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@Chalfie
The people in PHE are great.
Mostly, you can do outbreak control with simple bits of information:
name, age, gender, ethnicity, geographic location, date symptoms started, date they ended, test result, date of test result. It's not BIG DATA.
So I think it's easy to fall into the problem of "excel will work". Because it has and will. I'm pretty sure Ebola was notebooks and pencils and excel.
People work with what they're familiar with and what is available and what they can set up quickly.
Which leads to multiple "databases" for lots of different projects rather than "A BIG THING TO DO IT ALL".