Future Planning for the
Public Health Emergency
Preparedness Enterprise:
Lessons Learned from the
COVID-19 Pandemic

______

Megan Snair, Shalini Singaravelu,
and Scott Wollek, Rapporteurs

Forum on Medical and
Public Health Preparedness for
Disasters and Emergencies

Board on Health Sciences Policy

Health and Medicine Division

Proceedings of a Workshop

THE NATIONAL ACADEMIES PRESS500 Fifth Street, NWWashington, DC 20001

This activity was supported by contracts between the National Academy of Sciences and the Administration for Children and Families; American Burn Association; American College of Emergency Physicians; American College of Surgeons—Committee on Trauma; American Hospital Association; American Red Cross; Association of Public Health Laboratories; Association of State and Territorial Health Officials; Centers for Disease Control and Prevention; Council of State and Territorial Epidemiologists; Department of Defense; Department of Health and Human Services, National Institutes of Health under Contract no. HHSN263201800029I through the National Institute of Environmental Health Sciences, National Institute of Allergy and Infectious Diseases, National Cancer Institute, National Institute of Child Health and Human Development, National Institute on Minority Health and Health Disparities, and National Institute of Neurological and Disorders and Stroke; Department of Homeland Security; East West Protection LLC; Emergency Nurses Association; Food and Drug Administration; Healthcare Ready; Infectious Diseases Society of America; The MITRE Corporation; National Association of Chain Drug Stores; National Association of County and City Health Officials; National Association of Emergency Medical Technicians; National Highway Traffic Safety Administration; Office of the Assistant Secretary for Preparedness and Response; Trauma Center Association of America; and Uniformed Services University of the Health Sciences. Any opinions, findings, conclusions, or recommendations expressed in this publication do not necessarily reflect the views of any organization or agency that provided support for the project.

International Standard Book Number-13: 978-0-309-69682-1
International Standard Book Number-10: 0-309-69682-8
Digital Object Identifier: https://doi.org/10.17226/26805

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Suggested citation: National Academies of Sciences, Engineering, and Medicine. 2023. Future planning for the public health emergency preparedness enterprise: Lessons learned from the COVID-19 pandemic: Proceedings of a workshop. Washington, DC: The National Academies Press. https://doi.org/10.17226/26805.

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PLANNING COMMITTEE ON FUTURE PLANNING FOR THE PUBLIC HEALTH EMERGENCY PREPAREDNESS ENTERPRISE: LESSONS LEARNED FROM THE COVID-19 PANDEMIC¹

SUZET MCKINNEY (Co-chair), Principal and Director of Life Sciences, Sterling Bay

RICHARD SERINO (Co-chair), Distinguished Visiting Fellow, National Preparedness Leadership Initiative, Harvard School of Public Health

JOHN ARMSTRONG, Division Director, Morsani College of Medicine, University of South Florida

JEANNE BENINCASA, Massachusetts Undersecretary for Homeland Security and Homeland Security Advisor to the Governor, Executive Office of Public Safety and Security

JONEIGH KHALDUN, Vice President and Chief Health Equity Officer, CVS Health

STEVEN MITCHELL, Associate Professor, Department of Emergency Medicine; Medical Director, Harborview Medical Center Emergency Department, University of Washington, Harborview Medical Center

ANDREW PAVIA, Chief, Division of Pediatric Infectious Diseases, University of Utah School of Medicine

WINFRED RAWLS, Director, ASTHO Evolution of the Public Health Preparedness Project

LT. COL. CARLO ROSSI, Canadian Armed Forces Health Attaché, Health Readiness Policy and Oversight, Office of the Assistant Secretary of Defense (Health Affairs)

DAVID ZONIES, Professor of Surgery and Associate Chief Medical Officer for Critical Care, Professor of Surgery, Division of Trauma, Critical Care and Acute Care Surgery, School of Medicine, Oregon Health Sciences University

Health and Medicine Division Staff

SCOTT WOLLEK, Senior Program Officer

LISA BROWN, Senior Program Officer

AURELIA ATTAL-JUNCQUA, Program Officer (until June 2022)

SHALINI SINGARAVELU, Program Officer (from May 2022)

MICHAEL BERRIOS, Research Associate

KIMBERLY SUTTON, Senior Program Assistant

___________________

¹ The National Academies of Sciences, Engineering, and Medicine’s planning committees are solely responsible for organizing the workshop, identifying topics, and choosing speakers. The responsibility for the published Proceedings of a Workshop rests with the workshop rapporteurs and the institution.

ANDREW POPE, Senior Board Director (until July 2022)

CLARE STROUD, Senior Board Director (from July 2022)

Consultants

LAURA RUNNELS, LAR Consulting, LLC

MEGAN SNAIR, SGNL Solutions, LLC

Reviewers

This Proceedings of a Workshop was reviewed in draft form by individuals chosen for their diverse perspectives and technical expertise. The purpose of this independent review is to provide candid and critical comments that will assist the National Academies of Sciences, Engineering, and Medicine in making each published proceedings as sound as possible and to ensure that it meets the institutional standards for quality, objectivity, evidence, and responsiveness to the charge. The review comments and draft manuscript remain confidential to protect the integrity of the process.

We thank the following individuals for their review of this proceedings:

Although the reviewers listed above provided many constructive comments and suggestions, they were not asked to endorse the content of the proceedings nor did they see the final draft before its release. The review of this proceedings was overseen by CARLOS DEL RIO, Emory University School of Medicine. He was responsible for making certain that an independent examination of this proceedings was carried out in accordance with standards of the National Academies and that all review comments were carefully considered. Responsibility for the final content rests entirely with the rapporteurs and the National Academies.

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Contents

ACRONYMS AND ABBREVIATIONS

1 INTRODUCTION

Organization of Workshop

Organization of Proceedings

2 PUBLIC HEALTH EMERGENCY PLANNING: LESSONS FROM THE PAST AND PRESENT FOR THE FUTURE

Experiences Before and During COVID-19

Assessing Public Health Emergency Preparedness Capabilities, Authorities, and Funding

3 COORDINATING SURVEILLANCE AND MEDICAL COUNTERMEASURE RESPONSE

Global and Domestic Surveillance

Medical Countermeasures and Medical Supply Chain Considerations

4 EQUITY, RISK COMMUNICATION, AND PUBLIC ENGAGEMENT

Equity and Engagement with Historically Marginalized Populations

Risk Communication and Public Engagement

5 COORDINATION, GOVERNMENT, AND LEADERSHIP

Coordination in Washington State: A Case Study

Coordination at the Federal Level

Public–Private Partnerships

Leadership

6 REFLECTIONS

Workshop Lessons

Opportunities for Action

Opportunities for the Forum

REFERENCES

APPENDIXES

A Workshop Agenda

B Speaker and Planning Committee Biosketches

Acronyms and Abbreviations