Qualcomm Snapdragon X Plus X1P-64-100
Qualcomm Snapdragon X Elite X1E-78-100
There are currently two configurations of the Vivobook S 15, starting at $1,100 for a Qualcomm Snapdragon X Plus chipset, 16GB of RAM, a 512GB SSD, and a 15.6-inch 3K OLED display. For $1,300 list (on sale for the same $1,100), you get a Snapdragon X Elite chipset and a 1TB SSD.
That’s a fair price for a well-equipped 15-inch laptop, and it’s similar in price to most of the new Microsoft CoPilot+ PC laptops. It’s about $100 more than the Dell Inspiron 14 Plus 7441 with the same Snapdragon X Plus chipset that doesn’t have an OLED display. The Samsung Galaxy Book4 Edge is considerably more expensive, costing at least $1,500 for a Snapdragon X Elite and a 16-inch 3K OLED display, so at least $300 more.
The Vivobook is within the Asus midrange laptop lineup, as opposed to the more premium Zenbook lineup — although that’s not always reflected in pricing. The very good Zenbook 14 Q425 , for example, can be had for well under $1,000. Sometimes, Vivobooks provide better performance at lower prices. So, it’s hard to pigeonhole the Vivobook S 15.
The reason I bring that up is because one thing I immediately noticed was that the Vivobook doesn’t feel as premium as most Zenbooks I’ve reviewed. In particular, the lid is quite bendable, and there’s some give in the chassis and keyboard deck. Zenbooks tend to be more rock-solid. It falls a bit behind some other Copilot+ PC laptops like the Inspiron 14 Plus 7441, the HP OmniBook X , and the Lenovo Yoga Slim 7x .
Aesthetically, the Vivobook S 15 follows suit with so many other recent laptops with very simple lines, single color way (in this case, all black), and little or no chrome. As with almost all laptops today, the Vivobook is attractive enough but plays it safe. The Yoga Slim 7x has more character, while the Inspiron 14 Plus is even more nondescript. To say the Vivobook S 15 looks just OK seems fair.
It’s reasonably thin and light, in line with most Copilot+ laptops. In fact, it’s almost identical to the Inspiron 14 Plus. But it’s larger, obviously, given the 15.6-inch display and larger top and bottom display bezels (the sides are quite thin). And the Vivobook S 15 looks very old-school thanks to the 16:9 display aspect ratio that makes it seem wider and more rectangular (because it is). I rarely review a laptop that’s not 16:10 or 3:2, and so the Vivobook takes me back a bit.
The keyboard has large keycaps and enough, taking up most of the available space on the wide keyboard deck. The numeric keypad, which is becoming anachronistic, is quite small and so the Vivobook leverages its wider chassis for a keyboard that’s comfortable to use. My biggest problem with it is that the switches are a bit loose and felt sort of wobbly to me. They also weren’t as snappy as some, making it feel a bit mushy. Every other Copilot+ laptop I’ve reviewed has a better keyboard.
The touchpad was large enough and its buttons were reasonably quiet. I’d rate it as similar to most mechanical touchpads I’ve reviewed lately, but more and more laptops are moving to the vastly superior haptic touchpads. Maybe it’s all about price points, but only the Dell XPS 13 9345 has a haptic version among Copilot+ laptops I’ve reviewed.
The Vivobook S 15 has solid connectivity, with a mix of modern and legacy ports. Given the Qualcomm chipset, we’re seeing USB4 and not Intel’s Thunderbolt 4, but the two protocols are similar in speed and capabilities. Then there’s a microSD card reader, which some laptops have been skipping — although I always prefer a full-size slot. Wireless connectivity is fully up-to-date with the latest Wi-Fi 7.
The webcam is 1080p, which has become the new standard, and there’s an infrared camera for Windows 11 Hello facial recognition. The fast NPU with up to 45 tera operations per second (TOPS) exceeds the Copilot+ specification of 40 TOPS, and right now it supports Copilot+ features like enhanced Microsoft Studio Effects, Live Captions, and Cocreator . The controversial Recall feature, which was the standout when the Copilot+ PC initiative was announced, remains on hold. Asus also includes a host of utilities that might use the NPU to some extent, but it’s hard to quantify at this point.
According to the Asus website, Vivobook S 15 is supposed to equip either a Qualcomm Snapdragon X Plus X1P-64-100 or the Snapdragon X Elite X1E-78-100. However, my review unit arrived with the Snapdragon X Plus X1P-42-100, a newer model that’s been slipstreamed into the Snapdragon X Plus lineup. That’s the slowest Snapdragon X chipset, with eight cores running at 3.4GHz. That’s per various online sources and not from Qualcomm’s site, which doesn’t yet list this model. It compares to the Snapdragon X Plus X1P-64-100 that we’ve reviewed, which features 10 cores running at 3.4GHz. Neither chipset has the dual-core boost of the faster Snapdragon X Elite chipsets. The X1P-42-100 also has the slowest Adreno GPU running at 1.7 teraflops (TFLOPS), behind the 3.8 or 4.6 TFLOPS of the faster chipsets.
Surprisingly, the Vivobook S 15 was much faster than the Inspiron 14 Plus with the theoretically faster Snapdragon X Plus chipset. The Vivobook was almost as fast as some Snapdragon X Elite machines. So that’s hard to understand. We do see, though, the impact of the slower Adreno GPU in the 3DMark Wild Life Extreme benchmark.
That means the Vivobook S 15 will be very fast for productivity tasks, but it will be even slower than the already-slow Snapdragon X laptops for gaming and creative tasks. The choice of chipsets is an odd one for a laptop with a large OLED display that will be attractive to anyone wanting to use the laptop for photo or video editing.
One thing we can’t yet determine is how well the Vivobook S 15 — or any other Copilot+ laptop — will perform at running AI tasks. The on-board NPU is fast as far as NPUs go, but those are generally intended for running AI on-device and more efficiently. Discrete GPUs remain much faster. The challenge, though, is in how to benchmark AI performance. Current tools aren’t quite there yet, leaving us scratching our heads.
(Snapdragon X1P-42-100 / Adreno) | 108 / 724 | 2,417 / 11,319 | 3,216 |
(Snapdragon X1P-64-100 / Adreno) | 108 / 419 | 2,451 / 8,744 | 6,457 |
(Snapdragon X1E-78-100 /Adreno) | 101 / 749 | 2,377 / 13,490 | 6,165 |
(Snapdragon X1E-80-100 / Adreno) | 121 / 921 | 2,805 / 14,511 | 6,397 |
(Core Ultra 7 155H / Intel Arc) | 96 / 658 | 2,109 / 11,134 | 6,667 |
(Core Ultra 5 125H / Intel Arc) | 90 / 284 | 2,144 / 7,871 | N/A |
(Snapdragon X1E-80-100 / Adreno) | 105 / 826 | 2,388 / 13,215 | 5,880 |
(Snapdragon X1E-84-100 / Adreno) | 126 / 766 | 2,957 / 15,358 | 7,153 |
(M3) | 141 / 601 | 3,102 / 12,078 | 8,098 |
I’ve included a bunch of comparison laptops here, because perhaps the most important aspect of the Qualcomm chipsets is that they’re Arm-based and thus promise better efficiency than previous Intel and AMD chipsets. As we can see, that’s largely true — although the Intel laptops I’ve included here have better-than-average battery life for the Intel Meteor Lake platform. Most Intel laptops get around eight hours in web browsing and around 12 hours of video looping.
The Vivobook S 15 fits the pattern, getting very good battery life in web browsing and even better in video looping. At the same time, it’s also clear that as you push the Qualcomm laptops harder, their relative efficiency drops off. That’s demonstrated when running the demanding Cinebench 2024 multi-core test, although the Vivobook does reasonably well. The Apple MacBook Air M3 remains the most efficient laptop, especially with more demanding tasks.
(Snapdragon X1P-64-100) | 13 hours, 10 minutes | 16 hours, 19 minutes | 2 hours, 47 minutes |
(Snapdragon X1P-64-100) | 10 hours, 9 minutes | 19 hours, 28 minutes | 2 hours, 25 minutes |
(Snapdragon X Elite X1E-80-100) | 12 hours, 29 minutes | 22 hours, 9 minutes | 1 hour, 37 minutes |
(Core Ultra 7 155H) | 12 hours, 14 minutes | 19 hours, 35 minutes | 1 hour, 27 minutes |
(Snapdragon X Elite X1E-78-100) | 13 hours, 37 minutes | 22 hours, 4 minutes | 1 hour, 52 minutes |
(Snapdragon X Elite X1E-78-100) | 12 hours, 5 minutes | 17 hours, 3 minutes | 1 hour, 52 minutes |
(Snapdragon X1E-80-100) | 14 hours, 21 minutes | 22 hours, 39 minutes | N/A |
(Snapdragon X1E-84-100) | 12 hours, 31 minutes | 14 hours, 33 minutes | N/A |
(Core Ultra 7 155H) | 12 hours, 25 minutes | 18 hours, 1 minute | N/A |
(Apple M3) | 19 hours, 38 minutes | 19 hours, 39 minutes | 3 hours, 27 minutes |
As mentioned above, the Vivobook S 15 has a wider 16:9 display, which has pretty much given way completely to the taller 16:10. If you want to watch video without black borders, then you’ll like the OLED display. Of course, most people also want to get work done, and that’s why taller displays have become almost universal.
I can’t complain about the OLED panel’s quality, though. I have yet to review a laptop with an OLED display that was anything less than awesome. The Vivobook’s display didn’t disappoint. It was very bright at 415 nits with the usual perfect black and an excellent contrast ratio of 28,230:1. Colors were typically wide at 100% of sRGB, 97% of AdobeRGB, and 100% of DCI-P3, and color accuracy was just a hair above excellent at a Delta-E of 1.13.
You’ll love this display, especially if you watch a lot of video.
Audio was just OK, with two downward-firing speakers. Use headphones or an external speakers for anything more than YouTube videos.
Most Copilot+ laptops have been 14 inches or smaller, leaving out those looking for a larger display. There’s a compromise in the 16:9 aspect ratio, so anyone who wants the best productivity experience will be disappointed. It’s great for media consumption, though.
Performance is surprisingly good given the slower Snapdragon X Plus chipset, while battery life is good but not nearly the best. And the price is reasonably attractive, but again, not a standout. But for now, it’s the most attractive Qualcomm machine that’s larger than 14 inches.
With IFA 2024 set to begin this week, the first announcements and teasers are already here, including a slew of new Intel Lunar Lake mobile processors -- and those CPUs might appear in some unexpected devices. One of those devices might be a new gaming handheld, and this time, it's from a manufacturer that hasn't ventured into that market before: Acer. According to a teaser on X (formerly Twitter), Acer is working on some exciting new releases, and although the announcement is fairly cryptic, one of those products looks like a handheld.
Predator Gaming, an Acer account, dropped a little hint about its upcoming lineup, which will be unveiled on September 4. It's nothing more than a couple of silhouettes, but that's enough to get the speculation flowing. One of the silhouettes is clearly an Acer laptop, but there's also a different product, half of which is obstructed.
Microsoft confirmed at IFA 2024 that its slate of Copilot+ features are coming to AMD and Intel laptops later this year. In a blog post, Microsoft revealed that AMD and Intel PCs that meet the minimum Copilot+ requirements will receive the AI features in November through free Windows 11 updates.
The inclusion of AMD and Intel has been up in the air since Microsoft released Copilot+ laptops exclusively with Qualcomm CPUs earlier this year. Although AMD and Intel held strong that the AI features would be available on Ryzen AI 300 and Lunar Lake CPUs, respectively, neither company would provide a definitive time frame.
The Lenovo ThinkPad is one of the best workplace laptops on the market, and Lenovo is constantly improving the inner workings of this workhorse PC. From one year to the next, there’s never a shortage of ThinkPad innovations, and multiple generations of this fantastic laptop have led to some genuinely incredible Lenovo ThinkPad deals. As a matter of fact, we came across an excellent promo while looking through Lenovo laptop deals earlier today.
Right now, you’ll be able to purchase the Lenovo ThinkPad P16 Gen 2 Mobile Workstation for $3,800 directly through the manufacturer. At full price, this model goes for $6,850. This is considered a “doorbuster” sale, and we’d say that a $3,000 discount earns Lenovo the right to use the term.
While artificial intelligence and big data steal the spotlight, a less glamorous but equally crucial discipline is quietly shaping the future of business: data governance.
With European regulators imposing fines of up to 17.29 million pounds for data mismanagement, it’s clear that data governance is not just a compliance checkbox. It’s a strategic investment that can empower your organization with a tangible return on investment.
The growing importance of data governance has fueled innovation in tools and technologies that help organizations manage their data effectively. These tools ensure data quality, security, compliance, and informed decision-making.
Data governance is the exercise of decision-making and authority over data-related matters. It establishes a framework of roles, policies, standards, and processes to ensure data is used effectively and efficiently throughout an organization. This framework, a key component of a robust cyber resilience framework , helps organizations manage their data assets to achieve strategic goals, mitigate risks, and comply with regulations.
Key components of data governance include:
Effective data governance leads to better data quality, lower costs, improved compliance, and stronger decision-making. Here are the major perks:
However, organizations often face challenges in implementing data governance, such as:
Despite these challenges, the benefits of data governance far outweigh the costs. By investing in data governance tools and practices, organizations can unlock the full potential of their data assets, which can be further enhanced by adopting a multi-cloud architecture for improved scalability, flexibility, and resilience.
Data governance tools are essential for organizations seeking to effectively manage their data assets, especially those involved in complex cyber-physical systems , and overcome the inherent challenges of data governance. These tools provide a centralized platform for defining, implementing, and enforcing data policies, standards, and procedures, helping to mitigate issues like misconfigurations, risky permissions, and data breaches, which are especially prevalent in organizations that rely on SaaS applications. Adhering to SaaS security best practices is crucial to ensure these tools’ effective and secure use.
Key features of data governance tools include:
By leveraging these features, organizations can reap numerous benefits, including:
Across all industries, these tools play a crucial role in risk assessment by identifying and mitigating potential data security and privacy threats. For example, in healthcare, these tools can ensure the privacy and security of patient data, while in finance, they can help organizations comply with financial regulations and prevent fraud.
Information’s sheer volume and complexity are skyrocketing, and the right tools can make the difference between thriving and merely surviving. To help you navigate this intricate terrain, we’ve curated a list of the top 10 data governance tools poised to impact 2024 significantly.
These tools empower organizations to manage user consent for data collection and processing proactively, streamlining compliance with privacy regulations like GDPR and CCPA. They offer customizable consent banners, granular consent options, and detailed consent logs to enhance transparency and build user trust.
OneTrust is a comprehensive privacy management platform that offers a wide range of features, including consent management, data mapping, and privacy impact assessments. Organizations can build trust with customers and stakeholders by demonstrating a commitment to data privacy.
Main features:
Large enterprises with complex data privacy needs.
14-day free trial available.
Review: “OneTrust privacy and sync enables us to measure the cybersecurity risk and requirements time to time and we do not have to measure it manually. The upside of it is trends that we get to see and filter out our requirements for a security practice without compromising our privacy.” – G2 Review .
CookiePro is a cookie consent management solution that helps websites comply with cookie laws and regulations. It provides customizable banners, consent logs, and analytics to track user preferences.
Small to medium-sized businesses looking for a simple and affordable cookie consent solution.
Free demo available.
Review: “ CookiePro is by far the best Cookie Tracking solution that we have tried. It has amazing privacy management options.” – G2 Review .
These tools are designed to proactively identify and address security weaknesses within code, safeguarding against data breaches and upholding the overall integrity of software applications. Code security tools often employ static and dynamic analysis techniques to scan code for potential vulnerabilities, such as hardcoded secrets, injection flaws, and cross-site scripting (XSS) vulnerabilities. By detecting and rectifying these issues early in the development process, organizations can significantly reduce the risk of security incidents and ensure the reliability of their software.
SpectralOps is a code security solution that helps organizations identify and fix security vulnerabilities in their codebase. It uses a combination of static and dynamic analysis to scan code for potential issues, such as hardcoded secrets, injection flaws, and cross-site scripting (XSS) vulnerabilities.
Organizations that develop software applications and want to ensure their code is secure.
Free to start.
Review: “It helps us with fixing open code and key security issues in public and private repo. I like the daily scan of all our repositories. It helps us to fix important security issues in the code. Also, the support team is very good.” – Capterra Review .
Cynomi is a virtual CISO platform that helps organizations improve their cybersecurity posture. It provides a range of features, including risk assessments , vulnerability management, and incident response. Cynomi also offers a virtual CISO service, which provides organizations access to experienced cybersecurity professionals.
Mid-sized Managed Service Providers (MSPs) and Managed Security Service Providers (MSSPs), particularly those focused on security or expanding into the cybersecurity market.
Request a demo to start.
Review: “The details and information given across every security domain provides both direction and current vulnerabilities. Cynomi then gives you the mitigation plan to fix issues. – G2 Review .
Cloud infrastructure and data tracing tools provide organizations with a comprehensive view of their cloud infrastructure, enabling them to track data movement, identify potential bottlenecks, and optimize resource allocation. By monitoring data flows and gaining insights into their data landscape, organizations can make informed decisions about their cloud infrastructure, improve efficiency, and enhance security.
Control Plane is a hybrid cloud platform that empowers organizations to optimize costs, simplify cloud management, and enhance observability and security. It offers features to accelerate deployments and ensure scalability while maintaining a strong security posture.
Organizations seeking to optimize their cloud infrastructure costs, streamline management processes, and fortify their cloud security measures.
Sign up for pricing.
Review: “Each of my engineers probably saves 30% of their time by using Control Plane. DevOps tasks that used to take us 5 days we can now do in 1 day, so it allows us to focus on our application rather than our infrastructure.” Customer Review .
Lightrun is a developer observability platform that helps organizations troubleshoot and debug applications in production with features like distributed tracing, log aggregation, and metrics monitoring. It also offers a cloud-based solution for easy adoption. Lightrun aims to bridge the observability gap and empower developers to solve production issues quickly and efficiently without disrupting their workflow.
Organizations that develop and operate applications in production and want to improve their troubleshooting and debugging capabilities.
Book a demo to enquire about pricing.
Review: “Its ability to seamlessly integrate with IntelliJ, allowing for real-time debugging without disrupting the workflow. The snapshot feature is particularly powerful, enabling me to pinpoint issues in complex, multi-service environments with ease and efficiency. This significantly accelerates the debugging process and enhances overall productivity.” G2 Review .
Claroty is a cybersecurity platform that helps organizations protect their industrial control systems (ICS) and operational technology (OT) environments. It provides various features, including asset discovery, vulnerability management, threat detection, and incident response. Claroty also offers a managed security service that provides organizations with 24/7 monitoring and support.
Organizations that operate industrial control systems (ICS) and operational technology (OT) environments and want to protect them from cyberattacks.
Free trial available.
Review: “claroty is very good for cyber security. It solves critical problems like it detects real-time issues or vulnerability and after detecting the problem it helps us to take required actions to prevent any risk.” – G2 Review .
These tools help organizations understand how data flows through their systems, enabling them to identify potential bottlenecks, redundancies, and security risks.
Informatica is a leading provider of data integration and management solutions. Its data governance tool helps organizations define, implement, and enforce data policies and standards. It also provides data lineage, quality, and security features.
Large enterprises with complex data management needs.
Contact Informatica for pricing.
Review: “It makes it very easy to build cloud-native-data pipelines which, in turn, can be used for artificial intelligence, Machine learning, and other analytics. Provides a secure way to protect the organisation data.Convenient and user friendly.“ – G2 Review .
Denodo is a data virtualization platform that provides a unified view of data from disparate sources. It allows organizations to access and query data without physically replicating it. Denodo also offers data governance, security, and performance features.
Organizations need to access and query data from multiple sources without replicating it.
Contact Denodo for pricing.
Review: “I appreciate Denodo’s flexibility in connecting to various data sources, including databases, cloud services, and big data platforms. The ability to create virtual data views without physically moving data allows for increased agility in responding to changing business requirements.” – Capterra Review .
Effective data governance requires a holistic approach, a cultural shift towards valuing data, and a commitment to continuous improvement. Data governance can become a competitive advantage with the right tools and mindset.
As you embark on your data governance journey, remember that every line of code is a potential entry point for those seeking to exploit your valuable data. By securing your codebase against vulnerabilities, you’re not just mitigating risk but securing your most valuable assets.
Don’t leave your codebase exposed – start your free Spectral account today and fortify your data governance strategy.
Modern cybercriminals aren’t just after your average employee. They’re targeting DevOps engineers – the gatekeepers of critical infrastructure and valuable data. 90% of data breaches start
Knowledge is power. Power is money. In the context of information systems and applications, knowledge is ingested, processed, and used as data. Data theft or loss
Targeted attacks in cloud security are on the rise, hitting businesses big and small. This surge in threats puts developers like you in a crucial position.
Health Research Policy and Systems volume 22 , Article number: 121 ( 2024 ) Cite this article
Metrics details
An estimated 2.5 million people have been internally and externally displaced in the Tigray region of northern Ethiopia in conflict and post-conflict settings. This induced a loss of access to basic and essential healthcare services. The situation was overwhelming, causing service inaccessibility, inadequate health facilities, unstable security to access the services, shortage of supplies and drugs, and medical equipment’s in the region. The regional public health emergency management is one service delivery set up for the critically ill. It is characterized by weak emergency management capacities, poor coordination and integration. In addition, the system falls in to two independent sectors in the Tigray Health Bureau (THB), Tigray Health Research Institute (THRI). This leads to a fragmented system, an unclear leadership and governance role and a poor service delivery setup and tracking mechanism. The situation leads to resource duplication and poor business practice. Indeed, this type of service delivery setup secures personal and professional interest more than community interest. The situation exacerbated the occurrence of recurrent outbreaks in the region, with, for instance, zoonotic diseases (anthrax and rabies), acute watery diarrhoea, measles, malaria, yellow fever, and coronavirus disease 2019 (COVID-19) approaching to their level of epidemic. Moreover, they will spike as an epidemic in the future. All these circumstances made it evident that the system need reform to adhere with legal global, national, and regional frameworks, guidelines and proclamations. The system should have one service delivery set up at regional level. It must fall into regional public health institutes (PHIs) to adhere its service packages to the current advancements. Furthermore, integrated effort need from program implementers, relevant stakeholders and policy-makers should be committed and work together in the review and reform process.
Peer Review reports
Armed conflict affected health and healthcare systems in the various war zones of Tigray [ 1 ]. The war, which was started in November 2020, caused a considerable number of casualties. More than 80% of health facilities in the region were either fully or partially damaged by the war. An estimated 2.5 million people were internally and externally displaced and left without access to essential healthcare services [ 3 ]. Besides, it has destroyed PHEM leadership and its service packages [ 2 , 4 ]. So far, district-, health-facility- and community-level emergency management systems have been poorly implemented [ 2 , 3 ]. Resources are insufficient for emergency preparedness and response in which medical equipment, drugs, vaccines and other medical equipment has been out of stock since the start of the war due to the complete siege. The existing paper-based and electronic (e-PHEM) health information system has been lost and rendered non-functional [ 2 , 3 , 4 ]. Fragmented PHEM service packages into two independent sectors, the lack of sufficiently developed regional capacities, poor coordination and integration, unclear leadership and governance role, poor service adherence to modern advancements of public health emergency management according to the “Health Security Agenda” has put additional strain on the poor healthcare system due to the conflict. Due to the true numbers of cases of epidemic-prone disease such as measles, malaria, zoonotic disease, yellow fever, acute watery diarrhoea and coronavirus disease 2019 (COVID-19) are likely to arise or worsen, but this has been targeted to the elimination phase in late December 2020 before the conflict [ 5 ]. Modelling shows that the range of outbreaks will spike over the coming years if the predetermined challenges have not yet been reached [ 6 ]. The study aimed to provide a commentary on conflict and fragmented PHEM system as a double burden to advance public health emergency management system in the Tigray region, Northern Ethiopia.
The world needs strong and resilient health security capacity to save lives and stop outbreaks at their source [ 7 ]. The emergence and re-emergence of new pathogens, complexity nature of the disease, new risk factors, ease of spread of infectious disease, weak management of the port of entries (POEs) for infectious disease and ongoing conflicts raised political and economic concerns worldwide. The recent estimate of the Ebola outbreak in 2014 indicated that it cost 53 billion dollars USD. In addition, the ongoing COVID-19 pandemic will cost about 6 trillion dollars USD [ 7 , 8 ].
The Global Health Security Agenda (GHSA), as a concern to public health emergency management (PHEM) advancement, framed 14 technical areas [ 7 , 8 ]. These were antimicrobial resistance (AMR), zoonotic disease, bio-safety, bio-security, bioterrorism strengthening laboratory systems and networks, real-time surveillance, rapid response, workforce development, emergency operation centres and linking public health with law and enforcement [ 7 ]. Besides, strong public health emergency management required clear leadership, authorization and governance role. The emergency management (EM) service packages such as surveillance and disease intelligence, preparedness and response, laboratory system and networks, information system and public health research should be integrated into one funnel for timely emergency notification and response [ 10 ].
Despite the effort in place, there are still challenges in forecasting emergencies before the incident in which the system lacks sufficiently developed national capacities, is poorly coordinated and integrated, demonstrates unclear leadership and governance role, and has a poor tracking mechanism in one structure – process – personnel [ 9 , 10 ]. This resulted in effort duplication, wasted resources (poor business practice), lack of clear leadership and accountability, and slower response times to public health emergencies. This reality was what happened in western African countries such as Guinea, Siera-llione and Liberia, in which the system was fragmented and inefficient to accommodate sound emergency management [ 10 ].
The international community is starting to promote public health institutes (PHIs) to overcome such challenges and limitations [ 9 , 10 ]. Likewise, Centers for Disease Control (CDC) Africa conducts a literature review in African Union member states to assess the role, leadership and core activities of emergency management. Of the 55 African Union Member States, 40 (72.7%) participated in the assessment. Among these, 12 reported being fully established, 17 indicated that they were at an advanced-stage, 6 had started the process and 5 reported not having a plan. Among the fully established and advanced-stage national public health institutes (NPHIs), 17 (58.6%) are autonomous and semiautonomous, 3 (10.3%) are a network of institutions and 9 (31%) are structured as departments under the Ministries of Health. The most common functions of the NPHIs are research (26), surveillance and disease intelligence (24), epidemic preparedness and response (24), workforce development (19), public health informatics (15) and health promotion (10) [ 11 ]. Countries that have the ability to integrate their emergency management system through their established public health institutes mount a more effective response, as illustrated by experiences in Guinea Bissau and Nigeria [ 7 ].
The current public health emergency management (PHEM) platform in Tigray’s healthcare system is poorly implemented, lacking timely outbreak notification, detection and response and dealing with a high number of patients needing care during emergencies. The system lacks a clear leader ship, authorization, and governance role of emergency management in which it is organized into two independent sectors [Tigray Health Research Institute (THRI), and Tigray Regional Health Bureau (TRHB)]. Moreover, the systems do not integrate and collaborate on units of service packages in which early warning, preparedness, response and recovery are not clearly outlined within the system. The region is at high risk of infectious diseases, in which its emergency management (EM) system lacks integrated active laboratory surveillance systems for priority zoonotic diseases, as regularly occurs in animal and human laboratory networks in which laboratory professionals lack the capacity for anti-microbial resistance (AMR). The system lacks the local capacity for confirmation such that a sample of priority infectious disease in the region (polio, measles) is being delivered to the national laboratory in Addis Ababa [ 12 ]. This resulted in high turnaround time for result communication that resulted in a delay in outbreak response. The situation has exacerbated the occurrence of water borne, vector borne and zoonotic diseases such malaria, acute watery diarrhoea, rabies, anthrax, measles and eye conjunctivitis [ 4 ]. Modelling showed that emergencies will spike over the coming years unless the system is made sound and organized in its appropriate service delivery setup [ 8 , 10 ]. Currently, the epidemic-prone infectious diseases such as measles, malaria, common zoonotic disease (anthrax and rabies), yellow fever, acute watery diarrhoea, and the current COVID-19 pandemic approaching to the level of their epidemicity in the region. Most of the epidemic-prone diseases were targeted at the elimination phase in the late December, 2020 before the conflict [ 8 ]. Despite this, things are now worsening due to the double burden of the conflict and fragmented PHEM system. The modern principle of emergency management and the implication of the International Health Regulation (IHR-2005) is not clearly reflected in the system. It lacks integration of public health research, an advanced laboratory system and network, and capacity-building, considered to be a critical approach. Particular emphasis was not given to risk management, impact analysis and risk-based preparedness [ 8 , 13 ]. Even though common zoonotic diseases have been in their high peak in the region, the emergency management system is poorly integrated with regional reference and veterinary laboratories such that veterinary professionals are not sensitized to and trained on integrated emergency management mainly on common zoonotic disease. Major hazards such as food safety, bioterrorism, radiological, nuclear and chemical threats are not included in the system during emergency management preparedness [ 12 ].
Ethiopia adopted the Field Epidemiology Training Program (EFETP) to improve leadership and advancement within public health emergency management (PHEM). It mainly focuses on contributing to research activities on priority public health emergency problems, strengthening laboratory participation in surveillance and field investigations and improving communications and networking of public health practitioners and researchers in the country and throughout the region, in which field epidemiologists spent more than 72% of their work in to conduct research to capacitate risk analysis and management [ 14 ]. The Ethiopian Ministry of Health (MOH) accommodates the advancement and integrates the emergency management system in the national public health institute (NPHI). In reality, the regional states in Ethiopia (Amhara regional state, Oromya, Sidama, SNNRP, Dire-Dawa, Harari, Benishangule, and Afar) integrate the system into their established regional public health institutes (RPHIs) [ 15 ]. However, the Tigray emergency management system fragmented into independent sectors in Tigray Health Research Institute(THRI) and Tigray Regional Health Bureau (TRHB), which resulted in effort duplication, wasted resource (poor business practice), lack of clear leadership and accountability and slower response times to public health emergencies. In response to these, the regional government of Tigray set a proclamation number (PN: 265/2007E.C) in the Regional House of Peoples’ Representatives (RHPR) to organize the emergency management system in the established regional public health institute. The institute has a mission to excel public health emergency management in the region that aimed to accommodate new advancements of emergency management based on global and national frameworks [ 16 ]. However, the regional Health Bureau management bodies and program leaders are not willing to integrate the system in its recommended place service of delivery. This has violated the legal framework that accommodates modern PHEM advancement as the regional government’s strategic mission.
The current disease advancement, change in community lifestyle and fragile healthcare system are unable to respond to episodes with the existing emergency management system. The continued war and fragmented PHEM system in the region have induced a gruesome scenario in which to advance modern emergency management in the Health Security Agenda [Global Health Action (GSA) targeted for timely emergency response] and to secure community interest for the people of Tigray. The current emergency management indicates that there will be further surges of cases of epidemic-prone disease in the future and imposes further pressure on the weak healthcare systems. The poorly implemented PHEM system highlights the need for the global community, partners and stakeholders to further work together to support Tigray’s weak public health emergency management system, which will enable it to standardize its leadership and governance, units of service packages and appropriate place of service delivery. These need integrated and urgent resolution to overcome the challenges and to establish sound and resilient public health emergency management system. Therefore, the PHEM system needs to be integrated into a regional Public Health Research Institute (PHI) named “Tigray Health Research Institute (THRI)”, established by legal regional framework [Proclamation Number (PN): 265/2007 E.C] in the region based on the global and regional frameworks and recommendations for its advancement. The regional proclamation also recommends that the PHEM system be in a regional public health institute. Therefore, national and regional policy-makers should be responsible for urgent action for the reform to proceed.
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Kiros Fenta Ajemu, Tsegay Hadgu, Gebremichael Gebreegziabher, Brhane Ayele, Hailay Gebretnsae, Abraham Aregay Desta & Hayelom Kahsay
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K.F.: Generated the concept, designed the review process and methodology, drafted the manuscript, wrote the manuscript and continuously revised the manuscript. T.H.: Drafted and reviewed the manuscript. G.G.: Drafted and reviewed the manuscript. B.A.: Reviewed the manuscript. H.G.: Reviewed the manuscript. A.A.: Reviewed the manuscript. H.K.: Drafted and reviewed the manuscript.
Correspondence to Kiros Fenta Ajemu or Brhane Ayele .
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Ajemu, K.F., Hadgu, T., Gebreegziabher, G. et al. Conflict and fragmented public health emergency management system in Tigray region of Northern Ethiopia: A double burden to accommodate resilient and advanced public health emergency management. A commentary review for policy-makers and a call to action. Health Res Policy Sys 22 , 121 (2024). https://doi.org/10.1186/s12961-024-01176-w
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Received : 19 May 2023
Accepted : 28 June 2024
Published : 03 September 2024
DOI : https://doi.org/10.1186/s12961-024-01176-w
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