A narrative literature review to inform the development of a health threats preparedness framework in Ireland

IntroductionPublic 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...

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Main Authors: Louise Marron, James Gilroy, Michelle Williams, Randal Parlour, Máirín Boland
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-02-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2025.1490850/full
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author Louise Marron
James Gilroy
Michelle Williams
Randal Parlour
Máirín Boland
Máirín Boland
author_facet Louise Marron
James Gilroy
Michelle Williams
Randal Parlour
Máirín Boland
Máirín Boland
author_sort Louise Marron
collection DOAJ
description IntroductionPublic 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.MethodsWe 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.ResultsOverarching 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.ConclusionAn 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.
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spelling doaj-art-d9f100db66c14d3594c3ea7e63dba8482025-02-06T11:46:43ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-02-011310.3389/fpubh.2025.14908501490850A narrative literature review to inform the development of a health threats preparedness framework in IrelandLouise Marron0James Gilroy1Michelle Williams2Randal Parlour3Máirín Boland4Máirín Boland5Health Service Executive-Health Protection Surveillance Centre, HSE National Health Protection Office, Dublin, IrelandNational Health Security/ Threats Preparedness Programme, HSE National Health Protection Office, Dublin, IrelandResearch & Guideline Development Unit, HSE National Health Protection Office, Dublin, IrelandResearch & Guideline Development Unit, HSE National Health Protection Office, Dublin, IrelandNational Health Security/ Threats Preparedness Programme, HSE National Health Protection Office, Dublin, IrelandUCD School of Public Health, Physiotherapy and Sports Science, University College Dublin, Dublin, IrelandIntroductionPublic 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.MethodsWe 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.ResultsOverarching 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.ConclusionAn 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.https://www.frontiersin.org/articles/10.3389/fpubh.2025.1490850/fullpreparednesshealth threatsall-hazardspandemic planningemergency planningone health
spellingShingle Louise Marron
James Gilroy
Michelle Williams
Randal Parlour
Máirín Boland
Máirín Boland
A narrative literature review to inform the development of a health threats preparedness framework in Ireland
Frontiers in Public Health
preparedness
health threats
all-hazards
pandemic planning
emergency planning
one health
title A narrative literature review to inform the development of a health threats preparedness framework in Ireland
title_full A narrative literature review to inform the development of a health threats preparedness framework in Ireland
title_fullStr A narrative literature review to inform the development of a health threats preparedness framework in Ireland
title_full_unstemmed A narrative literature review to inform the development of a health threats preparedness framework in Ireland
title_short A narrative literature review to inform the development of a health threats preparedness framework in Ireland
title_sort narrative literature review to inform the development of a health threats preparedness framework in ireland
topic preparedness
health threats
all-hazards
pandemic planning
emergency planning
one health
url https://www.frontiersin.org/articles/10.3389/fpubh.2025.1490850/full
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