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Sudden-onset disasters such as earthquakes and floods occur with little warning. The consequences of climate change and environmental degradation can only be expected to increase the incidence of some infectious diseases and weather-related crises, adding to the unpredictability of such events. Health leaders, both in public health and healthcare, need to understand the international context and how coordination and response across or within jurisdictions will improve the likelihood of successful management of challenges. Public health emergencies respect no borders or political structures. The ability of institutions to adapt quickly can make a difference in health outcomes and a community\u2019s trust in those institutions.<\/jats:p>","DOI":"10.1177\/0840470420901532","type":"journal-article","created":{"date-parts":[[2020,2,5]],"date-time":"2020-02-05T09:23:25Z","timestamp":1580894605000},"page":"164-169","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":14,"title":["Pandemics, regional outbreaks, and sudden-onset disasters"],"prefix":"10.1177","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7074-0133","authenticated-orcid":false,"given":"Paul R.","family":"Gully","sequence":"first","affiliation":[{"name":"The University of British Columbia School of Population and Public Health, Vancouver, British Columbia, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,2,5]]},"reference":[{"key":"bibr1-0840470420901532","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(03)13077-2"},{"key":"bibr2-0840470420901532","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa030781"},{"key":"bibr3-0840470420901532","doi-asserted-by":"publisher","DOI":"10.1126\/science.1087139"},{"key":"bibr4-0840470420901532","unstructured":"Learning from SARS-Renewal of Public Health in Canada. 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