Build before the next outbreak

THE INAUGURATION of the new 25-bed isolation facility of the Western Visayas Medical Center (WVMC) in Pototan, Iloilo is a physical reminder of a lesson paid for in lives, fear, and economic hardship during the COVID-19 pandemic: healthcare infrastructure must be built before a crisis strikes, not in the middle of one.

For Western Visayas, this project represents a welcome shift from reactive governance to proactive preparedness. Equipped with five intensive care unit beds and 20 specialized isolation beds, the facility gives the region a dedicated space to manage highly infectious diseases without overwhelming regular hospital services. It is an investment not only in buildings and equipment but also in public confidence.

The importance of this facility becomes even clearer when viewed through the experience of Iloilo and the rest of Western Visayas. During the height of the COVID-19 pandemic, hospitals across the region struggled with limited isolation rooms, shortages of critical care beds, exhausted healthcare workers, and mounting pressure on emergency services. Families anxiously searched for hospital beds while frontliners worked under extraordinary circumstances. Those painful memories should never fade because they provide the strongest argument for sustained investment in healthcare preparedness.

Western Visayas has also learned that infectious diseases are not confined to pandemics. Dengue outbreaks continue to challenge local governments every rainy season. Measles, tuberculosis, mpox and other communicable diseases remain public health concerns. Even if another COVID-like pandemic never occurs, the region will continue to face health threats that require specialized isolation and rapid medical response. Preparedness, therefore, is a permanent responsibility.

The partnership among the Department of Health, the Asian Development Bank, and WVMC to build a new isolation facility deserves recognition because it demonstrates what can be achieved when national agencies and development partners invest in long-term public health capacity. But this facility should not become the end of the story. It should be the beginning of a broader campaign to modernize healthcare throughout Western Visayas.

A modern isolation facility cannot fulfill its mission without enough doctors, nurses, respiratory therapists, medical technologists, infection-control specialists, medicines, laboratory capability, and adequate operating funds. Buildings alone do not save lives. Competent people, sufficient equipment, and continuous maintenance do.

The challenge also extends to local governments. Provincial, city, and municipal governments must strengthen disease surveillance, improve rural health units, expand vaccination programs, and educate communities on preventing infectious diseases. Hospitals should be the last line of defense — not the only one.

The opening of this new WVMC isolation facility should also encourage policymakers to evaluate whether similar specialized facilities are needed elsewhere in Western Visayas. While WVMC serves as the region’s premier government hospital, health emergencies do not respect provincial boundaries. Every province deserves the capacity to respond quickly when the next outbreak arrives.

Viruses evolve, new diseases emerge, and old diseases return. Climate change, urbanization, and increased human mobility only heighten these risks. The question is not whether another public health emergency will come. It is whether we will be better prepared when it does.

Western Visayas now has one more reason to answer that question with optimism. But preparedness cannot end with one new building. It must become a continuing commitment — supported by sustained funding, sound planning, capable health workers, and vigilant communities.

Because when the next outbreak comes, the true measure of preparedness will not be how quickly we build hospitals, but whether we had the foresight to build them before they were desperately needed.

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