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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 datadoi:10.1101/278473 fatcat:zp726sisrzgldnqqefhspkjlru