Revisiting COVID-19 policies: 10 evidence-based recommendations for where to go from here

Abstract Background Strategies to control coronavirus 2019 disease (COVID-19) have often been based on preliminary and limited data and have tended to be slow to evolve as new evidence emerges. Yet knowledge about COVID-19 has grown exponentially, and the expanding rollout of vaccines presents furth...

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Autores principales:	Daniel T. Halperin, Norman Hearst, Stephen Hodgins, Robert C. Bailey, Jeffrey D. Klausner, Helen Jackson, Richard G. Wamai, Joseph A. Ladapo, Mead Over, Stefan Baral, Kevin Escandón, Monica Gandhi
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	COVID-19 SARS-CoV-2 Public health Vaccines Harm reduction Policy Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/71d2a93a7d36466cb7590463c7bd7fce
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spelling	oai:doaj.org-article:71d2a93a7d36466cb7590463c7bd7fce2021-11-14T12:14:27ZRevisiting COVID-19 policies: 10 evidence-based recommendations for where to go from here10.1186/s12889-021-12082-z1471-2458https://doaj.org/article/71d2a93a7d36466cb7590463c7bd7fce2021-11-01T00:00:00Zhttps://doi.org/10.1186/s12889-021-12082-zhttps://doaj.org/toc/1471-2458Abstract Background Strategies to control coronavirus 2019 disease (COVID-19) have often been based on preliminary and limited data and have tended to be slow to evolve as new evidence emerges. Yet knowledge about COVID-19 has grown exponentially, and the expanding rollout of vaccines presents further opportunity to reassess the response to the pandemic more broadly. Main text We review the latest evidence concerning 10 key COVID-19 policy and strategic areas, specifically addressing: 1) the expansion of equitable vaccine distribution, 2) the need to ease restrictions as hospitalization and mortality rates eventually fall, 3) the advantages of emphasizing educational and harm reduction approaches over coercive and punitive measures, 4) the need to encourage outdoor activities, 5) the imperative to reopen schools, 6) the far-reaching and long-term economic and psychosocial consequences of sustained lockdowns, 7) the excessive focus on surface disinfection and other ineffective measures, 8) the importance of reassessing testing policies and practices, 9) the need for increasing access to outpatient therapies and prophylactics, and 10) the necessity to better prepare for future pandemics. Conclusions While remarkably effective vaccines have engendered great hope, some widely held assumptions underlying current policy approaches call for an evidence-based reassessment. COVID-19 will require ongoing mitigation for the foreseeable future as it transforms from a pandemic into an endemic infection, but maintaining a constant state of emergency is not viable. A more realistic public health approach is to adjust current mitigation goals to be more data-driven and to minimize unintended harms associated with unfocused or ineffective control efforts. Based on the latest evidence, we therefore present recommendations for refining 10 key policy areas, and for applying lessons learned from COVID-19 to prevent and prepare for future pandemics.Daniel T. HalperinNorman HearstStephen HodginsRobert C. BaileyJeffrey D. KlausnerHelen JacksonRichard G. WamaiJoseph A. LadapoMead OverStefan BaralKevin EscandónMonica GandhiBMCarticleCOVID-19SARS-CoV-2Public healthVaccinesHarm reductionPolicyPublic aspects of medicineRA1-1270ENBMC Public Health, Vol 21, Iss 1, Pp 1-12 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	COVID-19 SARS-CoV-2 Public health Vaccines Harm reduction Policy Public aspects of medicine RA1-1270
spellingShingle	COVID-19 SARS-CoV-2 Public health Vaccines Harm reduction Policy Public aspects of medicine RA1-1270 Daniel T. Halperin Norman Hearst Stephen Hodgins Robert C. Bailey Jeffrey D. Klausner Helen Jackson Richard G. Wamai Joseph A. Ladapo Mead Over Stefan Baral Kevin Escandón Monica Gandhi Revisiting COVID-19 policies: 10 evidence-based recommendations for where to go from here
description	Abstract Background Strategies to control coronavirus 2019 disease (COVID-19) have often been based on preliminary and limited data and have tended to be slow to evolve as new evidence emerges. Yet knowledge about COVID-19 has grown exponentially, and the expanding rollout of vaccines presents further opportunity to reassess the response to the pandemic more broadly. Main text We review the latest evidence concerning 10 key COVID-19 policy and strategic areas, specifically addressing: 1) the expansion of equitable vaccine distribution, 2) the need to ease restrictions as hospitalization and mortality rates eventually fall, 3) the advantages of emphasizing educational and harm reduction approaches over coercive and punitive measures, 4) the need to encourage outdoor activities, 5) the imperative to reopen schools, 6) the far-reaching and long-term economic and psychosocial consequences of sustained lockdowns, 7) the excessive focus on surface disinfection and other ineffective measures, 8) the importance of reassessing testing policies and practices, 9) the need for increasing access to outpatient therapies and prophylactics, and 10) the necessity to better prepare for future pandemics. Conclusions While remarkably effective vaccines have engendered great hope, some widely held assumptions underlying current policy approaches call for an evidence-based reassessment. COVID-19 will require ongoing mitigation for the foreseeable future as it transforms from a pandemic into an endemic infection, but maintaining a constant state of emergency is not viable. A more realistic public health approach is to adjust current mitigation goals to be more data-driven and to minimize unintended harms associated with unfocused or ineffective control efforts. Based on the latest evidence, we therefore present recommendations for refining 10 key policy areas, and for applying lessons learned from COVID-19 to prevent and prepare for future pandemics.
format	article
author	Daniel T. Halperin Norman Hearst Stephen Hodgins Robert C. Bailey Jeffrey D. Klausner Helen Jackson Richard G. Wamai Joseph A. Ladapo Mead Over Stefan Baral Kevin Escandón Monica Gandhi
author_facet	Daniel T. Halperin Norman Hearst Stephen Hodgins Robert C. Bailey Jeffrey D. Klausner Helen Jackson Richard G. Wamai Joseph A. Ladapo Mead Over Stefan Baral Kevin Escandón Monica Gandhi
author_sort	Daniel T. Halperin
title	Revisiting COVID-19 policies: 10 evidence-based recommendations for where to go from here
title_short	Revisiting COVID-19 policies: 10 evidence-based recommendations for where to go from here
title_full	Revisiting COVID-19 policies: 10 evidence-based recommendations for where to go from here
title_fullStr	Revisiting COVID-19 policies: 10 evidence-based recommendations for where to go from here
title_full_unstemmed	Revisiting COVID-19 policies: 10 evidence-based recommendations for where to go from here
title_sort	revisiting covid-19 policies: 10 evidence-based recommendations for where to go from here
publisher	BMC
publishDate	2021
url	https://doaj.org/article/71d2a93a7d36466cb7590463c7bd7fce
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Revisiting COVID-19 policies: 10 evidence-based recommendations for where to go from here

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