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A three-layer system to win the war against COVID-19 and invest in health systems of the future
The COVID-19 pandemic taught us many lessons, most critically that its human and economic toll would have been significantly smaller if countries had in place strong layers of defence that would have either prevented the spillover of the SARS-CoV-2 into a human population in the first place, or, fai...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8685533/ https://www.ncbi.nlm.nih.gov/pubmed/34920990 http://dx.doi.org/10.1136/bmjgh-2021-007365 |
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author | Zhao, Feng Bali, Sulzhan Kovacevic, Rialda Weintraub, Jeff |
author_facet | Zhao, Feng Bali, Sulzhan Kovacevic, Rialda Weintraub, Jeff |
author_sort | Zhao, Feng |
collection | PubMed |
description | The COVID-19 pandemic taught us many lessons, most critically that its human and economic toll would have been significantly smaller if countries had in place strong layers of defence that would have either prevented the spillover of the SARS-CoV-2 into a human population in the first place, or, failing that, contained the outbreak to avert its global spread. Further, the brunt of COVID-19 impacts on some countries considered ‘most prepared’ for pandemics underscored the need for an integrated approach to ensure resilience to future epidemics. Consequently, as countries plan ahead to prevent future pandemics, they should give priority to investments that transform their systems, particularly in the precrises phase, to preparedness and response through a multilayered defence. We propose a three-layered approach for post-COVID-19 investments in public health functions and service delivery, particularly at the community and precrises levels. This framework highlights the interventions that enable countries to better prevent, detect and contain epidemic threats, and that strengthen the efficient use of limited resources towards high-impact precrises systems. |
format | Online Article Text |
id | pubmed-8685533 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-86855332021-12-20 A three-layer system to win the war against COVID-19 and invest in health systems of the future Zhao, Feng Bali, Sulzhan Kovacevic, Rialda Weintraub, Jeff BMJ Glob Health Practice The COVID-19 pandemic taught us many lessons, most critically that its human and economic toll would have been significantly smaller if countries had in place strong layers of defence that would have either prevented the spillover of the SARS-CoV-2 into a human population in the first place, or, failing that, contained the outbreak to avert its global spread. Further, the brunt of COVID-19 impacts on some countries considered ‘most prepared’ for pandemics underscored the need for an integrated approach to ensure resilience to future epidemics. Consequently, as countries plan ahead to prevent future pandemics, they should give priority to investments that transform their systems, particularly in the precrises phase, to preparedness and response through a multilayered defence. We propose a three-layered approach for post-COVID-19 investments in public health functions and service delivery, particularly at the community and precrises levels. This framework highlights the interventions that enable countries to better prevent, detect and contain epidemic threats, and that strengthen the efficient use of limited resources towards high-impact precrises systems. BMJ Publishing Group 2021-12-17 /pmc/articles/PMC8685533/ /pubmed/34920990 http://dx.doi.org/10.1136/bmjgh-2021-007365 Text en © Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) . |
spellingShingle | Practice Zhao, Feng Bali, Sulzhan Kovacevic, Rialda Weintraub, Jeff A three-layer system to win the war against COVID-19 and invest in health systems of the future |
title | A three-layer system to win the war against COVID-19 and invest in health systems of the future |
title_full | A three-layer system to win the war against COVID-19 and invest in health systems of the future |
title_fullStr | A three-layer system to win the war against COVID-19 and invest in health systems of the future |
title_full_unstemmed | A three-layer system to win the war against COVID-19 and invest in health systems of the future |
title_short | A three-layer system to win the war against COVID-19 and invest in health systems of the future |
title_sort | three-layer system to win the war against covid-19 and invest in health systems of the future |
topic | Practice |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8685533/ https://www.ncbi.nlm.nih.gov/pubmed/34920990 http://dx.doi.org/10.1136/bmjgh-2021-007365 |
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