Synthesizing Public Health Preparedness Mechanisms for High-Impact Infectious Disease Threats: A Jurisdictional Scan
KM Saif-Ur-Rahman , Nikita N. Burke , Lena Murphy , Randal Parlour , Máirín Boland , Petek Eylul Taneri , Bearach Reynolds , Mary Horgan , John N. Lavis , Declan Devane
Journal of Evidence-Based Medicine ›› 2025, Vol. 18 ›› Issue (2) : 70019
Synthesizing Public Health Preparedness Mechanisms for High-Impact Infectious Disease Threats: A Jurisdictional Scan
Aim: High-impact infectious diseases pose major global health challenges, underscoring the urgent need for robust public health preparedness. Despite efforts to improve global health security, recent pandemics have revealed significant weaknesses in health systems’ preparedness and response capabilities.
Methods: We reviewed and synthesized key strategies and lessons from existing public health preparedness plans for high-impact infectious diseases. This included examining national and global plans, focusing on strategic approaches, evidence integration, and real-world implementation lessons. A narrative synthesis, based on the Public Health Emergency Preparedness (PHEP) model, identified effective practices and areas needing improvement.
Results: We screened 1987 documents, selecting 38 for detailed analysis. Findings highlighted strategies for long-term health emergency preparedness, workforce development, enhancing global health frameworks, and investing in infrastructure. Challenges included maintaining laboratory detection, managing sentinel surveillance, and logistical issues. Effective approaches emphasized early threat detection, rapid response, healthcare capacity, medical supply management, and strategic communication.
Conclusions: Effective public health preparedness for high-impact infectious diseases requires a coordinated approach, including early threat detection, rapid response, robust healthcare systems, and strategic communication. Past outbreaks show the need for continuous investment, evidence-based policies, and adaptable health systems. Future research should assess ongoing preparedness efforts and implementation challenges.
infectious disease threats / jurisdictional scan / preparedness / public health emergency
| [1] |
|
| [2] |
|
| [3] |
|
| [4] |
|
| [5] |
|
| [6] |
Global Commission on Evidence to Address Societal Challenges, The Evidence Commission Report: A Wake-Up Call and Path Forward for Decision-Makers, Evidence Intermediaries, and Impact-Oriented Evidence Producers (McMaster Health Forum, 2022). |
| [7] |
ECDC. Health Emergency Preparedness for Imported Cases of High-Consequence Infectious Diseases (ECDC, 2019). |
| [8] |
|
| [9] |
|
| [10] |
WHO, Public Health Emergencies: Preparedness and Response (World Health Organization, 2022), https://apps.who.int/gb/ebwha/pdf_files/EB150/B150_18-en.pdf. |
| [11] |
WHO, Public Health Emergencies: Preparedness and Response (World Health Organization, 2022), https://apps.who.int/gb/ebwha/pdf_files/EB148/B148_17-en.pdf. |
| [12] |
WHO, Strengthening Health Emergency Prevention, Preparedness, Response and Resilience (World Health Organization, 2023). |
| [13] |
WHO, National Workforce Capacity to Implement the Essential Public Health Functions Including a Focus on Emergency Preparedness and Response: Roadmap for Aligning WHO and Partner Contributions (World Health Organization, 2022). |
| [14] |
WHO, Strengthening WHO Preparedness for and Response to Health Emergencies (World Health Organization, 2023), https://apps.who.int/gb/ebwha/pdf_files/WHA76/A76_10-en.pdf. |
| [15] |
WHO, WHO's Work in Health Emergencies (World Health Organization, 2021), https://apps.who.int/gb/ebwha/pdf_files/EB148/B148_18-en.pdf. |
| [16] |
WHO, Strengthening WHO Preparedness for and Response to Health Emergencies (World Health Organization, 2022), https://apps.who.int/gb/ebwha/pdf_files/WHA75/A75_17-en.pdf. |
| [17] |
WHO, Community-Centred Approaches to Health Emergencies: Progress, Gaps and Research Priorities (World Health Organization, 2021), https://cdn.who.int/media/docs/default-source/blue-print/who-covid-19-social-science-in-outbreak-report_15.08.21.pdf. |
| [18] |
WHO, Operational Planning Guidance to Support Country Preparedness and Response (World Health Organization, 2020), https://www.who.int/docs/default-source/coronaviruse/covid-19-sprp-operational-planning-guidelines-to-support-country-preparedness-and-response-(22may20).pdf. |
| [19] |
IFRC, UNICEF, WHO, Risk Communication and Community Engagement (RCCE) Action Plan Guidance COVID-19 Preparedness and Response (World Health Organization, 2020), https://hlh.who.int/docs/librariesprovider4/hlh-documents/rcce-action-plan-guidance-covid-19-preparedness-and-response.pdf?Status=Master&sfvrsn=e72a9be1_9. |
| [20] |
WHO SEAR, Strengthening Public Health Emergency Preparedness and Response in the South-East Asia Region (World Health Organization, 2021), https://api.healthsecuritynet.org/get/file/sea-rc74-10-eng.pdf?id=3117. |
| [21] |
ECDC, Transitioning Beyond the Acute Phase of the COVID-19 Pandemic (European Centre for Disease Prevention and Control, 2022). |
| [22] |
ECDC, Strategic and Performance Analysis of ECDC Response to the COVID-19 Pandemic (European Centre for Disease Prevention and Control, 2020), https://www.ecdc.europa.eu/en/publications-data/strategic-and-performance-analysis-ecdc-response-covid-19-pandemic. |
| [23] |
ECDC, Monitoring and Evaluation Framework for COVID-19 Response Activities in the EU/EEA and the UK (European Centre for Disease Prevention and Control, 2020). |
| [24] |
ECDC, Lessons From the COVID-19 Pandemic (European Centre for Disease Prevention and Control, 2023). |
| [25] |
ECDC, The EU Experience in the First Phase of COVID-19: Implications for Measuring Preparedness (European Centre for Disease Prevention and Control, 2022). |
| [26] |
ECDC, Long-Term Qualitative Scenarios and Considerations of Their Implications for Preparedness and Response to the COVID-19 Pandemic in the EU/EEA (European Centre for Disease Prevention and Control, 2022). |
| [27] |
PAHO, A Checklist for COVID-2019 Pandemic Risk and Impact Management (Pan American Health Organization, 2020), https://iris.paho.org/handle/10665.2/52274. |
| [28] |
PAHO, Response to the COVID-19 Pandemic in the Americas: Response Strategy and Donor Appeal (Pan American Health Organization, 2021), https://iris.paho.org/handle/10665.2/53540. |
| [29] |
PAHO, Evaluation of the Pan American Health Organization Response to COVID-19 2020-2022 (Pan American Health Organization, 2023), https://iris.paho.org/handle/10665.2/57700. |
| [30] |
OECD, OECD Reviews of Public Health: Korea: A Healthier Tomorrow (OECD, 2020), https://doi.org/10.1787/be2b7063-en. |
| [31] |
OECD, Regulatory Quality and COVID-19: The Use of Regulatory Management Tools in a Time of Crisis (OECD, 2020), https://www.oecd.org/coronavirus/policy-responses/regulatory-quality-and-covid-19-the-use-of-regulatory-management-tools-in-a-time-of-crisis-b876d5dc/. |
| [32] |
OECD, Beyond Containment: Health Systems Responses to COVID-19 in the OECD (OECD, 2020), https://www.oecd.org/coronavirus/policy-responses/beyond-containment-health-systems-responses-to-covid-19-in-the-oecd-6ab740c0/. |
| [33] |
OECD, Strengthening the Frontline: How Primary Health Care Helps Health Systems Adapt During the COVID-19 Pandemic (OECD, 2021), https://www.oecd-ilibrary.org/social-issues-migration-health/strengthening-the-frontline-how-primary-health-care-helps-health-systems-adapt-during-the-covid-19-pandemic_9a5ae6da-en. |
| [34] |
OECD, COVID-19 Crisis Response in ASEAN Member States (OECD, 2020), https://www.oecd.org/coronavirus/policy-responses/covid-19-crisis-response-in-asean-member-states-02f828a2/. |
| [35] |
The Independent Panel, COVID-19: Make It the Last Pandemic (The Independent Panel, 2021), https://theindependentpanel.org/wp-content/uploads/2021/05/COVID-19-Make-it-the-Last-Pandemic_final.pdf. |
| [36] |
The World Bank, Learning From the Republic of Korea: Building Health System Resilience (The World Bank, 2023), http://documents.worldbank.org/curated/en/099752108102328587/IDU0178c333307434042200a85b0d6bc5b4cf1fd. |
| [37] |
IOM, IOM's Covid-19 Preparedness and Response (IOM, 2020), https://crisisresponse.iom.int/sites/g/files/tmzbdl1481/files/uploaded-files/IOM-COVID-19-preparedness-and-Response-Achievements-Report-2020.pdf. |
| [38] |
|
| [39] |
|
| [40] |
The World Bank, Change Cannot Wait: Building Resilient Health Systems in the Shadow of COVID-19 (The World Bank, 2022), https://www.worldbank.org/en/topic/health/publication/change-cannot-wait-building-resilient-health-systems-in-the-shadow-of-covid-19. |
| [41] |
WHO, COVID-19 Pandemic Response in the Eastern Mediterranean Region (World Health Organization, 2021), https://applications.emro.who.int/docs/9789292740344-eng.pdf?ua=1. |
| [42] |
Ministry of Health, National Polio Outbreak Preparedness and Response Framework for Aotearoa New Zealand (Ministry of Health, 2023). |
| [43] |
Public Health Agency of Canada, Federal, Provincial and Territorial Public Health Response Plan for the Management of the Monkeypox Outbreak (Public Health Agency of Canada, 2022), https://www.canada.ca/en/public-health/services/diseases/mpox/technical-documents/federal-provincial-territorial-public-health-response-plan-management.html. |
| [44] |
Public Health Agency of Canada, Federal, Provincial, Territorial Public Health Response Plan for Ongoing Management of COVID-19 (Public Health Agency of Canada, 2022), https://www.canada.ca/en/public-health/services/diseases/2019-novel-coronavirus-infection/guidance-documents/federal-provincial-territorial-public-health-response-plan-ongoing-management-covid-19.html. |
| [45] |
NHS Scotland, Preparing for Emergencies Guidance for Health Boards in Scotland (NHS Scotland, 2023), https://www.gov.scot/publications/preparing-emergencies-guidance/documents/. |
| [46] |
Government of Singapore, White Paper on Singapore's Response to COVID-19: Lessons for the Next Pandemic (Government of Singapore, 2023), https://www.gov.sg/article/covid-19-white-paper. |
| [47] |
HIQA, Desktop Analysis of Public Acute Hospital Infection Prevention and Control Preparedness for Covid-19 (HIQA, 2020), https://www.hiqa.ie/sites/default/files/2020-05/NPHET-Report_0.pdf. |
| [48] |
|
| [49] |
|
| [50] |
|
| [51] |
HIQA, Report—High Level Review of Configuration and Reform of Public Health Systems in Selected Countries (HIQA, 2022), https://www.hiqa.ie/sites/default/files/2022-06/Report-High-level-review-of-configuration-and-reform-of-Public-Health-systems-in-selected-countries.pdf. |
| [52] |
|
| [53] |
Evidently Cochrane, iHealthFacts Website: Fact-Check Things You Read and Hear About Health (Evidently Cochrane, 2023), https://www.evidentlycochrane.net/ihealthfacts-website-fact-check-health-claims/. |
| [54] |
|
| [55] |
|
2025 The Author(s). Journal of Evidence-Based Medicine published by Chinese Cochrane Center, West China Hospital of Sichuan University and John Wiley & Sons Australia, Ltd.
/
| 〈 |
|
〉 |