Some experts say we are moving back to the pre-antibiotic era. No. This will be a post-antibiotic era. In terms of new replacement antibiotics, the pipeline is virtually dry. A post-antibiotic era means, in effect, an end to modern medicine as we know it. Things as common as strep throat or a child's scratched knee could once again kill.

Antimicrobial resistance is on the rise in Europe and elsewhere in the world. We are losing our first-line antimicrobials. Replacement treatments are more costly, more toxic, need much longer durations of treatment, and may require treatment in intensive care units.

I am personally overseeing changes that include the establishment of a global health emergency workforce.

Doctors and nurses, with their training and their experiences, they would be able to detect unusual patterns of disease. That's why we say it is important for every country to have a proper surveillance system. The function of the surveillance system is to detect unusual patterns of diseases.

All countries should immediately now activate their pandemic preparedness plans. Countries should remain on high alert for unusual outbreaks of influenza-like illness and severe pneumonia.

Everyone needs to remember that Ebola was not a worst-case scenario. Preparedness for the future means preparedness for a very severe disease that spreads via the airborne route or can be transmitted during the incubation period, before an infected person shows telltale signs of illness.

This change to a higher phase of alert is a signal to governments, to ministries of health and other ministries, to the pharmaceutical industry and the business community that certain actions now should be undertaken with increased urgency.