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Public Health Works Best Before a Crisis Begins

Prevention, surveillance and primary care determine how resilient health systems are under pressure.

Health systems are often judged during emergencies, but much of their resilience is built long before a crisis. Vaccination programmes, disease surveillance, primary care access, laboratory capacity and clear public communication all influence how quickly a system can detect and respond to emerging risks.

Prevention can be less visible than hospital treatment because success often means that an event never becomes a crisis. That makes sustained investment politically difficult, even though the long-term benefits can be substantial.

For policymakers, the challenge is to maintain preparedness during quiet periods rather than rebuilding capacity after every emergency.

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