A multinational Delphi consensus to end the COVID-19 public health threat
Journal
Nature
ISSN
0028-0836
1476-4687
Date Issued
2022
Author(s)
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 del 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
Ayman El-Mohandes
Mauricio Barreto
Carlos del Rio
Salim Abdulla
Sarah Addleman
Gulnara Aghayeva
Raymond Agius
Mohammed Ahmed
Mohamed Ahmed Ramy
Pedro Aide
Soo Aleman
Jean-Patrick Alfred
Shamim Ali
Jorge Aliaga
Tammam Aloudat
Saleh A. Alqahtani
Jameela Al-Salman
John H. Amuasi
Anurag Agrawal
Wagida Anwar
Tania Araujo-Jorge
Osvaldo Artaza
Leyla Asadi
Yaw Awuku
Michael Baker
Lorena Barberia
Ernesto Bascolo
Paul Belcher
Lizett Bell
Adele Benzaken
Emil Bergholtz
Nahid Bhadelia
Anant Bhan
Stephane Bilodeau
Ricardo Bitrán
Philomena Bluyssen
Arnold Bosman
Fernando A. Bozza
Melanie M. Brinkmann
Andrew Brown
Bruce Mellado
Elizabeth Bukusi
Chris Bullen
Giorgio Buonanno
Rochelle Burgess
Matthew Butler
Pauline Byakika-Kibwika
Gunilla Carlsson
Fidelia Cascini
Chishala Chabala
Mohamed Chakroun
K. K. Cheng
Agnes Chetty
Dmytro Chumachenko
Gregg Consalves
Andrew Conway Morris
Ahmed Cordie
Tumani Corrah
Brenda Crabtree-Ramírez
Naranjargal Dashdorj
Nadav Davidovitch
Luis Eugenio de Souza
Akshay Chand Dhariwal
Elena Druică
Onder Ergonul
Ngozi A. Erondu
Mohammad Yasir Essar
Andrew Ewing
Gonzalo Fanjul
Daniel Feierstein
Eric Feigl-Ding
Ramon Figueroa
John Peter Figueroa
Dale Fisher
Walter Flores
David A. Forero-Peña
Howard Frumkin
Amiran Gamkrelidze
Monica Gandhi
Patricia Garcia
Alberto L. Garcia-Basteiro
Adolfo García-Sastre
Suneela Garg
F. A. Gbeasor-Komlanvi
Carlos Gershenson
Ishwar Gilada
Ligia Giovanella
Marino González
Manfred S. Green
Trisha Greenhalgh
Paul Griffin
Stephen Griffin
Beatriz Grinsztejn
Tanu Anand
Germán Guerra
Renzo Guinto
Mariusz Gujski
Rahmet Guner
Adam Hamdy
Marian-Gabriel Hâncean
Abusayeed Haniffa
Kenneth Y. Hartigan-Go
Hoda K. Hassan
Simon I. Hay
Matti T. J. Heino
Zdenek Hel
Peter Hotez
Jia Hu
Mirsada Hukić
Carel IJsselmuiden
Davidson Iroko
Maged Iskarous
Chimaraoke Izugbara
Choolwe Jacobs
Alejandro R. Jadad
Fyezah Jehan
Ayana Jordan
Imane Jroundi
Kevin Kain
Fatjona Kamberi
Eduard Karamov
Abraar Karan
Rebecca Katz
Aris Katzourakis
Abigail Kazembe
Faryal Khamis
Komiljon Khamzayev
Judy Khanyola
Kamlesh Khunti
Elsie Kiguli-Malwadde
Woo Joo Kim
Bruce J. Kirenga
Daniel Klimovský
Brittany L. Kmush
Felicia Knaul
Manolis Kogevinas
Frederik Kristensen
Dinesh Kumar
Raman Kumar
Amanda Kvalsvig
Marcus V. Lacerda
Arush Lal
Tom Lawton
Jay Lemery
Anthony J. Leonardi
Yuguo Li
Jan Löttvall
Mohamed Lounis
Daniel Maceira
C. Raina MacIntyre
Azzeddine Madani
Gkikas Magiorkinis
Reza Malekzadeh
Marc Choisy
Jasmine R. Marcelin
Guy B. Marks
Linsey Marr
Jeanne Marrazzo
Antonieta Martina
José M. Martín-Moreno
Carlos Mateos
Mayfong Mayxay
Jean Bapiste Mazarati
Souleymane Mboup
Jennifer McDonald
Faye McMillan
Enkeleint Mechili
Andre Medici
Sarah L. M. Davis
Petra Meier
Ziad A. Memish
Jaideep Menon
Purnima Menon
Jonathan Mesiano-Crookston
Susan Michie
Ivana Mikolasevic
Ognjen Milicevic
Asit Kumar Mishra
Rahma Mohamed
Ali H. Mokdad
Michele Monroy-Valle
Lidia Morawska
Sterghios A. Moschos
Karam Motawea
Sayed Hamid Mousavi
Ghina Mumtaz
Peter K. Munene
Carmen Muñoz Almagro
Janet Muriuki
Sylvia Muyingo
Denise Naniche
C. David Naylor
Nicaise Ndembi
Juraj Nemec
Igor Nesteruk
Christine Ngaruiya
Hung Nguyen
Dafina Nikolova
Dorit Nitzan
Ole Norheim
Mohammed Noushad
Francine Ntoumi
Gunhild Alvik Nyborg
Eleanor Ochodo
Zekaver Odabasi
Mbah Patrick Okwen
Keiser Olivia
David S. Y. Ong
Ijeoma Opara
Miguel Orozco
Hitoshi Oshitani
Christina Pagel
Madhukar Pai
Björg Pálsdóttir
Georgios Papatheodoridis
Dimitrios Paraskevis
Jeanna Parsons Leigh
Bernard Pécoul
Andreas Peichl
Eddy Perez-Then
Phuc Pham Duc
Cécile Philippe
Andrea Pineda Rojas
Courtney Pladsen
Anton Pozniak
Rodrigo Quiroga
Huma Qureshi
Sanjay Rampal
Megan Ranney
Laura Rathe
Scott Ratzan
Henriette Raventos
Helen Rees
Renata Reis
Walter Ricciardi
Nesrine Rizk
Magda Robalo
Eleanor Robertson
Leanne Robinson
Casper Rokx
Tamsin Ros
John-Arne Røttingen
Meir Rubin
Kiat Ruxrungtam
Shakhlo Sadirova
Senjuti Saha
Nelly Salgado
Lizet Sanchez
Thurka Sangaramoorthy
Carolina Santamaria-Ulloa
Renata Santos
Bisher Sawaf
Matthias F. Schneider
Robert T. Schooley
Alper Sener
Jaime Sepulveda
Jaffer Shah
Mosa Shibani
Sheikh Shoib
Izukanji Sikazwe
Aistis Šimaitis
Amandeep Singh Gill
Natia Skhvitaridze
Milka Sokolović
Roma Solomon
Xavier Solórzano
Sandra A. Springer
Jakub Šrol
Anthony Staines
Henry T. Stelfox
Steffanie Strathdee
Lokman Hakim Sulaiman
Brett Sutton
Dag Svanæs
Sarya Swed
Vana Sypsa
Kristine Sørensen
Raji Tajudeen
Amy Tan
Julian Tang
Marcel Tanner
Tavpritesh Sethi
Marleen Temmerman
Kyu Kyu Than
Halidou Tinto
Sênoudé Pacôme Tomètissi
Irene Torres
K. P. Tshering
Sotirios Tsiodras
Benjamin Tsofa
Anders Vahlne
Juan Rafael Vargas
Ivan Dario Velez Bernal
Deisy Ventura
Rafael Vilasanjuan
Joe Vipond
Sarah Wamala-Andersson
Pawel Wargocki
Robert West
Angela Weyand
Trenton M. White
Guntram Wolff
Maosheng Yao
Christian A. Yates
Georgina Yeboah
Leo Yee-Sin
Siyan Yi
Yik-Ying Teo
Poovorawan Yong
Victor Zamora-Mesía
Anne Øvrehus
Type
Resource Types::text::journal::journal article
URL Institutional Repository
Abstract
<jats:title>Abstract</jats:title><jats:p>Despite notable scientific and medical advances, broader political, socioeconomic and behavioural factors continue to undercut the response to the COVID-19 pandemic<jats:sup>1,2</jats:sup>. 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<jats:sup>1</jats:sup>, while maintaining proven prevention measures using a vaccines-plus approach<jats:sup>2</jats:sup> 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<jats:sup>3</jats:sup> 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.</jats:p>
Cite this document
Lazarus, J. V., Romero, D., Kopka, C. J., Karim, S. A., Abu-Raddad, L. J., Almeida, G., Baptista-Leite, R., Barocas, J. A., Barreto, M. L., Bar-Yam, Y., Bassat, Q., Batista, C., Bazilian, M., Chiou, S.-T., Del Rio, C., Dore, G. J., Gao, G. F., Gostin, L. O., Hellard, M., … Øvrehus, A. (2022). A multinational Delphi consensus to end the COVID-19 public health threat. Nature, 611(7935), 332-345. https://doi.org/10.1038/s41586-022-05398-2
Subjects
covid-19
;
delphi technique
;
government
;
humans
;
pandemics
;
public health
;
sars-cov-2 vaccine
;
covid-19
;
government
;
public health
;
social policy
;
article
;
coronavirus disease 2019
;
delphi study
;
female
;
financial management
;
government
;
health care system
;
human
;
infection prevention
;
interpersonal communication
;
male
;
pandemic
;
policy
;
public health
;
stakeholder engagement
;
threat
;
trust
;
vaccination
;
vaccine hesitancy
;
delphi study
;
pandemic
;
prevention and control
;
public health