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

  • The COVID-19 Consensus Statement Panel
  • Universitat de Barcelona
  • University of Barcelona
  • City University of New York (CUNY)
  • Independent Researcher
  • University of KwaZulu-Natal
  • CAPRISA
  • Weill Cornell Medicine
  • Weill Cornell Medical College in Qatar
  • Pan American Health Organization
  • UNITE Global Parliamentarians Network
  • Faculty of Health, Medicine and Life Sciences
  • Catholic University of Portugal
  • University of Colorado Denver
  • Oswaldo Cruz Foundation
  • Federal University of Bahia
  • New England Complex Systems Institute
  • Centro de Investigação em Saúde da Manhiça (CISM)
  • Catalan Institution for Research and Advanced Studies (ICREA)
  • Universitat de Barcelona
  • Centro de Investigación Biomédica en Red de Epidemiología y Salud Publica
  • Khayelitsha ART Programme and Médecins Sans Frontières
  • Baraka Impact Finance
  • Colorado School of Mines
  • National Yang Ming Chiao Tung University
  • Emory University School of Medicine
  • University of New South Wales
  • Chinese Center for Disease Control and Prevention
  • Georgetown University
  • Burnet Institute
  • University of Colorado Boulder
  • Christian Medical College Hospital
  • Wilton Park
  • University Clinical Centre Ljubljana
  • University of Ljubljana
  • London School of Hygiene and Tropical Medicine
  • University Teaching Hospital of Butare
  • Paris Dauphine University - PSL
  • LEGOS, UMR 5566, IRD
  • University College London
  • Dr. Rajendra Prasad Government Medical College
  • BRAC University
  • Plenitud Foundation
  • University of Costa Rica
  • Faculty of Medical and Health Sciences
  • Independent Philosopher
  • Methodist Hospital
  • International Digital Health & AI Research Collaborative (I-DAIR)
  • University of Global Health Equity
  • University of Malaya
  • Ifakara Health Institute
  • University of Ottawa
  • Baku Health Centre
  • University of Manchester
  • Mogadishu University
  • Generations for Health
  • Karolinska University Hospital
  • Ministry of Health and Population
  • Moi University
  • Hurlingham National University
  • King Faisal Specialist Hospital & Research Center
  • Salmaniya Medical Complex
  • Kwame Nkrumah University of Science and Technology
  • Ashoka University
  • Ain Shams University
  • University of The Americas
  • University of Alberta
  • University of Health and Allied Sciences, Ghana
  • University of Otago
  • University of São Paulo
  • European Public Health Alliance
  • Ministry of Health and Wellness
  • AIDS Healthcare Foundation
  • Stockholm University
  • Boston University
  • Yenepoya University
  • Smart Phases
  • Bitran y Asociados
  • Delft University of Technology
  • Transmissible B.V.
  • Technische Universität Braunschweig
  • Management Sciences for Health
  • University of the Witwatersrand, Johannesburg
  • Kenya Medical Research Institute
  • University of Cassino and Southern Lazio
  • King’s College London
  • Makerere University College of Health Sciences
  • Faculty of Medicine Clinica Alemana Universidad del Desarrollo
  • The Global Fund
  • Università Cattolica di Roma (Catholic University of Rome)
  • University of Zambia
  • Fattouma Bourguiba Teaching Hospital
  • University of Birmingham
  • Ministry of Health Seychelles
  • National Aerospace University “Kharkiv Aviation Institute”
  • Yale University
  • University of Cambridge
  • Cairo University Hospitals
  • Africa Research Excellence Fund (AREF)
  • Instituto Nacional de Ciencias Médicas y Nutrición “Salvador Zubirán”
  • Onom Foundation
  • Ben Gurion University of the Negev
  • Ministry of Health and Family Welfare
  • University of Bucharest
  • Koç University
  • Kabul University of Medical Sciences Abu Ali Ibn Sina
  • University of Gothenburg
  • CONICET/National University of Tres de Febrero
  • Federation of American Scientists
  • Social Security Board
  • University of the West Indies
  • National University of Singapore
  • Center for the Study of Equity and Governance in Health Systems
  • Biomedical Research and Therapeutic Vaccines Institute
  • University of Washington
  • National Center for Disease Control and Public Health of Georgia
  • University of California San Francisco Center for Tuberculosis
  • Icahn School of Medicine at Mount Sinai
  • MAMC & Associated Hospitals New Delhi
  • University of Lomé
  • UNAM
  • Organised Medicine Academic Guild—OMAG
  • Universidad Simón Bolívar
  • University of Haifa
  • University of Oxford
  • The University of Queensland
  • University of Leeds
  • Instituto Nacional de Infectologia Evandro Chagas (INI)
  • Indian Council of Medical Research
  • National Institute of Public Health
  • St Luke’s Medical Center College of Medicine
  • Medical University of Warsaw
  • Ankara City Hospital Infectious Diseases and Clinical Mirobiology
  • Independent Researcher
  • Ministry of Health Colombo
  • Ateneo de Manila University
  • Independent Consultant
  • University of Helsinki
  • University of Alabama at Birmingham
  • Baylor College of Medicine
  • 19 To Zero
  • Academy of Sciences and Arts of Bosnia and Herzegovina
  • COHRED
  • International Center for Research on Women
  • Centre for Digital Therapeutics
  • Aga Khan University
  • New York University Grossman School of Medicine
  • University Mohammed V
  • University of Toronto
  • The University of Vlore “Ismail Qemali”
  • Gamaleya National Research Center for Epidemiology and Microbiology of the Ministry of Health of the Russian Federation
  • Stanford University
  • University of Malawi
  • The Royal Hospital
  • Tashkent Pediatric Medical Institute
  • University of Leicester
  • African Center for Global Health and Social Transformation
  • College of Medicine Korea University
  • Comenius University
  • Syracuse University
  • University of Miami
  • Coalition of Epidemic Preparedness Innovations (CEPI)
  • Institute of Family Medicine and Primary Care
  • London School of Economics and Political Science
  • Bradford Institute for Health Research & Bradford Teaching Hospitals NHS Foundation Trust
  • St George's University of London
  • University of Hong Kong
  • University Ziane Achour Djelfa
  • University of Buenos Aires
  • Khemis-Miliana University
  • University of Athens
  • Tehran University of Medical Sciences
  • University of Oxford
  • University of Nebraska Medical Center
  • Department of Fish and Wildlife Conservation
  • University of Cabo Verde
  • University of Valencia
  • Instituto #SaludsinBulos
  • Ministry of Health Laos
  • Foundation for Innovative New Diagnostics (FIND)
  • Institute of Health Research Epidemiological Surveillance and Trainings (IRESSEF)
  • Universal Health Monitor
  • Graduate Institute of International and Development Studies
  • University of Glasgow
  • Ministry of Health Saudi Arabia
  • Amrita Institute of Medical Sciences India
  • International Food Policy Research Institute
  • Goldman Hine LLP
  • University Hospital Center Riejka
  • University of Belgrade
  • National University of Ireland - Galway
  • University of Saskatchewan
  • Queensland University of Technology
  • Northumbria University
  • Faculty of Medicine
  • New York State Department of Health
  • American University of Beirut
  • Faith to Action Network
  • International University of Catalonia
  • IntraHealth International, Inc.
  • African Population Health Research Centre
  • Centers for Disease Control and Prevention
  • Masaryk University
  • Institute of Hydromechanics of the National Academy of Sciences of Ukraine
  • Yale University School of Medicine
  • International Livestock Research Institute Nairobi
  • University “Ss. Cyril and Methodius”
  • University of Bergen
  • Dar Al Uloom University
  • Congolese Foundation for Medical Research
  • University of Tübingen
  • World Health Network
  • Marmara University
  • Effective Basic Services (eBASE) Africa
  • University of Geneva
  • Franciscus Gasthuis en Vlietland
  • Wayne State University School of Medicine
  • International Independent Expert on Health Systems
  • Tohoku University Graduate School of Medicine
  • McGill School of Population and Global Health
  • Training for Health Equity Network: THEnet
  • Dalhousie University
  • Drugs for Neglected Disease Initiative
  • Ludwig-Maximilians-Universität München
  • Two Oceans in Health
  • Hanoi School of Public Health
  • Molinari Economic Institute
  • Universidad de Buenos Aires-UBA/CONICET
  • National Health Care for the Homeless Council
  • Chelsea and Westminster Hospital
  • National University of Córdoba
  • University of Chakwal
  • Brown University
  • Institute for Global Health and Development
  • NHS Greater Glasgow and Clyde
  • Erasmus MC
  • Africa Europe Foundation
  • Norwegian Institute of Public Health
  • Kohelet Policy Forum
  • Chulalongkorn University
  • Research Institute of Virology under the Ministry of Health of Uzbekistan
  • Child Health Research Foundation
  • Center of Molecular Immunology Havana
  • University of Maryland, College Park
  • Hamad Medical Corporation
  • Technical University of Dortmund
  • University of California la Jolla
  • Izmir Katip Çelebi University
  • Syrian Private University
  • Jawahar Lal Nehru Memorial Hospital
  • Center for Infectious Disease Research in Zambia
  • The Office of the Government of the Republic of Lithuania
  • CORE Group Polio Project India
  • Independent Consultant
  • Institute of Experimental Psychology Slovak Academy of Sciences
  • Dublin City University
  • University of Calgary
  • International Medical University
  • Department of Health
  • Norwegian University of Science and Technology
  • Aleppo University
  • Global Health Literacy Academy
  • African Union Commission
  • University of British Columbia
  • Swiss Academies of Arts and Sciences
  • Indraprastha Institute of Information Technology, Delhi
  • Aga Khan University
  • Burnet Institute
  • Institute for Health Sciences Research (CNRST/IRSS)
  • People’s Health Movement
  • Fundacion Octaedro
  • Khesar Gyalpo University of Medical Sciences of Bhutan
  • Universidad de Antioquia
  • Mälardalens University
  • Technical University of Denmark
  • University of Michigan Medical School
  • Bruegel Free University of Brussels
  • Peking University
  • University of Bath
  • African Forum for Research and Education in Health
  • National Centre for Infectious Diseases
  • Gobierna Consulting Firm
  • Odense University Hospital

Research output: Contribution to journalArticlepeer-review

181 Scopus citations

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.

Original languageEnglish
Pages (from-to)332-345
Number of pages14
JournalNature
Volume611
Issue number7935
DOIs
StatePublished - 10 Nov 2022

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

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