Laboratory staff perceptions

Laboratory staff perception of factors contributing to the a) success and b) barriers/challenges with respect to laboratory testing for arboviral infections (ref Q20)

Country	Successes	Barriers
Australia
Brunei Darussalam
Cambodia
China	Standardization, quality control and assurance of laboratory testing for arboviral infections are key factors contributing to the success. Neutralizing antiboy testing and bioinformatic analysis were usually considered to be challenges.
Cook Islands
French Polynesia
Japan
Kiribati
Lao People's Democratic Republic
Malaysia	Availability of POCT kits	Atypical clinical presentation (e.g. JE)
Nauru
Papua New Guinea	Resource support; funding and staff training.	No availability of reagents/ equipment, no training.
Philippines	Compliance to submission of samples	High volume of cases for Dengue with limited staff and limited reagents
Singapore
Vanuatu	Protocols and algorithms in place	Lack of trained staff and equipment/reagents
Viet Nam	Vietnam is dengue endemic country for many years, so doctors are experienced in diagnosis and treatment	Only 3-7% of suspected cases are confirmed by laboratory testing due to lack of funding