Unifying global pandemic preparedness efforts

The COVID-19 pandemic illustrates the need for pandemic preparedness to be considered a global rather than a national metric. The 2005 International Health Regulations and supporting policy provide a foundation for building pandemic preparedness and health security in all countries. Examining the engagement of high-income, middle-income, and low-income countries in existing policies and programs, each income group can redress different challenges. With improved engagement in international regulations, targeted donor programs by high-income countries, and strengthened core health capacities in middle- and low-income countries, global pandemic preparedness is possible within the existing policy landscape.