Public health hinges on three vectors: PREVENT. DETECT. RESPOND.
After two years of the pandemic, public health must work the connections between the local, regional, national and international for equitable development and access to drugs, vaccines, medical supplies, technologies, health care, and communicating intelligible messages.
Global vaccine equity should not be a fantasy, but a mandate.
But underlying health and equity conditions amplify the mounting pandemic death tolls: diabetes, hypertension, obesity, health disparities, housing, poverty, and other social determinants of illness. Anti-science attitudes and the politicization of masks and vaccines act as deterrents to public health.
The first step to preparing for the next pandemic resides in moving from thinking that COVID will end toward thinking long range for whatever lies ahead.