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Published on: April 6, 2019
Global health security in the post-COVID-19 era: threats, preparation, and response
1Division of International Affairs, Department of Planning and Coordination, Korea Disease Control and Prevention Agency, Cheongju, Republic of Korea.
Insights
Global health security faces evolving threats like pandemics and antimicrobial resistance. Strengthening public health systems and international cooperation is crucial for preparedness and response.
Area of Science:
- Global Health Security
- Infectious Disease Epidemiology
- Public Health Policy
Background:
- The post-coronavirus disease 2019 era presents complex global health security threats, including dense populations, human-animal interactions, migration, climate change, humanitarian crises, antimicrobial resistance (AMR), and biological research misuse.
- These threats necessitate a resilient public health infrastructure underpinned by universal health coverage.
Purpose of the Study:
- To outline essential components for robust global health security in the contemporary landscape.
- To emphasize the importance of international collaboration and strengthened public health capacities.
Main Methods:
- Review of current global health security challenges and established public health principles.
- Analysis of the role of international regulations, such as the World Health Organization's International Health Regulations.
- Discussion of specific strategies including a One Health approach for AMR, enhanced infection prevention and control, and biosafety/biosecurity regulations.
Main Results:
- A robust public health system with universal health coverage is foundational for preparedness.
- International Health Regulations are vital for maintaining core capacities like surveillance and information sharing.
- A One Health approach, enhanced infection control, and stringent biosafety/biosecurity measures are critical.
Conclusions:
- Global health security is a shared responsibility requiring coordinated international action.
- Addressing multifaceted threats demands resilient public health systems and adherence to international health regulations.
- Proactive measures in surveillance, AMR control, and laboratory safety are essential for collective security.
Abstract:
Global health security threats in the post-coronavirus disease 2019 era include dense urban populations, increased human-animal proximity, migration driven by political or economic instability, climate change, humanitarian crises, antimicrobial resistance (AMR), and the misuse of biological research-including the accidental or intentional release of high-risk pathogens. The foundational preparation for these threats is to establish a robust, resilient public health system based on universal health coverage. The World Health Organization's International Health Regulations must continue to promote global solidarity by maintaining core capacities such as surveillance, national laboratories, and epidemiological investigations of emerging infectious diseases, with timely reporting and information sharing within the global health security community. A One Health approach is essential for addressing AMR. Infection prevention and control must be enhanced to reduce healthcare-associated infections in medical facilities. Additionally, regulations concerning biosafety and biosecurity should address dual-use research of concern as well as the accidental or intentional release of highrisk pathogens from laboratories. Global health security is a collective responsibility because these threats know no borders and require coordinated action.
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