this was the strategy applied to overcome two potential limitations of surveillance under the previous ihr inadequate capacities at the local and national levels to fulfil surveillance and government reluctance to comply for fear of the adverse consequences of reporting however such who authority and capabilities are not sufficiently used the pheic determination is a single binary decision and the panel recommends that the ihr review committee for ebola consider the possibility of alerts at an intermediate level to mobilize the international community who ebola interim assessment panel para however unlike in the case of the polio response in which both communities collaborated on a daily basis there were no routine procedures and protocols for the ebola response