At the Seventy-fifth World Health Assembly in May 2022, the WHO Director-
General presented a harmonized framework to strengthen the global architecture
for health emergency preparedness, response, and resilience (HEPR).8 The
framework was developed within the context of negotiations towards a new WHO
convention, agreement, or other international instrument on pandemic prevention,
preparedness, and response. It builds upon more than 300 recommendations
arising from various independent reviews of the global response to COVID-19 and
reports on previous outbreaks, as well as the views of Member States and ongoing
multilateral consultation processes. The proposed global architecture recognizes
that effective prevention, preparedness, detection, response, and recovery from
health emergencies at subnational, national, regional, and global levels depend on
operational readiness across five interconnected components: (i) C1. Collaborative
surveillance; (ii) C2. Community protection; (iii) C3. Safe and scalable clinical care;
(iv) C4. Access to countermeasures; and (v) C5. Emergency coordination. Collaborative
surveillance is a cornerstone of WHO’s strategic framework for HEPR.