Need to be better prepared if Covid 19happens with this intensity and an expedient to restore almost destroyed the Social contract

?STATUS OF OUR STRATEGIES TO STRENGTHEN EXISTING PUBLIC HEALTH CARE SYSTEMS.

BACKGROUND

Public health is the most important concern of the respective Government as there is no option. The unexpected onset of Covid-19 and its whole turbulent period has been a way of normal. Its main characteristic of contagious for Several months, no drug is available especially to treat this disease, however, lately a vaccine has been invented. Gradually, it has contained Covid-19 substantially, but still not stopped but surely mitigated. The epidemic nomenclature changed to the epidemic. It is not very close. Thus, a need to take a step a more strategic approach to assess and track investments in readiness for future infectious threats.?

Just recollect the extraordinary destruction of human lives and livelihoods, grinding halt of all spheres of business and industry. Immobility of global people by partial and complete lockdown across global on a wide-spread scale became uncertain, with no clue about the end, for businesses and COVID-19 was declared?a pandemic, still many nations including developed ones found themselves thoughtless to face the rapidly unfolding public health crisis. The impending exposure to risks that had long anteceded the pandemic—such as health disparities and defective dialogue between public health and healthcare delivery systems were observed.?Plans prepared but not implemented. The public health systems were not as buoyant to the extreme risks assessed. Sure, criticism covering the beginning action by some national public health authorities to monkeypox. Therefore, the WHO proclaimed a Public Health Emergency of International Concern on July 23, 2022, indicating no adequate strategy had yet been formed. Many governments are investing in the enhancement of their pandemic alertness. But how will they know if those investments will prove unsuccessful when the next crisis attacks? To help leaders gauge and track their state of readiness, identify opportunities for improvement, and ensure the continuation of adequate funding directed toward these efforts, McKinsey designed a Pandemic Preparedness Survey to create awareness and appraise the seriousness to assist business leaders in taking decisive action on the issues emerge from its findings. In this context, in addition to broader lessons from the COVID-19 pandemic, to ensure that public health systems are ready for whatever crises the future brings. As consensus emerges that the COVID-19 pandemic leaves nobody remained without its negative influence both mentally and physically in all spheres of the global people which unprecedently turbulence, almost helpless. Therefore, mounting an effective response calls for specialized capabilities and enablers within and beyond public health systems. Members present in the Geneva Preparedness Forum 2022: Measuring Pandemic Preparedness, held on separately from the active form of the World Health Assembly in May 2022, noted the significance of a holistic response involving every part of the government to counter pandemics.

The survey also deliberated on determining some prime capabilities for managing infectious outbreaks: epidemic containment, risk identification and surveillance, emergency preparedness and response operations, emergency manufacturing, procurement, supply chain management, and access to modernization. These competencies are reinforced by a set of potentials that are intended to offer across several areas of government, but that have minor aspects related to pandemic alertness: technology and data, public exchange of information or messages, finance, aptitude, organizational design, and partnerships. Ultimately, effective pandemic readiness is the possibility of happening in a high-functioning wider health system, and the visibility of emergency management efficacious features. This framework can provide the basis for a potential checklist for leaders and also the insights it brings also can aid determine where funding is proving effective and where resources may on priority to be redirected.

Investing in pandemic preparedness and response—selected examples Global leaders are implementing a vigorous attempt to reinforce pandemic preparedness. Beyond crisis response, these investments can be provided to develop broader public health system aims, connecting the break between verticals like preparedness and the broader health system’s solidification agenda. But the drive to stand new public health funding may not necessarily last. Political and public attention spans can be brief, and COVID-19 had already slipped down the priority list in many countries.?Efforts to exchange messages about the paybacks of continuing to invest in the future could suffer from the classic “prevention curse”—when the system is working smoothly and there’s no crisis occurring, stakeholders started questioning the necessity of further continuation of ongoing investments. To sustain momentum, public health leaders may need to establish that new funding is making measurable signs of progress in pandemic alertness, and develop effective tools existing may not be inadequate to combat fully meet this objective. Whatever tools developed before the COVID-19 pandemic made significant aids, they have not always been correlated with outcomes.?Although freely accountable mechanisms, such as WHO’s Universal Health and Preparedness Review, could be vital to safeguarding public trust, they may not be focused or flexible to align with the needs of some authorities.?

The necessary course of action required to augment effective SOP

A state of readiness to address Pandemic disaster and destruction is contained to a major extent if the widespread public health system, and emergency management landscape are well functioning. Each of these areas' suffering is historic from insufficient funds, and those exposures were laid bare by the COVID-19 pandemic. Biomedical innovation and Government proactive steps safeguard access to innovation. saved millions of lives during the COVID-19 crisis,?but ensuring full and equitable access to its fruits remained an insistent challenge. This was seen extremely with COVID-19 vaccines, as usual, developed countries had earlier and more widespread access than most developing and underdeveloped countries. Monkeypox vaccine distribution has faced similar challenges. Those risks are an issue both of capacity and allocation for determining financing needs in this space, future preparedness will almost surely require increasing global capacity for manufacturing vaccines and others intended to prevent.?Collaboration is needed among and within countries, for who will benefit first without bias. ?Countries can work backward from a performance standard. For example, they might want to ensure that high-risk populations can access a new vaccine within three months of licensure and all citizens can access it within six months. Achieving this might require a combination of building local manufacturing capacity and establishing agreements with manufacturers in other locations.

Make robust and well-regulated public health data systems and IT.

During the early stages of the COVID-19 pandemic, many countries realized foremost neglect or not understanding the importance of created lack of investment in public health data, analytics, and technology could slow effective crisis response.?Mixing of public health and care delivery system data to recognize bed capacity was a particular pain point during COVID-19, requiring ad hoc methods for achieving a task for some nations. Latest, reporting of monkeypox cases also continues to vary the truth across jurisdictions.?Minimal IT infrastructure existed in many places to empower besieged communication to particular population segments. And disease surveillance systems often relied on time-intensive processes to integrate different types of data. For example, Countries including the United States are investing to address these gaps. New funding could build lasting capabilities that create measurable progress and aid construction joining health and other sectors of government. Plan to swiftly scale executions. Facing the early rapidly contagious spread across the globe with the unexpected speed of this epidemic inherently perplexed and helpless. Governments can develop their effort for the next pandemic by predefining response plans so that scaling is a matter of activating existing protocols and resources. For example, procurement of supplies can move from standard to emergency protocols. Beforehand stocks of personal-protective equipment can be selected. And staff previously identified and trained to engage in response can be rapidly reassigned from their “peacetime” roles to join a coordinated response team.

Be alert for effective response regulator in early 2020, COVID-19 escalated too rapidly from infectious-disease-team management to a head-of-state issue. The Geneva Preparedness Forum participants realized the seriousness and with a voice vote resolved the importance of effective mechanisms to involve directly the senior government leaders and authorities necessary. Countries with procedures that allowed for relevant technical expertise to be heard while intensifying decisions to the appropriate level likely fared better during the pandemic. ?Some response functions, such as R&D and evidence assessment, sit naturally at more central levels of government, but, such as communication with citizens, are often better positioned at local levels. While there is no universal right answer on governance, predefining roles by the level of government can help ensure a more seamless response. As much as nations and jurisdictions may hope otherwise, COVID-19 will not be the last pandemic. But a wave of funding underscores the drive to be alert proactively for the next public health crisis. Effectively measuring and tracking that preparedness may prove critical not only for making aware investments strategically but also for building greater trust in response. There is no clue available about the elimination of Covid 19. It is a lesson for leadership to use data to drive public-health decisions. ?

Envision the future of the social contract in a post-pandemic world

“Our social fabric is disturbed and reasons uncover in opportunistic at the heart of global politics, each one has its own agenda to show the power. Their lack of cooperation and collaboration have become ineffective and so many citizens around the world are disillusioned, encircled with, and frustrated. Modern society is damaging the natural ecosystem, so its consequences have been seen in an unprecedented loss of lives and livelihoods, some due to flood and some due to drought. We are digging our own graves. we really need to achieve a social contract between us and other humans and also mother nature. and this conversation is only beginning.” Still, the present state of affairs is evading through suicide today’s social contract. ?How we organize the provision of collective goods in our society. The answer is still uncertain, as a geopolitical disturbance. The social contract is not seemed combined with the above contract even further to include our contract with the planet. Now people recognized it and focusing in mainly on environmental issues, but for us, it’s actually about far more than that, notably about intergenerational fairness. This issue of how we are treating our society is one that needs to be considered in terms of its long-term economic and societal costs and benefits. After all, a new social contract for a better society.

?The social contract is how we organize the provision of collective goods in our society. And that can range from how we organize education and work to how we raise children. Are families responsible or does society share in that responsibility? Is healthcare the responsibility of individuals or is there some socialization of that issue? Similarly, what do we expect of employers? Are they expected to provide pensions and benefits to workers? Are they permitted to employ at will? All of those collective agreements around what we owe each other in society are what we call the social contract. And they can be provided by the family, the community, the state, or by the market. And in every society, there’s a social contract that underpins all of the key stages of life—how we get educated, what happens when we get sick, what happens when we get old, how do we work? And what we owe future generations as well. Our social contract is broken. And that is at the heart of why our politics is so divided and so many citizens around the world are disappointed and frustrated.

There are two big drivers that have broken our social contract. One is the changing role of women. Because our social contract was premised on the idea that women would look after the young and the old for free. And now women are educated and working and no longer able to provide those services. And the changing role of technology, which has changed the nature of work, has changed what we need from our educational systems. And those big powerful forces have made our old social contract premised on traditional families, getting educated from age six to 20, and having very few employers—our old model was premised on those kinds of assumptions, which are no longer relevant to our societies where women are working, people have flexible jobs as a culture of work from home taken a strong root, , people’s jobs will become more flexible with technology. And people are living much longer and will need to retool and reskill later in life.

The social contract is not just a contract between members of society but with this MNC tech platform can be larger than a nation. Facebook has two billion users. ?Facebook’s market valuation is just under $1 trillion. But still seven times more than that of Malaysia. That’s, what, six, seven times Malaysia? A single person can within overnight bring Shri Lanka on its feet. And the market size is certainly bigger than India or China. How do you express this? What’s the contract between the individual, the social media giants, and the state? And who rules? We live in this very rapidly changing, society and the whole social contract is on the back burner. The traditional old concept of the state, the old concept of the family. what does it mean to the community when a lot of it was supposed to be provided by the state? The days are not far when a citizen's wealth can decide the fate of its economy. This has been already happening with Unicorn start, they are not gradually but fast cutting slices of many retail businesses posing a great threat and challenging the biggest banks of the country. If RBI had not taken proactively, the speed was going exponential. Some think the states provide the necessary but most say not providing. ?Therefore, a massive distrust erupted now. We observe it across generations, across borders, and within the same border with the establishment. We have this huge disconnect in the world. Now we don’t know how to get this new social contract going. And how do we define it? That’s where we are right now. We see this in a smaller country like Malaysia. It’s a rich country, with lots of natural resources, and a smaller population. But the politics is dysfunctional. And when that happens, we’re broken down into tribes along racial, and religious lines, and there’s a lot of built-up anger.

People are persistently questioning asking every day, “Who’s going to take care of our job, our health, our children’s education, and our future, if the state is not going to do it, who’s going to do it?” Individually? We know individually we can’t handle it. We’re identifying these issues that are affecting the individuals. How does this ultimately feed back to the broader society? And you call it the state or call it the folks who are not yet being affected by the social contract. Is there a feedback loop that ultimately results in change? How do we get to that point of change? Where do you see that happening at this point? Or are we close to that? The change comes historically at moments of crisis, at critical moments. ?And it comes as a product of social movements putting pressure on society to change. ?We’re certainly at a critical juncture. At those moments, things can get better. They can also get worse. And I think that’s the kind of point we are reaching. I do see pressures in many societies around demanding a better social contract. We have to delve deep into reconstructing a better social contract that would address the present issues and it is at center stage for many different countries. For example, healthcare. In the wake of this crisis, the pressure on governments and society to do more to deal with public health concerns will be formidable. In this crisis, in the advanced economies, countries have spent 20 percent of GDP to keep the economy sustained. How many families would have been destitute, and how many businesses would have gone bust had that support not been available? People have seen that it is possible to share risks more effectively. ?This disparity is destined to make a new revolution. demand that more risks are being shared. Part of the failure of our current social contract is that too many risks are being borne by individuals, like, healthcare, fintech, housing, supply chain distortion, obsolete types of machinery that need more investment new skilled labor, insurance, etc. Flexible working means we are uncertain how much we earn every week, either positive side or negative side, how do they make any financial plan and others matter? There needs to be a rebalance, not just for equity reasons but for efficiency reasons. It doesn’t make sense to not pool risks around healthcare, around skills, because all of us benefit from having fellow citizens who are healthier and more productive because they are then able to earn more, pay more tax, and contribute more to the social contract. The change in risk sharing is certainly, on the cusp of happening, as also an inclination to invest more in each other. ?There are some parts of the world that are feeling, “We have been burdened with so much debt in this crisis. It’s time for austerity and consolidation.”?Money is required to generate long-term global public goods; money will come back and you will slowly get yourself out of the problem. If money is just for speculative purposes, it will have other issues. But to come back to the sustainability issue, climate change is actually system change. And system change is one starting to use this word the biggest concerns. Climate change has forced us now to realize it’s all entangled. Everything is interrelated. And economists basically have ignored natural capital to be factored into GDP since the first system of national accounting was designed in 1953.

We tried that in 2008 after the financial crisis. We didn’t take the balance sheet in, stocks in, until 2008. And so, we didn’t build national balance sheets effectively amongst the G-7, or now today G-20, since 2008. And then the United Nations only brought in natural capital valuation this year, in April 2021. We’re looking at the world with very bad shapes and looking traditionally. ?Whereas since 1905, we’ve gone relativity, quantum, and a more biological, organic way of looking at the world. That’s why older cultures are beginning to understand that man and nature are one. They see that everything we do affects Mother Nature, but actually, modern society is killing Mother Nature. We really need to achieve a social contract between us and other humans and also Mother Nature. And this conversation is only beginning. ??So, the corruption, incompetence, and lack of design are such that there’s anger building up in the streets. Not just in the streets, but also in communities that are feeling very, very helpless. And we’re going to see that the pandemic is kind of related. This is systemic. And that we start with transparency around the impacts on the climate and the impacts on the community of the climate. The pandemic augmented preexisting problems. Inequality got worse; women went back to having to look after children because they were not able to go to school.

Many of the existing tensions in our society, the obsolescence of certain skills, and the disruptions in the labor market, were laid bare. And the groups that tended to suffer the most were the ones who were already disadvantaged. And this was all made particularly ironic, of course, because many of those groups were actually deemed, essential workers. The world couldn’t run without our drivers, security guards, grocery workers, and care workers. But it was perfectly fine to have all the bankers and lawyers and accountants stay at home. We made it particularly ironic where the burden fell of this crisis. ?But we notice almost all societies now can provide earned income tax credits, and direct cash transfers to the poorest households so that there’s a level below which no one should go. The part of the offer of security has to include requiring benefits for all workers, regardless of the nature of their contract.

The other key piece of a better social contract is more opportunity. we may term “redistributions” policies that change the structure of opportunities for people. Our societies are so much poorer because of all of the talents that are not being used. That lost talent is a loss to all of us. ?A social contract that invests more in opportunity would those investments pay off in terms of higher productivity, higher inventiveness, and higher incomes for everyone. While there is a risk, of not executing on it, there is a bottom-line opportunity for the individual, for the firms, and for the states that are willing to reimagine the contract.

?CONCLUSION

We observe the following priorities are to be dealt with seriousness, the need for alacrity to face due to Covid-19 like situations in a well-planned and systematic manner. We should for a strategy that must be followed without any biases, and repair the social contract we have with family, society, nation, and globally. If the entire work can not collaborate and cooperate, we always face Russia and Ukraine war which is just a catastrophe. The world is still facing collateral damages which is inevitable. Irrespective of our willingness, we are so much interconnected and interdependent, a reverberation that happens somewhere will be felt in other places too. ?