Marron Louise, Gilroy James, Williams Michelle, Parlour Randal, Boland Máirín
Health Service Executive-Health Protection Surveillance Centre, HSE National Health Protection Office, Dublin, Ireland.
National Health Security/ Threats Preparedness Programme, HSE National Health Protection Office, Dublin, Ireland.
Front Public Health. 2025 Feb 6;13:1490850. doi: 10.3389/fpubh.2025.1490850. eCollection 2025.
Public health emergency preparedness requires capacities and capabilities to respond to a diverse range of health threats. A key objective of Ireland's recent Health Protection Strategy is to enable preparedness, prevention, early detection and optimal response to health threats from all-hazards. We aimed to identify priority areas for inclusion in an evidence-based health threats preparedness framework, using lessons from the COVID-19 pandemic, to inform a national health threats strategy and a strengthened emerging health threats function for Ireland.
We conducted a narrative literature review to inform the health threats preparedness framework development. We carried out literature searches in two phases, from 2017 to 2022, followed by an updated search covering 2022-2024, to ensure all relevant, recent literature was captured. We used a data extraction tool to collate priority areas reported.
Overarching priorities for health threats preparedness are rapid decision-making, an outcomes-based, and ethical approach. Health threats preparedness should include a risk-based, all-hazards, One Health approach, aligned with legislation. Multisectoral partnerships, collaboration and communication nationally and internationally are key, alongside clear governance structures and monitoring and evaluation. Adequate resources are required to operationalize effective and sustainable preparedness. Public health leadership must be to the fore.
An effective health threats preparedness approach is legislatively mandated for European Member States. This evidence review highlights priority areas for a comprehensive health threats preparedness framework. This framework supports the development of a strengthened emerging health threats function in Ireland and may inform other Member States' preparedness.
公共卫生应急准备需要具备应对各种健康威胁的能力。爱尔兰近期《健康保护战略》的一个关键目标是实现对所有危害引发的健康威胁的准备、预防、早期检测和最佳应对。我们旨在利用新冠疫情的经验教训，确定纳入基于证据的健康威胁应急准备框架的优先领域，为爱尔兰的国家健康威胁战略和强化的新出现健康威胁职能提供信息。
我们进行了一项叙述性文献综述，以为健康威胁应急准备框架的制定提供信息。我们分两个阶段进行文献检索，从2017年至2022年，随后进行了涵盖2022 - 2024年的更新检索，以确保涵盖所有相关的近期文献。我们使用数据提取工具整理报告的优先领域。
健康威胁应急准备的总体优先事项是快速决策、基于结果和符合伦理的方法。健康威胁应急准备应包括基于风险的、全危害、“同一个健康”方法，并与立法保持一致。国家和国际层面的多部门伙伴关系、协作与沟通是关键，同时要有清晰的治理结构以及监测和评估。需要充足的资源来实施有效且可持续的应急准备。公共卫生领导力必须处于前沿位置。
欧洲成员国在立法上被要求采取有效的健康威胁应急准备方法。这一证据综述突出了全面健康威胁应急准备框架的优先领域。该框架支持在爱尔兰强化新出现健康威胁职能的发展，并可能为其他成员国的应急准备提供参考。
