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Pacific Eclipse - A tabletop exercise on smallpox pandemic response.

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This summary is machine-generated.

A 2019 pandemic tabletop exercise using smallpox as a case study identified key modifiable factors for pandemic preparedness. Findings offer insights for planning against future infectious disease outbreaks, including COVID-19.

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Area of Science:

  • Global Health Security
  • Epidemiology
  • Public Health Preparedness

Background:

  • A 2019 pandemic tabletop exercise, Pacific Eclipse, utilized a smallpox outbreak scenario originating in Fiji.
  • The exercise convened international stakeholders from health, defense, law enforcement, and emergency management sectors.

Purpose of the Study:

  • To identify potential gaps in pandemic preparedness.
  • To determine modifiable factors crucial for preventing or mitigating pandemic impacts.

Main Methods:

  • The exercise simulated smallpox transmission using mathematical modeling to test intervention effectiveness.
  • Live polling gathered participant decisions during three distinct scenario phases.
  • Stakeholders from the US, UK, Australia, New Zealand, and Canada participated.

Main Results:

  • Participant decision-making varied significantly, highlighting diverse response strategies.
  • Key factors influencing pandemic severity were categorized as modifiable or unmodifiable.
  • Recommendations focused on enhancing preparedness through intelligence, rapid diagnosis, isolation, vaccination, contact tracing, and non-pharmaceutical interventions.

Conclusions:

  • The Pacific Eclipse exercise demonstrated the impact of various pandemic response scenarios.
  • The developed framework highlights modifiable determinants of pandemic severity.
  • Findings are applicable to current COVID-19 pandemic planning and future pandemic preparedness strategies.