Current State Of Pandemic Preparedness & Disease Surveillance

A Global System Still Not Ready

Despite the lessons of COVID-19, the world remains underprepared. Many nations — especially LMICs — face:

  • Fragmented health data systems

  • Slow, manual disease reporting

  • Limited laboratory and genomic capacity

  • Underfunded public health infrastructure

  • Weak cross-border coordination

Outbreaks now move faster than traditional surveillance systems can track.

Why Dr. Carter’s Work Matters Now More Than Ever

Dr. Carter’s research and consulting address the most urgent gaps in global health security:

  • Real-time EHR-based surveillance

  • Multinational interoperability

  • Digital health equity for LMICs

  • Leadership and governance frameworks

  • Scalable, sustainable preparedness strategies

A group of people sitting around talking to each other.

Developing Nations

Upcoming 2026
Why this work is essential: Shows how EHR-based surveillance can transform outbreak detection in developing nations.

Published Works

Approaches and Implementation of Multinational Electronic Health Record Interoperability (2025)

Why this work is essential: Offers practical strategies for achieving interoperability across diverse health systems.

Multinational Electronic Health Records Interoperability Strategies (2024)

Why this work is essential: Provides a strategic roadmap for integrating disparate EHR systems.

Using Electronic Health Records (EHR) for Disease Surveillance (EHRDS) to Support UN SDGs (2024)

Why this work is essential: Connects digital health innovation to the UN SDGs.

The Strategies Global Leaders Need to Improve Interoperability of an EHR System (2019)

Why this work is essential: Highlights leadership and governance required for interoperability.