Pandemic Preparedness
How the world prepares for — and often fails to prepare for — the next pandemic.
The Preparedness Framework
The International Health Regulations (IHR), revised in 2005 after the SARS outbreak, are the binding international legal framework for pandemic preparedness. They require all 196 state parties to develop core public health capacities — surveillance, laboratory systems, response coordination — and to report potential public health emergencies of international concern (PHEICs) to the WHO.
In theory, this system should provide early warning and rapid response. In practice, many countries have never built the required capacities. A 2019 Global Health Security Index found that no country was fully prepared for a pandemic, and the average preparedness score across 195 countries was just 40 out of 100.