Disease Prevention

Public health reporting can provide a reassuring picture of performance. But how much confidence should leadership place in what that picture actually tells them?

Good public health performance is not the same as having public health under control. The difference lies in the capability that gives leadership visibility, oversight and assurance that performance can be relied upon.

Inspection results provide valuable insight into public health performance, but they capture only a moment in time. Long-term performance is often revealed by something far more difficult to measure.

Every cruise line has public health responsibilities. But whether those responsibilities are connected by a recognised organisational function is a very different question.

Silence in public health is not always a sign of stability. Sometimes, it is evidence that experienced professionals no longer believe escalation leads anywhere.