Inadequate work was done, then.
You outline in your report that it had been shelved, that it needed to be regularly updated, that all of the plans that were put in place needed to be tested, that they needed to be looked at frequently and that this wasn't done. You go on to say that daily reports were issued, but no alert was given.
You talk about how, “Although the agency prepared rapid risk assessments, these did not consider the pandemic risk of this emerging infectious disease or its potential impact”, which is “information necessary to guide decision makers on the public health measures needed to control the spread of the virus.”
Why weren't these things done? They're a part of the plan. They're a part of the things that were discussed in 2019 in our response to H1N1. Why didn't it happen here? Whose orders were those, that this information be neglected?