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Planning for an outbreak of health? Lessons from
the COVID-19 pandemic
Professor John Middleton
President, Association of Schools of Public Health in
the European Region
2
06/11/2021
The COVID-19 pandemic
06/11/2021 6
06/11/2021 7
John Middleton [lecture title]
[date]
Populism
has been
bad for our
health
ASPHER COVID-19 response
06/11/2021 14
06/11/2021 15
ASPHER COVID-19 task force
Members in 30 countries
Actions:
• Reports on testing
• Masks
• Inequalities
• Second wave and winter planning
• How to count illness
• Basic terms of inequalities in health
• Herd immunity
• Five vaccination statements including the latest
Vaccine internationalism, vaccine passports and
vaccine diplomacy
https://www.aspher.org
/covid-19-task-
force.html
06/11/2021 16
ASPHER COVID-19 task force
Actions :
Public health service functions :
• Contracts with European Health surveillance centre
ECDC for reviewing competencies in infectious
diseases, and vaccinology.
• Young professionals training and project work
• A survey of the work of our member schools in the
pandemic
• Surveys of actions by our schools in delivering teaching,
in person or remotely
• Papers on the erosion of public health
• Support statements for the role of WHO
https://www.aspher.org
/covid-19-task-
force.html
John Middleton [lecture title]
[date]
https://www.aspher.org/d
ownload/413/aspher_stat
ement_on_the_strategic_
use_of_masks.pdf
John Middleton [lecture title]
[date]
https://www.aspher.or
g/download/421/asph
er_statement_on_the_
covid-19_testing.pdf
The new
Global
Network for
Academic
Public
Health- and
our
statement
regarding
the role of
WHO
https://s3.amazonaws.com/ASPPH_Media_Files/Docs/Global+Network+WHO+Statement.pdf
Planning for an outbreak of health
Planning for an outbreak of
health:
The public health system,
services and profession
https://epha.org/public-
health-must-be-
strengthened-for-a-
healthy-post-covid-world/
Global governance for health
John Middleton:Planning for an outbreak of health
Renew the mandate of the UN and
WHO in global health governance
The new Treaty for pandemic
preparedness
Governance
Transparency and information
sharing
Resources and capacity
New continental/WHO regional
structures with response capacity
Cede authority to supranational
structures ?
https://blogs.bmj
.com/bmj/2021/0
4/26/what-
should-we-ask-
of-a-new-global-
treaty-for-
pandemic-
preparedness/
Henrique Lopes,
Catholic University of
Lisbon.
John Middleton,
President, Association
of Schools of Public
Health in the
European Region.
Revised mandate of
ECDC and EMA
Crisis preparedness
and response
New regulation for
pharmaceutical
industry
Europe’s Beating
Cancer plan
John Middleton: Planning for an outbreak of health
Planning for an
outbreak of health:
The public’s health
John Middleton [lecture title]
[date]
Upsides
of
lockdown
1 :
Decline in
air
pollution
Upsides in
lockdown 2:
interest in
more active
travel
uild back
etter?
‘Build back’ ?
Working practices and relationships ?
Reducing inequalities? Minorities?
Vulnerable groups? Women? Older
people?
John Middleton:Planning for an outbreak of health
https://www.health.org.uk/sites/default/files/upl
oad/publications/2020/Build-back-fairer-the-
COVID-19-Marmot-review.pdf
Build back
Fairer?
John Middleton:Planning for an outbreak of health
Build back
Fairer?
The richest billionaires could
give $139,300,000,000 away
and still be as rich as they
were in 2020. These
billionaires could end global
hunger for about $300 billion.
A fraction of their overall
wealth.
‘Build
back’?
‘Build back’ ?
‘Build back’ ?
‘Build back’ ?
‘Build back’ ?
To what: austerity, poverty and
unfairness? Environmental squalor and
health and wealth for some?
Plan for an outbreak of health….
William Beveridge designed a welfare state
for the UK in the deepest point of the
Second World War.
‘We should regard want,
idleness , ignorance, squalor
and disease as enemies of us
all. That is the meaning of a
social conscience; that we
refuse to make our separate
peace with evil.’
Science knows no country,
because knowledge belongs to
humanity, and is the torch which
illuminates the world.
Louis Pasteur
Vaccine
Waiver
needed
now
Thank you
John Middleton,
President
Association of Schools of Public Health
In the European Region
John.middleton@aspher.org
What is ASPHER ?
The Association of Schools of Public Health in the European Region
(ASPHER) is the key independent European organisation dedicated to
improving and protecting the public health by strengthening education
and training of public health professionals for both practice and
research.
We have 120 member schools of public health in Europe and
associates globally.
We are developing our partnerships with sister public health
organisations in North and South America, Africa, Asia, Australasia
and the Arab world

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