Pandemic Center
AWARE (Advance Warning and Response Exemplars)
Project Highlights
The Advance Warning and Response Exemplars (AWARE) project was inspired by the success of the COVID-19 Response project under the Exemplars in Global Health research program. As the COVID-19 pandemic underscored the importance of early detection and rapid response systems, the need for implementing and scaling up these systems for a more comprehensive approach to pandemic preparedness became clear. Recognizing this need, the AWARE project was born, designed to investigate positive outliers in Advance Warning and Response (AW&R) systems that are essential for mitigating infectious disease threats with epidemic and pandemic potential, including climate-sensitive infectious diseases (CSIDs).
The AWARE project aligns with the Pandemic Center’s mission to enhance global health security by improving the timeliness and accuracy of identifying emerging health risks. It aims to identify both the barriers and facilitators to the development, implementation, and sustainability of successful AW&R systems, with a focus on integrating climate and digital data to predict and respond to outbreaks. The project not only strengthens the knowledge base around advanced warning in low-resource settings, but it also promotes evidence-based policymaking to prepare for future infectious disease emergencies.
AWARE is particularly focused on identifying best practices and core capacities in low-resource environments to support multi-sectoral outbreak response and informed decision-making. Our country partners – Brazil, Kenya, Vietnam, and South Africa – have been selected for their innovative use of surveillance systems, integration of climate, meteorological, or environmental data, and demonstrated capacity for effective outbreak response. Through these partnerships, we aim to provide actionable insights to strengthen global preparedness efforts, directly contributing to the Pandemic Center’s mission.
Project timeline: January 2023 - September 2025
We are currently in the in-country research phase, where our ICRPs are conducting qualitative research and quantitative analysis over the coming months. This phase is expected to conclude at the end of Summer 2025, with findings available September 2025.
Our Project Team
The Brown University project team is headed by our principal investigators, Dr. Wilmot James and Dr. Jennifer Nuzzo, Associate Director for Research and Program Management Leah Lovgren, and is supported by Project Director Carly Gasca, Research Associate Andrea Uhlig, Research Assistant Anne Wang.
Brown University AWARE Project Team
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Wilmot James, Ph.D.
Senior Adviser to the Brown Pandemic Center, Professor of the Practice of Health Services, Policy and Practice at the Brown University School of Public Health -
Jennifer Nuzzo, DrPH
Director of the Pandemic Center, Professor of Epidemiology at the Brown University School of Public Health -
Leah Lovgren
Associate Director for Research and Program Management -
Carly Gasca
Project Director -
Andrea Uhlig
Research Associate -
Anne Wang
Research Assistant
Our co-investigators include Dr. Natalia Pasternak Adjunct Senior Research Scholar Center for Science & Society, Columbia University, Dr. Rachel Baker Assistant Professor School of Public Health, Institute at Brown for Environment and Society, Brown University, and Dr. Irene Papanicolas Director of the Center for Comparative Health Systems, Brown University.
The Brown University project team is collaborating with our co-funders the Bill & Melinda Gates Foundation, Gates Ventures, and Wellcome Trust to work closely with in-country research partners (ICRPs) in Brazil, Kenya, South Africa, and Vietnam.
Our ICRPs
Our ICRPs include top researchers at the following universities:
Oxford University Clinical Research Unit, Ho Chi Minh City
Oxford University Clinical Research Unit is a large-scale clinical and public health research unit with site offices in Viet Nam, Indonesia, and Nepal. It was established in Ho Chi Minh City in 1991. It is hosted by the Hospital for Tropical Diseases, which is the referral hospital for infectious diseases for all southern Viet Nam.
Principal Investigator: Jennifer Ilo Van Nuil, PhD, Head of Social Science Implementation Research, OUCRU
University of São Paulo, São Paulo
University of São Paulo is recognized for its “scientific productivity” and has campuses across Brazil. It is also “affiliated with the State Secretariat of Economic, Scientific and Technological Development”. The university has an international office and over a thousand international agreements.
Principal Investigator: Lorena G. Barberia, PhD, Professor in the Department of Political Science, University of São Paulo
University of the Witwatersrand, Johannesburg
University of the Witwatersrand has a vision of innovation and values space for collaboration. Its purpose is to advance global knowledge and create a positive global impact. The university lays out a commitment to using the knowledge development there for the advancement of the community and the rest of the world.
Principal Investigator: Janan Dietrich, PhD, Associate Professor, Wits
- Washington State University Global Health-Kenya, Nairobi
WSU Global Health-Kenya is an NGO promoting public health, health equity, and opportunity for all people and providing innovative solutions to global health and development challenges through research, education, global outreach, and disease control.
Co-Principal Investigators: Njenga Kariuki Professor, WSU / KEMRI, Isaac Ngere Medical Epidemiologist, WSU-GH
Our partners are taking a mixed-methods research approach to determine the foundational infrastructure, capabilities, policies, and processes necessary for effective surveillance and response in low and middle income countries (LMICs).
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AWARE is part of the Exemplars in Global Health initiative
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Gates Ventures is a Co-Funder of AWARE
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Gates Foundation is a Co-Funder for AWARE
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Wellcome is a Co-Funder of AWARE
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Washington State University- Global Health is one of our In Country Research Partners (ICRP) for AWARE
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University of the Witwatersrand is one of our In Country Research Partners (ICRP) for AWARE
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Oxford University Clinical Research Unit (ICRP) for AWARE
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University of São Paulo is one of our In Country Research Partners (ICRP) for AWARE
Events
- Conference on Public Health in Africa (CPHIA) in Lusaka, Zambia - 2023
- Global Health Security Conference in Sydney, Australia - 2024
- World One Health Congress in Cape Town, South Africa - 2024
- World Health Summit 2024 in Berlin, Germany - 2024
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Conference on Public Health in Africa (CPHIA) 2023 in Lusaka, Zambia Wilmot James and Panel
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Conference on Public Health in Africa (CPHIA) 2023 in Lusaka, Zambia with the Pandemic Center Team Jennifer Nuzzo, Wilmot James, Andrea Uhlig and Carly Gasca.
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Graphic from the Global Health Security Conference 2024 in Sydney, Australia
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Graphic for the World One Health Congress in Cape Town, South Africa
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Wilmot James presents AWARE at World One Health Congress in Cape Town, South Africa
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Photo of Wilmot James presenting AWARE for the World One Health Congress in Cape Town, South Africa 2024
Technical Advisory Group (TAG)
A technical advisory group (TAG) meets quarterly and provides critical guidance on research design, execution, and dissemination. The TAG consists of key experts in global pandemic preparedness, infectious disease surveillance, climate-informed early warning systems, climate and meteorological data, climate-sensitive health interventions, and public health governance.