Problem: On 17 December 2024, a magnitude 7.3 earthquake struck the Pacific Island country of Vanuatu, affecting over 80 000 people and causing 14 deaths and 265 injuries. Facing limited specialist clinical capacity, increased patient load and strained facilities, Vanuatu’s Ministry of Health requested support from emergency medical teams. Context: Vanuatu, highly disaster-prone and geographically dispersed, has a health system constrained by limited human resources and recent cyclone-related damage. The country’s national emergency medical team, the Vanuatu Medical Assistance Team, was established in 2017 and plays a central role in health emergency response in the country. Action: Within 24 hours of the earthquake, the Vanuatu Medical Assistance Team was activated and established an Emergency Medical Team Coordination Cell within the national health emergency operations centre. National and international emergency medical teams from Australia, Fiji, Indonesia, Japan and New Zealand were deployed over the subsequent weeks and provided clinical, mental health and information management support. The World Health Organization’s emergency medical team Minimum Data Set was implemented to monitor health trends and inform response actions. Outcome: Eight national and international emergency medical teams deployed alongside local health services. Together, they reported more than 5500 consultations to the Emergency Medical Team Coordination Cell, and a specialized team provided mental health and psychosocial support to 521 people. Minimum Data Set analysis showed a rapid decline in trauma-related presentations and detected increases in influenza-like illness, guiding the transition from emergency to recovery. Discussion: This response underscored the value of emergency medical teams following disasters, the importance of national leadership and coordination, and the significance of regional solidarity and partnerships. It also highlighted the importance of information management during emergencies and demonstrated potential innovations in this space.

This manuscript details the process and outcomes of emergency medical team (EMT) reclassification in WHO’s Western Pacific Region. EMT reclassification is undertaken approximately 5 years after initial classification, ensuring adherence to published common EMT principles and standards. This report reflects on the first four EMTs reclassified in the Western Pacific Region, detailing the reclassification process and notable outcomes.

This article highlights the vital role of affordable satellite communications during health emergencies. Drawing on examples from Vanuatu and Tonga, it underscores the importance of integrating satellite technologies into disaster preparedness for effective communication and response.

This article describes the Western Pacific Region’s participation in the Emergency Medical Team Global Meeting held in November 2024 in Abu Dhabi, United Arab Emirates. Participants from the region actively contributed to various panels, discussions, working sessions and abstract presentations throughout the 3-day meeting, highlighting the increased strength of the Western Pacific to respond to health emergencies.

This article describes the development of national emergency medical teams in Pacific island countries and areas.

Problem: Pacific island countries and areas represent some of the most disaster-vulnerable locations in the world, facing a range of natural and infectious hazards along with incredibly challenging logistics and limited human resource pools. Context: The World Health Organization supports the development of emergency medical teams across the Western Pacific Region. Since 2021, one aspect of this support has been supplying health emergency response equipment called cache kits for these unique island contexts. This report describes the process of designing and implementing standardized cache kits for these teams. Action: Emergency medical team cache kits were designed and sourced using a semi-structured six-step approach: 1) problem identification and review of existing literature; 2) targeted key informant interviews and stakeholder consultations; 3) the alignment of cache with the goals and objectives of the teams’ operations; 4) creation of the kits; 5) local and international procurement of selected items; and 6) monitoring of the delivery of cache to destination countries. Outcome: The Organization procured specialized cache kits for 12 teams across the Pacific subregion. They comprise portable, durable, lightweight equipment that enables teams to deliver high-quality emergency medical care in remote and resource-limited island contexts. Discussion: The Organization's centralized procurement of the cache kits in the Pacific aimed to facilitate nationally led health emergency responses, enhance team interoperability in the subregion, and ensure access to high-quality equipment in resource-constrained locations. The model established in the Pacific could serve as a blueprint for national emergency medical teams in low- and middle-income countries globally.