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Related Experiment Video

Updated: Jan 18, 2026

Using Practice Testing, Public Speaking, and Source Monitoring to Examine the Influences of Learning Strategies and Stress on Episodic Memory
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Preparing for resilience - Si Vis Pacem, Para Bellum.

Victoria Haldane1, Andrew Beckett2,3, Paul Engels4

  • 1Dalla Lana School of Public Health, University of Toronto, 155 College St Room 500, Toronto, ON, Canada.

Canadian Journal of Public Health = Revue Canadienne De Sante Publique
|September 11, 2025
PubMed
Summary
This summary is machine-generated.

Canada needs enhanced public health preparedness for future crises, including conflicts. The Trillium Cura exercise highlighted critical needs for leadership, resources, and a whole-of-society approach to strengthen health system resilience.

Keywords:
All hazardsComplex emergenciesCrisis managementPlanningPreparednessPublic health and health systemsTabletop exercise

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Area of Science:

  • Public Health
  • Health Systems Management
  • Emergency Preparedness

Background:

  • Canada has a history of public health challenges, including inadequate preparedness for SARS-CoV-1 and COVID-19.
  • The current poly-crisis era necessitates readiness for diverse threats, such as international conflicts impacting health systems.

Purpose of the Study:

  • To evaluate Ontario's health system response to a simulated prolonged conventional war.
  • To identify key challenges and areas for improvement in public health and health system preparedness.

Main Methods:

  • The study utilized Exercise Trillium Cura (ETC), a 2024 tabletop exercise simulating a specific crisis scenario.
  • The exercise focused on evaluating leadership, resource allocation, and inter-sectoral collaboration.

Main Results:

  • Key issues identified included significant needs in leadership capacity and resource management.
  • Recommendations included establishing a repatriation hub and a trauma registry.
  • The exercise underscored the importance of a "whole of society" approach, integrating civil society in preparedness planning.

Conclusions:

  • Tabletop exercises are vital for fostering collaboration, shared learning, and developing innovative solutions for complex health emergencies.
  • Regular simulation exercises are recommended to enhance Canada's public health preparedness and health system resilience against future crises.