Journal articles

The COVID-19 Pandemic and the Need for an Integrated and Equitable Approach: An International Expert Consensus Paper

Grigoris Gerotziafas ^{1, 2} Mariella Catalano ³ yiannis Theodorou ⁴ Patrick Van Dreden ¹ Vincent Marechal ¹ Alex Spyropoulos ⁵ Charles Carter ⁶ Nusrat Jabeen ⁷ Job Harenberg ⁸ Ismail Elalamy ^{1, 5} Anna Falanga ⁹ Jawed Fareed ¹⁰ Petros Agathaggelou ¹¹ Darko Antic ¹² Pier Luigi Antignani ¹³ Manuel Monreal Bosch ¹⁴ Benjamin Brenner ^{15, 16} Vladimir Chekhonin ¹⁷ Mary-Paula Colgan ^{18, 19} Meletios-Athanasios Dimopoulos ²⁰ Jim Douketis ^{21, 22} Essam Abo Elnazar ²³ Katalin Farkas ²⁴ Bahare Fazeli ²⁵ Gerry Fowkes ²⁶ yongquan Gu ²⁷ Joseph Gligorov ^{1, 2, 28} Mark Ligocki ¹⁰ Tishya Indran ²⁹ Meganathan Kannan ³⁰ Bulent Kantarcioglu ³¹ Abdoul Aziz Kasse ³² Kostantinos Konstantinidis ³³ Fabio Leivano ¹⁰ Joseph Lewis ³⁴ Alexander Makatsariya ⁵ P Massamba Mbaye ³⁵ Isabelle Mahé ³⁶ Irina Panovska-Stavridis ³⁷ Dan-Mircea Olinic ³⁸ Chryssa Papageorgiou ³⁹ Zsolt Pecsvarady ⁴⁰ Sergio Pillon ⁴¹ Eduardo Ramacciotti ^{42, 43} Hikmat Abdel-Razeq ⁴⁴ Michèle Sabbah ^{1, 28} Mouna Sassi ⁴⁵ Gerit Schernthaner ⁴⁶ Fakiha Siddiqui ¹⁰ Jin Shiomura ⁴⁷ Anny Slama-Schwok ^{1, 28} Jean Claude Wautrecht ⁴⁸ Alfonso Tafur ⁴⁹ Ali Taher ⁵⁰ Peter Klein-Wegel ⁵¹ Zenguo Zhai ^{52, 53} Tazi Mezalek Zoubida ⁵⁴

1 CRSA - Centre de Recherche Saint-Antoine

2 CHU Tenon [AP-HP]

3 University of Milan

4 CIMI - Centre d'Immunologie et des Maladies Infectieuses

5 Sechenov First Moscow State Medical University

6 CU - Campbell University [Buies Creek, NC, USA]

7 University of Karachi

8 Heidelberg University

9 UNIMIB - Università degli Studi di Milano-Bicocca [Milano]

10 Loyola University [Chicago]

11 CyI - Cyprus Institute

12 University of Belgrade [Belgrade]

13 NVC - Nuova Villa Claudia [Rome, Italy]

14 UCAM - Universidad Católica San Antonio de Murcia

15 Rambam Health Care Campus [Haifa, Israel]

16 Technion - Israel Institute of Technology [Haifa]

17 MHRF - Ministry of Health of the Russian Federation

18 St James's University Hospital

19 Trinity College Dublin

20 NKUA - National and Kapodistrian University of Athens

21 McMaster University [Hamilton, Ontario]

22 FIRH - Firestone Institute for Respiratory Health [Hamilton, ON, Canada]

23 Ministry of Health [Saudi Arabia]

24 SIH - Szent Imre Hospital [Budapest, Hungary]

25 Mashhad University of Medical Sciences

26 University of Edinburgh

27 CUMS - Capital University of Medical Sciences [Beijing]

28 HUEP - Hôpitaux Universitaires de l'Est Parisien [Paris]

29 Monash Medical Centre [Clayton, Australia]

30 CUTN - Central University of Tamil Nadu [Thiruvarur, India]

31 OTRH - Okmeydani Training and Research Hospital [Istanbul, Turkey]

32 CICD - Centre International de Cancérologie de Dakar [Dakar, Senegal]

33 Aristotle University of Thessaloniki

34 University Hospital Southampton NHS Foundation Trust

35 UVS - Université Virtuelle du Sénégal [Dakar, Senegal]

36 IThEM - U1140 - Innovations thérapeutiques en hémostase

37 UCH - University Clinic of Hematology [Skopje, Republic of North Macedonia]

38 UMP - University of Medicine and Pharmacy [Cluj-Napoca, Romania]

39 Service d'Anesthésie réanimation [CHU Tenon]

40 2FTH - Flor Ferenc Teaching Hospital [Kistarcsa, Hungary]

41 San Camillo Forlanini Hospital [Rome]

42 LUMC - Loyola University Medical Center

43 SVRI - Science Valley Research Institute [São Paulo, Brazil]

44 KH2C - King Hussein Cancer Center [Amman, Jordan]

45 HFB - CHU Fattouma Bourguiba [Monastir]

46 Medizinische Universität Wien = Medical University of Vienna

47 Nobelpharma Co. Ltd. [Tokyo, Japan]

48 ULB - Hôpital Erasme [Bruxelles]

49 NSUC - North Shore University Cardiologists [Skokie, Illinois, USA]

50 AUB - American University of Beirut Faculty of Medicine and Medical Center

51 KEVB - Klinikum Ernst von Bergmann [Potsdam, Germany]

52 Peking University [Beijing]

53 CAMS - Chinese Academy of Medical Sciences [Beijing, China]

54 University of Mohammed V

Abstract : Background One year after the declaration of the coronavirus disease 2019 (COVID-19) pandemic by the World Health Organization (WHO) and despite the implementation of mandatory physical barriers and social distancing, humanity remains challenged by a long-lasting and devastating public health crisis. Management Non-pharmacological interventions (NPIs) are efficient mitigation strategies. The success of these NPIs is dependent on the approval and commitment of the population. The launch of a mass vaccination program in many countries in late December 2020 with mRNA vaccines, adenovirus-based vaccines, and inactivated virus vaccines has generated hope for the end of the pandemic. Current Issues The continuous appearance of new pathogenic viral strains and the ability of vaccines to prevent infection and transmission raise important concerns as we try to achieve community immunity against severe acute respiratory syndrome coronavirus type 2 (SARS-CoV-2) and its variants. The need of a second and even third generation of vaccines has already been acknowledged by the WHO and governments. Perspectives There is a critical and urgent need for a balanced and integrated strategy for the management of the COVID-19 outbreaks organized on three axes: (1) Prevention of the SARS-CoV-2 infection, (2) Detection and early diagnosis of patients at risk of disease worsening, and (3) Anticipation of medical care (PDA). Conclusion The “PDA strategy” integrated into state policy for the support and expansion of health systems and introduction of digital organizations (i.e., telemedicine, e-Health, artificial intelligence, and machine-learning technology) is of major importance for the preservation of citizens' health and life world-wide.

Document type :

Journal articles

Domain :

Life Sciences [q-bio] / Biochemistry, Molecular Biology

Complete list of metadata

https://www.hal.inserm.fr/inserm-03447118
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Submitted on : Wednesday, November 24, 2021 - 4:26:02 PM
Last modification on : Tuesday, May 10, 2022 - 1:54:03 PM
Long-term archiving on: : Friday, February 25, 2022 - 7:38:01 PM