Synthesizing Public Health Preparedness Mechanisms for High-Impact Infectious Disease Threats: A Jurisdictional Scan

IF 3.5 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL Journal of Evidence‐Based Medicine Pub Date : 2025-03-28 DOI:10.1111/jebm.70019
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
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Abstract

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.

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高影响传染病威胁的综合公共卫生准备机制:司法管辖区扫描
目的高影响传染病构成重大的全球卫生挑战,强调迫切需要强有力的公共卫生准备。尽管努力改善全球卫生安全,但最近的大流行暴露了卫生系统防范和应对能力方面的重大弱点。方法回顾和综合现有高影响传染病公共卫生防范计划的关键策略和经验教训。这包括审查国家和全球计划,重点关注战略方法、证据整合和现实世界的实施经验教训。基于公共卫生应急准备模型的叙述综合确定了有效做法和需要改进的领域。结果共筛选文献1987篇,选取38篇进行详细分析。调查结果强调了长期卫生应急准备、劳动力发展、加强全球卫生框架和投资基础设施的战略。挑战包括维持实验室检测、管理哨点监测和后勤问题。有效的方法强调早期威胁检测、快速反应、医疗保健能力、医疗供应管理和战略沟通。结论:对高影响传染病的有效公共卫生准备需要采取协调一致的方法,包括早期威胁发现、快速反应、健全的卫生保健系统和战略沟通。过去的疫情表明,需要持续投资、基于证据的政策和适应性强的卫生系统。未来的研究应评估正在进行的准备工作和执行方面的挑战。
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来源期刊
Journal of Evidence‐Based Medicine
Journal of Evidence‐Based Medicine MEDICINE, GENERAL & INTERNAL-
CiteScore
11.20
自引率
1.40%
发文量
42
期刊介绍: The Journal of Evidence-Based Medicine (EMB) is an esteemed international healthcare and medical decision-making journal, dedicated to publishing groundbreaking research outcomes in evidence-based decision-making, research, practice, and education. Serving as the official English-language journal of the Cochrane China Centre and West China Hospital of Sichuan University, we eagerly welcome editorials, commentaries, and systematic reviews encompassing various topics such as clinical trials, policy, drug and patient safety, education, and knowledge translation.
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