Your new experience awaits. Try the new design now and help us make it even better

ORIGINAL RESEARCH article

Front. Public Health

Sec. Public Health Policy

Volume 13 - 2025 | doi: 10.3389/fpubh.2025.1664330

This article is part of the Research TopicInnovative Strategies for Urban Public Health Resilience in Crisis SituationsView all 33 articles

WHO's pandemic response recommendations after COVID-19: Lessons learned or learnings lost?

Provisionally accepted
Jean  Merlin Von AgrisJean Merlin Von Agris1*David  BellDavid Bell2Blagovesta  TachevaBlagovesta Tacheva1Garrett  Wallace BrownGarrett Wallace Brown1
  • 1University of Leeds School of Politics and International Studies, Leeds, United Kingdom
  • 2Independent Consultant, Lake Jackson, Texas, United States

The final, formatted version of the article will be published soon.

Objectives: This article examines how the World Health Organization’s (WHO) recommendations and guidelines on public health and social measures (PHSM) have changed since COVID-19. Doing so allows insights on what lessons WHO has learned from the COVID-19 response. Methods: The article analyses six recent WHO publications detailing recommendations on PHSM and compares them against three pre-COVID-19 WHO documents. The analysis also assesses the evidence-base used for these recommendations to better understand WHO’s substantive basis and rationale for the PHSM changes. Results: The analysis reveals substantial changes in WHO recommendations, often without systematic evidence assessment. Several population-wide interventions including quarantine, travel measures, and universal masking have become normalised in post-COVID documents, despite being previously discouraged. When evidence is cited, it often pertains to narrowly defined short-term outcomes, with limited consideration of broader societal impacts. Adverse effects of PHSM are recognised, but mitigation takes priority over avoiding harms. Conclusions: Systematic evaluation of the evidence on PHSM during the COVID-19 pandemic, including their effectiveness and collateral effects, is imperative before revising changes in recommendations for future pandemics.

Keywords: non-pharmaceutical interventions (NPI), public health and social measures (PHSM), Pandemic preparedness, Pandemic Response, World Health Organization, Quarantine, masking, Contact Tracing

Received: 11 Jul 2025; Accepted: 08 Oct 2025.

Copyright: © 2025 Von Agris, Bell, Tacheva and Brown. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Jean Merlin Von Agris, ptjmva@leeds.ac.uk

Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.