Strengthening prevention, preparedness and response to emerging health threats in the Eastern Caribbean

Antigua and Barbuda, Dominica, Grenada, Saint Kitts and Nevis, Saint Lucia, Saint Vincent and the Grenadines

The Eastern Caribbean, characterized by its diverse island nations, faces unique challenges in pandemic preparedness due to limited health infrastructure, small populations, and vulnerability to natural disasters. This multi-country project aims to enhance the region’s pandemic prevention, preparedness, and response (PPR) capacity through the integration of human, animal, and environmental health systems, adopting a One Health approach. It seeks to address critical gaps in surveillance, laboratory capacity, and workforce development while fostering regional collaboration.

Implementation and key components

The initiative is implemented by the World Health Organization (WHO), FAO, and the World Bank, in partnership with the governments of Antigua and Barbuda, Dominica, Grenada, St. Kitts and Nevis, St. Lucia, and St. Vincent and the Grenadines. Key interventions include:

Strengthening surveillance systems

The project will establish an integrated surveillance system that enables real-time data sharing across human, animal, and environmental health sectors. This includes upgrading electronic health record systems and enhancing community-based disease monitoring networks. Surveillance capabilities at Points of Entry (PoEs) will be strengthened to improve the detection and control of public health threats, especially zoonotic diseases and antimicrobial resistance (AMR).

Enhancing laboratory capacities

Investments will focus on upgrading laboratory facilities and diagnostic technologies, particularly for zoonotic and emerging diseases. National and regional laboratories will adopt biosafety and quality management systems to ensure timely and accurate disease detection. Improved specimen transport networks will enhance the region’s ability to respond rapidly to health emergencies.

Building workforce resilience

The project will develop a multi-disciplinary workforce capable of managing pandemic threats. Training programs will target health professionals, laboratory technicians, and community health workers, focusing on outbreak investigation, infection control, and AMR management. Special attention will be given to creating rapid response teams and fostering cross-sectoral collaboration under the One Health framework.

Expected outcomes

This initiative is expected to establish a robust health security framework across the Eastern Caribbean, improving pandemic preparedness and reducing vulnerability to health crises. By creating a well-trained workforce, enhancing diagnostic and surveillance capabilities, and fostering regional cooperation, the project will not only mitigate the socio-economic impacts of pandemics but also strengthen health system resilience and equity in the region.