A multinational Delphi consensus to end the COVID-19 public health threat.
A multinational Delphi consensus to end the COVID-19 public health threat.
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DOI：
10.1038/s41586-022-05398-2
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发表时间：
2022-11
期刊：
影响因子：
64.8
通讯作者：
El-Mohandes, Ayman
中科院分区：
文献类型：
--
作者：
Lazarus, Jeffrey, V;Romero, Diana;Kopka, Christopher J.;Karim, Salim Abdool;Abu-Raddad, Laith J.;Almeida, Gisele;Baptista-Leite, Ricardo;Barocas, Joshua A.;Barreto, Mauricio L.;Bar-Yam, Yaneer;Bassat, Quique;Batista, Carolina;Bazilian, Morgan;Chiou, Shu-Ti;del Rio, Carlos;Dore, Gregory J.;Gao, George F.;Gostin, Lawrence O.;Hellard, Margaret;Jimenez, Jose L.;Kang, Gagandeep;Lee, Nancy;Maticic, Mojca;McKee, Martin;Nsanzimana, Sabin;Oliu-Barton, Miquel;Pradelski, Bary;Pyzik, Oksana;Rabin, Kenneth;Raina, Sunil;Rashid, Sabina Faiz;Rathe, Magdalena;Saenz, Rocio;Singh, Sudhvir;Trock-Hempler, Malene;Villapol, Sonia;Yap, Peiling;Binagwaho, Agnes;Kamarulzaman, Adeeba;El-Mohandes, Ayman
尽管科学和医学取得了显著进步，但更广泛的政治、社会经济和行为因素继续削弱对COVID-19大流行的应对。在这里，作为德尔菲研究的一部分，我们召集了一个由来自112个国家和地区的386名学术、卫生、非政府组织、政府和其他2019冠状病毒病应对专家组成的多元化多学科小组，提出具体行动建议，以结束这一持续存在的全球公共卫生威胁。该小组为政府、卫生系统、行业和其他关键利益攸关方制定了一套41项共识声明和57项建议，涉及六个领域：通信；卫生系统;疫苗接种;预防;治疗和护理；和不公平现象。在经历了近三年的分散的全球和国家应对之后，值得注意的是，排名最高的三项建议呼吁采用全社会和全政府的方法，同时使用疫苗附加方法维持已证实的预防措施，该方法采用一系列公共卫生和财政支持措施来补充疫苗接种。其他至少获得99%一致同意的建议建议政府和其他利益攸关方改善沟通，重建公众信任，并让社区参与大流行应对的管理。这项研究的结果已得到全球184个组织的进一步认可，其中包括一致同意的要点，以及六项建议，其中有5%的意见不一致，这些建议提供了卫生和社会政策行动，以解决大流行应对工作中的不足之处，并有助于消除这一公共卫生威胁。由来自112个国家的386名2019冠状病毒病应对专家组成的多元化多学科小组提供卫生和社会政策行动，以解决大流行应对工作中的不足之处，并帮助消除这一公共卫生威胁。
Despite notable scientific and medical advances, broader political, socioeconomic and behavioural factors continue to undercut the response to the COVID-19 pandemic. 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, while maintaining proven prevention measures using a vaccines-plus approach 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 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. A diverse, multidisciplinary panel of 386 experts in COVID-19 response from 112 countries provides health and social policy actions to address inadequacies in the pandemic response and help to bring this public health threat to an end.
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影响因子：
32.4
作者：
Antia R;Halloran ME
通讯作者：
Halloran ME
影响因子：
30.8
作者：
Chen, Zhiyuan;Azman, Andrew S.;Chen, Xinhua;Zou, Junyi;Tian, Yuyang;Sun, Ruijia;Xu, Xiangyanyu;Wu, Yani;Lu, Wanying;Ge, Shijia;Zhao, Zeyao;Yang, Juan;Leung, Daniel T.;Domman, Daryl B.;Yu, Hongjie
通讯作者：
Yu, Hongjie
影响因子：
15.1
作者：
Batista C;Hotez P;Amor YB;Kim JH;Kaslow D;Lall B;Ergonul O;Figueroa JP;Gursel M;Hassanain M;Kang G;Larson H;Naniche D;Sheahan T;Wilder-Smith A;Shoham S;Sow SO;Yadav P;Strub-Wourgaft N;Loveday SJ;Hannay E;Bottazzi ME
通讯作者：
Bottazzi ME
DOI：
10.1073/pnas.2114828118
发表时间：
2021-11-23
影响因子：
11.1
作者：
Chandler JC;Bevins SN;Ellis JW;Linder TJ;Tell RM;Jenkins-Moore M;Root JJ;Lenoch JB;Robbe-Austerman S;DeLiberto TJ;Gidlewski T;Kim Torchetti M;Shriner SA
通讯作者：
Shriner SA
影响因子：
56.3
作者：
Burn, Edward;Duarte-Salles, Talita;Fernandez-Bertolin, Sergio;Reyes, Carlen;Kostka, Kristin;Delmestri, Antonella;Rijnbeek, Peter;Verhamme, Katia;Prieto-Alhambra, Daniel
通讯作者：
Prieto-Alhambra, Daniel