Journal article
A multinational Delphi consensus to end the COVID-19 public health threat
- Abstract:
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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.
- Publication status:
- Published
- Peer review status:
- Peer reviewed
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- Files:
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(Preview, Version of record, pdf, 6.2MB, Terms of use)
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- Publisher copy:
- 10.1038/s41586-022-05398-2
Authors
Contributors
- Role:
- Contributor
- Institution:
- University of Oxford
- Division:
- MSD
- Department:
- NDM
- Sub department:
- Tropical Medicine
- Role:
- Contributor
- Institution:
- University of Oxford
- Division:
- MSD
- Department:
- NDM
- Sub department:
- Tropical Medicine
- Role:
- Contributor
- Publisher:
- Springer Nature
- Journal:
- Nature More from this journal
- Volume:
- 611
- Issue:
- 7935
- Pages:
- 332-345
- Publication date:
- 2022-11-03
- Acceptance date:
- 2022-09-29
- DOI:
- EISSN:
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1476-4687
- ISSN:
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0028-0836
- Pmid:
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36329272
- Language:
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English
- Keywords:
- Pubs id:
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1311181
- Local pid:
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pubs:1311181
- Deposit date:
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2023-09-22
- ARK identifier:
Terms of use
- Copyright holder:
- Lazarus et al.
- Copyright date:
- 2022
- Rights statement:
- Copyright © 2022, The Author(s). This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.
- Licence:
- CC Attribution (CC BY)
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