The COVID-19 pandemic killed 2 million people worldwide in 2020 and cost an estimated US$20 trillion1 ; the world failed this test of preparedness and response.2 It remains to be determined whether the world will do better next time—because it is inevitable that there will be a next time. Unless countries act now to establish a route to readiness, the world will miss this opportunity to greatly reduce future health risks. Progress will require not only more and sustained leadership and funding from governments but also better technical capacity and improved operational excellence in public health systems across the globe. Strengthening our global health architecture will require country commitment and effective governance, effective use of increased financing, robust technical support, and the support of strong and accountable global leadership.
- The world failed its test of preparedness and response to the COVID-19 pandemic, and it remains to be determined whether we will do better next time—because it is inevitable that there will be a next time.
- Progress will require not only more and sustained funding from governments but also better technical capacity and improved operational excellence in public health systems across the globe.
- Strengthening our global health architecture will require country commitment and effective governance, effective use of financing and other resources, strong and accountable global leadership, robust technical support, substantial new funding with efficient financial mechanisms, and rigorous accountability.
- Success will also require a stronger commitment to collaboration and new ways of working together that recognise the reality—so vividly illustrated by the COVID-19 pandemic—of our mutual dependency and of the need for mutual accountability.