Scenario planning—a powerful method for communicating and examining uncertainty—is once again in vogue as a result of the COVID-19 pandemic. Despite the growing interest in this approach, however, its use is still limited, deployed predominately by the intelligence, business, and military communities.

“I think we have to remember not to forget what these diseases did in the past and to actively collaborate, to work with each other, and to communicate well that vaccines work,” said Dr. Paul Duprex, Director of Pitt’s Center for Vaccine Research and Professor of Microbiology and Molecular Genetics at a recent Wilson Center event on the development of a COVID-19 vaccine, co-sponsored by the University of Pittsburgh (Pitt), March of Dimes, and the Jonas Salk Legacy Foundation.

“If there’s one message, it’s health systems need to be resilient, agile, and equitable,” said Uzma Alam, a researcher at the Africa Institute for Health Policy Foundation and Senior Program Officer of the Africa Academy of Sciences. “No one person, no one community, no one minority can be left behind. After all, your health system is as agile, as resilient as your weakest link.” She spoke at a recent Wilson Center event co-sponsored with the Population Institute, “Lessons from Africa: Building Resilience through Community-Based Health Systems.” The event focused on how locally led interventions improved the resilience and responsiveness of health systems in sub-Saharan Africa. 

“As we face a global pandemic that has taken the lives of more than 800,000 people as of right now around the world, we certainly have to recognize the particular impacts that that has had on women and girls and their lives,” said Rep. Chrissy Houlahan (D-PA), at a recent event hosted by CARE and UNFPA about the global impact of COVID-19 on women and girls. While women make up 70-80 percent of frontline healthcare workers globally, they have also been disproportionately affected during the pandemic by increased rates of gender-based violence, lack of access to sexual and reproductive healthcare, and economic and food insecurity.

The COVID-19 pandemic could lead to the death of mass transit. Few victims of COVID-19 were infected aboard mass transit, according to recent research. Yet ridership on urban mass transport has fallen sharply during the pandemic. In some places, such as Wuhan, China, the government shut mass transport down. In other places, the public stayed away. For example, New York City’s Metro-North commuter line reported a 95 percent COVID-19-related decrease in riders. Bus systems, which often disproportionally serve poorer riders who cannot work from home, have seen marked but less extreme drops in ridership.  

Some older Wuhan residents still talk about paddling across the city in their boats, traversing the 100-plus lakes that were once connected by a network of canals. This once-leisurely activity takes on different meaning today as citizens navigate some of the worst floods in decades. Hubei Province, where Wuhan is the capital, is among the 27 central and southern Chinese provinces affected by floods that have caused CNY 86 billion (USD $12.3 billion) in nationwide economic losses in June and July of this year. 

As a world still dominated by patriarchy struggles with a deadly pandemic, the countries that have successfully navigated the global COVID-19 pandemic are distinguished by the gender of their leadership.  Across the world, countries headed by women and representing diverse cultures—from Germany, Norway, and Finland, to Taiwan, New Zealand, and Namibia—have managed the crisis more effectively, with fewer fatalities and less livelihood loss than others. But what distinguishes these health winners is not just the female shape of their leaders but the feminist shape of their societies. Even more gender-balanced societies headed by men—like Canada—do better in health crises than their less equitable peers like the United States. On the other hand, the most patriarchal countries headed by regressive strongmen do worse at every level of development. Today, we see this in Brazil, which until recently had managed health crises well under less masculinist leadership.