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      Financing global health emergency response: outbreaks, not agencies

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          Abstract

          Effectively responding to global health emergencies requires substantial financial commitment from many stakeholders, including governments, multilateral agencies, and nongovernmental organizations. A major current policy challenge needs attention: how to better coordinate investment among actors aiming to address a common problem, disease outbreaks. For donors who commit colossal sums of money to outbreak response, the current model is neither efficient nor transparent. Innovative approaches to coordinate financing have recently been tested as part of a broader development agenda for humanitarian response. Adopting a system that enables donors to invest in disease outbreaks rather than actors represents an opportunity to deliver a more cost-effective, transparent, and unified global response to infectious disease outbreaks. Achieving this will be challenging, but the World Health Organization (WHO) must play a vital role. New thinking is required to improve emergency response in an increasingly crowded and financially convoluted global health arena.

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          Where Does the Money Go? Best and Worst Practices in Foreign Aid

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            Planning for large epidemics and pandemics : challenges from a policy perspective

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              Is Open Access

              Innovation in observation: a vision for early outbreak detection

              The emergence of new infections and resurgence of old ones—health threats stemming from environmental contamination or purposeful acts of bioterrorism—call for a worldwide effort in improving early outbreak detection, with the goal of ameliorating current and future risks. In some cases, the problem of outbreak detection is logistically straightforward and mathematically easy: a single case of a disease of great concern can constitute an outbreak. However, for the vast majority of maladies, a simple analytical solution does not exist. Furthermore, each step in developing reliable, sensitive, effective surveillance systems demonstrates enormous complexities in the transmission, manifestation, detection, and control of emerging health threats. In this communication, we explore potential future innovations in early outbreak detection systems that can overcome the pitfalls of current surveillance. We believe that modern advances in assembling data, techniques for collating and processing information, and technology that enables integrated analysis will facilitate a new paradigm in outbreak definition and detection. We anticipate that moving forward in this direction will provide the highly desired sensitivity and specificity in early detection required to meet the emerging challenges of global disease surveillance.
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                Author and article information

                Contributors
                vageesh.jain@ucl.ac.uk
                Journal
                J Public Health Policy
                J Public Health Policy
                Journal of Public Health Policy
                Palgrave Macmillan UK (London )
                0197-5897
                1745-655X
                3 December 2019
                : 1-10
                Affiliations
                [1 ]GRID grid.83440.3b, ISNI 0000000121901201, Institute for Global Health, , University College London, ; 30 Guilford Street, London, WC1N 1EH UK
                [2 ]Hackney Council, London, UK
                Article
                207
                10.1057/s41271-019-00207-z
                7095484
                31796865
                6709eeb4-821f-4478-9cd3-876a97071c7a
                © Springer Nature Limited 2019

                This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.

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                Public health
                global health,health economics,health protection,emergency response,infectious diseases

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