A Pandemic Treaty: Learning From the Framework Convention on Tobacco Control.

The World Health Organization recently began developing a "pandemic treaty" in response to the perceived failures of the global COVID-19 response. The Framework Convention on Tobacco Control, which obligates members to certain global standards in tobacco control, is an example of a global public health agreement that may be used as a model for the pandemic treaty. Several challenges related to the convention, many from the tobacco industry itself, must be addressed if it is to be used as a prototype for a pandemic agreement. These include harm reduction policies, private-sector involvement, and its impact in low- and middle-income countries. A pandemic treaty may encounter similar challenges faced by the Framework Convention on Tobacco Control, particularly from industry groups with financial interests related to infectious disease control and prevention. Addressing challenges at the outset may facilitate the development and implementation of a more robust international instrument.

Lessons Learned From a Large Cross-Border Field Simulation Exercise to Strengthen Emergency Preparedness in East Africa, 2019.

Field simulation exercises (FSXs) require substantial time, resources, and organizational experience to plan and implement and are less commonly undertaken than drills or tabletop exercises. Despite this, FSXs provide an opportunity to test the full scope of operational capacities, including coordination across sectors. From June 11 to 14, 2019, the East African Community Secretariat conducted a cross-border FSX at the Namanga One Stop Border Post between the Republic of Kenya and the United Republic of Tanzania. The World Health Organization Department of Health Security Preparedness was the technical lead responsible for developing and coordinating the exercise. The purpose of the FSX was to assess and further enhance multisectoral outbreak preparedness and response in the East Africa Region, using a One Health approach. Participants included staff from the transport, police and customs, public health, animal health, and food inspection sectors. This was the first FSX of this scale, magnitude, and complexity to be conducted in East Africa for the purpose of strengthening emergency preparedness capacities. The FSX provided an opportunity for individual learning and national capacity strengthening in emergency management and response coordination. In this article, we describe lessons learned and propose recommendations relevant to FSX design, management, and organization to inform future field exercises.

A review of health security and vaccine diplomacy during COVID-19 pandemic

The coronavirus disease 2019 (COVID-19) pandemic raises several public health concerns that impact various aspects of people's lives. The severity and spread of infection are extremely rapid, spreading out of control globally. Aside from illness and death, it presents a slew of long-term health concerns among the population. Therefore, the pandemic has manifested into a major health security issue, impacting the population globally. Health securitization refers to recognizing the presence of an existential health threat, and authorities can devote resources to manage the risks. Although vaccinations are required for long-term management of this disease, the vaccination procedure is often plagued by access, efficacy, and vaccine prioritization issues. By employing an interpretative social science approach, the article argues that the COVID-19 pandemic needs to be securitized at the state and international levels, and vaccines as public-good should be accessible to everyone without discrimination or prioritization and diplomatic interests. The study found, firstly, that many countries have adopted health securitization and coordinated efforts by international agencies. Secondly, vaccine hoarding by richer countries has created a disparity in the rate and coverage of vaccination in other regions. Thirdly, vaccine donation by richer countries is only a temporary solution. A robust vaccine allocation mechanism is needed for more comprehensive and equitable vaccination coverage. © 2022, Intelektual Pustaka Media Utama. All rights reserved.

Did the European suspension of the AstraZeneca vaccine decrease vaccine acceptance during the COVID-19 pandemic?

On March 11, 2021, the AstraZeneca vaccine against COVID-19 was suspended in three Nordic countries and, on subsequent days, in other European countries. Using data on vaccine acceptance in eight Western countries obtained on a daily basis, we show that these decisions - and associated news - decreased public vaccine acceptance in several countries and part of this decrease happened in response to suspensions in other countries. The findings demonstrate the importance of international coordination between health authorities during a pandemic such that local authorities are able to put the decisions of foreign authorities into perspective.

A Health Intelligence Framework for Pandemic Response: Lessons from the UK Experience of COVID-19.

The novel coronavirus disease 2019 (COVID-19) pandemic has exposed critical failures in global public policy preparedness and response. Despite over a decade of exposure to other epidemics and pandemics, many, if not most, nation states have failed to integrate lessons learned into their pandemic preparedness and response plans. The United Kingdom's response to COVID-19 is an archetype of how the pandemic has overwhelmed traditional public health-led approaches. In this paper, we explore the UK experience and propose that pandemics constitute multivector threats meriting attention within a health intelligence framework. They employ the processes of information management used by the intelligence sector to illustrate a procedural matrix for guiding public policy during complex health security events.

COVID-19, SARS-CoV-2, and Export Controls.

Export controls are intended to prevent the proliferation of materials that could be misused to make biological weapons. They are not intended to stifle critical research and development in the midst of a pandemic. This article explores how and why export controls might apply to severe acute respiratory syndrome coronavirus 2, the virus that causes coronavirus disease 2019. It outlines the taxonomic and genetic factors associated with the current approach to export control lists and discusses how they lead to unnecessary ambiguity. The authors describe ways in which the current export control systems might be revised in the short, medium, and long term, including sequence, disease, and function-based approaches.