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Fig 1.

Notification timeline.

D: delay; T: time point; D1: delay between onset of disease and notification at local health department (LHD); D2: delay between ordering a laboratory confirmation test and notification at LHD; D3X and D3P: delays between laboratory conformation test result and notification at the LHD by the laboratory and by the physician respectively; D4: delays between notification at LHD and reporting at regional health department (RHD); D5: delay between reporting at RHD and the national health department (NHD). Arrows: delays used in this article.

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Fig 2.

Full electronic search strategy for pubmed.

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Fig 3.

Flow diagram search process.

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Table 1.

Overview of study characteristics and results.

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Fig 4.

Overview scores according predefined and standardized timeframes.

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