COVID-19 has left the world less prepared for an influenza pandemic. Correspondence from alexandraphelan cmyeaton JHSPH_CHS and colleagues
). Although human-to-human transmission clusters have been limited and have occurred only because of extremely close contact, such as between a sick person and a caregiver, the World Health Organization Director-General has advised that “we cannot assume that will remain the case and we must prepare for any change in the status quo.
Countries are legally required to immediately notify the WHO of any “human influenza caused by a new subtype” as a potential public health emergency of international concern under the International Health Regulations . However, the broad adoption of travel restrictions during COVID-19, and the potential risk that travel bans will be imposed after a notification, means that countries are currently disincentivized to rapidly report future outbreaks of pathogens of pandemic potential.
Countries and international bodies must adjust the risk calculus for potential pandemic influenza, because of the persisting technical, legal, financial and political consequences of COVID-19. The increasing risks posed by an influenza pandemic also increase the obligation of governments to undertake preparedness activities.
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