Journal article
A multinational Delphi consensus to end the COVID-19 public health threat
Barcelona Institute for Global Health1
Doctors Without Borders2
Colorado School of Mines3
National Yang Ming Chiao Tung University4
Emory University5
University of New South Wales6
Chinese Center for Disease Control and Prevention7
Georgetown University8
Burnet Institute9
University of Colorado Boulder10
Christian Medical College11
City College of New York12
Wilton Park13
University of Ljubljana14
London School of Hygiene and Tropical Medicine15
University Teaching Hospital of Butare16
Paris-Dauphine University17
CNRS18
University College Hospital London19
Dr. Rajendra Prasad Government Medical College20
BRAC University21
Plenitud Foundation22
University of KwaZulu-Natal23
Universidad de Costa Rica24
The University of Auckland25
Houston Methodist Research Institute26
International Digital Health & AI Research Collaborative27
University of Global Health Equity28
University of Malaya29
Indoor Environment, Department of Environmental and Resource Engineering, Technical University of Denmark30
Department of Environmental and Resource Engineering, Technical University of Denmark31
The COVID-19 Consensus Statement Panel32
Cornell University33
Pan American Health Organization34
Maastricht University35
University of Colorado36
Federal University of Bahia37
New England Complex Systems Institute38
...and 28 moreDespite notable scientific and medical advances, broader political, socioeconomic and behavioural factors continue to undercut the response to the COVID-19 pandemic(1,2). 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 approaches(1), while maintaining proven prevention measures using a vaccines-plus approach(2) 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 communities(3) 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.
| Language: | English |
|---|---|
| Publisher: | Nature Publishing Group UK |
| Year: | 2022 |
| Pages: | 332-345 |
| Journal subtitle: | International Weekly Journal of Science |
| ISSN: | 14764687 and 00280836 |
| Types: | Journal article |
| DOI: | 10.1038/s41586-022-05398-2 |
| ORCIDs: | Lazarus, Jeffrey , Romero, Diana , Karim, Salim Abdool , Abu-Raddad, Laith J. , Bassat, Quique , Chiou, Shu-Ti , Gao, George F. , Gostin, Lawrence O. , Jimenez, Jose L. , McKee, Martin , Oliu-Barton, Miquel , Pradelski, Bary , Rathe, Magdalena , Trock-Hempler, Malene , Yap, Peiling , Binagwaho, Agnes and Kamarulzaman, Adeeba |
