Probably spell out ‘cG’ in your first line. Not everyone working on pandemic mitigation will know what this means. As I’ve mentioned before, and submitted to your Biosecurity and Pandemic Preparedness team through their webform calls etc, there is a critical 5th pillar, which is ‘Strategy’, for example a jurisdiction’s choice between eg a suppression/mitigation strategy in a bioevent vs eg an exclusion/elimination strategy. Strategy choice is partly constrained by context (eg islands are much more able to deploy an exclusion/elimination strategy. But such strategies are perhaps the biggest single (pillar) determinant of impact. During the Covid-19 pandemic the five national jurisdictions explicitly articulating and deploying an exclusion/elimination strategy had negative age-standardised cumulative excess mortality through the first 2 years of the pandemic (China, NZ, Australia, Taiwan, Singapore). One size of response does not fit all and more capacity building in policy and decision-making around understanding the critical role of strategy and developing decision tools for when/how to deploy which strategy probably have more impact in some jurisdictions that the other 4 pillars you include. I recommend (again) adding ‘strategy’ as a 5th pillar, especially to protect the 10% of the world’s population that live in island nations. Relevant evidence: https://journals.plos.org/globalpublichealth/article?id=10.1371/journal.pgph.0004554
Probably spell out ‘cG’ in your first line. Not everyone working on pandemic mitigation will know what this means. As I’ve mentioned before, and submitted to your Biosecurity and Pandemic Preparedness team through their webform calls etc, there is a critical 5th pillar, which is ‘Strategy’, for example a jurisdiction’s choice between eg a suppression/mitigation strategy in a bioevent vs eg an exclusion/elimination strategy. Strategy choice is partly constrained by context (eg islands are much more able to deploy an exclusion/elimination strategy. But such strategies are perhaps the biggest single (pillar) determinant of impact. During the Covid-19 pandemic the five national jurisdictions explicitly articulating and deploying an exclusion/elimination strategy had negative age-standardised cumulative excess mortality through the first 2 years of the pandemic (China, NZ, Australia, Taiwan, Singapore). One size of response does not fit all and more capacity building in policy and decision-making around understanding the critical role of strategy and developing decision tools for when/how to deploy which strategy probably have more impact in some jurisdictions that the other 4 pillars you include. I recommend (again) adding ‘strategy’ as a 5th pillar, especially to protect the 10% of the world’s population that live in island nations.
Relevant evidence: https://journals.plos.org/globalpublichealth/article?id=10.1371/journal.pgph.0004554