This technical report presents an analysis focusing on three issues (testing and surveillance, healthcare sector coordination, and emergency risk communication) during the first phase of the COVID-19 pandemic.

This issue of the ECDC Communicable Disease Threats Report (CDTR) covers the period 18-24 September 2022 and includes updates on cholera, polio, COVID-19, monkeypox, West Nile virus, and Ebola virus disease.

This pilot protocol is primarily intended to guide the implementation of a first pilot ECDC-funded study using routinely collected data, and includes a concise overview of the systems of the countries included in the pilot study.