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Health emergencies and disasters are direct contributors to PAPM. This response should rely on public health and healthcare systems, and on a broader national approach.

Disasters and emergencies (natural and otherwise) are on the rise globally and occur regularly in some countries in the Americas, especially those caused by hurricanes, flooding, and earthquakes. Disasters and emergencies have the catastrophic potential to suddenly increase premature mortality, most of which could be potentially avoidable with appropriate preparedness plans in place. To save lives, countries require strong, well-trained, multidisciplinary, emergency response systems, as outlined in the Health Sector Multi-Hazard Response Framework of the Pan American Health Organization. From this perspective, most deaths from disasters and emergencies are avoidable, but the health emergency caused by the COVID-19 pandemic has tested the effective response capacity of countries in the Region of the Americas. The virus has become a leading cause of death in the Region and has triggered significant regression in decades of progress in reducing premature deaths – both preventable deaths and causes of death that are treatable.

 

Map of age-adjusted mortality rates and trends for potentially avoidable premature mortality in the Region of the Americas, 2000–2019

This chart and map create the opportunity to explore avoidable premature death trends across multiple countries by year, sex, and the subsets of whether the deaths were preventable or treatable. To select multiple countries to compare, hold down "CONTROL" and click on the countries of interest. They will be filtered on the map and in the trend graph.

Between 2000 and 2020, nearly 14,000 disasters were reported throughout the world, an increase of 44% on the previous two decades. The Region of the Americas was the third-most affected by disasters (after Africa and Asia).

The COVID-19 pandemic has shown the magnitude of impact that a health emergency can have on the health sector and the health of populations, and it has tested the effective response capacity of countries throughout the Region. The disruption in the supply of health services because of the pandemic has not only interrupted treatment of medical conditions; it has also reduced screening and early detection of health conditions in many countries. The COVID-19 pandemic has become one of the leading causes of death in the Region, and has triggered a regression of 20 years in progress to reduce avoidable premature deaths, in terms of both preventable and treatable conditions.

Health emergencies and disasters are direct contributors to potentially avoidable premature deaths, as such events and the devastation they cause should be avoidable with a strong response capacity. The response to emergencies and disasters must consider an action framework aimed at equity and must be planned within a framework of universal coverage, one that incorporates preparedness and surveillance actions from a primary health care model.