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Health Emergencies And Pandemic Response Ruth Fidelis

Health emergencies and pandemic response

Health emergencies are events that pose urgent threats to public health. Events such as disease outbreaks, pandemics and natural disasters. Burnet is helping our region prevent, prepare and respond to health emergencies by supporting institutions to connect and work together effectively. These partnerships are often across different sectors. They strengthen health systems and communities so that they can better withstand the shock of a health emergency. Our work also includes real-time disease surveillance and innovation in vaccines and diagnostics.

Challenges of health emergencies and pandemic response

The concept of health emergencies covers a wide range of complex, overlapping threats. Burnet is addressing challenges such as:

  • the emergence and re-emergence of diseases such as Mpox, COVID-19, polio, and avian influenza
  • ongoing protracted emergencies and pandemics, such as HIV, hepatitis and tuberculosis
  • shortcomings in disease surveillance systems, particularly in low- and middle-income countries
  • the disproportionate impact of health emergencies on marginalised groups such as refugees and culturally and linguistically diverse communities.

Effects of climate change on health

Climate change exacerbates existing health challenges and creates new issues.

It's extending the range of diseases such as malaria, Zika and Japanese encephalitis that are spread by mosquitoes. Some of these diseases have epidemic potential.

Climate change increases the frequency of floods, bushfires and other natural disasters. These can put added strain on health services that are already managing the complex health needs of populations, such as disease outbreaks.

Climate change makes food production and supply less predictable. This makes it more difficult for people to get the nutrition they need. Access to nutrition is a social determinant of health. Social determinants of health are non-medical factors that affect a person’s chances of good health. They include things such as access to education and job opportunities that are often unfairly distributed within and between countries. Social determinants of health make access to good health unequal and climate change can make the situation worse.

How Burnet tackles health emergencies and pandemic response

Burnet’s expertise covers prevention, preparedness and response. Our approach aligns with the World Health Organization’s International Health Regulations and the Pandemic Agreement.

Prevention

We work to prevent diseases. Our NATNAT project studied vector controls for mosquito-borne diseases in Papua New Guinea. Our Pathway to Clean Indoor Air and ELUCIDAR projects seek to reduce the spread of airborne infections through monitoring and improving indoor air quality and better ventilation in buildings in Victoria, Australia.

One Health approach

One Health recognises the connections and inter-dependencies between human, animal, plant, and ecosystem health. We use this understanding to harness the capabilities of different sectors and respond to threats such as antimicrobial resistance (AMR), vector-borne diseases, and disease outbreaks amplified by climate change.

Surveillance and early warning systems

We lead and support disease surveillance systems across Australia, the Pacific and South-East Asia, identifying areas for incremental improvement. We contribute to sentinel surveillance – testing people in the community for diseases – which enables early warning and rapid responses.

Vaccines and diagnostics

Burnet is developing flexible vaccine platforms and rapid diagnostics that can be adapted for emerging diseases.

Policy, governance, and partnership

Our work is built on collaborations with governments, laboratories, hospitals, and international bodies. We help to establish governance structures that enable coordination and decision-making across different sectors. The amended International Health Regulations and the Pandemic Agreement will come to frame globally how we work together to prevent and respond to health emergencies and pandemics. Burnet, in partnership with the AIID, seeks to work collaboratively to support and strengthen the adoption of these international laws.

Community engagement and communication

We co-design communications with community partners, using their own languages and culturally appropriate formats. This ensures trust and encourages people to engage with public health bodies, particularly among communities that are most at risk. 

BURNET Manifesto Leica July 0043 Retouched

Know-C19: preventing and preparing for pandemics

Set up in response to COVID-19, this flagship initiative is taking lessons learned from the pandemic to prevent and prepare for future health emergencies.

Our achievements

Burnet has supported responses to health emergencies and pandemics in Australia and abroad.

Contributing to worldwide antimicrobial resistance surveillance

Burnet is the grantee of the Fleming Fund Country Grant. The Fleming Fund is a UK aid program that tackles antimicrobial resistance (AMR) in Papua New Guinea. Our activities include helping establish an AMR surveillance system that feeds into the World Health Organization’s global AMR database, GLASS.

Adapting existing surveillance systems for new threats

Burnet is a lead implementing partner in ACCESS (Australian Collaboration for Coordinated Enhanced Sentinel Surveillance of Sexually Transmissible Infections and Blood Borne Viruses). During a global outbreak of the mpox virus in 2022, we rapidly adapted ACCESS’s surveillance platform to monitor mpox in Australia. We have also adapted ACCESS to monitor HIV in Myanmar, including trends from diagnosis to treatment.

Informing responses to the COVID-19 pandemic

Our COVID-19 modelling directly informed public health policy in Victoria during the pandemic. Our Optimise Study helped guide Victoria’s approach to COVID-19. It aimed to prevent new infections and reduce the health, social and economic impacts of restriction and prevention measures. The findings informed equity-based approaches.

TIGER C19 is a collaboration between Burnet Institute and the University of Melbourne. Short for ‘Timely Integration of user-GEnerated Responses to COVID-19', the approach combines big data analytics of social media posts with qualitative research methods. The monthly reports generated were invaluable in understanding community responses to COVID-19 policy and practice. The TIGER methodology and approach is applicable to other health emergencies and public health issues.

Community partnerships

Burnet worked with groups such as the North East Multicultural Association and Language Loop and the Ethnic Communities Council of Victoria to improve emergency communications as part of the VOICE partnership.  

Equity in health emergencies

Burnet’s approach is grounded in equity. Our projects focus on ensuring no one is left behind during a health emergency.

This includes: 

  • advocating for equitable access to health products across all countries. 

  • ensuring public health messages reach all communities by using appropriate language and formats.  

  • drawing on the lived experience of communities to design effective interventions. 

  • recognising and addressing the issues that make certain groups of people vulnerable in times of crisis. 

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