Planning for Emerging Infectious Disease Pandemics Definitions, the Role of Planners, and Learning From the Avian Influenza Outbreak of 2004-2005

Problem, research strategy, and findings Planners have not paid enough attention to managing the risk of emerging infectious diseases (EIDs), of which COVID-19 is the most recent manifestation. Overlooking aggressive policies to manage this risk of zoonotic viruses reassorting between sick animals and humans misses the greatest opportunity for stopping future disease pandemics. In this study we review several disciplines, outline the scant planning literature on EIDs, and identify the increasing calls from virologists and medical professionals to address urbanization as a key EID driver. Using the case of avian influenza outbreaks in Vietnam in 2004 and 2005, we conceptualize a preventive planning approach to managing the risk of zoonotic transmission that results in EID pandemics. Takeaway for practice We make several recommendations for planners. Practicing planners should consider how their plans manage the risk of zoonotic disease transmission between animals and humans through land use planning and community planning. Planning education and certification organizations should develop positions regarding the role of planning for EIDs. Food systems planners should consider the importance of livestock practices in food production as a risk factor for EIDs. Diverse research teams should combine geographic scales, data sources, and disciplinary knowledge to examine how an extended series of upstream and downstream events can result in a global pandemic. Such empirical examination can lead to effective planning policies to greatly reduce this risk.