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Commentary: Strengthening Emergency Response in Global Healthcare Systems for Nuclear and Radiological Emergencies
Nguyen Ngoc Hoang Linh1,2, Jeza M Abdul Aziz3, Mohammad Rashidul Hashan4,5,6
1Faculty of Medicine, College of Medicine and Pharmacy, Duy Tan University, Da Nang, Vietnam.
Evaluation & the Health Professions
|July 13, 2026
Summary
Global geopolitical tensions increase the risk of radiological emergencies. Healthcare systems remain unprepared, highlighting critical gaps in clinical preparedness and response strategies for nuclear events.
Area of Science:
- Public Health
- Emergency Medicine
- Nuclear Safety
Background:
- Rising global geopolitical tensions elevate the risk of transboundary radiological emergencies.
- Past nuclear incidents reveal critical deficiencies in international healthcare preparedness.
- Vulnerabilities are exacerbated by near-misses like Zaporizhzhia and systemic gaps in low- and middle-income countries (LMICs).
Purpose of the Study:
- To analyze current vulnerabilities in healthcare systems facing radiological emergencies.
- To identify the misalignment between global policy and clinical preparedness.
- To propose strategies for enhancing global resilience to nuclear and radiological crises.
Main Methods:
- Analysis of contemporary vulnerabilities and near-miss scenarios.
- Assessment of systemic gaps in low- and middle-income countries (LMICs).
- Review of existing global policy frameworks and clinical preparedness.
Main Results:
- Significant deficiencies exist in the international healthcare system's capacity for nuclear and radiological crises.
- A primary gap is the disconnect between global policy and frontline clinical preparedness.
- LMICs face persistent systemic gaps in emergency response capabilities.
Conclusions:
- Enhance healthcare education and incorporate mental health into emergency preparedness.
- Strengthen early warning systems and transboundary radiological emergency response.
- Improve medical countermeasures availability and adopt standardized strategies for enhanced resilience.
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