readyState}function o(e,t){if(i())return e();(0,n.bP)("load",e,t)}function a(e){if(i())return e();(0,n.iz)("DOMContentLoaded",e)}},8632:(e,t,r)=>{r.d(t,{EZ:()=>u,Qy:()=>c,ce:()=>o,fP:()=>a,gG:()=>d,mF:()=>s});var n=r(7894),i=r(385);const o={beacon:"bam.nr-data.net",errorBeacon:"bam.nr-data.net"};function a(){return i._A.NREUM||(i._A.NREUM={}),void 0===i._A.newrelic&&(i._A.newrelic=i._A.NREUM),i._A.NREUM}function s(){let e=a();return e.o||(e.o={ST:i._A.setTimeout,SI:i._A.setImmediate,CT:i._A.clearTimeout,XHR:i._A.XMLHttpRequest,REQ:i._A.Request,EV:i._A.Event,PR:i._A.Promise,MO:i._A.MutationObserver,FETCH:i._A.fetch}),e}function c(e,t,r){let i=a();const o=i.initializedAgents||{},s=o[e]||{};return Object.keys(s).length||(s.initializedAt={ms:(0,n.z)(),date:new Date}),i.initializedAgents={...o,[e]:{...s,[r]:t}},i}function u(e,t){a()[e]=t}function d(){return function(){let e=a();const t=e.info||{};e.info={beacon:o.beacon,errorBeacon:o.errorBeacon,...t}}(),function(){let e=a();const t=e.init||{};e.init={...t}}(),s(),function(){let e=a();const t=e.loader_config||{};e.loader_config={...t}}(),a()}},7956:(e,t,r)=>{r.d(t,{N:()=>i});var n=r(3239);function i(e){let t=arguments.length>1&&void 0!==arguments[1]&&arguments[1],r=arguments.length>2?arguments[2]:void 0,i=arguments.length>3?arguments[3]:void 0;return void(0,n.iz)("visibilitychange",(function(){if(t)return void("hidden"==document.visibilityState&&e());e(document.visibilityState)}),r,i)}},1214:(e,t,r)=>{r.d(t,{em:()=>v,u5:()=>N,QU:()=>S,_L:()=>I,Gm:()=>L,Lg:()=>M,gy:()=>U,BV:()=>Q,Kf:()=>ee});var n=r(2177);const i="nr@original";var o=Object.prototype.hasOwnProperty,a=!1;function s(e,t){return e||(e=n.ee),r.inPlace=function(e,t,n,i,o){n||(n="");var a,s,c,u="-"===n.charAt(0);for(c=0;c 2?n-2:0),o=2;o {r(A[T],e,w),r(E[T],e,w)})),r(l._A,"fetch",y),t.on(y+"end",(function(e,r){var n=this;if(r){var i=r.headers.get("content-length");null!==i&&(n.rxSize=i),t.emit(y+"done",[null,r],n)}else t.emit(y+"done",[e],n)})),t}const O={},j=["pushState","replaceState"];function S(e){const t=function(e){return(e||n.ee).get("history")}(e);return!l.il||O[t.debugId]++||(O[t.debugId]=1,s(t).inPlace(window.history,j,"-")),t}var P=r(3239);const C={},R=["appendChild","insertBefore","replaceChild"];function I(e){const t=function(e){return(e||n.ee).get("jsonp")}(e);if(!l.il||C[t.debugId])return t;C[t.debugId]=!0;var r=s(t),i=/[?&](?:callback|cb)=([^&#]+)/,o=/(.*)\.([^.]+)/,a=/^(\w+)(\.|$)(.*)$/;function c(e,t){var r=e.match(a),n=r[1],i=r[3];return i?c(i,t[n]):t[n]}return r.inPlace(Node.prototype,R,"dom-"),t.on("dom-start",(function(e){!function(e){if(!e||"string"!=typeof e.nodeName||"script"!==e.nodeName.toLowerCase())return;if("function"!=typeof e.addEventListener)return;var n=(a=e.src,s=a.match(i),s?s[1]:null);var a,s;if(!n)return;var u=function(e){var t=e.match(o);if(t&&t.length>=3)return{key:t[2],parent:c(t[1],window)};return{key:e,parent:window}}(n);if("function"!=typeof u.parent[u.key])return;var d={};function f(){t.emit("jsonp-end",[],d),e.removeEventListener("load",f,(0,P.m$)(!1)),e.removeEventListener("error",l,(0,P.m$)(!1))}function l(){t.emit("jsonp-error",[],d),t.emit("jsonp-end",[],d),e.removeEventListener("load",f,(0,P.m$)(!1)),e.removeEventListener("error",l,(0,P.m$)(!1))}r.inPlace(u.parent,[u.key],"cb-",d),e.addEventListener("load",f,(0,P.m$)(!1)),e.addEventListener("error",l,(0,P.m$)(!1)),t.emit("new-jsonp",[e.src],d)}(e[0])})),t}var k=r(5763);const H={};function L(e){const t=function(e){return(e||n.ee).get("mutation")}(e);if(!l.il||H[t.debugId])return t;H[t.debugId]=!0;var r=s(t),i=k.Yu.MO;return i&&(window.MutationObserver=function(e){return this instanceof i?new i(r(e,"fn-")):i.apply(this,arguments)},MutationObserver.prototype=i.prototype),t}const z={};function M(e){const t=function(e){return(e||n.ee).get("promise")}(e);if(z[t.debugId])return t;z[t.debugId]=!0;var r=n.c,o=s(t),a=k.Yu.PR;return a&&function(){function e(r){var n=t.context(),i=o(r,"executor-",n,null,!1);const s=Reflect.construct(a,[i],e);return t.context(s).getCtx=function(){return n},s}l._A.Promise=e,Object.defineProperty(e,"name",{value:"Promise"}),e.toString=function(){return a.toString()},Object.setPrototypeOf(e,a),["all","race"].forEach((function(r){const n=a[r];e[r]=function(e){let i=!1;[...e||[]].forEach((e=>{this.resolve(e).then(a("all"===r),a(!1))}));const o=n.apply(this,arguments);return o;function a(e){return function(){t.emit("propagate",[null,!i],o,!1,!1),i=i||!e}}}})),["resolve","reject"].forEach((function(r){const n=a[r];e[r]=function(e){const r=n.apply(this,arguments);return e!==r&&t.emit("propagate",[e,!0],r,!1,!1),r}})),e.prototype=a.prototype;const n=a.prototype.then;a.prototype.then=function(){var e=this,i=r(e);i.promise=e;for(var a=arguments.length,s=new Array(a),c=0;c e())),t};function m(e,t){i.inPlace(t,["onreadystatechange"],"fn-",E)}function b(){var e=this,t=r.context(e);e.readyState>3&&!t.resolved&&(t.resolved=!0,r.emit("xhr-resolved",[],e)),i.inPlace(e,f,"fn-",E)}if(function(e,t){for(var r in e)t[r]=e[r]}(o,p),p.prototype=o.prototype,i.inPlace(p.prototype,J,"-xhr-",E),r.on("send-xhr-start",(function(e,t){m(e,t),function(e){h.push(e),a&&(y?y.then(A):u?u(A):(w=-w,x.data=w))}(t)})),r.on("open-xhr-start",m),a){var y=c&&c.resolve();if(!u&&!c){var w=1,x=document.createTextNode(w);new a(A).observe(x,{characterData:!0})}}else t.on("fn-end",(function(e){e[0]&&e[0].type===d||A()}));function A(){for(var e=0;e {r.d(t,{t:()=>n});const n=r(3325).D.ajax},6660:(e,t,r)=>{r.d(t,{A:()=>i,t:()=>n});const n=r(3325).D.jserrors,i="nr@seenError"},3081:(e,t,r)=>{r.d(t,{gF:()=>o,mY:()=>i,t9:()=>n,vz:()=>s,xS:()=>a});const n=r(3325).D.metrics,i="sm",o="cm",a="storeSupportabilityMetrics",s="storeEventMetrics"},4649:(e,t,r)=>{r.d(t,{t:()=>n});const n=r(3325).D.pageAction},7633:(e,t,r)=>{r.d(t,{Dz:()=>i,OJ:()=>a,qw:()=>o,t9:()=>n});const n=r(3325).D.pageViewEvent,i="firstbyte",o="domcontent",a="windowload"},9251:(e,t,r)=>{r.d(t,{t:()=>n});const n=r(3325).D.pageViewTiming},3614:(e,t,r)=>{r.d(t,{BST_RESOURCE:()=>i,END:()=>s,FEATURE_NAME:()=>n,FN_END:()=>u,FN_START:()=>c,PUSH_STATE:()=>d,RESOURCE:()=>o,START:()=>a});const n=r(3325).D.sessionTrace,i="bstResource",o="resource",a="-start",s="-end",c="fn"+a,u="fn"+s,d="pushState"},7836:(e,t,r)=>{r.d(t,{BODY:()=>A,CB_END:()=>E,CB_START:()=>u,END:()=>x,FEATURE_NAME:()=>i,FETCH:()=>_,FETCH_BODY:()=>v,FETCH_DONE:()=>m,FETCH_START:()=>p,FN_END:()=>c,FN_START:()=>s,INTERACTION:()=>l,INTERACTION_API:()=>d,INTERACTION_EVENTS:()=>o,JSONP_END:()=>b,JSONP_NODE:()=>g,JS_TIME:()=>T,MAX_TIMER_BUDGET:()=>a,REMAINING:()=>f,SPA_NODE:()=>h,START:()=>w,originalSetTimeout:()=>y});var n=r(5763);const i=r(3325).D.spa,o=["click","submit","keypress","keydown","keyup","change"],a=999,s="fn-start",c="fn-end",u="cb-start",d="api-ixn-",f="remaining",l="interaction",h="spaNode",g="jsonpNode",p="fetch-start",m="fetch-done",v="fetch-body-",b="jsonp-end",y=n.Yu.ST,w="-start",x="-end",A="-body",E="cb"+x,T="jsTime",_="fetch"},5938:(e,t,r)=>{r.d(t,{W:()=>o});var n=r(5763),i=r(2177);class o{constructor(e,t,r){this.agentIdentifier=e,this.aggregator=t,this.ee=i.ee.get(e,(0,n.OP)(this.agentIdentifier).isolatedBacklog),this.featureName=r,this.blocked=!1}}},9144:(e,t,r)=>{r.d(t,{j:()=>m});var n=r(3325),i=r(5763),o=r(5546),a=r(2177),s=r(7894),c=r(8e3),u=r(3960),d=r(385),f=r(50),l=r(3081),h=r(8632);function g(){const e=(0,h.gG)();["setErrorHandler","finished","addToTrace","inlineHit","addRelease","addPageAction","setCurrentRouteName","setPageViewName","setCustomAttribute","interaction","noticeError","setUserId"].forEach((t=>{e[t]=function(){for(var r=arguments.length,n=new Array(r),i=0;i 1?r-1:0),i=1;i {e.exposed&&e.api[t]&&o.push(e.api[t](...n))})),o.length>1?o:o[0]}(t,...n)}}))}var p=r(2587);function m(e){let t=arguments.length>1&&void 0!==arguments[1]?arguments[1]:{},m=arguments.length>2?arguments[2]:void 0,v=arguments.length>3?arguments[3]:void 0,{init:b,info:y,loader_config:w,runtime:x={loaderType:m},exposed:A=!0}=t;const E=(0,h.gG)();y||(b=E.init,y=E.info,w=E.loader_config),(0,i.Dg)(e,b||{}),(0,i.GE)(e,w||{}),(0,i.sU)(e,x),y.jsAttributes??={},d.v6&&(y.jsAttributes.isWorker=!0),(0,i.CX)(e,y),g();const T=function(e,t){t||(0,c.R)(e,"api");const h={};var g=a.ee.get(e),p=g.get("tracer"),m="api-",v=m+"ixn-";function b(t,r,n,o){const a=(0,i.C5)(e);return null===r?delete a.jsAttributes[t]:(0,i.CX)(e,{...a,jsAttributes:{...a.jsAttributes,[t]:r}}),x(m,n,!0,o||null===r?"session":void 0)(t,r)}function y(){}["setErrorHandler","finished","addToTrace","inlineHit","addRelease"].forEach((e=>h[e]=x(m,e,!0,"api"))),h.addPageAction=x(m,"addPageAction",!0,n.D.pageAction),h.setCurrentRouteName=x(m,"routeName",!0,n.D.spa),h.setPageViewName=function(t,r){if("string"==typeof t)return"/"!==t.charAt(0)&&(t="/"+t),(0,i.OP)(e).customTransaction=(r||"http://custom.transaction")+t,x(m,"setPageViewName",!0)()},h.setCustomAttribute=function(e,t){let r=arguments.length>2&&void 0!==arguments[2]&&arguments[2];if("string"==typeof e){if(["string","number"].includes(typeof t)||null===t)return b(e,t,"setCustomAttribute",r);(0,f.Z)("Failed to execute setCustomAttribute.\nNon-null value must be a string or number type, but a type of was provided."))}else(0,f.Z)("Failed to execute setCustomAttribute.\nName must be a string type, but a type of was provided."))},h.setUserId=function(e){if("string"==typeof e||null===e)return b("enduser.id",e,"setUserId",!0);(0,f.Z)("Failed to execute setUserId.\nNon-null value must be a string type, but a type of was provided."))},h.interaction=function(){return(new y).get()};var w=y.prototype={createTracer:function(e,t){var r={},i=this,a="function"==typeof t;return(0,o.p)(v+"tracer",[(0,s.z)(),e,r],i,n.D.spa,g),function(){if(p.emit((a?"":"no-")+"fn-start",[(0,s.z)(),i,a],r),a)try{return t.apply(this,arguments)}catch(e){throw p.emit("fn-err",[arguments,this,"string"==typeof e?new Error(e):e],r),e}finally{p.emit("fn-end",[(0,s.z)()],r)}}}};function x(e,t,r,i){return function(){return(0,o.p)(l.xS,["API/"+t+"/called"],void 0,n.D.metrics,g),i&&(0,o.p)(e+t,[(0,s.z)(),...arguments],r?null:this,i,g),r?void 0:this}}function A(){r.e(439).then(r.bind(r,7438)).then((t=>{let{setAPI:r}=t;r(e),(0,c.L)(e,"api")})).catch((()=>(0,f.Z)("Downloading runtime APIs failed...")))}return["actionText","setName","setAttribute","save","ignore","onEnd","getContext","end","get"].forEach((e=>{w[e]=x(v,e,void 0,n.D.spa)})),h.noticeError=function(e,t){"string"==typeof e&&(e=new Error(e)),(0,o.p)(l.xS,["API/noticeError/called"],void 0,n.D.metrics,g),(0,o.p)("err",[e,(0,s.z)(),!1,t],void 0,n.D.jserrors,g)},d.il?(0,u.b)((()=>A()),!0):A(),h}(e,v);return(0,h.Qy)(e,T,"api"),(0,h.Qy)(e,A,"exposed"),(0,h.EZ)("activatedFeatures",p.T),T}},3325:(e,t,r)=>{r.d(t,{D:()=>n,p:()=>i});const n={ajax:"ajax",jserrors:"jserrors",metrics:"metrics",pageAction:"page_action",pageViewEvent:"page_view_event",pageViewTiming:"page_view_timing",sessionReplay:"session_replay",sessionTrace:"session_trace",spa:"spa"},i={[n.pageViewEvent]:1,[n.pageViewTiming]:2,[n.metrics]:3,[n.jserrors]:4,[n.ajax]:5,[n.sessionTrace]:6,[n.pageAction]:7,[n.spa]:8,[n.sessionReplay]:9}}},n={};function i(e){var t=n[e];if(void 0!==t)return t.exports;var o=n[e]={exports:{}};return r[e](o,o.exports,i),o.exports}i.m=r,i.d=(e,t)=>{for(var r in t)i.o(t,r)&&!i.o(e,r)&&Object.defineProperty(e,r,{enumerable:!0,get:t[r]})},i.f={},i.e=e=>Promise.all(Object.keys(i.f).reduce(((t,r)=>(i.f[r](e,t),t)),[])),i.u=e=>(({78:"page_action-aggregate",147:"metrics-aggregate",242:"session-manager",317:"jserrors-aggregate",348:"page_view_timing-aggregate",412:"lazy-feature-loader",439:"async-api",538:"recorder",590:"session_replay-aggregate",675:"compressor",733:"session_trace-aggregate",786:"page_view_event-aggregate",873:"spa-aggregate",898:"ajax-aggregate"}[e]||e)+"."+{78:"ac76d497",147:"3dc53903",148:"1a20d5fe",242:"2a64278a",317:"49e41428",348:"bd6de33a",412:"2f55ce66",439:"30bd804e",538:"1b18459f",590:"cf0efb30",675:"ae9f91a8",733:"83105561",786:"06482edd",860:"03a8b7a5",873:"e6b09d52",898:"998ef92b"}[e]+"-1.236.0.min.js"),i.o=(e,t)=>Object.prototype.hasOwnProperty.call(e,t),e={},t="NRBA:",i.l=(r,n,o,a)=>{if(e[r])e[r].push(n);else{var s,c;if(void 0!==o)for(var u=document.getElementsByTagName("script"),d=0;d {s.onerror=s.onload=null,clearTimeout(h);var i=e[r];if(delete e[r],s.parentNode&&s.parentNode.removeChild(s),i&&i.forEach((e=>e(n))),t)return t(n)},h=setTimeout(l.bind(null,void 0,{type:"timeout",target:s}),12e4);s.onerror=l.bind(null,s.onerror),s.onload=l.bind(null,s.onload),c&&document.head.appendChild(s)}},i.r=e=>{"undefined"!=typeof Symbol&&Symbol.toStringTag&&Object.defineProperty(e,Symbol.toStringTag,{value:"Module"}),Object.defineProperty(e,"__esModule",{value:!0})},i.j=364,i.p="https://js-agent.newrelic.com/",(()=>{var e={364:0,953:0};i.f.j=(t,r)=>{var n=i.o(e,t)?e[t]:void 0;if(0!==n)if(n)r.push(n[2]);else{var o=new Promise(((r,i)=>n=e[t]=[r,i]));r.push(n[2]=o);var a=i.p+i.u(t),s=new Error;i.l(a,(r=>{if(i.o(e,t)&&(0!==(n=e[t])&&(e[t]=void 0),n)){var o=r&&("load"===r.type?"missing":r.type),a=r&&r.target&&r.target.src;s.message="Loading chunk "+t+" failed.\n("+o+": "+a+")",s.name="ChunkLoadError",s.type=o,s.request=a,n[1](s)}}),"chunk-"+t,t)}};var t=(t,r)=>{var n,o,[a,s,c]=r,u=0;if(a.some((t=>0!==e[t]))){for(n in s)i.o(s,n)&&(i.m[n]=s[n]);if(c)c(i)}for(t&&t(r);u {i.r(o);var e=i(3325),t=i(5763);const r=Object.values(e.D);function n(e){const n={};return r.forEach((r=>{n[r]=function(e,r){return!1!==(0,t.Mt)(r,"".concat(e,".enabled"))}(r,e)})),n}var a=i(9144);var s=i(5546),c=i(385),u=i(8e3),d=i(5938),f=i(3960),l=i(50);class h extends d.W{constructor(e,t,r){let n=!(arguments.length>3&&void 0!==arguments[3])||arguments[3];super(e,t,r),this.auto=n,this.abortHandler,this.featAggregate,this.onAggregateImported,n&&(0,u.R)(e,r)}importAggregator(){let e=arguments.length>0&&void 0!==arguments[0]?arguments[0]:{};if(this.featAggregate||!this.auto)return;const r=c.il&&!0===(0,t.Mt)(this.agentIdentifier,"privacy.cookies_enabled");let n;this.onAggregateImported=new Promise((e=>{n=e}));const o=async()=>{let t;try{if(r){const{setupAgentSession:e}=await Promise.all([i.e(860),i.e(242)]).then(i.bind(i,3228));t=e(this.agentIdentifier)}}catch(e){(0,l.Z)("A problem occurred when starting up session manager. This page will not start or extend any session.",e)}try{if(!this.shouldImportAgg(this.featureName,t))return void(0,u.L)(this.agentIdentifier,this.featureName);const{lazyFeatureLoader:r}=await i.e(412).then(i.bind(i,8582)),{Aggregate:o}=await r(this.featureName,"aggregate");this.featAggregate=new o(this.agentIdentifier,this.aggregator,e),n(!0)}catch(e){(0,l.Z)("Downloading and initializing ".concat(this.featureName," failed..."),e),this.abortHandler?.(),n(!1)}};c.il?(0,f.b)((()=>o()),!0):o()}shouldImportAgg(r,n){return r!==e.D.sessionReplay||!1!==(0,t.Mt)(this.agentIdentifier,"session_trace.enabled")&&(!!n?.isNew||!!n?.state.sessionReplay)}}var g=i(7633),p=i(7894);class m extends h{static featureName=g.t9;constructor(r,n){let i=!(arguments.length>2&&void 0!==arguments[2])||arguments[2];if(super(r,n,g.t9,i),("undefined"==typeof PerformanceNavigationTiming||c.Tt)&&"undefined"!=typeof PerformanceTiming){const n=(0,t.OP)(r);n[g.Dz]=Math.max(Date.now()-n.offset,0),(0,f.K)((()=>n[g.qw]=Math.max((0,p.z)()-n[g.Dz],0))),(0,f.b)((()=>{const t=(0,p.z)();n[g.OJ]=Math.max(t-n[g.Dz],0),(0,s.p)("timing",["load",t],void 0,e.D.pageViewTiming,this.ee)}))}this.importAggregator()}}var v=i(1117),b=i(1284);class y extends v.w{constructor(e){super(e),this.aggregatedData={}}store(e,t,r,n,i){var o=this.getBucket(e,t,r,i);return o.metrics=function(e,t){t||(t={count:0});return t.count+=1,(0,b.D)(e,(function(e,r){t[e]=w(r,t[e])})),t}(n,o.metrics),o}merge(e,t,r,n,i){var o=this.getBucket(e,t,n,i);if(o.metrics){var a=o.metrics;a.count+=r.count,(0,b.D)(r,(function(e,t){if("count"!==e){var n=a[e],i=r[e];i&&!i.c?a[e]=w(i.t,n):a[e]=function(e,t){if(!t)return e;t.c||(t=x(t.t));return t.min=Math.min(e.min,t.min),t.max=Math.max(e.max,t.max),t.t+=e.t,t.sos+=e.sos,t.c+=e.c,t}(i,a[e])}}))}else o.metrics=r}storeMetric(e,t,r,n){var i=this.getBucket(e,t,r);return i.stats=w(n,i.stats),i}getBucket(e,t,r,n){this.aggregatedData[e]||(this.aggregatedData[e]={});var i=this.aggregatedData[e][t];return i||(i=this.aggregatedData[e][t]={params:r||{}},n&&(i.custom=n)),i}get(e,t){return t?this.aggregatedData[e]&&this.aggregatedData[e][t]:this.aggregatedData[e]}take(e){for(var t={},r="",n=!1,i=0;i t.max&&(t.max=e),e 2&&void 0!==arguments[2])||arguments[2];super(e,r,j.t,n),c.il&&((0,t.OP)(e).initHidden=Boolean("hidden"===document.visibilityState),(0,N.N)((()=>(0,s.p)("docHidden",[(0,p.z)()],void 0,j.t,this.ee)),!0),(0,O.bP)("pagehide",(()=>(0,s.p)("winPagehide",[(0,p.z)()],void 0,j.t,this.ee))),this.importAggregator())}}var P=i(3081);class C extends h{static featureName=P.t9;constructor(e,t){let r=!(arguments.length>2&&void 0!==arguments[2])||arguments[2];super(e,t,P.t9,r),this.importAggregator()}}var R,I=i(2210),k=i(1214),H=i(2177),L={};try{R=localStorage.getItem("__nr_flags").split(","),console&&"function"==typeof console.log&&(L.console=!0,-1!==R.indexOf("dev")&&(L.dev=!0),-1!==R.indexOf("nr_dev")&&(L.nrDev=!0))}catch(e){}function z(e){try{L.console&&z(e)}catch(e){}}L.nrDev&&H.ee.on("internal-error",(function(e){z(e.stack)})),L.dev&&H.ee.on("fn-err",(function(e,t,r){z(r.stack)})),L.dev&&(z("NR AGENT IN DEVELOPMENT MODE"),z("flags: "+(0,b.D)(L,(function(e,t){return e})).join(", ")));var M=i(6660);class B extends h{static featureName=M.t;constructor(r,n){let i=!(arguments.length>2&&void 0!==arguments[2])||arguments[2];super(r,n,M.t,i),this.skipNext=0;try{this.removeOnAbort=new AbortController}catch(e){}const o=this;o.ee.on("fn-start",(function(e,t,r){o.abortHandler&&(o.skipNext+=1)})),o.ee.on("fn-err",(function(t,r,n){o.abortHandler&&!n[M.A]&&((0,I.X)(n,M.A,(function(){return!0})),this.thrown=!0,(0,s.p)("err",[n,(0,p.z)()],void 0,e.D.jserrors,o.ee))})),o.ee.on("fn-end",(function(){o.abortHandler&&!this.thrown&&o.skipNext>0&&(o.skipNext-=1)})),o.ee.on("internal-error",(function(t){(0,s.p)("ierr",[t,(0,p.z)(),!0],void 0,e.D.jserrors,o.ee)})),this.origOnerror=c._A.onerror,c._A.onerror=this.onerrorHandler.bind(this),c._A.addEventListener("unhandledrejection",(t=>{const r=function(e){let t="Unhandled Promise Rejection: ";if(e instanceof Error)try{return e.message=t+e.message,e}catch(t){return e}if(void 0===e)return new Error(t);try{return new Error(t+(0,D.P)(e))}catch(e){return new Error(t)}}(t.reason);(0,s.p)("err",[r,(0,p.z)(),!1,{unhandledPromiseRejection:1}],void 0,e.D.jserrors,this.ee)}),(0,O.m$)(!1,this.removeOnAbort?.signal)),(0,k.gy)(this.ee),(0,k.BV)(this.ee),(0,k.em)(this.ee),(0,t.OP)(r).xhrWrappable&&(0,k.Kf)(this.ee),this.abortHandler=this.#e,this.importAggregator()}#e(){this.removeOnAbort?.abort(),this.abortHandler=void 0}onerrorHandler(t,r,n,i,o){"function"==typeof this.origOnerror&&this.origOnerror(...arguments);try{this.skipNext?this.skipNext-=1:(0,s.p)("err",[o||new F(t,r,n),(0,p.z)()],void 0,e.D.jserrors,this.ee)}catch(t){try{(0,s.p)("ierr",[t,(0,p.z)(),!0],void 0,e.D.jserrors,this.ee)}catch(e){}}return!1}}function F(e,t,r){this.message=e||"Uncaught error with no additional information",this.sourceURL=t,this.line=r}let U=1;const q="nr@id";function G(e){const t=typeof e;return!e||"object"!==t&&"function"!==t?-1:e===c._A?0:(0,I.X)(e,q,(function(){return U++}))}function V(e){if("string"==typeof e&&e.length)return e.length;if("object"==typeof e){if("undefined"!=typeof ArrayBuffer&&e instanceof ArrayBuffer&&e.byteLength)return e.byteLength;if("undefined"!=typeof Blob&&e instanceof Blob&&e.size)return e.size;if(!("undefined"!=typeof FormData&&e instanceof FormData))try{return(0,D.P)(e).length}catch(e){return}}}var X=i(7243);class W{constructor(e){this.agentIdentifier=e,this.generateTracePayload=this.generateTracePayload.bind(this),this.shouldGenerateTrace=this.shouldGenerateTrace.bind(this)}generateTracePayload(e){if(!this.shouldGenerateTrace(e))return null;var r=(0,t.DL)(this.agentIdentifier);if(!r)return null;var n=(r.accountID||"").toString()||null,i=(r.agentID||"").toString()||null,o=(r.trustKey||"").toString()||null;if(!n||!i)return null;var a=(0,_.M)(),s=(0,_.Ht)(),c=Date.now(),u={spanId:a,traceId:s,timestamp:c};return(e.sameOrigin||this.isAllowedOrigin(e)&&this.useTraceContextHeadersForCors())&&(u.traceContextParentHeader=this.generateTraceContextParentHeader(a,s),u.traceContextStateHeader=this.generateTraceContextStateHeader(a,c,n,i,o)),(e.sameOrigin&&!this.excludeNewrelicHeader()||!e.sameOrigin&&this.isAllowedOrigin(e)&&this.useNewrelicHeaderForCors())&&(u.newrelicHeader=this.generateTraceHeader(a,s,c,n,i,o)),u}generateTraceContextParentHeader(e,t){return"00-"+t+"-"+e+"-01"}generateTraceContextStateHeader(e,t,r,n,i){return i+"@nr=0-1-"+r+"-"+n+"-"+e+"----"+t}generateTraceHeader(e,t,r,n,i,o){if(!("function"==typeof c._A?.btoa))return null;var a={v:[0,1],d:{ty:"Browser",ac:n,ap:i,id:e,tr:t,ti:r}};return o&&n!==o&&(a.d.tk=o),btoa((0,D.P)(a))}shouldGenerateTrace(e){return this.isDtEnabled()&&this.isAllowedOrigin(e)}isAllowedOrigin(e){var r=!1,n={};if((0,t.Mt)(this.agentIdentifier,"distributed_tracing")&&(n=(0,t.P_)(this.agentIdentifier).distributed_tracing),e.sameOrigin)r=!0;else if(n.allowed_origins instanceof Array)for(var i=0;i 2&&void 0!==arguments[2])||arguments[2];super(r,n,Z.t,i),(0,t.OP)(r).xhrWrappable&&(this.dt=new W(r),this.handler=(e,t,r,n)=>(0,s.p)(e,t,r,n,this.ee),(0,k.u5)(this.ee),(0,k.Kf)(this.ee),function(r,n,i,o){function a(e){var t=this;t.totalCbs=0,t.called=0,t.cbTime=0,t.end=E,t.ended=!1,t.xhrGuids={},t.lastSize=null,t.loadCaptureCalled=!1,t.params=this.params||{},t.metrics=this.metrics||{},e.addEventListener("load",(function(r){_(t,e)}),(0,O.m$)(!1)),c.IF||e.addEventListener("progress",(function(e){t.lastSize=e.loaded}),(0,O.m$)(!1))}function s(e){this.params={method:e[0]},T(this,e[1]),this.metrics={}}function u(e,n){var i=(0,t.DL)(r);i.xpid&&this.sameOrigin&&n.setRequestHeader("X-NewRelic-ID",i.xpid);var a=o.generateTracePayload(this.parsedOrigin);if(a){var s=!1;a.newrelicHeader&&(n.setRequestHeader("newrelic",a.newrelicHeader),s=!0),a.traceContextParentHeader&&(n.setRequestHeader("traceparent",a.traceContextParentHeader),a.traceContextStateHeader&&n.setRequestHeader("tracestate",a.traceContextStateHeader),s=!0),s&&(this.dt=a)}}function d(e,t){var r=this.metrics,i=e[0],o=this;if(r&&i){var a=V(i);a&&(r.txSize=a)}this.startTime=(0,p.z)(),this.listener=function(e){try{"abort"!==e.type||o.loadCaptureCalled||(o.params.aborted=!0),("load"!==e.type||o.called===o.totalCbs&&(o.onloadCalled||"function"!=typeof t.onload)&&"function"==typeof o.end)&&o.end(t)}catch(e){try{n.emit("internal-error",[e])}catch(e){}}};for(var s=0;s 1?e[1]=i:e.push(i)}else e[0]&&e[0].headers&&s(e[0].headers,n)&&(this.dt=n);function s(e,t){var r=!1;return t.newrelicHeader&&(e.set("newrelic",t.newrelicHeader),r=!0),t.traceContextParentHeader&&(e.set("traceparent",t.traceContextParentHeader),t.traceContextStateHeader&&e.set("tracestate",t.traceContextStateHeader),r=!0),r}}function x(e,t){this.params={},this.metrics={},this.startTime=(0,p.z)(),this.dt=t,e.length>=1&&(this.target=e[0]),e.length>=2&&(this.opts=e[1]);var r,n=this.opts||{},i=this.target;"string"==typeof i?r=i:"object"==typeof i&&i instanceof Y?r=i.url:c._A?.URL&&"object"==typeof i&&i instanceof URL&&(r=i.href),T(this,r);var o=(""+(i&&i instanceof Y&&i.method||n.method||"GET")).toUpperCase();this.params.method=o,this.txSize=V(n.body)||0}function A(t,r){var n;this.endTime=(0,p.z)(),this.params||(this.params={}),this.params.status=r?r.status:0,"string"==typeof this.rxSize&&this.rxSize.length>0&&(n=+this.rxSize);var o={txSize:this.txSize,rxSize:n,duration:(0,p.z)()-this.startTime};i("xhr",[this.params,o,this.startTime,this.endTime,"fetch"],this,e.D.ajax)}function E(t){var r=this.params,n=this.metrics;if(!this.ended){this.ended=!0;for(var o=0;o 2&&void 0!==arguments[2])||arguments[2];super(e,t,we.t,r),this.importAggregator()}}new class{constructor(e){let t=arguments.length>1&&void 0!==arguments[1]?arguments[1]:(0,_.ky)(16);c._A?(this.agentIdentifier=t,this.sharedAggregator=new y({agentIdentifier:this.agentIdentifier}),this.features={},this.desiredFeatures=new Set(e.features||[]),this.desiredFeatures.add(m),Object.assign(this,(0,a.j)(this.agentIdentifier,e,e.loaderType||"agent")),this.start()):(0,l.Z)("Failed to initial the agent. Could not determine the runtime environment.")}get config(){return{info:(0,t.C5)(this.agentIdentifier),init:(0,t.P_)(this.agentIdentifier),loader_config:(0,t.DL)(this.agentIdentifier),runtime:(0,t.OP)(this.agentIdentifier)}}start(){const t="features";try{const r=n(this.agentIdentifier),i=[...this.desiredFeatures];i.sort(((t,r)=>e.p[t.featureName]-e.p[r.featureName])),i.forEach((t=>{if(r[t.featureName]||t.featureName===e.D.pageViewEvent){const n=function(t){switch(t){case e.D.ajax:return[e.D.jserrors];case e.D.sessionTrace:return[e.D.ajax,e.D.pageViewEvent];case e.D.sessionReplay:return[e.D.sessionTrace];case e.D.pageViewTiming:return[e.D.pageViewEvent];default:return[]}}(t.featureName);n.every((e=>r[e]))||(0,l.Z)("".concat(t.featureName," is enabled but one or more dependent features has been disabled (").concat((0,D.P)(n),"). This may cause unintended consequences or missing data...")),this.features[t.featureName]=new t(this.agentIdentifier,this.sharedAggregator)}})),(0,T.Qy)(this.agentIdentifier,this.features,t)}catch(e){(0,l.Z)("Failed to initialize all enabled instrument classes (agent aborted) -",e);for(const e in this.features)this.features[e].abortHandler?.();const r=(0,T.fP)();return delete r.initializedAgents[this.agentIdentifier]?.api,delete r.initializedAgents[this.agentIdentifier]?.[t],delete this.sharedAggregator,r.ee?.abort(),delete r.ee?.get(this.agentIdentifier),!1}}}({features:[J,m,S,class extends h{static featureName=oe;constructor(t,r){if(super(t,r,oe,!(arguments.length>2&&void 0!==arguments[2])||arguments[2]),!c.il)return;const n=this.ee;let i;(0,k.QU)(n),this.eventsEE=(0,k.em)(n),this.eventsEE.on(se,(function(e,t){this.bstStart=(0,p.z)()})),this.eventsEE.on(ae,(function(t,r){(0,s.p)("bst",[t[0],r,this.bstStart,(0,p.z)()],void 0,e.D.sessionTrace,n)})),n.on(ce+ne,(function(e){this.time=(0,p.z)(),this.startPath=location.pathname+location.hash})),n.on(ce+ie,(function(t){(0,s.p)("bstHist",[location.pathname+location.hash,this.startPath,this.time],void 0,e.D.sessionTrace,n)}));try{i=new PerformanceObserver((t=>{const r=t.getEntries();(0,s.p)(te,[r],void 0,e.D.sessionTrace,n)})),i.observe({type:re,buffered:!0})}catch(e){}this.importAggregator({resourceObserver:i})}},C,xe,B,class extends h{static featureName=de;constructor(e,r){if(super(e,r,de,!(arguments.length>2&&void 0!==arguments[2])||arguments[2]),!c.il)return;if(!(0,t.OP)(e).xhrWrappable)return;try{this.removeOnAbort=new AbortController}catch(e){}let n,i=0;const o=this.ee.get("tracer"),a=(0,k._L)(this.ee),s=(0,k.Lg)(this.ee),u=(0,k.BV)(this.ee),d=(0,k.Kf)(this.ee),f=this.ee.get("events"),l=(0,k.u5)(this.ee),h=(0,k.QU)(this.ee),g=(0,k.Gm)(this.ee);function m(e,t){h.emit("newURL",[""+window.location,t])}function v(){i++,n=window.location.hash,this[ve]=(0,p.z)()}function b(){i--,window.location.hash!==n&&m(0,!0);var e=(0,p.z)();this[pe]=~~this[pe]+e-this[ve],this[ye]=e}function y(e,t){e.on(t,(function(){this[t]=(0,p.z)()}))}this.ee.on(ve,v),s.on(be,v),a.on(be,v),this.ee.on(ye,b),s.on(ge,b),a.on(ge,b),this.ee.buffer([ve,ye,"xhr-resolved"],this.featureName),f.buffer([ve],this.featureName),u.buffer(["setTimeout"+le,"clearTimeout"+fe,ve],this.featureName),d.buffer([ve,"new-xhr","send-xhr"+fe],this.featureName),l.buffer([me+fe,me+"-done",me+he+fe,me+he+le],this.featureName),h.buffer(["newURL"],this.featureName),g.buffer([ve],this.featureName),s.buffer(["propagate",be,ge,"executor-err","resolve"+fe],this.featureName),o.buffer([ve,"no-"+ve],this.featureName),a.buffer(["new-jsonp","cb-start","jsonp-error","jsonp-end"],this.featureName),y(l,me+fe),y(l,me+"-done"),y(a,"new-jsonp"),y(a,"jsonp-end"),y(a,"cb-start"),h.on("pushState-end",m),h.on("replaceState-end",m),window.addEventListener("hashchange",m,(0,O.m$)(!0,this.removeOnAbort?.signal)),window.addEventListener("load",m,(0,O.m$)(!0,this.removeOnAbort?.signal)),window.addEventListener("popstate",(function(){m(0,i>1)}),(0,O.m$)(!0,this.removeOnAbort?.signal)),this.abortHandler=this.#e,this.importAggregator()}#e(){this.removeOnAbort?.abort(),this.abortHandler=void 0}}],loaderType:"spa"})})(),window.NRBA=o})(); window.jQuery || document.write(' ') CKEDITOR_BASEPATH='https://f1000research.com/js/vendor/ckeditor/' window.reactTheme = 'research'; window.MathJax = { CommonHTML: { linebreaks: { automatic: true } }, 'HTML-CSS': { linebreaks: { automatic: true } }, SVG: { linebreaks: { automatic: true } }, AuthorInit: function() { MathJax.Hub.Register.MessageHook('End Process', function () { let timeout = false; // holder for timeout id const delay = 250; // delay after event is "complete" to run callback const reflowMath = function() { const dispFormulas = document.querySelectorAll('.disp-formula.panel'); if (!dispFormulas) { return; } for (const dispFormula of dispFormulas) { const child = dispFormula.querySelector('.MathJax_Preview').nextSibling.firstChild; const isMultiline = MathJax.Hub.getAllJax(dispFormula)[0].root.isMultiline; if (dispFormula.offsetWidth < child.offsetWidth || isMultiline) { MathJax.Hub.Queue(['Rerender', MathJax.Hub, dispFormula]); } } }; window.addEventListener('resize', function() { clearTimeout(timeout); // clear the timeout timeout = setTimeout(reflowMath, delay); // start timing for event "completion" }); }); }, }; if (window.location.hash == '#_=_'){ window.location = window.location.href.split('#')[0] } !function(f,b,e,v,n,t,s){if(f.fbq)return;n=f.fbq=function() {n.callMethod? n.callMethod.apply(n,arguments):n.queue.push(arguments)} ;if(!f._fbq)f._fbq=n; n.push=n;n.loaded=!0;n.version='2.0';n.queue=[];t=b.createElement(e);t.async=!0; t.src=v;s=b.getElementsByTagName(e)[0];s.parentNode.insertBefore(t,s)}(window, document,'script','https://connect.facebook.net/en_US/fbevents.js'); fbq('init', '1641728616063202'); fbq('track', "PixelInitialized", {}); (function(h,o,t,j,a,r){ h.hj=h.hj||function(){(h.hj.q=h.hj.q||[]).push(arguments)}; h._hjSettings={hjid:2318163,hjsv:6}; a=o.getElementsByTagName('head')[0]; r=o.createElement('script');r.async=1; r.src=t+h._hjSettings.hjid+j+h._hjSettings.hjsv; a.appendChild(r); })(window,document,'https://static.hotjar.com/c/hotjar-','.js?sv='); search file_upload Submit your research search menu close search Browse Gateways & Collections How to Publish Submit your Research My Submissions Article Guidelines Article Guidelines (New Versions) Open Data, Software and Code Guidelines Open Data and Accessible Source Materials Guidelines (HSS) Open Data, Software and Code Guidelines (PSE) Prepublication Checks Production Process Posters and Slides Guidelines Document Guidelines Article Processing Charges Peer Review Finding Article Reviewers About How it Works For Reviewers Our Advisors Policies Glossary FAQs For Developers Newsroom Contact My Research Submissions Content and Tracking Alerts My Details Sign In file_upload Submit your research { "@context": "https://schema.org", "@type": "ScholarlyArticle", "mainEntityOfPage": { "@type": "WebPage", "@id": "https://f1000research.com/articles/14-38" }, "headline": "Perceptions of communicable disease surveillance system attributes among key informants at primary...", "datePublished": "2025-01-07T09:15:09", "dateModified": "2025-01-07T09:15:09", "author": [ { "@type": "Person", "name": "Mohammed H Alshehri" }, { "@type": "Person", "name": "Khalid M Alzahrani" }, { "@type": "Person", "name": "Ahlam D Alshehri" }, { "@type": "Person", "name": "Nawaf M Alghamdi" }, { "@type": "Person", "name": "Abdullah M MohammedHussain" } ], "publisher": { "@type": "Organization", "name": "F1000Research", "logo": { "@type": "ImageObject", "url": "https://f1000research.com/img/AMP/F1000Research_image.png", "height": 480, "width": 60 } }, "image": { "@type": "ImageObject", "url": "https://f1000research.com/img/AMP/F1000Research_image.png", "height": 1200, "width": 150 }, "description": " Background Communicable disease surveillance systems (CDSSs) are essential for the timely identification and response to health threats, particularly in cities such as Jeddah, which serve as major gateways for international travelers and pilgrims. This study examined key informants’ perceptions of CDSS attributes at primary healthcare centers (PHCCs) in Jeddah, Saudi Arabia. Methods A cross-sectional study was conducted from November 2017 to March 2018 at 45 PHCCs. Key informants completed a validated electronic questionnaire using a seven-point Likert scale to evaluate their perceptions of CDSS attributes, including timeliness, usefulness, simplicity, acceptability, and flexibility. A sensitivity analysis was performed to assess the effect of neutral responses on the findings. Results Of the 42 eligible key informants, 40 participated, yielding a 95% response rate. The CDSS was perceived as timely by 69% of participants, whereas lower proportions rated it as useful (42%), simple (36%), acceptable (24%), and flexible (27%). No substantial associations were found between perceptions and variables such as years of experience, family medicine specialization, or CDSS training. Key informants highlighted staffing gaps (85%) and the need for electronic system implementation (95%) as primary areas for improvement. Conclusion While the CDSS demonstrated relative strength in timeliness, substantial improvements are required in other attributes. The findings underscore the importance of enhanced electronic systems, adequate staffing, and effective training programs. Further quantitative assessments are needed to validate these perceptions and inform improvements at local and national levels. " } { "@context": "http://schema.org", "@type": "BreadcrumbList", "itemListElement": [ { "@type": "ListItem", "position": "1", "item": { "@id": "https://f1000research.com/", "name": "Home" } }, { "@type": "ListItem", "position": "2", "item": { "@id": "https://f1000research.com/browse/articles", "name": "Browse" } }, { "@type": "ListItem", "position": "3", "item": { "@id": "https://f1000research.com/articles/14-38", "name": "Perceptions of communicable disease surveillance system attributes..." } } ] } Home Browse Perceptions of communicable disease surveillance system attributes... ALL Metrics - Views Downloads Get PDF Get XML Cite How to cite this article Alshehri MH, Alzahrani KM, Alshehri AD et al. Perceptions of communicable disease surveillance system attributes among key informants at primary healthcare centers in Jeddah, Saudi Arabia [version 1; peer review: 2 approved with reservations] . F1000Research 2025, 14 :38 ( https://doi.org/10.12688/f1000research.160000.1 ) NOTE: If applicable, it is important to ensure the information in square brackets after the title is included in all citations of this article. Close Copy Citation Details Export Export Citation Sciwheel EndNote Ref. Manager Bibtex ProCite Sente EXPORT Select a format first Track Share ▬ ✚ Research Article Perceptions of communicable disease surveillance system attributes among key informants at primary healthcare centers in Jeddah, Saudi Arabia [version 1; peer review: 2 approved with reservations] Mohammed H Alshehri https://orcid.org/0000-0001-5852-3363 1 , Khalid M Alzahrani 1 , Ahlam D Alshehri 1 , Nawaf M Alghamdi 1 , Abdullah M MohammedHussain 2 Mohammed H Alshehri https://orcid.org/0000-0001-5852-3363 1 , Khalid M Alzahrani 1 , [...] Ahlam D Alshehri 1 , Nawaf M Alghamdi 1 , Abdullah M MohammedHussain 2 PUBLISHED 07 Jan 2025 Author details Author details 1 Public Health Administration, Ministry of Health, Jeddah, Saudi Arabia 2 Comprehensive Screening Center, Jeddah First Health Cluster, Jeddah, Saudi Arabia Mohammed H Alshehri Roles: Conceptualization, Data Curation, Formal Analysis, Investigation, Methodology, Project Administration, Resources, Visualization, Writing – Original Draft Preparation, Writing – Review & Editing Khalid M Alzahrani Roles: Conceptualization, Formal Analysis, Investigation, Methodology, Writing – Original Draft Preparation, Writing – Review & Editing Ahlam D Alshehri Roles: Conceptualization, Data Curation, Investigation, Project Administration, Visualization, Writing – Original Draft Preparation, Writing – Review & Editing Nawaf M Alghamdi Roles: Conceptualization, Data Curation, Investigation, Methodology, Writing – Original Draft Preparation, Writing – Review & Editing Abdullah M MohammedHussain Roles: Data Curation, Investigation, Writing – Original Draft Preparation, Writing – Review & Editing OPEN PEER REVIEW DETAILS REVIEWER STATUS Abstract Background Communicable disease surveillance systems (CDSSs) are essential for the timely identification and response to health threats, particularly in cities such as Jeddah, which serve as major gateways for international travelers and pilgrims. This study examined key informants’ perceptions of CDSS attributes at primary healthcare centers (PHCCs) in Jeddah, Saudi Arabia. Methods A cross-sectional study was conducted from November 2017 to March 2018 at 45 PHCCs. Key informants completed a validated electronic questionnaire using a seven-point Likert scale to evaluate their perceptions of CDSS attributes, including timeliness, usefulness, simplicity, acceptability, and flexibility. A sensitivity analysis was performed to assess the effect of neutral responses on the findings. Results Of the 42 eligible key informants, 40 participated, yielding a 95% response rate. The CDSS was perceived as timely by 69% of participants, whereas lower proportions rated it as useful (42%), simple (36%), acceptable (24%), and flexible (27%). No substantial associations were found between perceptions and variables such as years of experience, family medicine specialization, or CDSS training. Key informants highlighted staffing gaps (85%) and the need for electronic system implementation (95%) as primary areas for improvement. Conclusion While the CDSS demonstrated relative strength in timeliness, substantial improvements are required in other attributes. The findings underscore the importance of enhanced electronic systems, adequate staffing, and effective training programs. Further quantitative assessments are needed to validate these perceptions and inform improvements at local and national levels. READ ALL READ LESS Keywords communicable diseases, disease surveillance, primary healthcare, public health Corresponding Author(s) Mohammed H Alshehri ( [email protected] ) Close Corresponding author: Mohammed H Alshehri Competing interests: No competing interests were disclosed. Grant information: The author(s) declared that no grants were involved in supporting this work. Copyright: © 2025 Alshehri MH et al . This is an open access article distributed under the terms of the Creative Commons Attribution License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. How to cite: Alshehri MH, Alzahrani KM, Alshehri AD et al. Perceptions of communicable disease surveillance system attributes among key informants at primary healthcare centers in Jeddah, Saudi Arabia [version 1; peer review: 2 approved with reservations] . F1000Research 2025, 14 :38 ( https://doi.org/10.12688/f1000research.160000.1 ) First published: 07 Jan 2025, 14 :38 ( https://doi.org/10.12688/f1000research.160000.1 ) Latest published: 07 Jan 2025, 14 :38 ( https://doi.org/10.12688/f1000research.160000.1 ) Introduction Communicable diseases, both emerging and re-emerging, continue to pose substantial global public health challenges. Over the past two decades, experts have emphasized the critical need for establishing robust communicable disease surveillance systems (CDSSs) at national, regional, and global levels to ensure early detection and maintain health security. 1 , 2 The main goal of surveillance is to provide vital information that guides the development and implementation of effective interventions. 3 Communicable diseases such as dengue fever have a relatively higher incidence in Saudi Arabia, particularly in Jeddah, and represent an alarming global concern. 4 As one of Saudi Arabia’s most active and culturally diverse cities, Jeddah has a population of approximately four million individuals, nearly half of whom are foreigners. 5 In 2017, the number of international travelers at King Abdulaziz International Airport exceeded 21 million. 6 This high population mobility, especially during the Umrah and Hajj seasons, substantially increases the risk of importing emerging communicable diseases. 7 Consequently, implementing an efficient and effective CDSS is crucial as a first line of defense for early disease identification. 8 , 9 The key components of surveillance evaluation include the system’s priority diseases, structure, core functions, support functions, and quality. 10 While developed countries primarily focus on quality metrics, including timeliness, completeness, and usefulness, 11 CDSS evaluation in Saudi Arabia emphasizes service quality and healthcare sector improvement. 7 , 12 , 13 Primary healthcare (PHC) providers are critical stakeholders in the CDSS, playing a vital role in policy assessment, development, and the establishment of effective communication channels to deliver appropriate actions. 14 Their involvement in CDSS assessment is essential for fostering mutual understanding and improving system effectiveness. 15 The capacity of primary healthcare centers (PHCCs) to respond rapidly to outbreaks depends on a high-quality CDSS with well-functioning attributes, including timeliness, usefulness, simplicity, acceptability, and flexibility. Periodic evaluations of the CDSS at PHCCs are necessary to ensure optimal system performance and stakeholder engagement. 15 – 17 This study aimed to examine CDSS key informants’ perceptions of system attributes at PHCCs, focusing on timeliness, usefulness, simplicity, acceptability, and flexibility. Methods This cross-sectional study was conducted at all 45 PHCCs located in Jeddah City between November 2017 and March 2018, excluding those in the peripheral and rural districts of the Jeddah governorate. From each PHCC, one physician was selected as a key informant who was designated to oversee the CDSS at the respective PHCC. The study employed an electronic questionnaire adapted from Benson et al., 18 available under a Creative Commons Attribution 4.0 International License. The questionnaire evaluated five key attributes of public health surveillance systems based on the Centers for Disease Control and Prevention guidelines 19 : timeliness, usefulness, simplicity, acceptability, and flexibility. The adapted questionnaire 20 consisted of three sections: (1) demographic characteristics of key informants, (2) perception assessment of these five CDSS attributes, and (3) potential areas for CDSS improvement. Each attribute was assessed through one to four questions, with alternating positive and negative phrasing to minimize response bias. Responses were recorded using a seven-point Likert-type scale (1=strongly disagree to 7=strongly agree). The adaptation involved terminology modifications to reflect local CDSS processes, while maintaining the original question structure and measurement approach. A pilot study was conducted at three randomly selected PHCCs to evaluate the adapted questionnaire’s feasibility and reliability. The questionnaire showed acceptable reliability (Cronbach’s alpha = 0.76). The pilot findings supported proceeding with the adapted questionnaire without further modifications. The main study included 42 key informants from the remaining PHCCs. Data analysis was conducted using Stata Statistical Software (StataCorp. 2015. Stata Statistical Software: Release 14. College Station, TX: StataCorp LP). For each attribute, average points were calculated from the seven-point Likert-type scale responses after reversing scores for negative questions, and frequency distributions were described. Responses were categorized as “agree” (points 5-7) or “disagree” (points 1-3), with the midpoint response (point 4, “neither agree nor disagree”) excluded to minimize central tendency bias. The proportion of participants agreeing with each attribute was then computed. A sensitivity analysis was conducted using three methods to account for midpoint responses: (1) excluding neutral responses, (2) combining neutral responses with “agree,” and (3) combining neutral responses with “disagree.” Statistical significance was set at p ≤ 0.05. Categorical data were analyzed using Pearson’s Chi-squared tests when all expected cell counts were ≥ 5 and Fisher’s exact test otherwise. Ethical considerations This study received initial ethical approval from the Institutional Review Board of Jeddah Health Affairs (approval: A00515) dated October 17, 2017, and final approval on November 24, 2021. The final approval is part of our local IRB’s standard process, where studies receive initial approval to commence followed by a final approval confirming study conduct prior to publication. This two-stage approval process is part of our institutional research governance framework to ensure ongoing ethical compliance throughout the study period. The research was conducted in accordance with the Declaration of Helsinki. Written informed consent was obtained from all participants, and data were anonymized prior to analysis and used exclusively for study purposes. Results A total of 42 key informants of the CDSS at their respective PHCCs were enrolled in the study. After excluding non-respondents (n=2), the final sample comprised 40 participants, yielding a response rate of 95%. Approximately two-thirds of the key informants were male, with a median age of 36.5 years (range: 30–52 years). The median experience in PHC was eight years (interquartile range: 5–11 years). Family medicine specialists constituted the majority of participants (n=24, 60%), while 16 (40%) had no specialty beyond their medical college education. About half of the key informants (55%) had received CDSS training, with 27% completing their training within the previous two years. Table 1 provides a detailed overview of these characteristics. Table 1. Socio-demographic characteristics of the key informants. Characteristic Total (N=40) Gender Male 25 (62.5%) Female 15 (37.5%) Age (years) 26–30 4 (10.0%) 31–35 14 (35.0%) 36–40 16 (40.0%) >40 6 (15.0%) Experience in PHC (years) 1–5 11 (27.5%) 6–10 19 (47.5%) 11–15 8 (20.0%) >15 2 (5.0%) Level of Medical Education Medical college (MBBS) 16 (40.0%) Family medicine specialty 24 (60.0%) Community medicine specialty 0 (0.0%) Training on CDSS 22 (55.0%) Perceptions of CDSS attributes Key informants’ perceptions of CDSS attributes revealed that 17% of participants selected neutral responses (“neither agree nor disagree”) for all attributes except timeliness, where neutral responses were higher (28%). A greater proportion of participants slightly disagreed with all attributes except timeliness, with about half the level of disagreement observed in other attributes. Acceptability and flexibility had the highest proportions of disagreement. Strong disagreement was rare across all attributes, with acceptability showing the highest level of strong disagreement (7.5%). These findings are detailed in Table 2 . Table 2. Key informants’ perceptions of CDSS attributes. Level of agreement Timeliness (N=40) Usefulness (N=40) Simplicity (N=40) Acceptability (N=40) Flexibility (N=40) Strongly agree 3 (7.5%) 2 (5.0%) 2 (5.0%) 1 (2.5%) 1 (2.5%) Agree 9 (22.5%) 1 (2.5%) 6 (15.0%) 3 (7.5%) 4 (10.0%) Slightly agree 8 (20.0%) 11 (27.5%) 4 (10.0%) 4 (10.0%) 4 (10.0%) Neither agree nor disagree 11 (27.5) 7 (17.5%) 7 (17.5%) 6 (15.0%) 7 (17.5%) Slightly disagree 5 (12.5) 12 (30.0%) 13 (32.5%) 10 (25.0%) 10 (25.0%) Disagree 3 (7.5%) 6 (15.0%) 7 (17.5%) 13 (32.5%) 12 (30.0%) Strongly disagree 1 (2.5%) 1 (2.5%) 1 (2.5%) 3 (7.5%) 2 (5.0%) After excluding neutral responses (Method 1), 69% of key informants perceived the CDSS as timely, 42% as useful, 36% as simple, 24% as acceptable, and 27% as flexible ( Figure 1 ). Figure 1. Key informants’ perceptions of CDSS attributes using Method 1 (N=40). The sensitivity analysis evaluated the impact of neutral responses by alternatively including them as agreements (Method 2) or disagreements (Method 3). Method 2 resulted in slightly higher overall attribute scores, whereas Method 3 yielded slightly lower scores. Neither approach revealed significant associations between key informants’ characteristics and their attribute perceptions, confirming minimal central tendency bias ( Table 3 ). Table 3. Sensitivity analysis of key informants’ perceptions of CDSS attributes. Method Timeliness (N=40) Usefulness (N=40) Simplicity (N=40) Acceptability (N=40) Flexibility (N=40) Method 1: “Neither agree nor disagree” excluded 69.0% 42.4% 36.4% 23.5% 27.3% Method 2: “Neither agree nor disagree” included as part of “agree” 77.5% 52.5% 47.5% 35.0% 40.0% Method 3: “Neither agree nor disagree” included as part of “disagree” 50.0% 35.0% 30.0% 20.0% 22.5% Analyzing factors associated with perceptions revealed that key informants with eight or more years of PHC experience reported slightly higher perceptions of the system’s simplicity, acceptability, and flexibility. Those with a family medicine specialty rated the CDSS as simpler, more acceptable, and more flexible but perceived it as less timely and useful. Conversely, key informants who had received CDSS training reported lower perceptions across all attributes. However, statistical analyses showed no significant differences in attribute perceptions based on years of experience, specialty, or training status ( Table 4 ). Table 4. Factors associated with CDSS attributes among key informants using Method 1. Attribute Overall (N=40) ≥ 8 Years of experience (n=22) Family medicine specialty (n=24) Training on CDSS (n=22) Timeliness 69.0% 62.5% ( p =.454) * 66.7% ( p =1.000) * 63.1% ( p =.431) * Usefulness 42.4% 37.5% ( p =.575) 40.9% ( p =.803) 35.0% ( p =.284) Simplicity 36.4% 38.9% ( p =.741) 36.8% ( p =.947) 35.0% ( p =1.000) * Acceptability 23.5% 25.0% ( p =1.000) * 25.0% ( p =1.000) * 20.0% ( p =.689) * Flexibility 27.3% 35.0% ( p =.263) * 31.6% ( p =.698) * 22.2% ( p =.697) * * Fisher’s exact test was used. Perceived issues and interventions While 20% of key informants reported good PHC organizational capacity for CDSS, 90% highlighted reduced and challenging staff availability at the PHC level. Regarding possible interventions to improve the CDSS, key informants strongly endorsed addressing staffing gaps (85%) and implementing electronic systems (95%). Using mobile technology and increasing financial resources received moderate support (43% and 58%, respectively) ( Figure 2 ). Figure 2. Key informants’ perceived intervention that would benefit the CDSS (N=40). Discussion Jeddah’s unique role as the principal gateway for pilgrims from approximately 184 countries makes it one of the largest gatherings of diverse cultures globally. 21 While the Saudi Ministry of Health has extensive experience managing potential health risks associated with such gatherings, the risk of communicable disease importation and spread remains a substantial concern. 22 Our study revealed varying perceptions of CDSS attributes among key informants at PHCCs. The timeliness attribute received the highest score (69%), surpassing other attributes and findings from comparable studies. 15 , 21 This relatively high score might be attributed to the implementation of the Health Electronic Surveillance Network at the administrative level, electronic disease reporting at PHCCs, and heightened awareness of emerging diseases. In contrast, other attributes showed concerning results. The usefulness score (42%) was lower than in similar studies, where most participants actively used generated data and published reports, 23 suggesting potential gaps in CDSS data utilization for disease prevention and control. Similarly, the simplicity score (36%) was notably lower than the 77% reported in a 2016 South African study, 15 possibly due to the absence of a user-friendly electronic system at PHCCs. This finding aligns with an Armenian study 24 that identified system complexity as a substantial challenge. The low acceptability score (24%) suggests reluctance among key informants to engage with the system, potentially due to reported staffing shortages at PHCCs. While concerning, this score is consistent with findings from South Africa’s 2016 CDSS evaluation. 15 Similarly, the flexibility score (27%) highlights challenges in adapting to changing circumstances, echoing findings from an Australian study 23 that identified flexibility as a primary weakness of its system. Interestingly, years of experience, family medicine specialization, and CDSS training showed no significant association with attribute perceptions. This may indicate ineffective training programs or a lack of prioritization of the system among physicians. The finding that two-thirds of key informants expressed dissatisfaction with the current CDSS is concerning. However, the identified causes, including oversight issues, staffing shortages, and electronic system limitations, provide clear opportunities for improvement. Study limitations This study focused exclusively on the PHC level within the Saudi Ministry of Health system, excluding other healthcare levels and sectors, such as military and private healthcare, which might provide different perspectives. Additionally, relying on key informants’ perceptions rather than actual records introduces the potential for social desirability bias. Subsequent research should consider validating these findings through objective measurements. Conclusion While the CDSS demonstrates strength in timeliness, substantial improvements are needed in its usefulness, simplicity, acceptability, and flexibility. The absence of associations between CDSS perceptions and key informants’ characteristics highlights the need to reevaluate existing training programs. Critical priorities include addressing staffing gaps, implementing user-friendly electronic systems, and enhancing data utilization mechanisms. Additional quantitative assessments of CDSS attributes, including input from other healthcare sectors, are necessary to validate these findings and improve system quality locally and nationally. Ethics and consent This study received initial ethical approval from the Institutional Review Board of Jeddah Health Affairs (approval: A00515) dated October 17, 2017, and final approval on November 24, 2021. The final approval is part of our local IRB’s standard process, where studies receive initial approval to commence followed by a final approval confirming study conduct prior to publication. This two-stage approval process is part of our institutional research governance framework to ensure ongoing ethical compliance throughout the study period. The research was conducted in accordance with the Declaration of Helsinki. Written informed consent was obtained from all participants, and data were anonymized prior to analysis and used exclusively for study purposes. Data availability Underlying data Figshare: Perceptions of communicable disease surveillance system attributes among key informants at primary healthcare centers in Jeddah, Saudi Arabia. https://doi.org/10.6084/m9.figshare.27991655.v2 20 This project contains the following underlying data: • Data.xlsx. (Anonymized responses to the questionnaire.) • Data-dictionary.docx. (Documentation of the data variables.) Data are available under the terms of the Creative Commons Attribution 4.0 International license (CC-BY 4.0). Extended data Figshare: Perceptions of communicable disease surveillance system attributes among key informants at primary healthcare centers in Jeddah, Saudi Arabia. https://doi.org/10.6084/m9.figshare.27991655.v2 . 20 This project contains the following extended data: • Questionnaire.docx. (Adapted questionnaire used in the study.) • STROBE-checklist.docx. (Annotated reporting guideline for the study.) Data are available under the terms of the Creative Commons Attribution 4.0 International license (CC-BY 4.0). Acknowledgments The authors express their gratitude to the medical directors and healthcare professionals at the primary healthcare centers in Jeddah for their valuable participation in this study. Special appreciation is extended to the Directorate of Health Affairs in Jeddah for its administrative support throughout the research process. References 1. Morse SS: Public health surveillance and infectious disease detection. Biosecur. Bioterror. 2012; 10 : 6–16. Publisher Full Text 2. World Health Organization: Documentation of integrated disease surveillance and response implementation in the African and Eastern Mediterranean Regions. Geneva: WHO; 2002. Reference Source 3. Nsubuga P, White ME, Thacker SB, et al. : Public health surveillance: a tool for targeting and monitoring interventions. Disease Control Priorities in Developing Countries. 2nd ed.Washington (DC): World Bank; 2006. Reference Source 4. Humphrey JM, Cleton NB, Reusken CB, et al. : Dengue in the Middle East and North Africa: A Systematic Review. PLoS Negl. Trop. Dis. 2016; 10 : e0005194. PubMed Abstract | Publisher Full Text | Free Full Text 5. Saudi General Authority for Statistics: General population and housing census 2010: Detailed results for Makkah. Riyadh: SGAS; 2010. Reference Source 6. Saudi General Authority of Civil Aviation: KSA airports traffic 2017. Riyadh: GACA; 2017. Reference Source 7. Alsahafi AJ, Cheng AC: Knowledge, Attitudes and Behaviours of Healthcare Workers in the Kingdom of Saudi Arabia to MERS Coronavirus and Other Emerging Infectious Diseases. Int. J. Environ. Res. Public Health. 2016; 13 : 1214. PubMed Abstract | Publisher Full Text | Free Full Text 8. Bakarman MA, Al-Raddadi RM: Assessment of reporting and recording system of communicable diseases in Jeddah Region. Saudi Med. J. 2000; 21 : 751–754. PubMed Abstract 9. Ibrahim NK, Al Bar HM: Surveillance of childhood vaccine-preventable diseases at health facilities in Jeddah, Saudi Arabia. East Mediterr. Health J. 2009; 15 : 532–543. PubMed Abstract | Publisher Full Text 10. World Health Organization: Communicable disease surveillance and response systems: Guide to monitoring and evaluating. Lyon: WHO; 2006. Reference Source 11. Sahal N, Reintjes R, Aro AR: Review article: communicable diseases surveillance lessons learned from developed and developing countries: literature review. Scand. J. Public Health. 2009; 37 : 187–200. PubMed Abstract | Publisher Full Text 12. Al-Zahrani I, Al-Rabeah A, Nooh R: Assessment of Knowledge, Attitudes, and Practices of Physicians working at private dispensaries and hospitals in Riyadh city towards the Surveillance System. Saudi Epidemiol. Bull. 2007; 14 : 1–7. Reference Source 13. Alkhalawi MJ, McNabb SJ, Assiri AM, et al. : Evaluation of tuberculosis public health surveillance, Al-Madinah province, Kingdom of Saudi Arabia, 2012. J. Epidemiol. Glob. Health. 2016; 6 : 37–44. PubMed Abstract | Publisher Full Text | Free Full Text 14. Duric P, Ilic S: Primary care physicians and infectious diseases’ notification. Braz. J. Infect. Dis. 2011; 15 : 188. PubMed Abstract | Publisher Full Text 15. Benson FG, Musekiwa A, Blumberg L, et al. : Survey of the perceptions of key stakeholders on the attributes of the South African Notifiable Diseases Surveillance System. BMC Public Health. 2016; 16 : 1120. PubMed Abstract | Publisher Full Text | Free Full Text 16. Ibrahim NK: Surveillance of Communicable Diseases in Era of Emerging Viral Zoonotic Infections: lessons from H1N1. Austin J. Public Health Epidemiol. 2014; 1 : 1005. Reference Source 17. Lafond KE, Dalhatu I, Shinde V, et al. : Notifiable disease reporting among public sector physicians in Nigeria: a cross-sectional survey to evaluate possible barriers and identify best sources of information. BMC Health Serv. Res. 2014; 14 : 568. PubMed Abstract | Publisher Full Text | Free Full Text 18. Benson FG, Musekiwa A, Blumberg L, et al. : Additional file 1: Survey of the perceptions of key stakeholders on the attributes of the South African Notifiable Diseases Surveillance System. Figshare. 2017. Publisher Full Text 19. German RR, Lee LM, Horan JM, et al. : Updated guidelines for evaluating public health surveillance systems: recommendations from the Guidelines Working Group. MMWR Recomm. Rep. 2001; 50 : 1–35. PubMed Abstract 20. Alshehri MH: Perceptions of communicable disease surveillance system attributes among key informants at primary healthcare centers in Jeddah, Saudi Arabia. [Dataset]. figshare. 2024. Publisher Full Text 21. Memish ZA, Al-Rabeeah AA: Public health management of mass gatherings: the Saudi Arabian experience with MERS-CoV. Bull. World Health Organ. 2013; 91 : 899–899A. PubMed Abstract | Publisher Full Text | Free Full Text 22. Memish ZA, Almasri M, Assirri A, et al. : Environmental sampling for respiratory pathogens in Jeddah airport during the 2013 Hajj season. Am. J. Infect. Control. 2014; 42 : 1266–1269. PubMed Abstract | Publisher Full Text | Free Full Text 23. Miller M, Roche P, Spencer J, et al. : Evaluation of Australia’s National Notifiable Disease Surveillance System. Commun. Dis. Intell. Q. Rep. 2004; 28 : 311–323. PubMed Abstract 24. Wuhib T, Chorba TL, Davidiants V, et al. : Assessment of the infectious diseases surveillance system of the Republic of Armenia: an example of surveillance in the Republics of the former Soviet Union. BMC Public Health. 2002; 2 : 3. PubMed Abstract | Publisher Full Text | Free Full Text Comments on this article Comments (0) Version 1 VERSION 1 PUBLISHED 07 Jan 2025 ADD YOUR COMMENT Comment Author details Author details 1 Public Health Administration, Ministry of Health, Jeddah, Saudi Arabia 2 Comprehensive Screening Center, Jeddah First Health Cluster, Jeddah, Saudi Arabia Mohammed H Alshehri Roles: Conceptualization, Data Curation, Formal Analysis, Investigation, Methodology, Project Administration, Resources, Visualization, Writing – Original Draft Preparation, Writing – Review & Editing Khalid M Alzahrani Roles: Conceptualization, Formal Analysis, Investigation, Methodology, Writing – Original Draft Preparation, Writing – Review & Editing Ahlam D Alshehri Roles: Conceptualization, Data Curation, Investigation, Project Administration, Visualization, Writing – Original Draft Preparation, Writing – Review & Editing Nawaf M Alghamdi Roles: Conceptualization, Data Curation, Investigation, Methodology, Writing – Original Draft Preparation, Writing – Review & Editing Abdullah M MohammedHussain Roles: Data Curation, Investigation, Writing – Original Draft Preparation, Writing – Review & Editing Competing interests No competing interests were disclosed. Grant information The author(s) declared that no grants were involved in supporting this work. Article Versions (1) version 1 Published: 07 Jan 2025, 14:38 https://doi.org/10.12688/f1000research.160000.1 Copyright © 2025 Alshehri MH et al . This is an open access article distributed under the terms of the Creative Commons Attribution License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Download Export To Sciwheel Bibtex EndNote ProCite Ref. Manager (RIS) Sente metrics Views Downloads F1000Research - - PubMed Central info_outline Data from PMC are received and updated monthly. - - Citations open_in_new 0 open_in_new 0 open_in_new SEE MORE DETAILS CITE how to cite this article Alshehri MH, Alzahrani KM, Alshehri AD et al. Perceptions of communicable disease surveillance system attributes among key informants at primary healthcare centers in Jeddah, Saudi Arabia [version 1; peer review: 2 approved with reservations] . F1000Research 2025, 14 :38 ( https://doi.org/10.12688/f1000research.160000.1 ) NOTE: If applicable, it is important to ensure the information in square brackets after the title is included in all citations of this article. COPY CITATION DETAILS track receive updates on this article Track an article to receive email alerts on any updates to this article. TRACK THIS ARTICLE Share Open Peer Review Current Reviewer Status: ? Key to Reviewer Statuses VIEW HIDE Approved The paper is scientifically sound in its current form and only minor, if any, improvements are suggested Approved with reservations A number of small changes, sometimes more significant revisions are required to address specific details and improve the papers academic merit. Not approved Fundamental flaws in the paper seriously undermine the findings and conclusions Version 1 VERSION 1 PUBLISHED 07 Jan 2025 Views 0 Cite How to cite this report: Pradhan NA. Reviewer Report For: Perceptions of communicable disease surveillance system attributes among key informants at primary healthcare centers in Jeddah, Saudi Arabia [version 1; peer review: 2 approved with reservations] . F1000Research 2025, 14 :38 ( https://doi.org/10.5256/f1000research.175802.r422112 ) The direct URL for this report is: https://f1000research.com/articles/14-38/v1#referee-response-422112 NOTE: it is important to ensure the information in square brackets after the title is included in this citation. Close Copy Citation Details Reviewer Report 15 Oct 2025 Nousheen Akber Pradhan , University of Toronto,, Toronto, Canada Approved with Reservations VIEWS 0 https://doi.org/10.5256/f1000research.175802.r422112 Recommendations/ comments: Overall, the study contributes important findings. 2nd line in the first para of discussion is very important and must be addressed/ paraphrased in the intro section to strength the rationale. Key ... Continue reading READ ALL Recommendations/ comments: Overall, the study contributes important findings. 2nd line in the first para of discussion is very important and must be addressed/ paraphrased in the intro section to strength the rationale. Key findings from informant's survey must be revisited to revise the findings section of the abstract. Under Intro section, it must be clarified whether there is any CDSS at present or not. What issues have been highlighted in previous CDSS evaluations? and how this study can contribute to CDSS strengthening? It's mentioned that all 45 PHCCs were included and pilot was conducted in three of these, did authors involve findings from pilot study also? Ideally, it should not be included. Under analysis- combining neutral responses with “agree,” and (3) combining neutral responses with “disagree- please provide justifications for combining these with references. To me, neutral response doesn't mean agree or disagree. Under table 1 include key informant's experience. Also, variables are so limited in this table that this table can be removed comfortably with findings included in description. Under findings, I doubt method 2 that says- Neither agree nor disagree” included as part of “agree”- isn't that misleading. Authors are strongly advised to revisit their analysis. I would consider findings under Table 2- as reliable and the ones that has used fisher exact test. Overall, analysis must be reevaluated by a statistician. The headings of the tables must be revisited for proper comprehension and clarity at the end of readers. The sentence "The absence of associations between CDSS perceptions and key informants’ characteristics highlights the need to reevaluate existing training programs" in conclusion is confusing. I don't see that authors were looking at examining associations. Please clarify this. Overall, discussion is too short. Please expand. Please add key recommendations from your study. I think future studies should also include qualitative data to add rich perceptions. Is the work clearly and accurately presented and does it cite the current literature? Yes Is the study design appropriate and is the work technically sound? Yes Are sufficient details of methods and analysis provided to allow replication by others? Yes If applicable, is the statistical analysis and its interpretation appropriate? I cannot comment. A qualified statistician is required. Are all the source data underlying the results available to ensure full reproducibility? Yes Are the conclusions drawn adequately supported by the results? Partly Competing Interests: No competing interests were disclosed. Reviewer Expertise: Health systems, Maternal and child health I confirm that I have read this submission and believe that I have an appropriate level of expertise to confirm that it is of an acceptable scientific standard, however I have significant reservations, as outlined above. Close READ LESS CITE CITE HOW TO CITE THIS REPORT Pradhan NA. Reviewer Report For: Perceptions of communicable disease surveillance system attributes among key informants at primary healthcare centers in Jeddah, Saudi Arabia [version 1; peer review: 2 approved with reservations] . F1000Research 2025, 14 :38 ( https://doi.org/10.5256/f1000research.175802.r422112 ) The direct URL for this report is: https://f1000research.com/articles/14-38/v1#referee-response-422112 NOTE: it is important to ensure the information in square brackets after the title is included in all citations of this article. COPY CITATION DETAILS Report a concern Respond or Comment COMMENT ON THIS REPORT Views 0 Cite How to cite this report: Afaq S. Reviewer Report For: Perceptions of communicable disease surveillance system attributes among key informants at primary healthcare centers in Jeddah, Saudi Arabia [version 1; peer review: 2 approved with reservations] . F1000Research 2025, 14 :38 ( https://doi.org/10.5256/f1000research.175802.r418491 ) The direct URL for this report is: https://f1000research.com/articles/14-38/v1#referee-response-418491 NOTE: it is important to ensure the information in square brackets after the title is included in this citation. Close Copy Citation Details Reviewer Report 07 Oct 2025 Saima Afaq , University of York, York, YO, UK Approved with Reservations VIEWS 0 https://doi.org/10.5256/f1000research.175802.r418491 This study assessed perceptions of communicable disease surveillance system (CDSS) attributes among 40 key informants at primary healthcare centers in Jeddah, Saudi Arabia. Using a validated questionnaire, the authors evaluated timeliness, usefulness, simplicity, acceptability, and flexibility. The system was perceived ... Continue reading READ ALL This study assessed perceptions of communicable disease surveillance system (CDSS) attributes among 40 key informants at primary healthcare centers in Jeddah, Saudi Arabia. Using a validated questionnaire, the authors evaluated timeliness, usefulness, simplicity, acceptability, and flexibility. The system was perceived as timely (69%), but much lower ratings were given for usefulness (42%), simplicity (36%), acceptability (24%), and flexibility (27%). Key informants identified staffing shortages and the need for electronic systems as main areas for improvement. Comments: 1. The introduction is generally clear and provides good context for the study; however, it would benefit from tightening to avoid repetition and to ensure that the framing is supported by the most up-to-date literature. The manuscript cites relevant foundational literature, e.g., WHO (2006; Ref #10), South Africa (2016; Ref #15), and Australia (2004; Ref #23). While appropriate, these are somewhat dated and should be supplemented with more recent studies, particularly from the Gulf region and post-2018. Additionally the authors may include references on the Saudi Arabia’s Health Electronic Surveillance Network (HESN) and its role in communicable disease reporting (doi: 10.1186/s42506-021-00074-1 ) and evaluations of COVID-19 digital surveillance in GCC countries (2020–2023) (doi: 10.2196/53219 ). 2. The cross-sectional survey of key informants across PHCCs is appropriate. The adaptation of a validated questionnaire adds strength. However, limitations of relying solely on perceptions should be more explicitly acknowledged. Some specific points for the strengthening of methods: a) “From each PHCC, one physician was selected as a key informant…” Clarify the rationale for choosing only physicians and whether including other staff (e.g., nurses, data officers) might have provided broader insights. b) “Two-thirds of key informants expressed dissatisfaction with the current CDSS.” Reframe as “a majority reported low perceptions of attributes” rather than “expressed dissatisfaction,” since perception surveys cannot directly measure dissatisfaction. 3. The methods are mostly well-described, but some areas require clarification to ensure replicability. For example: a) “Responses were recorded using a seven-point Likert-type scale … after reversing scores for negative questions.” Provide an example of how reverse coding was applied to clarify scoring. b) “Neutral responses … excluded to minimize central tendency bias.” Provide justification for excluding neutral responses. This decision could bias results, so a short rationale would strengthen transparency. c) The authors included all eligible physicians responsible for CDSS at PHCCs in Jeddah. This maximises coverage within the study setting, but it would be helpful to explicitly state that the sample size was determined by the total available population rather than an a priori calculation. At the same time, the limited number of respondents reduces power for subgroup comparisons. Acknowledge this limitation in the Discussion and frame findings accordingly. 4. The statistical methods are appropriate. However, interpretation sometimes overreaches given the sample size. Specific points from the literature that should be revised include: a) Results : “Neither approach revealed significant associations … confirming minimal central tendency bias.” Use more cautious language such as “suggesting minimal bias” , since the small sample may lack power. b) Discussion : “Key informants who had received CDSS training reported lower perceptions across all attributes.” Interpret cautiously, this might be due to small numbers or confounding, rather than ineffective training. Phrase as a possible explanation, not a definitive finding. Overall I would suggest the authors present their findings primarily as exploratory/descriptive rather than placing emphasis on statistical significance at p ≤ 0.05 . While 0.05 is a conventional threshold, it is not a strict rule. In small-sample, exploratory studies (such as this one with N=40), formal hypothesis testing has limited value due to low statistical power. I recommend clarifying that the analysis was exploratory, with results interpreted descriptively rather than as definitive evidence of associations. Likewise in Table 4, several comparisons are presented with p-values, but none reached significance. Consider removing emphasis on the threshold and instead highlighting the patterns observed (e.g., family medicine specialists rating some attributes more positively). This would better reflect the purpose of a perception study and avoid overstating null findings. 5. The main conclusion, that timeliness is perceived more positively than other attributes, is consistent with the findings; however, certain interpretations extend beyond what the data can support. For instance, the statement, “The finding that two-thirds of key informants expressed dissatisfaction with the current CDSS is concerning,” overstates the results, as the survey measured perceptions rather than dissatisfaction. I recommend rephrasing more neutrally as: “A majority of respondents rated attributes other than timeliness poorly.” Similarly, the statement, “This may indicate ineffective training programs,” is too definitive given the limited sample size and design. A more cautious interpretation would be: “This could reflect limitations in current training approaches, though further study is needed.” These adjustments would ensure that the conclusions remain well-aligned with the evidence presented. Is the work clearly and accurately presented and does it cite the current literature? Partly Is the study design appropriate and is the work technically sound? Yes Are sufficient details of methods and analysis provided to allow replication by others? Partly If applicable, is the statistical analysis and its interpretation appropriate? Yes Are all the source data underlying the results available to ensure full reproducibility? Yes Are the conclusions drawn adequately supported by the results? Partly Competing Interests: No competing interests were disclosed. Reviewer Expertise: Global Public Health I confirm that I have read this submission and believe that I have an appropriate level of expertise to confirm that it is of an acceptable scientific standard, however I have significant reservations, as outlined above. Close READ LESS CITE CITE HOW TO CITE THIS REPORT Afaq S. Reviewer Report For: Perceptions of communicable disease surveillance system attributes among key informants at primary healthcare centers in Jeddah, Saudi Arabia [version 1; peer review: 2 approved with reservations] . F1000Research 2025, 14 :38 ( https://doi.org/10.5256/f1000research.175802.r418491 ) The direct URL for this report is: https://f1000research.com/articles/14-38/v1#referee-response-418491 NOTE: it is important to ensure the information in square brackets after the title is included in all citations of this article. COPY CITATION DETAILS Report a concern Respond or Comment COMMENT ON THIS REPORT Comments on this article Comments (0) Version 1 VERSION 1 PUBLISHED 07 Jan 2025 ADD YOUR COMMENT Comment keyboard_arrow_left keyboard_arrow_right Open Peer Review Reviewer Status info_outline Alongside their report, reviewers assign a status to the article: Approved The paper is scientifically sound in its current form and only minor, if any, improvements are suggested Approved with reservations A number of small changes, sometimes more significant revisions are required to address specific details and improve the papers academic merit. Not approved Fundamental flaws in the paper seriously undermine the findings and conclusions Reviewer Reports Invited Reviewers 1 2 Version 1 07 Jan 25 read read Saima Afaq , University of York, York, UK Nousheen Akber Pradhan , University of Toronto,, Toronto, Canada Comments on this article All Comments (0) Add a comment Sign up for content alerts Sign Up You are now signed up to receive this alert Browse by related subjects keyboard_arrow_left Back to all reports Reviewer Report 0 Views copyright © 2025 Pradhan N. This is an open access peer review report distributed under the terms of the Creative Commons Attribution License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. 15 Oct 2025 | for Version 1 Nousheen Akber Pradhan , University of Toronto,, Toronto, Canada 0 Views copyright © 2025 Pradhan N. This is an open access peer review report distributed under the terms of the Creative Commons Attribution License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. format_quote Cite this report speaker_notes Responses (0) Approved With Reservations info_outline Alongside their report, reviewers assign a status to the article: Approved The paper is scientifically sound in its current form and only minor, if any, improvements are suggested Approved with reservations A number of small changes, sometimes more significant revisions are required to address specific details and improve the papers academic merit. Not approved Fundamental flaws in the paper seriously undermine the findings and conclusions Recommendations/ comments: Overall, the study contributes important findings. 2nd line in the first para of discussion is very important and must be addressed/ paraphrased in the intro section to strength the rationale. Key findings from informant's survey must be revisited to revise the findings section of the abstract. Under Intro section, it must be clarified whether there is any CDSS at present or not. What issues have been highlighted in previous CDSS evaluations? and how this study can contribute to CDSS strengthening? It's mentioned that all 45 PHCCs were included and pilot was conducted in three of these, did authors involve findings from pilot study also? Ideally, it should not be included. Under analysis- combining neutral responses with “agree,” and (3) combining neutral responses with “disagree- please provide justifications for combining these with references. To me, neutral response doesn't mean agree or disagree. Under table 1 include key informant's experience. Also, variables are so limited in this table that this table can be removed comfortably with findings included in description. Under findings, I doubt method 2 that says- Neither agree nor disagree” included as part of “agree”- isn't that misleading. Authors are strongly advised to revisit their analysis. I would consider findings under Table 2- as reliable and the ones that has used fisher exact test. Overall, analysis must be reevaluated by a statistician. The headings of the tables must be revisited for proper comprehension and clarity at the end of readers. The sentence "The absence of associations between CDSS perceptions and key informants’ characteristics highlights the need to reevaluate existing training programs" in conclusion is confusing. I don't see that authors were looking at examining associations. Please clarify this. Overall, discussion is too short. Please expand. Please add key recommendations from your study. I think future studies should also include qualitative data to add rich perceptions. Is the work clearly and accurately presented and does it cite the current literature? Yes Is the study design appropriate and is the work technically sound? Yes Are sufficient details of methods and analysis provided to allow replication by others? Yes If applicable, is the statistical analysis and its interpretation appropriate? I cannot comment. A qualified statistician is required. Are all the source data underlying the results available to ensure full reproducibility? Yes Are the conclusions drawn adequately supported by the results? Partly Competing Interests No competing interests were disclosed. Reviewer Expertise Health systems, Maternal and child health I confirm that I have read this submission and believe that I have an appropriate level of expertise to confirm that it is of an acceptable scientific standard, however I have significant reservations, as outlined above. reply Respond to this report Responses (0) Pradhan NA. Peer Review Report For: Perceptions of communicable disease surveillance system attributes among key informants at primary healthcare centers in Jeddah, Saudi Arabia [version 1; peer review: 2 approved with reservations] . F1000Research 2025, 14 :38 ( https://doi.org/10.5256/f1000research.175802.r422112) NOTE: it is important to ensure the information in square brackets after the title is included in this citation. The direct URL for this report is: https://f1000research.com/articles/14-38/v1#referee-response-422112 keyboard_arrow_left Back to all reports Reviewer Report 0 Views copyright © 2025 Afaq S. This is an open access peer review report distributed under the terms of the Creative Commons Attribution License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. 07 Oct 2025 | for Version 1 Saima Afaq , University of York, York, YO, UK 0 Views copyright © 2025 Afaq S. This is an open access peer review report distributed under the terms of the Creative Commons Attribution License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. format_quote Cite this report speaker_notes Responses (0) Approved With Reservations info_outline Alongside their report, reviewers assign a status to the article: Approved The paper is scientifically sound in its current form and only minor, if any, improvements are suggested Approved with reservations A number of small changes, sometimes more significant revisions are required to address specific details and improve the papers academic merit. Not approved Fundamental flaws in the paper seriously undermine the findings and conclusions This study assessed perceptions of communicable disease surveillance system (CDSS) attributes among 40 key informants at primary healthcare centers in Jeddah, Saudi Arabia. Using a validated questionnaire, the authors evaluated timeliness, usefulness, simplicity, acceptability, and flexibility. The system was perceived as timely (69%), but much lower ratings were given for usefulness (42%), simplicity (36%), acceptability (24%), and flexibility (27%). Key informants identified staffing shortages and the need for electronic systems as main areas for improvement. Comments: 1. The introduction is generally clear and provides good context for the study; however, it would benefit from tightening to avoid repetition and to ensure that the framing is supported by the most up-to-date literature. The manuscript cites relevant foundational literature, e.g., WHO (2006; Ref #10), South Africa (2016; Ref #15), and Australia (2004; Ref #23). While appropriate, these are somewhat dated and should be supplemented with more recent studies, particularly from the Gulf region and post-2018. Additionally the authors may include references on the Saudi Arabia’s Health Electronic Surveillance Network (HESN) and its role in communicable disease reporting (doi: 10.1186/s42506-021-00074-1 ) and evaluations of COVID-19 digital surveillance in GCC countries (2020–2023) (doi: 10.2196/53219 ). 2. The cross-sectional survey of key informants across PHCCs is appropriate. The adaptation of a validated questionnaire adds strength. However, limitations of relying solely on perceptions should be more explicitly acknowledged. Some specific points for the strengthening of methods: a) “From each PHCC, one physician was selected as a key informant…” Clarify the rationale for choosing only physicians and whether including other staff (e.g., nurses, data officers) might have provided broader insights. b) “Two-thirds of key informants expressed dissatisfaction with the current CDSS.” Reframe as “a majority reported low perceptions of attributes” rather than “expressed dissatisfaction,” since perception surveys cannot directly measure dissatisfaction. 3. The methods are mostly well-described, but some areas require clarification to ensure replicability. For example: a) “Responses were recorded using a seven-point Likert-type scale … after reversing scores for negative questions.” Provide an example of how reverse coding was applied to clarify scoring. b) “Neutral responses … excluded to minimize central tendency bias.” Provide justification for excluding neutral responses. This decision could bias results, so a short rationale would strengthen transparency. c) The authors included all eligible physicians responsible for CDSS at PHCCs in Jeddah. This maximises coverage within the study setting, but it would be helpful to explicitly state that the sample size was determined by the total available population rather than an a priori calculation. At the same time, the limited number of respondents reduces power for subgroup comparisons. Acknowledge this limitation in the Discussion and frame findings accordingly. 4. The statistical methods are appropriate. However, interpretation sometimes overreaches given the sample size. Specific points from the literature that should be revised include: a) Results : “Neither approach revealed significant associations … confirming minimal central tendency bias.” Use more cautious language such as “suggesting minimal bias” , since the small sample may lack power. b) Discussion : “Key informants who had received CDSS training reported lower perceptions across all attributes.” Interpret cautiously, this might be due to small numbers or confounding, rather than ineffective training. Phrase as a possible explanation, not a definitive finding. Overall I would suggest the authors present their findings primarily as exploratory/descriptive rather than placing emphasis on statistical significance at p ≤ 0.05 . While 0.05 is a conventional threshold, it is not a strict rule. In small-sample, exploratory studies (such as this one with N=40), formal hypothesis testing has limited value due to low statistical power. I recommend clarifying that the analysis was exploratory, with results interpreted descriptively rather than as definitive evidence of associations. Likewise in Table 4, several comparisons are presented with p-values, but none reached significance. Consider removing emphasis on the threshold and instead highlighting the patterns observed (e.g., family medicine specialists rating some attributes more positively). This would better reflect the purpose of a perception study and avoid overstating null findings. 5. The main conclusion, that timeliness is perceived more positively than other attributes, is consistent with the findings; however, certain interpretations extend beyond what the data can support. For instance, the statement, “The finding that two-thirds of key informants expressed dissatisfaction with the current CDSS is concerning,” overstates the results, as the survey measured perceptions rather than dissatisfaction. I recommend rephrasing more neutrally as: “A majority of respondents rated attributes other than timeliness poorly.” Similarly, the statement, “This may indicate ineffective training programs,” is too definitive given the limited sample size and design. A more cautious interpretation would be: “This could reflect limitations in current training approaches, though further study is needed.” These adjustments would ensure that the conclusions remain well-aligned with the evidence presented. Is the work clearly and accurately presented and does it cite the current literature? Partly Is the study design appropriate and is the work technically sound? Yes Are sufficient details of methods and analysis provided to allow replication by others? Partly If applicable, is the statistical analysis and its interpretation appropriate? Yes Are all the source data underlying the results available to ensure full reproducibility? Yes Are the conclusions drawn adequately supported by the results? Partly Competing Interests No competing interests were disclosed. Reviewer Expertise Global Public Health I confirm that I have read this submission and believe that I have an appropriate level of expertise to confirm that it is of an acceptable scientific standard, however I have significant reservations, as outlined above. reply Respond to this report Responses (0) Afaq S. Peer Review Report For: Perceptions of communicable disease surveillance system attributes among key informants at primary healthcare centers in Jeddah, Saudi Arabia [version 1; peer review: 2 approved with reservations] . F1000Research 2025, 14 :38 ( https://doi.org/10.5256/f1000research.175802.r418491) NOTE: it is important to ensure the information in square brackets after the title is included in this citation. The direct URL for this report is: https://f1000research.com/articles/14-38/v1#referee-response-418491 Alongside their report, reviewers assign a status to the article: Approved - the paper is scientifically sound in its current form and only minor, if any, improvements are suggested Approved with reservations - A number of small changes, sometimes more significant revisions are required to address specific details and improve the papers academic merit. Not approved - fundamental flaws in the paper seriously undermine the findings and conclusions Adjust parameters to alter display View on desktop for interactive features Includes Interactive Elements View on desktop for interactive features Competing Interests Policy Provide sufficient details of any financial or non-financial competing interests to enable users to assess whether your comments might lead a reasonable person to question your impartiality. Consider the following examples, but note that this is not an exhaustive list: Examples of 'Non-Financial Competing Interests' Within the past 4 years, you have held joint grants, published or collaborated with any of the authors of the selected paper. You have a close personal relationship (e.g. parent, spouse, sibling, or domestic partner) with any of the authors. You are a close professional associate of any of the authors (e.g. scientific mentor, recent student). You work at the same institute as any of the authors. You hope/expect to benefit (e.g. favour or employment) as a result of your submission. You are an Editor for the journal in which the article is published. Examples of 'Financial Competing Interests' You expect to receive, or in the past 4 years have received, any of the following from any commercial organisation that may gain financially from your submission: a salary, fees, funding, reimbursements. You expect to receive, or in the past 4 years have received, shared grant support or other funding with any of the authors. You hold, or are currently applying for, any patents or significant stocks/shares relating to the subject matter of the paper you are commenting on. Stay Updated Sign up for content alerts and receive a weekly or monthly email with all newly published articles Register with F1000Research Already registered? Sign in Not now, thanks close PLEASE NOTE If you are an AUTHOR of this article, please check that you signed in with the account associated with this article otherwise we cannot automatically identify your role as an author and your comment will be labelled as a “User Comment”. If you are a REVIEWER of this article, please check that you have signed in with the account associated with this article and then go to your account to submit your report, please do not post your review here. If you do not have access to your original account, please contact us . All commenters must hold a formal affiliation as per our Policies . The information that you give us will be displayed next to your comment. User comments must be in English, comprehensible and relevant to the article under discussion. We reserve the right to remove any comments that we consider to be inappropriate, offensive or otherwise in breach of the User Comment Terms and Conditions . Commenters must not use a comment for personal attacks. When criticisms of the article are based on unpublished data, the data should be made available. I accept the User Comment Terms and Conditions Please confirm that you accept the User Comment Terms and Conditions. Affiliation ✕ refresh Please enter your institution. Note: To add your institution or organisation, start typing the name and then select the correct name from the list. Where applicable, the name will appear in both the original language and in English. Do not paste in the name. If the name does not appear in the drop-down list, we will display the information you have entered. ✕ refresh Country/Region * USA UK Canada China France Germany Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory British Virgin Islands Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Cote d'Ivoire Croatia Cuba Cyprus Czech Republic Democratic Republic of the Congo Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Federated States of Micronesia Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and Mcdonald Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kosovo (Serbia and Montenegro) Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Minor Outlying Islands of the United States Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea North Macedonia Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territory Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Helena Saint Kitts and Nevis Saint Lucia Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Is South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand The Gambia The Netherlands Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu UK USA Uganda Ukraine United Arab Emirates United States Virgin Islands Uruguay Uzbekistan Vanuatu Venezuela Vietnam Wallis and Futuna West Bank and Gaza Strip Western Sahara Yemen Zambia Zimbabwe Please select your country/region. You must enter a comment. Competing Interests Please disclose any competing interests that might be construed to influence your judgment of the article's or peer review report's validity or importance. Competing Interests Policy Provide sufficient details of any financial or non-financial competing interests to enable users to assess whether your comments might lead a reasonable person to question your impartiality. Consider the following examples, but note that this is not an exhaustive list: Examples of 'Non-Financial Competing Interests' Within the past 4 years, you have held joint grants, published or collaborated with any of the authors of the selected paper. You have a close personal relationship (e.g. parent, spouse, sibling, or domestic partner) with any of the authors. You are a close professional associate of any of the authors (e.g. scientific mentor, recent student). You work at the same institute as any of the authors. You hope/expect to benefit (e.g. favour or employment) as a result of your submission. You are an Editor for the journal in which the article is published. Examples of 'Financial Competing Interests' You expect to receive, or in the past 4 years have received, any of the following from any commercial organisation that may gain financially from your submission: a salary, fees, funding, reimbursements. You expect to receive, or in the past 4 years have received, shared grant support or other funding with any of the authors. You hold, or are currently applying for, any patents or significant stocks/shares relating to the subject matter of the paper you are commenting on. Please state your competing interests The comment has been saved. An error has occurred. Please try again. Cancel Post var lTitle = "Perceptions of communicable disease surveillance...".replace("'", ''); var linkedInUrl = "http://www.linkedin.com/shareArticle?url=https://f1000research.com/articles/14-38/v1" + "&title=" + encodeURIComponent(lTitle) + "&summary=" + encodeURIComponent('Read the article by '); var deliciousUrl = "https://del.icio.us/post?url=https://f1000research.com/articles/14-38/v1&title=" + encodeURIComponent(lTitle); var redditUrl = "http://reddit.com/submit?url=https://f1000research.com/articles/14-38/v1" + "&title=" + encodeURIComponent(lTitle); linkedInUrl += encodeURIComponent('Alshehri MH et al.'); var offsetTop = /chrome/i.test( navigator.userAgent ) ? 4 : -10; var addthis_config = { ui_offset_top: offsetTop, services_compact : "facebook,twitter,www.linkedin.com,www.mendeley.com,reddit.com", services_expanded : "facebook,twitter,www.linkedin.com,www.mendeley.com,reddit.com", services_custom : [ { name: "LinkedIn", url: linkedInUrl, icon:"/img/icon/at_linkedin.svg" }, { name: "Mendeley", url: "http://www.mendeley.com/import/?url=https://f1000research.com/articles/14-38/v1/mendeley", icon:"/img/icon/at_mendeley.svg" }, { name: "Reddit", url: redditUrl, icon:"/img/icon/at_reddit.svg" }, ] }; var addthis_share = { url: "https://f1000research.com/articles/14-38", templates : { twitter : "Perceptions of communicable disease surveillance system attributes.... Alshehri MH et al., published by " + "@F1000Research" + ", https://f1000research.com/articles/14-38/v1" } }; if (typeof(addthis) != "undefined"){ addthis.addEventListener('addthis.ready', checkCount); addthis.addEventListener('addthis.menu.share', checkCount); } $(".f1r-shares-twitter").attr("href", "https://twitter.com/intent/tweet?text=" + addthis_share.templates.twitter); $(".f1r-shares-facebook").attr("href", "https://www.facebook.com/sharer/sharer.php?u=" + addthis_share.url); $(".f1r-shares-linkedin").attr("href", addthis_config.services_custom[0].url); $(".f1r-shares-reddit").attr("href", addthis_config.services_custom[2].url); $(".f1r-shares-mendelay").attr("href", addthis_config.services_custom[1].url); function checkCount(){ setTimeout(function(){ $(".addthis_button_expanded").each(function(){ var count = $(this).text(); if (count !== "" && count != "0") $(this).removeClass("is-hidden"); else $(this).addClass("is-hidden"); }); }, 1000); } close How to cite this report {{reportCitation}} Cancel Copy Citation Details $(function(){R.ui.buttonDropdowns('.dropdown-for-downloads');}); $(function(){R.ui.toolbarDropdowns('.toolbar-dropdown-for-downloads');}); $.get("/articles/acj/160000/175802") new F1000.Clipboard(); new F1000.ThesaurusTermsDisplay("articles", "article", "175802"); $(document).ready(function() { $( "#frame1" ).on('load', function() { var mydiv = $(this).contents().find("div"); var h = mydiv.height(); console.log(h) }); var tooltipLivingFigure = jQuery(".interactive-living-figure-label .icon-more-info"), titleLivingFigure = tooltipLivingFigure.attr("title"); tooltipLivingFigure.simpletip({ fixed: true, position: ["-115", "30"], baseClass: 'small-tooltip', content:titleLivingFigure + " " }); tooltipLivingFigure.removeAttr("title"); $("body").on("click", ".cite-living-figure", function(e) { e.preventDefault(); var ref = $(this).attr("data-ref"); $(this).closest(".living-figure-list-container").find("#" + ref).fadeIn(200); }); $("body").on("click", ".close-cite-living-figure", function(e) { e.preventDefault(); $(this).closest(".popup-window-wrapper").fadeOut(200); }); $(document).on("mouseup", function(e) { var metricsContainer = $(".article-metrics-popover-wrapper"); if (!metricsContainer.is(e.target) && metricsContainer.has(e.target).length === 0) { $(".article-metrics-close-button").click(); } }); var articleId = $('#articleId').val(); if($("#main-article-count-box").attachArticleMetrics) { $("#main-article-count-box").attachArticleMetrics(articleId, { articleMetricsView: true }); } }); var figshareWidget = $(".new_figshare_widget"); if (figshareWidget.length > 0) { window.figshare.load("f1000", function(Widget) { // Select a tag/tags defined in your page. In this tag we will place the widget. _.map(figshareWidget, function(el){ var widget = new Widget({ articleId: $(el).attr("figshare_articleId") //height:300 // this is the height of the viewer part. [Default: 550] }); widget.initialize(); // initialize the widget widget.mount(el); // mount it in a tag that's on your page // this will save the widget on the global scope for later use from // your JS scripts. This line is optional. //window.widget = widget; }); }); } close Error Close Add Reset F1000.MICROSERVICES.AFFILIATION = ''; $(document).ready(function () { $('.js-affiliations-form').each((index, form) => { new AffiliationForm({ formId: form.id, institutionErrorSelector: '.comment-enter-institution', departmentErrorSelector: '.comment-enter-department', placeSelector: '.js-add-comment-place', stateSelector: '.js-add-comment-state', zipCodeSelector: '.js-add-comment-zipcode', countrySelector: '.js-add-comment-country', countryErrorSelector: '.comment-enter-country', }); }); }); $(document).ready(function () { var reportIds = { "357645": 0, "357644": 0, "357647": 0, "357646": 0, "357653": 0, "357652": 0, "357649": 0, "357648": 0, "357651": 0, "357650": 0, "418494": 0, "359869": 0, "418495": 0, "359868": 0, "418492": 0, "359871": 0, "418493": 0, "359870": 0, "418490": 0, "359865": 0, "418491": 4, "359864": 0, "359867": 0, "418489": 0, "359866": 0, "418498": 0, "359873": 0, "359872": 0, "418496": 0, "418497": 0, "422110": 0, "422111": 0, "422118": 0, "422119": 0, "422116": 0, "422117": 0, "422114": 0, "422115": 0, "422112": 3, "422113": 0, "362477": 0, "362476": 0, "362479": 0, "362478": 0, "362473": 0, "362472": 0, "362475": 0, "362474": 0, "362481": 0, "362480": 0, }; $(".referee-response-container,.js-referee-report").each(function(index, el) { var reportId = $(el).attr("data-reportid"), reportCount = reportIds[reportId] || 0; $(el).find(".comments-count-container,.js-referee-report-views").html(reportCount); }); var uuidInput = $("#article_uuid"), oldUUId = uuidInput.val(), newUUId = "c198c3b3-c3fa-4486-8f1a-0a52126308c5"; uuidInput.val(newUUId); $("a[href*='article_uuid=']").each(function(index, el) { var newHref = $(el).attr("href").replace(oldUUId, newUUId); $(el).attr("href", newHref); }); }); An innovative open access publishing platform offering rapid publication and open peer review, whilst supporting data deposition and sharing. Browse Gateways Collections How it Works Contact For Developers Cookie Notice Privacy Notice RSS Submit Your Research Follow us © 2012-2026 F1000 Research Ltd. ISSN 2046-1402 | Legal | Partner of Research4Life • CrossRef • ORCID • FAIRSharing R.templateTests.simpleTemplate = R.template(' $text $text $text $text $text '); R.templateTests.runTests(); var F1000platform = new F1000.Platform({ name: "f1000research", displayName: "F1000Research", hostName: "f1000research.com", id: "1", editorialEmail: "[email protected]", infoEmail: "[email protected]", usePmcStats: true }); $(function(){R.ui.dropdowns('.dropdown-for-authors, .dropdown-for-about, .dropdown-for-myresearch');}); // $(function(){R.ui.dropdowns('.dropdown-for-referees');}); $(document).ready(function () { if ($(".cookie-warning").is(":visible")) { $(".sticky").css("margin-bottom", "35px"); $(".devices").addClass("devices-and-cookie-warning"); } $(".cookie-warning .close-button").click(function (e) { $(".devices").removeClass("devices-and-cookie-warning"); $(".sticky").css("margin-bottom", "0"); }); $("#tweeter-feed .tweet-message").each(function (i, message) { var self = $(message); self.html(linkify(self.html())); }); $(".partner").on("mouseenter mouseleave", function() { $(this).find(".gray-scale, .colour").toggleClass("is-hidden"); }); }); Sign In Remember me Forgotten your password? Sign In Cancel Email or password not correct. Please try again Please wait... $(function(){ // Note: All the setup needs to run against a name attribute and *not* the id due the clonish // nature of facebox... $("a[id=googleSignInButton]").click(function(event){ event.preventDefault(); $("input[id=oAuthSystem]").val("GOOGLE"); $("form[id=oAuthForm]").submit(); }); $("a[id=facebookSignInButton]").click(function(event){ event.preventDefault(); $("input[id=oAuthSystem]").val("FACEBOOK"); $("form[id=oAuthForm]").submit(); }); $("a[id=orcidSignInButton]").click(function(event){ event.preventDefault(); $("input[id=oAuthSystem]").val("ORCID"); $("form[id=oAuthForm]").submit(); }); }); If you've forgotten your password, please enter your email address below and we'll send you instructions on how to reset your password. The email address should be the one you originally registered with F1000. Email address not valid, please try again You registered with F1000 via Google, so we cannot reset your password. To sign in, please click here . If you still need help with your Google account password, please click here . You registered with F1000 via Facebook, so we cannot reset your password. To sign in, please click here . If you still need help with your Facebook account password, please click here . Code not correct, please try again Reset password Cancel Email us for further assistance. Server error, please try again. If your email address is registered with us, we will email you instructions to reset your password. If you think you should have received this email but it has not arrived, please check your spam filters and/or contact for further assistance. Please wait... Register $(document).ready(function () { signIn.createSignInAsRow($("#sign-in-form-gfb-popup")); $(".target-field").each(function () { var uris = $(this).val().split("/"); if (uris.pop() === "login") { $(this).val(uris.toString().replace(",","/")); } }); });