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In the time between writing this editorial and its publication, the world will have changed far more than it does in the usual 2-month journal production cycle. The COVID-19 pandemic continues to strain—and in some instances break—our political, economic, and healthcare institutions’ capacities to effectively deal with a crisis. Unfortunately, I do not have anything substantive to add to this audience’s knowledge about COVID-19. Even if I did, it might be woefully out of date or outright wrong by the time you read it, as the situation is evolving rapidly.
Instead, I will look back at how the Journal of Healthcare Management described “a new paradigm for disaster planning” and the role of healthcare executives in preparing us for a pandemic. So, what did they suggest? And what has changed in the intervening period?
On balance, the authors were quite prescient. They shared a chart. to describe how delaying the spread of a flu-like virus (H5N1, or “bird flu,” was the issue then) would give the healthcare system time to prepare for it and the pharmaceutical industry time to develop vaccines. This chart presages the Centers for Disease Control and Prevention’s “flattening the curve” chart that has been widely disseminated to explain the need to engage in social isolation measures such as closing schools and businesses. In particular, the authors focused on the challenges related to the dissemination of accurate information.
 

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