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On 20 January, a new group of participants gathered at Karolinska Institutet (KI) for the first lesson in a slightly different course. The participants are all potential future medical humanitarian aid workers and will be taking the course this spring. It will prepare them for future work in health crises, disasters and low-resource areas.

When crisis or war comes’ is both the title of a now well-known brochure and the theme of Sweden's first Health Crisis Forum, organised by the Centre for Health Crises at Karolinska Institute (KI). Over 100 specially invited participants, including two state secretaries, the surgeon general and the National Board of Health and Welfare's head of emergency preparedness, gathered to discuss the role of higher education institutions in the event of a health crisis or war.

On 10 December, it was announced that the Centre for Health Crises will receive 3 million Norwegian kroner in funding from the Nordic Council of Ministers' research funding body, Nordforsk. The funding will go towards a project to create a Nordic health crisis network. The funding is based on a call for proposals in the area of preparedness and resilience. that the Centre, together with partners in other Nordic countries.

On 27 November, the Centre for Health Crises will host Sweden's first Health Crises Forum. The aim is to bring people together to discuss what universities can contribute with to support the surrounding society before, during and after a health crisis, and how they best collaborate with other actors.

For three days, the classrooms in the Widerströmska building were particularly buzzing, when the research group Global Disaster Medicine conducted their course ‘Disaster Medicine - Health Care Response to Major Injuries, Health Crises and Disasters’ for specialist doctors. The research group has been running the course since 2018, but this was the first time it was held at Widerströmska.

Johan von Schreeb, professor of Global Disaster Medicine at Karolinska Institutet, is awarded the KTH Great Prize 2024 "for his efforts to reduce suffering in the world".

Karolinska Institutet (KI) is renewing its educational collaboration with Médecins Sans Frontières (MSF) and will soon launch two new courses. The courses are possible thanks to support from The Kamprad Family Foundation. The focus is on courses that provide participants with the skills and tools they need to work with healthcare interventions in low-resource contexts, humanitarian disasters and health crises, both globally and locally.

The very idea of a vaccine is to prevent a disease from occurring. By exposing the body to a small part of an infectious agent that causes a disease, but doing so in a killed or weakened form, the body develops a defense against the disease. In a sense, vaccines can be argued to be the ultimate form of preparedness, as they prevent the disease from occurring in the first place, or at least mitigate it.

We all recognise the scene from countless horror movies and thrillers. A new, unknown virus is spreading. Panic ensues! Suddenly, the streets of New York are filled with people in yellow hazmat suits with big helmets, carrying stretchers where people lie writhing in terrible agony. But what is does it really look like when we prepare for and manage communicable diseases? The Centre for Health Crises’ expert coordinator knows more.

Some health crises occur suddenly and intensely, for example in the event of an armed attack or an earthquake. Others come more stealthily. One of the clearest and most worrying examples of an insidious health crisis is antibiotic resistance, which will be addressed at a high-level meeting of the United Nations in September.

Correct and functioning diagnostics are a basic prerequisite for knowing what is happening and what it is we are dealing with, both in everyday life, but not least in a health crisis. Therefore, the need for adaptable and scalable laboratory and diagnostic capabilities is central to rapid and adequate management in many health crises, whether infectious diseases or chemical spills.

Priorities for intensive care in times of crisis are something that has interested the Centre for Health Crisis Expert Coordinator Märit Halmin for some time. She is the guest editor of a special issue of Läkartidningen on the subject, where she writes alongside several other experts in the field.

Healthcare is a societal function that needs to function both in everyday life and in a health crisis. In any health crisis, be it a natural disaster, war in an unstable Europe or a new pandemic, the number of patients in need of care will increase. Among them, a certain proportion will be critically ill in need of intensive care. This will require difficult decisions and prioritisation from their doctors.

Preparedness Week 2024 has started. The theme for the year is "Get started" and around the country, municipalities, regions, civil society organizations and many more are investing in information and communication campaigns. But what exactly is preparedness?

Policy labs at KI continue to be popular. On Tuesday 27 August, it was time for the first lab of the autumn. The theme was Sweden and antibiotic resistance, with a focus on how research and evidence can influence policy at the highest level. This time, the policy lab was opened up to a slightly wider and more external audience, to provide an opportunity to network and share experiences with others.

Epidemiologist Moa Herrgård has spent six months seconded to the World Health Organization’s (WHO) Regional Centre for Health Emergencies in Amman, Jordan. The overall focus of her work has been to enhance health emergency preparedness and response in the Eastern Mediterranean and Middle East Region. Looking back, she thinks the secondment has taught her a lot that will benefit work at KI.

How can we help decision-makers during health crises, by developing rapid and useful decision bases, built on research and proven experience? With this question in mind, the Centre for Health Crises gathered a group of curious participants in Aula Medica on Thursday 29 May for a full-day workshop on creating rapid response briefs for decision-making in health crises.

In recent weeks, the Swedish Government has issued several new assignments in health crisis preparedness, to be carried out by the National Board of Health and Welfare, including an assignment to establish a national reinforcement resource (nationell försörjningsresurs) for disaster medicine.

The large hall at Münchenbryggeriet in Stockholm was buzzing with life on Friday morning 12 April when general physicians from all over Sweden practiced mass casualty management and triage, using the simulation exercise AnTriEx, which is developed and instructed by the research group Global Disaster Medicine - Health Needs and Responses at KI.

A lorry explodes on the E4 motorway, there is a fire at the Hovet arena, someone takes hostages at Tom Titts, there's an explosion at Arlanda - it all happens at the same time and the medical services in Region Stockholm have to deal with a large number of injured patients at once. Fortunately, it was all just an exercise. The exercise, which is part of the TKS course, now aims to be developed into a national course concept.

On Thursday, 28 March, the Sune Bergström auditorium at Karolinska University Hospital was filled with Ukrainian paramedics, when the hospital, together with the Centre for Health Crises at Karolinska Institutet, arranged a visit dedicated to the exchange of experiences, discussions, and guided tours.

The air quality in Swedish cities has improved continuously over the last twenty years, according to a research collaboration in which the Institute for Environmental Medicine, Karolinska Institutet participates. Several thousand deaths may have been prevented every year, thanks to better air quality. However, many people are still exposed to air pollution that exceeds the World Health Organization’s recommendations.

On Thursday, 14 March, the fourth policy lab was arranged since the start in October 2023. The participants were invited to follow the journey of a Swedish Government Official Report and discuss when and how researchers can provide input in the most useful way. It was an educational session where everyone had the opportunity to share experiences, ask questions and benefit from expertise in the field, from both inside and outside KI.

Zambia is currently experiencing the worst cholera outbreak in over two decades. The acute diarrhoeal disease can be deadly if not treated, however with rapid and correct help, the majority of people affected can be treated successfully. The Centre for Health Crises as seconded members of staff to cholera outbreaks before, and on the 26th of January, Caroline de Groot went to Zambia, via the Centre’s collaboration with Médecins Sans Frontières (MSF).

The eastern mediterranean region is currently facing a brewing health crisis, brought on not least by the war in Gaza. The danger of spread of infectious diseases means that effective epidemiological surveillance and action is key. To assist in these efforts, the Centre for Health Crises has seconded epidemiologist Moa Herrgård via our membership in WHO’s Global Outbreak Alert and Response Network (GOARN).

While the most extreme heatwaves have the greatest short-term impact on mortality, it is the mildest heatwaves that kill most lives over time. This is because mild heatwaves are more common. This is according to a new study published in Environment International that has mapped the health risks of heat waves in India.

On 6 December, the European Commission published the names of the experts appointed to its newly established working groups on science diplomacy. Maja Fjaestad, expert coordinator at the Centre for Health Crises and affiliated to research at the Department of Learning, Informatics, Management and Ethics (LIME), is one of two Swedish university researchers who will be part of the working groups. The working groups will develop a potential future European framework for science diplomacy.

What were the successes and challenges of clinical trials of COVID-19 treatment during the pandemic in Sweden? What have we learnt, in order to be better prepared for future health crisis? Those were questions asked at a symposium and roundtable discussion organised by the Centre for Health Crises at KI on December 14.

A group with broad expertise in the field of health crises, consisting of people from fifteen Swedish universities, gathered at Karolinska Institutet on Tuesday 5 December, when the Centre for Health Crises hosted a meeting about how universities can contribute before, during and after health crises. During the meeting, experiences were shared and the foundation was laid for a health crises network.

The venue in Biomedicum was quickly filled with interested KI employees when the Centre of Excellence for Sustainable Health and the Centre for Health Crises welcomed them to the first policy lab on 26 October. The aim was to discuss and learn more together about how research can influence politics and society. The focus this time was on how the national Swedish political system is structured when it comes to health care issues and what ways there are to reach in with input from universities.

It began with a text message in the early hours of the morning. A few hours later he was on a plane to Morocco, reading the first reports and trying to start a secondary data analysis of the situation. Within the 48 hours after the earthquake, he was in the most affected region. He had barely gotten back from that mission, when he was asked to go to Libya and to do the same thing all over again, this time in a heavily flooded town.

The Centre for Health Crises has received funding from the Swedish government to increase and support collaboration across the country’s universities on the topic of health crises. Initially, the Centre completed an online mapping of ongoing activities and existing health crises competences at a majority of the universities. We have also recruited Caroline de Groot, who is coordinating the work and is in the process of reaching out to key groups and individuals to learn more.

Lisa Strömmer is the new expert coordinator, in emergency surgery, at the Centre for Health Crises. She looks forward to, among other things, develop existing courses and work to make sure that emergency surgery as a competence is maintained in crisis preparedness, health crises and as a part of the total defense (Totalförsvaret).

The Centre for Health Crises is currently supporting the WHO’s EMT (Emergency Medical Teams) initiative, through mentorship to the Ministries of Health in Georgia and Armenia in their development of EMTs. The director of the Centre, Professor Johan von Schreeb, has just returned from spending ten days in the two countries, working with the Ministries and other partners.

Lifestyles, the pandemic and dental care were some of the topics under discussion when Minister for Social Affairs and Public Health Jakob Forssmed visited Karolinska Institutet on 28 August, the same day as the autumn term kicked off.

When the Minister for Minister for Social Affairs and Public Health Jakob Forssmed visited KI on Monday 28 August, he met, among others, the director of the Centre for Health Crises, Johan von Schreeb. During the meeting the Centre highlighted the need for national collaboration on the role of universities in crises, as well as a national ability (surge capacity), focused on people trained in handling health crises, to be ready when the crisis hit.

The podcast Riskzonen, featuring well-known KI staff members Mattis Öberg and Emma Frans, is back with a new season! The four episodes were released in May and June, and after a brief break over summer, more episodes will now be released each Monday, starting on 28 August. Each episode features the topic health crisis, in one way or another, ranging from relief efforts in war to antibiotic resistance. The new season is made in collaboration with the Centre for Health Crises.

The summer heat is here and with it questions about how we should handle high temperatures and what we should do to feel well in the heat. Cardiologist Petter Ljungman, associate professor at the Institute for Environmental Medicine and expert coordinator at the Centre for Health Crises, answers questions about health and heat.

Students from the study programmes in nursing, radiography, medicine and psychology attended the new elective course in Sustainable Health and Development, 7.5 credits, which is offered for the first time in the spring term of 2023. The course is developed by the Centre of Excellence for Sustainable Health, which is a cooperation between KI and Makerere University.

The third installment in the seminar series KI Contributes explored the health crises created by war and armed conflict, through the medium of visual art. An Armenian artist and a Swedish surgeon shared their experiences of war and how humans live through it and try to make sense of their difficult experiences.

Are international field hospitals always needed? And do we always need to send medicines to disaster-stricken areas? These were two myths that Johan von Schreeb discussed in his keynote when EU’s health ministers gathered in Stockholm.

The group of expert coordinators at the Centre for Health Crises keeps growing. The expert coordinators manage the work that is done within their field of expertise. The latest area of expertise to be added to the Centre is laboratory and diagnostic preparedness, with Jessica Alm as expert coordinator.

Her involvement in health crises work at KI goes back to her role in one of the expert groups that were formed at KI during the COVID-19 pandemic, which proceeded what became the Centre for Health Crises. Now she is the latest in the group of expert coordinators at the Centre. Hedvig Glans wants to use her clinical and academic experience to improve the Centre’s competence in outbreak preparedness and response to infectious diseases.

Helena Hervius Askling is new in the growing group of expert coordinators at the Centre for Health Crises. Her extensive experience in the field of infectious diseases and the topic of vaccine, as a medical doctor in infectious diseases, county medical officer and associate professor, will strengthen the centre’s competence in the field.

Maja Fjaestad is the latest in a line of expert coordinators that have been recruited to the Centre for Health Crises at KI. The LIME-researcher and former under-secretary of state will work in the expert field of policy and preparedness. She looks forward to contributing with a holistic outlook when it comes to health threats.

The Centre for Health Crises at KI is expanding its group of expert coordinators. This time it is the area of expertise is health systems resilience, and it comes in the form of Helena Nordenstedt, associate professor and medical doctor, with an extensive experience. Her research interests span the area of global health and resilience to crises on a systems level.

Following a request from KI's President, the Centre for Health Crises has produced the report Improved preparedness for the next health crises – lessons learned at KI during the COVID-19 pandemic. The report outlines the changes that were made and the lessons learned from the work KI did during the COVID-19 pandemic. It is now available to read online in its entirety.

The Centre for Health Crises at KI has published its first annual report, covering activities at the Centre during 2022. Since it is the centre's first year in operation, the report also outline the background to the establishing of the centre, the centre's organisational structure and introduces the staff.

Minister for Education Mats Persson met researchers and students when he visited Karolinska Institutet on 1 February. Topics of discussion with the students included the conditions relating to clinical placements, student funding rules and the situation for overseas students and doctoral students. The researchers, for their part, talked about the progress being made in areas such as precision medicine and about KI’s preparedness for new health crises.

On January 26th, the Centre for Health Crises welcomed a distinguished panel of both national and international researchers and civil servants to the second KI Contributes seminar. The seminar featured short presentations and discussions around the complex issue of extreme heat, with a focus on how to shape and evaluate heat adaptation plans.