RT Journal Article SR Electronic T1 Optimizing Disease Surveillance by Reporting on the Blockchain JF bioRxiv FD Cold Spring Harbor Laboratory SP 278473 DO 10.1101/278473 A1 Flávio C Coelho YR 2018 UL http://biorxiv.org/content/early/2018/03/09/278473.abstract AB Disease surveillance, especially for infectious diseases, is a complex and inefficient process. Here we propose an optimized, blockchain-based monitoring and reporting system which can achieve all the desired features of an ideal surveillance system while maintaining costs down and being transparent and robust. We describe the technical specifications of such a a system and discuss possibilities for its implementation. Together with a token based incentive system, it is possible to rewards data quality as well as build a marketplace for data analysis which will help finance the surveillance system. Finally, the impact of the adoption of distributed ledger technology for disease surveillance is discussed.