Assessment of public health laboratory preparedness and response in WHO South-East Asia region during the COVID-19 pandemic: lessons learned and future directions

IF 5 Q1 HEALTH CARE SCIENCES & SERVICES The Lancet regional health. Southeast Asia Pub Date : 2024-10-19 DOI:10.1016/j.lansea.2024.100496
Francis Y. Inbanathan , Pushpa R. Wijesinghe , Dhamari Naidoo , Nilesh Buddha , Edwin Ceniza Salvador , Khanh Kim Le , Sandhya Dhawan , Stuart D. Blacksell
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Abstract

This Health Policy reviews the preparedness and response of public health laboratories in the WHO South-East Asia Region (SEAR) during the COVID-19 pandemic. Through a scoping review and in-depth interviews with key stakeholders, the study identifies successes, challenges, and lessons learned from available literature and the perspective of senior laboratory leaders. Key themes include human resources, health information systems, diagnostic capacity, public risk communication, biosafety, biosecurity, funding, and laboratory network coordination. The findings provide a comprehensive overview of the adaptive capacities of laboratories, the contextual factors influencing their response, and the implications for future pandemic preparedness. This study demonstrates the resilience and adaptability of diagnostic networks in the face of a pandemic but also emphasises the need for strategic resource allocation, highlighting the importance of flexible and scalable networks in managing public health crises. The success of these deployments highlights the necessity for continual investment and coordination of national, regional, and global resources in diagnostic infrastructure to improve preparedness for future public health crises.
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评估 COVID-19 大流行期间世卫组织东南亚地区公共卫生实验室的准备和应对情况:经验教训和未来方向
本《卫生政策》回顾了世界卫生组织东南亚地区(SEAR)公共卫生实验室在 COVID-19 大流行期间的准备和响应情况。通过范围审查和对主要利益相关者的深入访谈,本研究从现有文献和实验室高级领导人的角度确定了成功、挑战和经验教训。关键主题包括人力资源、卫生信息系统、诊断能力、公共风险沟通、生物安全、生物安保、资金和实验室网络协调。研究结果全面概述了实验室的适应能力、影响其应对措施的背景因素以及对未来大流行病防备工作的影响。这项研究证明了诊断网络在面对大流行病时的应变能力和适应能力,同时也强调了战略性资源分配的必要性,突出了灵活、可扩展的网络在管理公共卫生危机中的重要性。这些部署的成功凸显了在诊断基础设施方面持续投资和协调国家、地区和全球资源的必要性,以改善对未来公共卫生危机的准备。
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