@article{fdi:010091972, title = {{P}reparing for pandemics needs a dose of public health and a booster of "complex thought" ({E}rrare humanum est, perseverare diabolicum)}, author = {{P}aul, {E}. and {B}rown, {G}. {W}. and {B}ell, {D}. and {R}idde, {V}al{\'e}ry and {S}turmberg, {J}.}, editor = {}, language = {{ENG}}, abstract = {{T}he {COVID}-19 pandemic has triggered unprecedented governmental responses worldwide, revealing weaknesses in health systems and public health policies due to lack of "complex thought" required to manage complex adaptive systems. {U}nderstanding {COVID}-19 response strategies' multiple effects is particularly important now that pandemic preparedness and response ({PPR}) is on top of the global health political agenda. {H}ere, we adopt a complex adaptive systems approach to critically analyze the literature and draw lessons from the {COVID}-19 response to inform future {PPR} strategies. {W}e observe that in many contexts, strategies implemented in response to {COVID}-19 were poorly effective, inefficient, and inequitable. {W}e explain the limitations of these prevailing measures and propose approaches and strategies to manage pandemics arising from a "systems thinking" perspective. {PPR} demands the adoption of an evolving, evidenced-informed, and context-specific strategy based on comprehensive approaches reflecting the complexities of health crises. {T}his means moving away from single-focused health security paradigms to consider the full range of health problems facing populations and adopting a package of interventions chosen via participatory and deliberative processes that are context-specific and sensitive, as well as evidence-driven, to ensure a fair balance between various pillars of pandemic responses: health promotion, non-pharmaceutical interventions, prophylaxis, vaccines, and treatments.}, keywords = {{MONDE}}, booktitle = {}, journal = {{G}lobal {P}olicy}, volume = {[{E}arly access]}, numero = {}, pages = {[10 p.]}, ISSN = {1758-5880}, year = {2024}, DOI = {10.1111/1758-5899.13449}, URL = {https://www.documentation.ird.fr/hor/fdi:010091972}, }