Preparing the developing world for the next pandemic: Evidence from China’s R&D blueprint for emerging infectious diseases

IF 4.7 3区 医学 Q1 INFECTIOUS DISEASES
Jiyan Ma , Chao Li , Yuxuan Cui , Lubin Xu , Nuo Chen , Rizhen Wang , Xiaoran Gao , Zuokun Liu , Yangmu Huang
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引用次数: 0

Abstract

Background

With double pressures of endemic and imported emerging infectious diseases (EIDs), China’s ability to detect, prevent and control the unknown virus is of regional and global interest. This study aimed to establish an R&D Blueprint for EIDs in China by identifying the list of prioritized diseases and medical countermeasures (MCMs) that need proactive actions for the next pandemic.

Methods

The process mainly referred to the World Health Organization’s prioritization methodology, supplemented by pipeline landscape, rapid risk assessment and multi-dimensional analysis. The study included five steps: 1) identifying potential pathogens, 2) screening into the long list, 3) prioritizing the long list, 4) identifying the final list and 5) generating an R&D Blueprint.

Results

China’s R&D Blueprint identified 14 viral pathogens and two virus groups (i.e., Influenza HxNy and Coronavirus X) for proactive and representative MCM development. At least one diagnostic candidate in preclinical study, and one therapeutic and one vaccine candidate in Phase I/II clinical trials for each prioritized pathogen were suggested to be developed as strategic national stockpiles. Various generalized and innovative platform technologies were also highlighted for enhancing overall capacities of EID preparedness and response, covering basic research, experiment, detection, prevention and control, surveillance and information sharing.

Conclusions

This is the first study in developing countries that established an R&D Blueprint of prioritized diseases, countermeasures and technologies. Our findings could help to drive pre-emptive scientific and technological actions toward emerging pathogens that may cause the next epidemic and could provide evidence-based strategies for developing countries to establish their national health research agenda tailored to health and research context under resource-limited settings.

发展中世界为下一次大流行做好准备:来自中国新发传染病研发蓝图的证据
背景在地方病和输入性新发传染病(EIDs)的双重压力下,中国检测、预防和控制未知病毒的能力受到了地区和全球的关注。本研究旨在通过确定下一次大流行中需要采取积极行动的优先疾病和医疗对策(MCMs)清单,建立中国的 EIDs 研发蓝图。方法研究过程主要参考世界卫生组织的优先排序方法,并辅以管线图、快速风险评估和多维分析。研究包括五个步骤结果中国的研发蓝图确定了 14 种病毒病原体和两个病毒群(即 HxNy 型流感病毒和 X 型冠状病毒),用于开发具有前瞻性和代表性的 MCM。建议针对每种优先病原体开发至少一种处于临床前研究阶段的候选诊断方法、一种处于 I/II 期临床试验阶段的候选治疗方法和一种候选疫苗,作为国家战略储备。此外,还强调了各种通用和创新平台技术,以提高 EID 防备和应对的整体能力,包括基础研究、实验、检测、预防和控制、监测和信息共享。我们的研究结果有助于推动针对可能导致下一次流行病的新病原体采取先发制人的科学和技术行动,并可为发展中国家提供循证战略,以便在资源有限的情况下制定适合本国卫生和研究环境的国家卫生研究议程。
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来源期刊
Journal of Infection and Public Health
Journal of Infection and Public Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH -INFECTIOUS DISEASES
CiteScore
13.10
自引率
1.50%
发文量
203
审稿时长
96 days
期刊介绍: The Journal of Infection and Public Health, first official journal of the Saudi Arabian Ministry of National Guard Health Affairs, King Saud Bin Abdulaziz University for Health Sciences and the Saudi Association for Public Health, aims to be the foremost scientific, peer-reviewed journal encompassing infection prevention and control, microbiology, infectious diseases, public health and the application of healthcare epidemiology to the evaluation of health outcomes. The point of view of the journal is that infection and public health are closely intertwined and that advances in one area will have positive consequences on the other. The journal will be useful to all health professionals who are partners in the management of patients with communicable diseases, keeping them up to date. The journal is proud to have an international and diverse editorial board that will assist and facilitate the publication of articles that reflect a global view on infection control and public health, as well as emphasizing our focus on supporting the needs of public health practitioners. It is our aim to improve healthcare by reducing risk of infection and related adverse outcomes by critical review, selection, and dissemination of new and relevant information in the field of infection control, public health and infectious diseases in all healthcare settings and the community.
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