{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T15:17:40Z","timestamp":1770995860236,"version":"3.50.1"},"reference-count":100,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,2,6]],"date-time":"2025-02-06T00:00:00Z","timestamp":1738800000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>Public health emergency preparedness requires capacities and capabilities to respond to a diverse range of health threats. A key objective of Ireland\u2019s recent Health Protection Strategy is to enable preparedness, prevention, early detection and optimal response to health threats from all-hazards. We aimed to identify priority areas for inclusion in an evidence-based health threats preparedness framework, using lessons from the COVID-19 pandemic, to inform a national health threats strategy and a strengthened emerging health threats function for Ireland.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted a narrative literature review to inform the health threats preparedness framework development. We carried out literature searches in two phases, from 2017 to 2022, followed by an updated search covering 2022\u20132024, to ensure all relevant, recent literature was captured. We used a data extraction tool to collate priority areas reported.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Overarching priorities for health threats preparedness are rapid decision-making, an outcomes-based, and ethical approach. Health threats preparedness should include a risk-based, all-hazards, One Health approach, aligned with legislation. Multisectoral partnerships, collaboration and communication nationally and internationally are key, alongside clear governance structures and monitoring and evaluation. Adequate resources are required to operationalize effective and sustainable preparedness. Public health leadership must be to the fore.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>An effective health threats preparedness approach is legislatively mandated for European Member States. This evidence review highlights priority areas for a comprehensive health threats preparedness framework. This framework supports the development of a strengthened emerging health threats function in Ireland and may inform other Member States\u2019 preparedness.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpubh.2025.1490850","type":"journal-article","created":{"date-parts":[[2025,2,6]],"date-time":"2025-02-06T11:46:52Z","timestamp":1738842412000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":5,"title":["A narrative literature review to inform the development of a health threats preparedness framework in Ireland"],"prefix":"10.3389","volume":"13","author":[{"given":"Louise","family":"Marron","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James","family":"Gilroy","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michelle","family":"Williams","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Randal","family":"Parlour","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M\u00e1ir\u00edn","family":"Boland","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2025,2,6]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"100794","DOI":"10.1016\/j.lanepe.2023.100794","article-title":"The path to a European health union","volume":"36","author":"McKee","year":"2024","journal-title":"The Lancet Regional Health\u2013Europe"},{"key":"ref2","volume-title":"Public health emergency preparedness \u2013 Core competencies for EU member states","year":"2017"},{"key":"ref3","volume-title":"WHO guidance on preparing for National Response to health emergencies and disasters","year":"2021"},{"key":"ref4","volume-title":"Health emergency preparedness for imported cases of high-consequence infectious diseases","year":"2019"},{"key":"ref5","volume-title":"Health service executive health protection strategy 2022\u20132027","year":"2022"},{"key":"ref6","volume-title":"Health service executive health protection strategy 2022\u20132027: Year one implementation report","year":"2023"},{"key":"ref7","volume-title":"Committee on the future of healthcare-Sl\u00e1intecare report","year":"2017"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"2300326","DOI":"10.2807\/1560-7917.ES.2024.29.14.2300326","article-title":"The approach to developing Ireland\u2019s first national health protection strategy and lessons learnt, December 2021 to October 2022","volume":"29","author":"Kelly","year":"2024","journal-title":"Euro Surveill"},{"key":"ref9","volume-title":"Report of the public health reform expert advisory group","year":"2023"},{"key":"ref10","volume-title":"Report of the emerging health threats function expert steering group","year":"2024"},{"key":"ref11","volume-title":"Drawing light from the pandemic: A new strategy for health and sustainable development","year":"2021"},{"key":"ref12","volume-title":"Working group on amendments to the international health regulations (2005)","year":"2024"},{"key":"ref13","volume-title":"A strategic framework for emergency preparedness","year":"2017"},{"key":"ref14","volume-title":"Introducing HERA, the European health emergency preparedness and response authority, the next step towards completing the European health union","year":"2021"},{"key":"ref15","volume-title":"Regulation (EU) 2022\/2371 of the European Parliament and the council of 23 November 2022 on serious cross-border threats to health and repealing decision no 1081\/2013\/EU","year":"2022"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"104844","DOI":"10.1016\/j.healthpol.2023.104844","article-title":"The launch of the EU health emergency preparedness and response authority (HERA): improving global pandemic preparedness?","volume":"133","author":"Wouters","year":"2023","journal-title":"Health policy"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.2807\/1560-7917.ES.2023.28.3.2300033","article-title":"Preparing Europe for future health threats and crises - key elements of the European Centre for Disease Prevention and Control's reinforced mandate. 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