An emergent approach to the formation of a strategy for anti-epidemic preparedness of healthcare organizations in the context of a new epidemiological reality

The review presents factual data, unguarded digital and qualitative information on cases of infectious diseases and outbreaks of current infections during the COVID-19 coronavirus pandemic. Sources of information: materials of the World Health Organization, Centers for Disease Control (USA, European countries), the Federal Service for Supervision of Consumer Protection and Human Well-Being, conferences and scientific reports, etc.

The review deals with the problem of a new epidemiological reality as a complex, complex, open system with the emergence property inherent in such systems ― the emergence of new phenomena that are not equal to the effects of a simple sum of epidemic processes or their driving forces. Unpredictability of the new epidemiological reality ― from a rapid increase in morbidity to reverse development (and vice versa) when integrating new elements (biological, social, technological) into it, it is largely due to the effects of co-identity (mutual influence of sudden phenomena), which requires an in-depth study of the processes occurring at different hierarchical levels of this system for the successful relief of epidemic complications. To conduct research at the level of the infectious process, it is proposed to create a federal specialized scientific and practical clinical medical center with educational and training modules. The scientific research of the center will focus on the study of the characteristic “systemic qualities” of the infectious process based on knowledge about the properties and relationships between the elements of the system; between the system and the objects of its environment; on diagnosis (including cases of coinfections, superinfections) and identification of modifying and limiting factors in the pathogenetic and clinical manifestation of diseases. The training modules of the center will provide modern opportunities for the training of various professional groups of medical and non-medical specialists (device designers and designers of medical equipment, employees of engineering and operational services of medical institutions) on working under strict anti-epidemic regime, as well as on design tasks, technological preparation for operation and refinement of new models of equipment, means personal protection, consumables.

Thus, a specialized scientific and practical clinical medical center with educational and training modules will become a platform at which, through intersectoral cooperation and interaction, an emergent approach to the formation of an anti-epidemic preparedness strategy of medical organizations will be implemented ― detecting changes in the clinical manifestations of infectious diseases and responding appropriately to future sudden external epidemic challenges.