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Integrating anticipatory action in disease outbreak preparedness and response in the humanitarian sector

Bibliographic Data

ID21881149
AuthorsTilly Alcayna (0000-0003-1237-1039, London School of Hygiene & Tropical Medicine), Franziska Kellerhaus (German Red Cross), Leo Tremblay (Médecins Sans Frontières), Chloe Fletcher (0000-0002-6705-7605, Universitat Pompeu Fabra), Rachel Goodermote (0009-0005-8351-393X, International Federation of Red Cross and Red Crescent Societies), Mauricio Santos-Vega (Red Cross Red Crescent Climate Centre, The Hague, Netherlands), Mauricio Santos‐Vega (0000-0002-8130-6014, Universidad de los Andes), Juan Chaves-Gonzalez (United Nations Office for the Coordination of Humanitarian Affairs), Meghan Bailey (0000-0003-2331-7484, Climate Centre), Bhargavi Rao (0000-0002-4406-1636, Médecins Sans Frontières), V Bhargavi Rao (Health in Humanitarian Crises Centre, London School of Hygiene and Tropical Medicine, London, UK), Rachel Lowe (0000-0003-3939-7343, Institució Catalana de Recerca i Estudis Avançats)
Year2025
Volume10
Issue7
Pagese017721
Publication date2025-07-01
Open AccessYes
TypeARTICLE
VenueBMJ Global Health (JOURNAL)
Journal identifiersISSN: 2059-7908 • E-ISSN: 2059-7908
PublisherBMJ (PUBLISHER • GB)
DOI10.1136/bmjgh-2024-017721
PMID40707045
OpenAlexW4412648568
LanguageEN
Citations received1
References cited39

In the humanitarian sector, anticipatory action entails acting ahead of predicted hazardous events to prevent or mitigate potential impacts and needs. It leverages early warnings to bridge preparedness and response, with a core principle being the provision of ex-ante emergency funding for preagreed early actions. Traditionally applied to extreme climatic events, there is growing interest in integrating anticipatory action into disease outbreak preparedness and response. We present an analytical framework for trigger development for climate-sensitive infectious disease outbreaks based on a review of existing and emerging practices from the Red Cross Red Crescent Movement, United Nations agencies and Médecins Sans Frontières since 2014. We propose that, depending on data availability, there are four broad approaches for trigger development. First, the humanitarian sector could scale up the release of prearranged funding based on real-time surveillance data (eg, suspected cases) while other emergency funding is secured. Second, the humanitarian sector could take advantage of weather forecasts and seasonal climate forecasts to anticipate outbreaks linked to extreme climatic events, anomalous climatic conditions or highly suitable climatic conditions. Third, to extend the lead time available for intervention, the humanitarian sector could use observed environmental and socioeconomic transmission risk factors (eg, population displacement, overcrowding, presence of vectors, weather changes) in combination with real-time surveillance data to improve early detection or curb a rapid increase in cases, while other emergency funding is secured. Fourth, data-driven outbreak forecasting using seasonal forecasts can help extend the lead time further to make informed decisions about future risks. We present examples and discuss the trade-offs between approaches. As anticipatory action for outbreaks becomes established, we expect that future applications will integrate all four approaches

Biology · Business · Climate change · Economic growth · Economics · Environmental health · Environmental planning · Environmental resource management · Extreme weather · Geography · Humanitarian aid · Outbreak · Political science · Population · Preparedness · COVID-19 epidemiological studies · Medicine · Vibrio bacteria research studies · Viral Infections and Outbreaks Research · Ecology

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Citations per year1
Citation span2026 - 2026 (1)
Highly citedNo

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