Community Medicine (PSM) · Health Planning, Management and International Health

The International Health Regulations (IHR 2005) replaced the previous IHR (1969) with a fundamentally different approach. The key structural change was:

  • A Creation of WHO GOARN (Global Outbreak Alert and Response Network) for rapid deployment
  • B Mandatory quarantine requirements for all international travelers from affected countries
  • C Establishment of WHO emergency contingency fund for outbreak response
  • D Restriction from a list-based approach (3 diseases) to a risk-based approach covering any Public Health Emergency of International Concern (PHEIC)
Correct answer: D. Restriction from a list-based approach (3 diseases) to a risk-based approach covering any Public Health Emergency of International Concern (PHEIC)

Explanation

IHR 1969 used a list-based approach covering only 3 quarantinable diseases: cholera, plague, and yellow fever. IHR 2005 replaced this with a risk-based, all-hazards approach centered on the concept of 'Public Health Emergency of International Concern (PHEIC)' — any event constituting a public health risk to other states through international spread requiring a coordinated international response. This paradigm shift allows IHR 2005 to address novel threats (H1N1, Ebola, COVID-19, Mpox) that the old list could not cover. Core capacities for surveillance and response are required of all State Parties.

Reference: Park's Textbook of Preventive and Social Medicine, 27th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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