RESUMEN
INTRODUCTION: Large-scale vaccination campaigns can benefit from using digital health tools, particularly in low- and middle-income countries (LMICs). Selecting the best tool to fit into a pre-existing digital landscape can be challenging. AREAS COVERED: We conducted a narrative review in PubMed and the grey literature for data available within 5 years to provide an overview of digital health tools used in large-scale vaccination campaigns for outbreak response in LMICs. We discuss tools used along the typical steps of a vaccination process. Digital tool functionalities and technical specifications, open-source options, data privacy and security concerns, and lessons learned from the use of these tools are discussed. EXPERT OPINION: The landscape of digital health tools for large-scale vaccination processes in LMICs is growing. For efficient implementation, countries should prioritize the appropriate tool(s) depending on their needs and available resources, develop a robust framework around data privacy and security, and select sustainable features. Improving internet connectivity and digital literacy in LMICs will facilitate adoption. This review may aid LMICs still needing to prepare large-scale vaccination campaigns in the selection of supporting digital health tools. Further research on impact and cost-effectiveness is needed.
Asunto(s)
Países en Desarrollo , Pandemias , Humanos , Pandemias/prevención & control , Vacunación , Programas de InmunizaciónRESUMEN
Investment, collaboration, and coordination have been key.
Asunto(s)
Investigación Biomédica , COVID-19 , Humanos , Investigación Biomédica/economía , Investigación Biomédica/tendencias , COVID-19/prevención & control , COVID-19/terapia , National Institutes of Health (U.S.) , Inversiones en Salud , Cooperación Internacional , Vacunas contra la COVID-19 , Ensayos Clínicos como AsuntoRESUMEN
While progress has been made in fighting diseases disproportionally affecting underserved populations, unmet medical needs persist for many neglected tropical diseases. The World Health Organization has encouraged strong public-private partnerships to address this issue and several public and private organizations have set an example in the past showing a strong commitment to combat these diseases. Pharmaceutical companies are contributing in different ways to address the imbalance in research efforts. With this review, we exemplify the role of a public-private partnership in research and development by the journey of our dengue antiviral molecule that is now in early clinical development. We detail the different steps of drug development and outline the contribution of each partner to this process. Years of intensive collaboration resulted in the identification of two antiviral compounds, JNJ-A07 and JNJ-1802, the latter of which has advanced to clinical development.
Asunto(s)
Dengue , Asociación entre el Sector Público-Privado , Humanos , Antivirales/farmacología , Antivirales/uso terapéutico , Serogrupo , Industria Farmacéutica , Enfermedades Desatendidas/tratamiento farmacológico , Enfermedades Desatendidas/prevención & control , Dengue/tratamiento farmacológico , Dengue/prevención & controlRESUMEN
The emergence of Marburg virus (MARV) in Guinea and Ghana triggered the assembly of the MARV vaccine "MARVAC" consortium representing leaders in the field of vaccine research and development aiming to facilitate a rapid response to this infectious disease threat. Here, we discuss current progress, challenges, and future directions for MARV vaccines.
Asunto(s)
Enfermedad del Virus de Marburg , Marburgvirus , Vacunas Virales , Animales , Humanos , Enfermedad del Virus de Marburg/prevención & controlRESUMEN
Given the urgent need for coronavirus disease 2019 therapeutics, early in the pandemic the Accelerating Coronavirus Disease 2019 Therapeutic Interventions and Vaccines (ACTIV) public-private partnership rapidly designed a unique therapeutic agent intake and assessment process for candidate treatments of coronavirus disease 2019. These treatments included antivirals, immune modulators, severe acute respiratory syndrome coronavirus 2 neutralizing antibodies, and organ-supportive treatments at both the preclinical and clinical stages of development. The ACTIV Therapeutics-Clinical Working Group Agent Prioritization subgroup established a uniform data collection process required to perform an assessment of any agent type using review criteria that were identified and differentially weighted for each agent class. The ACTIV Therapeutics-Clinical Working Group evaluated over 750 therapeutic agents with potential application for coronavirus disease 2019 and prioritized promising candidates for testing within the master protocols conducted by ACTIV. In addition, promising agents among preclinical candidates were selected by ACTIV to be matched with laboratories that could assist in executing rigorous preclinical studies. Between April 14, 2020, and May 31, 2021, the Agent Prioritization subgroup advanced 20 agents into the Accelerating Coronavirus Disease 2019 Therapeutic Interventions and Vaccines master protocols and matched 25 agents with laboratories to assist with preclinical testing.
Asunto(s)
Anticuerpos/uso terapéutico , Antivirales/uso terapéutico , Vacunas contra la COVID-19/administración & dosificación , COVID-19/prevención & control , COVID-19/terapia , Desarrollo de Medicamentos/organización & administración , Descubrimiento de Drogas/organización & administración , Humanos , National Institutes of Health (U.S.) , Pandemias , Asociación entre el Sector Público-Privado , SARS-CoV-2 , Estados Unidos , Tratamiento Farmacológico de COVID-19Asunto(s)
Comités Consultivos/organización & administración , Cooperación Internacional/historia , Colaboración Intersectorial , Enfermedades Raras/terapia , Investigación Biomédica Traslacional/organización & administración , Comités Consultivos/historia , Comités Consultivos/normas , Ensayos Clínicos como Asunto , Guías como Asunto , Historia del Siglo XXI , Humanos , Prevalencia , Enfermedades Raras/diagnóstico , Enfermedades Raras/epidemiología , Enfermedades Raras/etiología , Investigación Biomédica Traslacional/economía , Investigación Biomédica Traslacional/historia , Investigación Biomédica Traslacional/normasAsunto(s)
Cooperación Internacional , Colaboración Intersectorial , Participación del Paciente/tendencias , Enfermedades Raras/diagnóstico , Investigación Biomédica Traslacional/tendencias , Acceso a la Información , Objetivos , Accesibilidad a los Servicios de Salud/organización & administración , Accesibilidad a los Servicios de Salud/tendencias , Historia del Siglo XXI , Humanos , Difusión de la Información , Prevalencia , Enfermedades Raras/epidemiología , Enfermedades Raras/etiología , Enfermedades Raras/terapia , Sistema de Registros , Investigación Biomédica Traslacional/economía , Investigación Biomédica Traslacional/historia , Investigación Biomédica Traslacional/organización & administraciónRESUMEN
Opinion polls show that the European Union citizens are increasingly concerned about the impact of environmental factors on their health. In order to respond and provide solid scientific evidence for the numerous policies related to the protection of human health and the environment managed at the Union level, the European Union made a substantial investment in research and innovation in the past two decades through its Framework Programmes for Research and Technological Development, including the current programme, Horizon 2020, which started in 2014. This policy review paper analysed the portfolio of forty collaborative projects relevant to environment and health, which received a total amount of around 228 million euros from the EU. It gives details on their contents and general scientific trends observed, the profiles of the participating countries and institutions, and the potential policy implications of the results obtained. The increasing knowledge base is needed to make informed policy decisions in Europe and beyond, and should be useful to many stakeholders including the scientific community and regulatory authorities.
Asunto(s)
Salud Ambiental , Política de Salud , Ambiente , Unión Europea , Humanos , InvestigaciónRESUMEN
Personalized medicine (PM) is an emerging approach to prevention, diagnosis, treatment and care. It helps to address the challenge of the aging of the population, an increase in chronic disease and increasing healthcare costs. The EU is developing policies to move toward PM. This is underpinned by a sustained and significant investment starting in 2010. So far, a total of 3.2 billion has been invested in PM research across the medical innovation cycle 'from bench to bedside'. This investment has come from the research framework programs FP7 and Horizon 2020. About a third of the total investment has been made in the context of the Innovative Medicines Initiative, the largest public-private partnership in life sciences globally.
Asunto(s)
Investigación Biomédica/economía , Medicina de Precisión/economía , Medicina de Precisión/tendencias , Atención a la Salud , Europa (Continente) , Unión Europea , Humanos , Formulación de Políticas , Asociación entre el Sector Público-PrivadoRESUMEN
Immunisation efforts save millions of lives every year, but vaccines hold the potential to deliver even greater health benefits for mankind. Vaccine research and development is highly complex, and it requires concerted public funding efforts to support. In this paper we discuss EU funding priorities and the resulting recent advancements in European vaccine research, and we lay out the EU strategy for aiding promising vaccine candidates to successfully reach the market.
Asunto(s)
Control de Enfermedades Transmisibles/métodos , Unión Europea , Inmunización , Vacunas , Vacunas contra el SIDA/economía , Investigación Biomédica/economía , Control de Enfermedades Transmisibles/economía , Enfermedades Transmisibles , Brotes de Enfermedades , Descubrimiento de Drogas/métodos , Humanos , Malaria/prevención & control , Tuberculosis/prevención & control , Vacunación , Vacunas/economíaAsunto(s)
Investigación Biomédica , Accesibilidad a los Servicios de Salud , Salud del Lactante , Salud Materna , Parto , Calidad de la Atención de Salud , Adolescente , Salud del Adolescente , Adulto , Femenino , Salud Global , Accesibilidad a los Servicios de Salud/normas , Accesibilidad a los Servicios de Salud/tendencias , Necesidades y Demandas de Servicios de Salud , Humanos , Lactante , Mortalidad Infantil , Recién Nacido , Masculino , Mortalidad Materna , Embarazo , Calidad de la Atención de Salud/normas , Calidad de la Atención de Salud/tendencias , MigrantesAsunto(s)
Investigación Biomédica/economía , Investigación Biomédica/organización & administración , Descubrimiento de Drogas/economía , Descubrimiento de Drogas/organización & administración , Inmunización/métodos , Vacunas/inmunología , Vacunas/aislamiento & purificación , Investigación Biomédica/tendencias , Financiación del Capital/tendencias , Descubrimiento de Drogas/tendencias , Europa (Continente) , HumanosRESUMEN
Public scrutiny and the increasing number of projects addressing later stages of the research and innovation process announced the need for an enhanced attention to be paid to identify and address ethics concerns. Ex-ante ethics review as implemented in EU-funded health research and a proactive ethics management are a genuinely useful exercise and ensures top-quality research, from the lab to the patient.