Lessons Learned From a Large Cross-Border Field Simulation Exercise to Strengthen Emergency Preparedness in East...

Area of Science:

• Public Health
• Emergency Preparedness
• International Cooperation

Background:

• Field simulation exercises (FSX) are resource-intensive but crucial for testing comprehensive operational capacities.
• Cross-sectoral coordination is vital for effective outbreak preparedness and response.
• Previous exercises in East Africa have not matched the scale and complexity of this FSX.

Purpose of the Study:

• To assess and enhance multisectoral outbreak preparedness and response in East Africa.
• To evaluate the effectiveness of a One Health approach in a cross-border simulation.
• To identify lessons learned for future large-scale emergency preparedness exercises.

Main Methods:

• Conducted a cross-border Field Simulation Exercise (FSX) from June 11-14, 2019, at the Namanga One Stop Border Post.
• Involved multisectoral participation including public health, animal health, food inspection, transport, police, and customs.
• The World Health Organization Department of Health Security Preparedness provided technical leadership.

Main Results:

• The FSX successfully tested the full scope of operational capacities and cross-sectoral coordination.
• Participants gained valuable individual learning experiences in emergency management and response.
• The exercise highlighted the complexity and benefits of large-scale, multisectoral preparedness initiatives.

Conclusions:

• FSXs are essential for strengthening national capacity in emergency preparedness and response coordination.
• Lessons learned from this exercise can inform the design, management, and organization of future FSXs.
• The One Health approach is a valuable framework for addressing cross-border health security challenges.