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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.
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Países em Desenvolvimento , Pandemias , Humanos , Pandemias/prevenção & controle , Vacinação , Programas de ImunizaçãoRESUMO
Investment, collaboration, and coordination have been key.
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Pesquisa Biomédica , COVID-19 , Humanos , Pesquisa Biomédica/economia , Pesquisa Biomédica/tendências , COVID-19/prevenção & controle , COVID-19/terapia , National Institutes of Health (U.S.) , Investimentos em Saúde , Cooperação Internacional , Vacinas contra COVID-19 , Ensaios Clínicos como AssuntoRESUMO
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.
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Dengue , Parcerias Público-Privadas , Humanos , Antivirais/farmacologia , Antivirais/uso terapêutico , Sorogrupo , Indústria Farmacêutica , Doenças Negligenciadas/tratamento farmacológico , Doenças Negligenciadas/prevenção & controle , Dengue/tratamento farmacológico , Dengue/prevenção & controleRESUMO
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.
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Doença do Vírus de Marburg , Marburgvirus , Vacinas Virais , Animais , Humanos , Doença do Vírus de Marburg/prevenção & controleRESUMO
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.
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Anticorpos/uso terapêutico , Antivirais/uso terapêutico , Vacinas contra COVID-19/administração & dosagem , COVID-19/prevenção & controle , COVID-19/terapia , Desenvolvimento de Medicamentos/organização & administração , Descoberta de Drogas/organização & administração , Humanos , National Institutes of Health (U.S.) , Pandemias , Parcerias Público-Privadas , SARS-CoV-2 , Estados Unidos , Tratamento Farmacológico da COVID-19Assuntos
Comitês Consultivos/organização & administração , Cooperação Internacional/história , Colaboração Intersetorial , Doenças Raras/terapia , Pesquisa Translacional Biomédica/organização & administração , Comitês Consultivos/história , Comitês Consultivos/normas , Ensaios Clínicos como Assunto , Guias como Assunto , História do Século XXI , Humanos , Prevalência , Doenças Raras/diagnóstico , Doenças Raras/epidemiologia , Doenças Raras/etiologia , Pesquisa Translacional Biomédica/economia , Pesquisa Translacional Biomédica/história , Pesquisa Translacional Biomédica/normasAssuntos
Cooperação Internacional , Colaboração Intersetorial , Participação do Paciente/tendências , Doenças Raras/diagnóstico , Pesquisa Translacional Biomédica/tendências , Acesso à Informação , Objetivos , Acessibilidade aos Serviços de Saúde/organização & administração , Acessibilidade aos Serviços de Saúde/tendências , História do Século XXI , Humanos , Disseminação de Informação , Prevalência , Doenças Raras/epidemiologia , Doenças Raras/etiologia , Doenças Raras/terapia , Sistema de Registros , Pesquisa Translacional Biomédica/economia , Pesquisa Translacional Biomédica/história , Pesquisa Translacional Biomédica/organização & administraçãoRESUMO
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.
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Saúde Ambiental , Política de Saúde , Meio Ambiente , União Europeia , Humanos , PesquisaRESUMO
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.
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Pesquisa Biomédica/economia , Medicina de Precisão/economia , Medicina de Precisão/tendências , Atenção à Saúde , Europa (Continente) , União Europeia , Humanos , Formulação de Políticas , Parcerias Público-PrivadasRESUMO
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.
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Controle de Doenças Transmissíveis/métodos , União Europeia , Imunização , Vacinas , Vacinas contra a AIDS/economia , Pesquisa Biomédica/economia , Controle de Doenças Transmissíveis/economia , Doenças Transmissíveis , Surtos de Doenças , Descoberta de Drogas/métodos , Humanos , Malária/prevenção & controle , Tuberculose/prevenção & controle , Vacinação , Vacinas/economiaAssuntos
Pesquisa Biomédica , Acessibilidade aos Serviços de Saúde , Saúde do Lactente , Saúde Materna , Parto , Qualidade da Assistência à Saúde , Adolescente , Saúde do Adolescente , Adulto , Feminino , Saúde Global , Acessibilidade aos Serviços de Saúde/normas , Acessibilidade aos Serviços de Saúde/tendências , Necessidades e Demandas de Serviços de Saúde , Humanos , Lactente , Mortalidade Infantil , Recém-Nascido , Masculino , Mortalidade Materna , Gravidez , Qualidade da Assistência à Saúde/normas , Qualidade da Assistência à Saúde/tendências , MigrantesAssuntos
Pesquisa Biomédica/economia , Pesquisa Biomédica/organização & administração , Descoberta de Drogas/economia , Descoberta de Drogas/organização & administração , Imunização/métodos , Vacinas/imunologia , Vacinas/isolamento & purificação , Pesquisa Biomédica/tendências , Financiamento de Capital/tendências , Descoberta de Drogas/tendências , Europa (Continente) , HumanosRESUMO
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.