A multinational Delphi consensus to end the COVID-19 public health threat

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

doi:10.1038/s41586-022-05398-2

A multinational Delphi consensus to end the COVID-19 public health threat

Journal

Nature

Date Issued

2022

Author(s)

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

Matičič, 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 & The COVID-19 Consensus Statement Panel

DOI

10.1038/s41586-022-05398-2

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.

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