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Pursuant to Decision 1082 of the European Parliament and Council on serious cross-border threats to health [1], the European Centre for Disease Prevention and Control (ECDC) has worked to identify strengths and areas for improvement of public health emergency preparedness (PHEP) in the European Union (EU). This work began with the development of a PHEP logic model focusing on cross-border threats to health in the European context [2]. This logic model served as basis for developing the competency-based model described in this manuscript. The PHEP logic model provides both a framework for assessing preparedness and, in its list of PHEP capabilities, a language for identifying gaps in preparedness. The logic model distinguishes between capacities and capabilities. In line with our earlier work, capacities represent the resources?infrastructure, policies and procedures, knowledgeable and trained personnel?that a public health system has to draw upon. Capabilities describe what countries are expected to achieve during an emergency [2].