The World Health Organization (WHO) held its second global technical consultation on public health and social measures (PHSM) during health emergencies from 21 to 23 November 2023 to accelerate the use of PHSM as essential countermeasures for epidemic and pandemic preparedness and prevention. The meeting brought together 87 experts from various sectors in more than 30 countries, representing Member States and academia, as well as civil society and international organizations. During the consultation, experts identified critical initial actions to be taken by decision-makers, researchers and communities to facilitate a timely, equitable and context-specific PHSM response to outbreaks of infectious diseases with epidemic and pandemic potential. The resulting compendium encompasses critical initial actions on PHSM for viruses carried by the Aedes mosquito, zoonotic spillover, and novel respiratory viruses with pandemic potential. Experts noted the urgency to advance the more systematic integration of PHSM into existing emergency preparedness and response frameworks. The strategic positioning of PHSM as critical countermeasures alongside vaccines, therapeutics and other medical countermeasures will increase the recognition of their complementary roles in the fight against epidemics and pandemics. The conclusions of the consultation underscore the need for maintaining political and strategic focus on PHSM to maximize their full potential in saving lives and protecting the livelihoods of affected communities during future health emergencies.

In June 2023, the World Health Organization (WHO) convened national public health stakeholders from 21 countries and WHO staff to establish a community of practice among public health stakeholders, with a specific focus on strengthening PHSM research and policies. This report provides an account of the discussions, outcomes and advice put forth during the meeting, highlighting the shared commitment to advancing PHSM research, decision-making and global monitoring of policies. At the meeting, national public health stakeholders shared case examples describing their experiences with PHSM implementation during health emergencies, including the COVID-19 pandemic. Through case studies presented by representatives from each country, as well as the discussions that followed, several key factors were identified that facilitated successful PHSM responses, namely, the existence of legal mechanisms for emergency responses, multisectoral collaboration, multisectoral governance, surveillance and contact tracing, national research initiatives, international recommendations and evidence in the absence of robust local data and research, community engagement, and social protection measures to mitigate the unintended negative consequences of PHSM. In addition, participants discussed challenges they had experienced relating to PHSM implementation and reflected on the additional resources and capacities that could have supported more effective PHSM. The report details these experiences, discussions as well as a call to action for PHSM participants put forth, encouraging all countries to commit to taking actions to strengthen PHSM as an essential countermeasure for epidemic and pandemic preparedness and response.

This guidance is an update of WHO global influenza preparedness plan: the role of WHO and recommendations for national measures before and during pandemics, published March 2005 (WHO/CDS/CSR/GIP/2005.5).

The WHO Benchmarks for International Health Regulations (2005) (IHR) Capacities was first published in 2019 and serves as a capacity-building tool and reference document to guide development/updating of country health security plans, including the national action plan for health security (NAPHS). It is now updated to a second edition which incorporates lessons learned from recent health emergencies, as well as alignment with updated IHRMEF tools, the HEPR framework, the WHO Director-General’s ten proposals to build a safer world together, and to build back better through multi-hazard and whole-of-society approaches to support better preparedness for future emergencies. Over 250 relevant technical leads contributed to this edition, by providing inputs from WHO regional offices, countries, partners and participation in global consultation meetings. The second edition is titled “WHO Benchmarks for Strengthening Health Emergency Capacities: Support for the Implementation of International Health Regulations (IHR) and Health Emergency Prevention, Preparedness, Response and Resilience (HEPR) Capacities”. WHO benchmarks are further digitalized for easy and quick use, along with a reference library, which is currently being updated. The audience for this document includes WHO Member States, health ministries and other relevant ministries, healthstakeholders, partners, nongovernmental organizations and academia to support building capacities at the country level.