{ "abstract": "If resources for public health and decision makers are limited, what are the highest-priority investments they can make? Drawing on the Disease Control Priorities report on pandemic prevention, preparedness, and response, in this Viewpoint we summarise our reflections and recommendations for the next decade in public health and focus on the highest return actions for pandemic preparedness, prevention, and response that countries can take to protect themselves and others. We identified 85 feasible national-level and local-level actions, categorising 40 of them as high-priority investments. At regional and global levels, we identified and recommend 33 high-priority actions. These investments could have pay-offs substantially exceeding their cost. Ensuring adequate funding will require countries to contribute according to their fiscal capacity, with some countries requiring external support. Importantly, financing response to an outbreak should be timely and therefore prearranged.", "abstract_shown": true, "affiliations": [ "Department of Global Health and Population, Harvard T H Chan School of Public Health, Boston, MA, USA", "Bergen Centre for Ethics and Priority Setting in Health, Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway", "Burnet Institute, Melbourne, VIC, Australia", "Nigeria Centre for Disease Control and Prevention, Abuja, Nigeria", "Kathmandu University School of Medical Sciences, Kathmandu, Nepal", "Ministry of Health, Nairobi, Kenya", "Heidelberg Institute of Global Health, Heidelberg University, Heidelberg, Germany", "Africa Health Research Institute, Somkhele and Durban, South Africa", "UC Berkeley School of Public Health, University of California, CA, USA", "Research Consortium for School Health and Nutrition of the School Meals Coalition and Department of Population Health, London School of Hygiene & Tropical Medicine, London, UK", "Department of Medicine, Faculty of Medicine, Eduardo Mondlane University, Maputo, Mozambique", "Department of Medicine, Maputo Central Hospital, Maputo, Mozambique", "School of Population Medicine and Public Health, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China", "Center for Global Development, Washington, DC, USA", "The World Bank Group, Washington, DC, USA", "Department of Pharmaceutical and Health Economics, and Schaeffer Center for Health Policy and Economics, University of Southern California, Los Angeles, CA, USA", "Department of Economics, University of Chicago, IL, USA", "WHO Health Emergencies Programme, World Health Organization, Geneva, Switzerland", "Department of Economics, University of Exeter, Exeter, UK", "Department of Economics, University of Oxford, Oxford, UK", "Ginkgo Bioworks, Emeryville, CA, USA", "One Health Institute, School of Veterinary Medicine, University of California, Davis, CA, USA", "UC Berkeley Risk and Security Lab, University of California, CA, USA", "SynBio Africa, Entebbe, Uganda", "Ministry of Health and Social Welfare of Nigeria, Abuja, Nigeria", "University of Colorado Law School, Boulder CO, USA", "Department of Surgery, University of California, CA, USA", "UCSF Institute for Global Health Sciences, University of California, CA, USA", "Ellison Institute of Technology, Oxford, UK", "Department of Economics, Dartmouth College, Hanover, NH, USA", "Division of General Internal Medicine, Department of Medicine and Department of Global Health, University of Washington, Seattle, WA, USA", "Uehiro Centre for Practical Ethics, University of Oxford, Oxford, UK", "UCSF Department of Epidemiology and Biostatistics, University of California, CA, USA", "Department of Global Health and Infectious Diseases, Graduate School of Medicine, Tohoku University, Sendai, Japan" ], "article_type": "review article", "arxiv": null, "author_total": 33, "authors": [ { "affs": [ 0, 1 ], "name": "Ole F Norheim" }, { "affs": [ 2 ], "name": "Siddhanth Sharma" }, { "affs": [ 3 ], "name": "Olaolu M Aderinola" }, { "affs": [ 4 ], "name": "Puspanjali Adhikari" }, { "affs": [ 5 ], "name": "Patrick Amoth" }, { "affs": [ 0, 6, 7 ], "name": "Till Bärnighausen" }, { "affs": [ 8 ], "name": "Stefano M Bertozzi" }, { "affs": [ 0 ], "name": "David E Bloom" }, { "affs": [ 9 ], "name": "Donald A P Bundy" }, { "affs": [ 10, 11 ], "name": "Lúcia Chambal" }, { "affs": [ 12 ], "name": "Simiao Chen" }, { "affs": [ 13 ], "name": "Sarrin Chethik" }, { "affs": [ 14 ], "name": "Victoria Y Fan" }, { "affs": [ 15 ], "name": "Maddalena Ferranna" }, { "affs": [ 13, 16 ], "name": "Rachel Glennerster" }, { "affs": [ 17 ], "name": "Chikwe Ihekweazu" }, { "affs": [ 18, 19 ], "name": "Julian Jamison" }, { "affs": [ 14 ], "name": "Sun Kim" }, { "affs": [ 14 ], "name": "Magnus Lindelow" }, { "affs": [ 20 ], "name": "Nita K Madhav" }, { "affs": [ 21 ], "name": "Jonna Mazet" }, { "affs": [ 22 ], "name": "Ben Oppenheim" }, { "affs": [ 23 ], "name": "Geoffrey Otim" }, { "affs": [ 24 ], "name": "Muhammad A Pate" }, { "affs": [ 25 ], "name": "Govind Persad" }, { "affs": [ 16 ], "name": "Sebastian Quaade" }, { "affs": [ 26, 27 ], "name": "John Rose" }, { "affs": [ 28 ], "name": "Gabriel Seidman" }, { "affs": [ 29 ], "name": "Christopher M Snyder" }, { "affs": [ 30 ], "name": "David A Watkins" }, { "affs": [ 31 ], "name": "Bridget Williams" }, { "affs": [ 32, 27, 12 ], "name": "Dean T Jamison" }, { "affs": [ 33 ], "name": "Hitoshi Oshitani" } ], "bibtex": "https://research.draconitic.com/paper/5rj9fr1hj8946.bib", "cited_by": 0, "doi": "10.1016/s2468-2667(26)00201-x", "fulltext_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13713166/", "id": "5rj9fr1hj8946", "issns": [ "2468-2667" ], "landing_url": "https://doi.org/10.1016/s2468-2667(26)00201-x", "language": "en", "licence": "CC-BY-NC-ND-4.0", "licence_label": "CC BY-NC-ND 4.0", "licence_source": "article", "licence_url": "https://creativecommons.org/licenses/by-nc-nd/4.0/", "metadata_licence": null, "native_subjects": [ [ "heading", "Viewpoint" ], [ "openalex", "3600|Public Health Policies and Education" ] ], "openalex": "W7223029936", "pdf_url": null, "pmcid": "PMC13713166", "pmid": "42901194", "published": "2026-10-20", "publisher": null, "ris": "https://research.draconitic.com/paper/5rj9fr1hj8946.ris", "sources": [ { "first_seen": "2026-10-31T12:23:33Z", "native_id": "PMC13713166", "source": "pmc", "url": "https://doi.org/10.1016/s2468-2667(26)00201-x" } ], "subjects": [], "title": "Investing in pandemic prevention, preparedness, and response", "title_text": "Investing in pandemic prevention, preparedness, and response", "type": "peer-reviewed", "updated_at": "2026-10-31T12:23:33Z", "url": "https://research.draconitic.com/paper/5rj9fr1hj8946", "venue": "The Lancet. Public Health", "versions": [] }