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AbstractPandemics are outbreaks of an infectious disease that increase morbidity and mortality over a wide geographic area. These events require large‐scale interventions from governments and health agencies to curtail transmission within a population. In assessing the impact of these interventions, policymakers avail themselves of simulations from compartmental models. However, it is commonplace that modellers employ fixed fractions to represent interventions, which implicitly assume that resources instantaneously and boundlessly adjust to the desired target and may predict overly optimistic outcomes. Here, we propose a model that integrates four crucial countermeasures subject to resource constraints. We present this structure utilising the concept of small models and frame the simulations in the context of a hypothetical spread of influenza in the Netherlands, drawing on empirical data. After incorporating resource constraints, we find that only a comprehensive response controls the disease. These findings highlight the need for improving strategic plans to support pandemic preparedness. © 2024 The Authors. System Dynamics Review published by John Wiley & Sons Ltd on behalf of System Dynamics Society.

AbstractIn pandemic preparedness and response, a Functional Exercise (FX) is used to simulate a situation as close to a real‐life event as possible without the deployment of resources. Participants are drawn from public health emergency operations centres, and work through a scenario script to test possible responses to a novel pathogen outbreak. This paper summarises the role of system dynamics modelling in the design and implementation of a functional exercise, which involved the Dutch and German national public health institutes in March 2023. The findings confirm the value of the system dynamics method in integrating disease and hospital models, and also highlights how well the method aligns with modern software development processes. The paper concludes with a discussion of what worked well, and presents areas for future enhancements of management flight simulators to support functional exercises. © 2024 The Author(s). System Dynamics Review published by John Wiley & Sons Ltd on behalf of System Dynamics Society.