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Since 2005 when the World Health Organisation started to advocate serious viral disease planning the United Kingdom ran or participated in nine major simulation exercises on pandemics, some of them pan-European initiatives. Despite the obvious need for mitigation, emergencyresponse capability cannot be neglected.
In the world as a whole, there has been a gradual process of demilitarisation of emergencyresponse. Meanwhile, in Britain, there were shortcomings in the response to the 1999 Ladbroke Grove train crash, particularly in the treatment of the survivors.
With regard to preparedness, emergencyresponse consists of planned activities, standardised procedures and improvisation. Too much of the last of these is tantamount to negligence, because it shows up the lack of planning and preparedness. Social participation is about the democratisation of emergencyresponse.
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