The document discusses lessons learned and not learned from the COVID-19 pandemic. It notes that disease was treated as a disaster rather than understood transmission dynamics. Guidelines changed frequently. Preparations only focused on approved hospitals. The private sector and community participation were not involved. Effective implementation of masks, distancing, and hygiene was lacking. It argues the vaccination strategy should consider demand, waste, hesitancy, access, trust, and supply at the city, state, ward and family levels. Community participation and inter-sectoral coordination are needed, along with primary healthcare development, to manage pandemics.