Global public health security and justice for vaccines and therapeutics in the COVID-19 pandemic.

Global public health security and justice for vaccines and therapeutics in the COVID-19 pandemic.
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DOI:
10.1016/j.eclinm.2021.101053
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发表时间:
2021-09
期刊:
影响因子:
15.1
通讯作者:
Bottazzi ME
Bottazzi ME
中科院分区:
医学1区
文献类型:
--
作者:
Hotez PJ;Batista C;Amor YB;Ergonul O;Figueroa JP;Gilbert S;Gursel M;Hassanain M;Kang G;Kaslow DC;Kim JH;Lall B;Larson H;Naniche D;Sheahan T;Shoham S;Wilder-Smith A;Sow SO;Strub-Wourgaft N;Yadav P;Bottazzi ME

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柳叶刀委员会的COVID-19工作组正在制定建议,以实现疫苗和治疗方法的获得,正义和公平。这包括通过强有力的全球药物警戒和监测系统确保安全性和有效性协调一致。全球生产需要扩大对低收入和中等收入国家疫苗和治疗药物的开发、生产、测试和分配的支持。全球知识产权规则不得阻碍研究、生产、技术转让或公平获得基本卫生工具,在流行病的背景下,在不阻碍创新的情况下实现制造业的增长。围绕产品质量的全球治理要求通过世卫组织资格预审/紧急使用清单机制和更多地利用国家监管机构来引导广泛分发的疫苗。世界卫生大会的一项决议将促进质量控制和保证方面的改进和一致性。全球卫生系统需要采取措施,加强各国控制COVID-19和为成人(包括孕妇和哺乳期妇女)接种流感疫苗的系统。一个合作研究网络应努力建立生物信息学分析的开放存取数据库,以及旨在利用和加强人力资源的方案。打击反科学认识到采取对策的紧迫性,以解决主导互联网并渗透议会和地方政府的全球范围的虚假信息运动。
A Lancet Commission for COVID-19 task force is shaping recommendations to achieve vaccine and therapeutics access, justice, and equity. This includes ensuring safety and effectiveness harmonized through robust systems of global pharmacovigilance and surveillance. Global production requires expanding support for development, manufacture, testing, and distribution of vaccines and therapeutics to low- and middle-income countries (LMICs). Global intellectual property rules must not stand in the way of research, production, technology transfer, or equitable access to essential health tools, and in context of pandemics to achieve increased manufacturing without discouraging innovation. Global governance around product quality requires channelling widely distributed vaccines through WHO prequalification (PQ)/emergency use listing (EUL) mechanisms and greater use of national regulatory authorities. A World Health Assembly (WHA) resolution would facilitate improvements and consistency in quality control and assurances. Global health systems require implementing steps to strengthen national systems for controlling COVID-19 and for influenza vaccinations for adults including pregnant and lactating women. A collaborative research network should strive to establish open access databases for bioinformatic analyses, together with programs directed at human capacity utilization and strengthening. Combating anti-science recognizes the urgency for countermeasures to address a global-wide disinformation movement dominating the internet and infiltrating parliaments and local governments.
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