A multinational Delphi consensus to end the COVID-19 public health threat
Jeffrey V. Lazarus (),
Diana Romero,
Christopher J. Kopka,
Salim Abdool Karim,
Laith J. Abu-Raddad,
Gisele Almeida,
Ricardo Baptista-Leite,
Joshua A. Barocas,
Mauricio L. Barreto,
Yaneer Bar-Yam,
Quique Bassat,
Carolina Batista,
Morgan Bazilian,
Shu-Ti Chiou,
Carlos Rio,
Gregory J. Dore,
George F. Gao,
Lawrence O. Gostin,
Margaret Hellard,
Jose L. Jimenez,
Gagandeep Kang,
Nancy Lee,
Mojca Matičič,
Martin McKee,
Sabin Nsanzimana,
Miquel Oliu-Barton,
Bary Pradelski,
Oksana Pyzik,
Kenneth Rabin,
Sunil Raina,
Sabina Faiz Rashid,
Magdalena Rathe,
Rocio Saenz,
Sudhvir Singh,
Malene Trock-Hempler,
Sonia Villapol,
Peiling Yap,
Agnes Binagwaho,
Adeeba Kamarulzaman and
Ayman El-Mohandes
Additional contact information
Jeffrey V. Lazarus: Barcelona Institute for Global Health (ISGlobal)
Diana Romero: City University of New York Graduate School of Public Health and Health Policy (CUNY SPH)
Christopher J. Kopka: Independent Researcher
Salim Abdool Karim: University of KwaZulu-Natal
Laith J. Abu-Raddad: Weill Cornell Medicine, Cornell University
Gisele Almeida: Pan American Health Organisation
Ricardo Baptista-Leite: UNITE Global Parliamentarians Network
Joshua A. Barocas: University of Colorado School of Medicine
Mauricio L. Barreto: Oswaldo Cruz Foundation (Fiocruz)
Yaneer Bar-Yam: New England Complex Systems Institute
Quique Bassat: Barcelona Institute for Global Health (ISGlobal)
Carolina Batista: Doctors Without Borders (MSF)
Morgan Bazilian: Payne Institute, Colorado School of Mines
Shu-Ti Chiou: National Yang Ming Chiao Tung University
Carlos Rio: Emory School of Medicine
Gregory J. Dore: University of New South Wales (UNSW) Sydney
George F. Gao: Chinese Center for Disease Control and Prevention
Lawrence O. Gostin: The O’Neill Institute for National and Global Health Law, Georgetown University
Margaret Hellard: Burnet Institute
Jose L. Jimenez: University of Colorado Boulder
Gagandeep Kang: Christian Medical College (CMC)
Nancy Lee: Wilton Park
Mojca Matičič: University Medical Centre
Martin McKee: The London School of Hygiene & Tropical Medicine
Sabin Nsanzimana: University Teaching Hospital of Butare
Miquel Oliu-Barton: Paris Dauphine University - PSL
Bary Pradelski: French National Centre for Scientific Research (CNRS)
Oksana Pyzik: University College London (UCL)
Kenneth Rabin: City University of New York Graduate School of Public Health and Health Policy (CUNY SPH)
Sunil Raina: Dr. Rajendra Prasad Government Medical College
Sabina Faiz Rashid: BRAC University
Magdalena Rathe: Plenitud Foundation
Rocio Saenz: University of Costa Rica
Sudhvir Singh: University of Auckland
Malene Trock-Hempler: Independent Philosopher
Sonia Villapol: Department of Neurosurgery, Houston Methodist Research Institute
Peiling Yap: International Digital Health & AI Research Collaborative (I-DAIR)
Agnes Binagwaho: University of Global Health Equity
Adeeba Kamarulzaman: University of Malaya
Ayman El-Mohandes: City University of New York Graduate School of Public Health and Health Policy (CUNY SPH)
Nature, 2022, vol. 611, issue 7935, 332-345
Abstract:
Abstract Despite notable scientific and medical advances, broader political, socioeconomic and behavioural factors continue to undercut the response to the COVID-19 pandemic1,2. Here we convened, as part of this Delphi study, a diverse, multidisciplinary panel of 386 academic, health, non-governmental organization, government and other experts in COVID-19 response from 112 countries and territories to recommend specific actions to end this persistent global threat to public health. The panel developed a set of 41 consensus statements and 57 recommendations to governments, health systems, industry and other key stakeholders across six domains: communication; health systems; vaccination; prevention; treatment and care; and inequities. In the wake of nearly three years of fragmented global and national responses, it is instructive to note that three of the highest-ranked recommendations call for the adoption of whole-of-society and whole-of-government approaches1, while maintaining proven prevention measures using a vaccines-plus approach2 that employs a range of public health and financial support measures to complement vaccination. Other recommendations with at least 99% combined agreement advise governments and other stakeholders to improve communication, rebuild public trust and engage communities3 in the management of pandemic responses. The findings of the study, which have been further endorsed by 184 organizations globally, include points of unanimous agreement, as well as six recommendations with >5% disagreement, that provide health and social policy actions to address inadequacies in the pandemic response and help to bring this public health threat to an end.
Date: 2022
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DOI: 10.1038/s41586-022-05398-2
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