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February 6, 2020

Enhancing Private Sector Health System Preparedness for 21st-Century Health Threats: Foundational Principles From a National Academies Initiative

Author Affiliations
  • 1Institute for Healthcare Improvement (IHI), Boston, Massachusetts
  • 2Department of Internal Medicine, The University of Texas at Austin
JAMA. Published online February 6, 2020. doi:10.1001/jama.2020.1310

Not since the threat of global nuclear war first emerged has humankind faced the risks of potential disasters at the scale that the 21st century now brings. Climate change, international terrorism, pandemics, and cyberwarfare are only some of the ways in which injury, morbidity, and mortality can spread rapidly to millions of people. Ebola, as tragic as it has been, is but a small example of what could occur if, for instance, a nuclear blast went off in New York, sea level surges flooded Florida, or the electric grid went down in a health emergency. The current coronavirus epidemic in China has created a major international public health threat, led to the full or partial quarantine of nearly 45 million people, and interrupted commerce in many cities.1

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