Pandemics in the future: neglecting to plan is planning to fail

Governments of high income nations with high SARS-CoV-2 vaccination rates have been encouraged by evidence of reduced COVID-19 associated morbidity and mortality and they can now begin to think about the change from pandemic to endemic and the prevention of future pandemics. While this is going on, a number of LMICs are still having trouble with high COVID-19 infection, hospitalisation and mortality rates as well as subpar immunisation rates. Just a few of the prior pandemics that had a similar pattern were TB, malaria and HIV/AIDS. These diseases are commonly described to as endemic despite the fact that millions of people die from them every year.