Abstract

Infectious disease threats, like the 2002 severe acute respiratory syndrome coronavirus (SARS-CoV) disease, 2009 pandemic influenza A (H1N1), and the current coronavirus disease 2019 (COVID-19), pose multisectoral risk with the potential for wide-ranging socioeconomic disruption. In our globally intertwined economy, the impact of such events can elicit economic shock waves that reach far beyond the country of origin. Review of the 2018 Fortune 500 company 10-K filings shows the majority did not document perceived risks associated with epidemics, outbreaks, or pandemics. Enhanced engagement and investment of the public and private sectors in advancing global health security is needed to effectively prevent, detect, and respond to infectious disease events and ensure U.S. economic security.

Highlights

  • The modern world is fueled by globalization with increased interconnectedness and interdependence of countries and people [1]

  • The goal of this study was to determine if US Fortune 500 companies were describing perceived risks to their business associated with epidemics, outbreaks, and pandemics in the risk section of their 10-K filings in 2018

  • Differences were noted in the mention of key terms among the 10-K filings available of 2018 Fortune 500 companies

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Summary

Introduction

The modern world is fueled by globalization with increased interconnectedness and interdependence of countries and people [1]. The COVID-19 pandemic has highlighted just how vulnerable our global economy and social fabric are to infectious diseases. As illustrated with the COVID-19 pandemic and the 2014–2016 West Africa Ebola epidemic [2, 3], pathogens move seamlessly among countries, and outbreaks of this magnitude can disrupt trade flows and destabilize global economies. To mitigate the impacts of this trend, the International Health Regulations (IHR) (2005) require that all countries possess “the ability to detect, assess, report and respond to public health events” [7]. Inadequate capacity to comply with the IHR (2005) remains a persistent challenge [9] that threatens the collective global health security and international health systems, which are only as “strong as their weakest link” [10]

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