50 States or 50 Countries: What Did We Miss and What Do We Do Now?

Frederick M. Burkle, Asha V. Devereaux

Research output: Contribution to journalReview articlepeer-review


There have been multiple inconsistencies in the manner the COVID-19 pandemic has been investigated and managed by countries. Population-based management (PBM) has been inconsistent, yet serves as a necessary first step in managing public health crises. Unfortunately, these have dominated the landscape within the United States and continue as of this writing. Political and economic influences have greatly influenced major public health management and control decisions. Responsibility for global public health crises and modeling for management are the responsibility of the World Health Organization (WHO) and the International Health Regulations Treaty (IHR). This review calls upon both to reassess their roles and responsibilities that must be markedly improved and better replicated world-wide in order to optimize the global public health protections and its PBM.

Original languageEnglish (US)
Pages (from-to)353-357
Number of pages5
JournalPrehospital and disaster medicine
Issue number4
StatePublished - Aug 1 2020
Externally publishedYes


  • Centers for Disease Control and Prevention
  • World Health Organization
  • coronavirus
  • global public health
  • pandemics
  • population-based management

ASJC Scopus subject areas

  • Emergency Medicine
  • Emergency


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