Evidence map›Paper›PMID 40017939›Full record

ArticleBMJ public health2025

Leveraging International Health Regulations (2005) to enhance health security in the Eastern Mediterranean Region: a retrospective analysis from 2016 to 2023.

Mohamed Elhakim, Mahgoub Hamid, Amgad Elkholy, Dalia Samhouri

Abstract read
In one paragraph

Article in BMJ public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Mohamed ElhakimWHO Health Emergencies Program, World Health Organisation Regional Office for the Eastern Mediterranean, Cairo, Egypt.ORCID 0000-0001-5785-1592
Mahgoub HamidWHO Health Emergencies Program, World Health Organisation Regional Office for the Eastern Mediterranean, Cairo, Egypt.
Amgad ElkholyWHO Health Emergencies Program, World Health Organisation Regional Office for the Eastern Mediterranean, Cairo, Egypt.
Dalia SamhouriWHO Health Emergencies Program, World Health Organisation Regional Office for the Eastern Mediterranean, Cairo, Egypt.

Funding

World Health Organization 001
6 · The paper itself

Abstract

Introduction: The WHO Eastern Mediterranean Region (EMR), consisting of 22 member states, faces significant health security challenges exacerbated by socioeconomic, political and environmental factors. This study aims to assess the efforts to enhance health security in the EMR from 2016 to 2023 through the implementation of the International Health Regulations (IHR) (2005) core capacities. Methods: A narrative review was conducted using IHR Monitoring and Evaluation Framework (MEF) tools, such as the State Party Self-Assessment Annual Report (SPAR) and the Joint External Evaluation (JEE), to evaluate the region's preparedness and response capabilities. Other assessments, such as the Universal Health and Preparedness Review (UHPR), after-action and intra-action reviews and simulation exercises, were included. Results: The evaluations identified critical gaps in health security infrastructure, highlighting the need for comprehensive strategies and external support, including the Pandemic Fund and National Action Plans for Health Security. While progress has been made, challenges remain due to emerging and re-emerging diseases and regional humanitarian crises. Conclusion: Despite improvements, the EMR continues to face significant health security challenges. Increased advocacy, capacity building and multisectoral collaboration, particularly through the One Health approach, are essential for future preparedness.

Indexed as

Community HealthEmergenciesPublic Health

Identifiers

PMID40017939
PMCPMC11812864

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.