Hostname: page-component-f554764f5-nqxm9 Total loading time: 0 Render date: 2025-04-17T18:40:57.617Z Has data issue: false hasContentIssue false

Artificial Intelligence Assisted Decision-Making in Current and Future Complex Humanitarian Emergencies

Published online by Cambridge University Press:  20 March 2025

Frederick M. Burkle Jr.*
Affiliation:
Global Scholar, Woodrow Wilson International Center for Scholars, Washington, DC, USA
Amir Khorram-Manesh
Affiliation:
Department of Surgery, Institute of Clinical Sciences, Sahlgrenska Academy, Gothenburg University, Sweden Learning and Leadership for Healthcare Professional, Institute of Health and Care Sciences, Sahlgrenska Academy, Gothenburg University, Sweden Gothenburg Emergency Medicine Research Group (GEMREG), Sahlgrenska Academy, Gothenburg University, Sweden
Krzysztof Goniewicz
Affiliation:
Department of Security Studies, Polish Air Force University, Poland
*
Corresponding author: Frederick M. Burkle; Email: [email protected]
Rights & Permissions [Opens in a new window]

Abstract

Type
Editorial
Copyright
© The Author(s), 2025. Published by Cambridge University Press on behalf of Society for Disaster Medicine and Public Health, Inc

The 2024 Emergency Watchlist Report highlighting the International Rescue Committee’s (IRC) assessment of the 20 countries at greatest risk of new humanitarian emergencies is critical for all in the greater humanitarian response community.1 It addresses where emergency efforts are best focused now and in the future. The data, gained from a rigorous analytical process, utilized quantitative and qualitative variables from more than 50 countries. The report has assisted IRC and others in the broader humanitarian community “to determine where to focus emergency preparedness efforts, and what can be done to reduce the impact on affected communities.” Furthermore. the report confers that the number of people in humanitarian need increased fourfold between 2023 and 2024, with their lives often in extreme danger, and high levels of insecurity and poverty in eight of the top 10 African countries. A new and significant concern for many in the broader humanitarian community is the rising threat of both pandemics as well as major climate change risks.

Since the 2020 outbreak of COVID-19, posing new threats and difficulties globallyReference Khorram-Manesh, Carlström and Hertelendy2, the humanitarian agencies and their deployed humanitarian teams have faced “unparalleled challenges” in fragile and conflict-ridden states. This confirms the differences between disasters and pandemics. The former impacts isolated areas or countries and the response is directed locally. In contrast, pandemic impacts are global, necessitating a global approach.Reference Chamola, Hassija and Gupta3 The United Nations Educational, Scientific and Cultural Organization (UNESCO) published 2 reports highlighting the increasing risk humanitarian workers face, first due to perceptions of being carriers of COVID-19 and secondly, the increase in “sophisticated disinformation tactics in fragile and conflict-ridden states” that negatively impact their strategic and operational efforts and team security.Reference Vazquez Llorente and Wall4, 5 These issues have led to research efforts that attempt to better understand and manage the new “virtual space that surrounds humanitarian operations” in which NGOs face “real threats for future humanitarian operations.” These include training on: “understanding the operational environment, communications technology and its impact on humanitarian programs, and using communications technology for security risk management.”6 Many of these needs were never considered requirements for humanitarian workers until the COVID-19 and other pandemic risks emerged, requiring new and innovative training programs. Content from just 1 example includes: “both government and rebel groups denying NGOs access to populations in need, corrupt officials or warlords demanding payoffs, and local violence threatening the safety and even the lives of field personnel.”6 Such training needs were never considered critical until post-COVID-19, other epidemic and pandemic risks, and climate change catastrophes became a daily reminder.Reference Harvey7, Reference Pandey8, Reference Gemenne, Barnett and Adger9

The composition of humanitarian response teams deployed to climate change and pandemic crises has not been adequately addressed. Admitting that the COVID-19 pandemic was a crisis unlike any other in recent times, one of the earliest to address this challenge chose “five leadership practices that can respond effectively” and help pandemic management and recovery.Reference Dirani, Abadi and Alizadeh10 Leadership qualities include the promotion of rapid problem solving and execution under high stress, chaotic conditions, leaders must organize a multidisciplinary network of teams, united by a common collaborative purpose that includes an “integrated ‘nerve center’” that focuses on “workforce protection, supply-chain stabilization, customer engagement, and financial stress testing.” Secondly, the teams must be prepared to temporarily shift some responsibilities from the command-and-control element to a network of teams. They emphasize both leadership characteristics as well as the ability to unify teams. Additionally, making decisions amid uncertainty and the ability to wait for a decision until a full set of facts emerge is crucial as is demonstrating sincere empathy as leaders.Reference D’Auria and De Smet11 Equally crucial is the recognition that the disaster response community increasingly agrees that future crisis management must be multidisciplinary, transdisciplinary, and cross-disciplinary in the decisions and choices made by professional responders. This is no easy task but no less a critical one.Reference Ciotone12

As authors of crisis management guidelines and researchers into the wide range of professional requirements facing both pandemics and climate crises, we join a myriad of researchers debating and readdressing the professional criteria and makeup for teams challenged by these humanitarian events.

Recent advances in artificial intelligence (AI) have led to generative models capable of accurate and detailed text-based responses to written prompts (“chats”).Reference Kanjee, Crowe and Rodman13 Recognizing the complexity of these decisions and the expected wide range of opinions, the decision was made to tap an existing AI network with the question: “How to make humanitarian organizations more cross-disciplinary, transdisciplinary, and interdisciplinary?”

The AI response, citing “the International Council for Science (ICSU) focusing on scientific collaboration for global challenges14 and The American Association for the Advancement of Science (AAAS) with its Dialogue on Science, Ethics, and Religion (DoSER) program,”15 recommended implementing strategies to foster a collaborative environment within humanitarian organizations. These strategies leverage the strengths of different disciplines to create more effective solutions for the communities they serve. It suggested structuring project teams with professionals from diverse backgrounds such as physicians, engineers, and social workers to tackle problems from multiple angles. Organizing workshops or training sessions where staff from different disciplines learn about each other’s expertise, abilities, and limitations, and how it can be applied in humanitarian contexts was also emphasized.

The AI also recommended clearly defining project goals that require collaboration across disciplines to create a shared purpose that motivates cross-disciplinary interaction. Developing communication protocols to allow clear and efficient information exchange between disciplines—including joint meetings, shared reports, and training on interdisciplinary communication—was highlighted as crucial. Furthermore, incorporating the knowledge and perspectives of the communities being served can lead to more holistic solutions that address not just immediate needs but also root causes. Evaluating projects based on their overall impact on the community, rather than just the success of individual disciplines involved, encourages collaboration toward a common goal.

Additional tips included ensuring leadership actively promotes a collaborative culture and values diverse perspectives. Offering incentives for successful cross-disciplinary projects was suggested to encourage continued collaboration. Creating platforms for staff to share best practices and lessons learned across disciplines was also recommended. While the AI responses might seem to accurately reflect previous research agendas and recommendations, the AI summary might prove helpful to the numerous humanitarian and governmental players striving to organize, provide, and launch a workable structure to what are generally complex, multiagency, and multi-professional requirements and responses.

The following table (Table 1) summarizes the AI-generated strategies for enhancing interdisciplinary collaboration in humanitarian organizations:

Table 1. AI-generated strategies for enhancing interdisciplinary collaboration in humanitarian organizations

Importantly, the potential for AI to enhance expertise in the face of rising climate and pandemic threats worldwide cannot be overstated. By enabling precise assessments and rapid deployment of specialized teams to developing world crises, AI offers a transformative tool in improving response effectiveness.Reference Sun, Bocchini and Davison16 This integration of AI can significantly bolster the capacity of humanitarian efforts, ensuring that the right expertise is available where it is most needed, thus mitigating the impact of these global threats.

The intersection of advanced AI capabilities with humanitarian response strategies presents a unique opportunity to address the complex and multifaceted challenges posed by climate change and pandemics. By fostering cross-disciplinary collaboration and leveraging AI for precise assessments and rapid deployments, we can create a more resilient and responsive humanitarian infrastructure. This proactive approach not only enhances our ability to manage current crises but also prepares us for future emergencies, ensuring that vulnerable communities worldwide receive the timely and effective assistance they need.Reference Khorram-Manesh, Goniewicz and Burkle17, Reference Goniewicz, Burkle and Khorram-Manesh18

While AI responses can provide valuable insights and innovative strategies, it is important to recognize that these responses may vary greatly depending on the specific model used and the timing of the inquiry, which can lead to inconsistencies. This variability underscores the necessity of thorough verification to ensure accuracy, as AI-generated information can sometimes be distorted or lack proper references. Consistent verification and cautious use of AI, particularly in generating new content, are essential to mitigate these potential issues and ensure the reliability of AI-assisted decision-making in humanitarian efforts.

References

International Rescue Committee. 2024 Emergency Watchlist. https://www.rescue.org/report/2024-emergency-watchlistGoogle Scholar
Khorram-Manesh, A, Carlström, E, Hertelendy, AJ, et al. Does the prosperity of a country play a role in COVID-19 outcomes? Disaster Med Public Health Prep. 2022;16(1):177186. doi:10.1017/dmp.2020.304Google ScholarPubMed
Chamola, V, Hassija, V, Gupta, S, et al. Disaster and pandemic management using machine learning: a survey. IEEE Internet Things J. 2020;8(21):1604716071. doi:10.1109/JIOT.2020.3044966Google ScholarPubMed
Vazquez Llorente, R, Wall, I (eds.). Communications technology and humanitarian delivery: challenges and opportunities for security risk management. European Interagency Security Forum (EISF). 2016. https://www.academia.edu/8975820/Communications_technology_and_humanitarian_delivery_challenges_and_opportunities_for_security_risk_managementGoogle Scholar
GISF. Disinformation and security risk management for NGOs. Published July 31, 2020. https://gisf.ngo/blogs/disinformation-and-security-risk-management-for-ngos/Google Scholar
VIRSEC. Conflict zone threat assessment for NGOs: online threat assessment & risk management training for members of NGOs and charity organizations working in high-threat Environments. https://virsec.org/courses/online-threat-assessment-for-ngos/Google Scholar
Harvey, B. ODI. The changing role of NGOs in supporting climate services. (Research report). Published September 20, 2016. https://odi.org/en/publications/the-changing-role-of-ngos-in-supporting-climate-services/Google Scholar
Pandey, CL. Managing climate change: shifting roles for NGOs in the climate negotiations. Environ Values. 2015;24(6):799824.Google Scholar
Gemenne, F, Barnett, J, Adger, WN, et al. Climate and security: evidence, emerging risks, and a new agenda. Clim Change. 2014;123:19. https://doi.org/10.1007/s10584-014-1074-7Google Scholar
Dirani, KM, Abadi, M, Alizadeh, A, et al. Leadership competencies and the essential role of human resource development in times of crisis: a response to Covid-19 pandemic. Human Resource Development International. 2020;23(4):380394.Google Scholar
D’Auria, G, De Smet, A. Leadership in a crisis: responding to the coronavirus outbreak and future challenges. McKinsey & Company. Published March 16, 2020. https://www.mckinsey.com/capabilities/people-and-organizational-performance/our-insights/leadership-in-a-crisis-responding-to-the-coronavirus-outbreak-and-future-challenges#/Google Scholar
Ciotone, G. Is this a paradigm shift in disaster medicine? Presented at: The WADEM Annual Meeting; May 1, 2021; Ireland. Slide 23: Sage Advice: Remarks of Frederick Burkle. https://www.dropbox.com/scl/fi/u807hgglorrvh4ke9ey2u/WADEM-Keynote.pptx?rlkey=um3knip5l28kcwk42vc2u8fll&e=1&dl=0Google Scholar
Kanjee, Z, Crowe, B, Rodman, A. Accuracy of a generative artificial intelligence model in a complex diagnostic challenge. JAMA. 2023;330(1):7880. doi:10.1001/jama.2023.8288Google Scholar
International Council for Science (ICSU) focusing on scientific collaboration for global challenges https://council.science/Google Scholar
American Association for the Advancement of Science (AAAS). Dialogue on Science, Ethics, and Religion (DoSER) program. https://www.aaas.org/programs/dialogue-science-ethics-and-religionGoogle Scholar
Sun, W, Bocchini, P, Davison, BD. Applications of artificial intelligence for disaster management. Natural Hazards. 2020;103(3): 26312689.Google Scholar
Khorram-Manesh, A, Goniewicz, K, Burkle, FM Jr. Unleashing the global potential of public health: a framework for future pandemic response. J Infect Public Health. 2024;17(1):8295. doi:10.1016/j.jiph.2023.10.038Google ScholarPubMed
Goniewicz, K, Burkle, FM, Khorram-Manesh, A. Transforming global public health: Climate collaboration, political challenges, and systemic change. J Infect Public Health. 2025;18(1):102615. doi:10.1016/j.jiph.2024.102615Google ScholarPubMed
Figure 0

Table 1. AI-generated strategies for enhancing interdisciplinary collaboration in humanitarian organizations