COVID-19 vaccine challenges: What have we learned so far and what remains to be done?

•Significant global interest exists around generation of safe and effective COVID-19 vaccines.•Addressing eleven challenges (among many others) could greatly benefit COVID-19 vaccine policies.•These challenges fall under three dimensions – vaccine development, dissemination, and deployment.•Decision...

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Vydané v:Health policy (Amsterdam) Ročník 125; číslo 5; s. 553 - 567
Hlavní autori: Forman, Rebecca, Shah, Soleil, Jeurissen, Patrick, Jit, Mark, Mossialos, Elias
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: Ireland Elsevier B.V 01.05.2021
Elsevier Science Ltd
The Author(s). Published by Elsevier B.V
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ISSN:0168-8510, 1872-6054, 1872-6054
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Abstract •Significant global interest exists around generation of safe and effective COVID-19 vaccines.•Addressing eleven challenges (among many others) could greatly benefit COVID-19 vaccine policies.•These challenges fall under three dimensions – vaccine development, dissemination, and deployment.•Decision-makers can anticipate and recognize these challenges, and strategize solutions at scale.•Effective vaccines can add to our existing arsenal of weapons against COVID-19. Developing and distributing a safe and effective SARS-CoV-2 (COVID-19) vaccine has garnered immense global interest. Less than a year after COVID-19 was declared a pandemic, several vaccine candidates had received emergency use authorization across a range of countries. Despite this scientific breakthrough, the journey from vaccine discovery to global herd immunity against COVID-19 continues to present significant policy challenges that require a collaborative, global response. We offer a framework for understanding remaining and new policy challenges for successful global vaccine campaigns against COVID-19 as well as potential solutions to address them. Decision-makers must be aware of these challenges and strategize solutions that can be implemented at scale. These include challenges around maintaining R&D incentives, running clinical trials, authorizations, post-market surveillance, manufacturing and supply, global dissemination, allocation, uptake, and clinical system adaption. Alongside these challenges, financial and ethical concerns must also be addressed.
AbstractList Developing and distributing a safe and effective SARS-CoV-2 (COVID-19) vaccine has garnered immense global interest. Less than a year after COVID-19 was declared a pandemic, several vaccine candidates had received emergency use authorization across a range of countries. Despite this scientific breakthrough, the journey from vaccine discovery to global herd immunity against COVID-19 continues to present significant policy challenges that require a collaborative, global response. We offer a framework for understanding remaining and new policy challenges for successful global vaccine campaigns against COVID-19 as well as potential solutions to address them. Decision-makers must be aware of these challenges and strategize solutions that can be implemented at scale. These include challenges around maintaining R&D incentives, running clinical trials, authorizations, post-market surveillance, manufacturing and supply, global dissemination, allocation, uptake, and clinical system adaption. Alongside these challenges, financial and ethical concerns must also be addressed.Developing and distributing a safe and effective SARS-CoV-2 (COVID-19) vaccine has garnered immense global interest. Less than a year after COVID-19 was declared a pandemic, several vaccine candidates had received emergency use authorization across a range of countries. Despite this scientific breakthrough, the journey from vaccine discovery to global herd immunity against COVID-19 continues to present significant policy challenges that require a collaborative, global response. We offer a framework for understanding remaining and new policy challenges for successful global vaccine campaigns against COVID-19 as well as potential solutions to address them. Decision-makers must be aware of these challenges and strategize solutions that can be implemented at scale. These include challenges around maintaining R&D incentives, running clinical trials, authorizations, post-market surveillance, manufacturing and supply, global dissemination, allocation, uptake, and clinical system adaption. Alongside these challenges, financial and ethical concerns must also be addressed.
•Significant global interest exists around generation of safe and effective COVID-19 vaccines.•Addressing eleven challenges (among many others) could greatly benefit COVID-19 vaccine policies.•These challenges fall under three dimensions – vaccine development, dissemination, and deployment.•Decision-makers can anticipate and recognize these challenges, and strategize solutions at scale.•Effective vaccines can add to our existing arsenal of weapons against COVID-19. Developing and distributing a safe and effective SARS-CoV-2 (COVID-19) vaccine has garnered immense global interest. Less than a year after COVID-19 was declared a pandemic, several vaccine candidates had received emergency use authorization across a range of countries. Despite this scientific breakthrough, the journey from vaccine discovery to global herd immunity against COVID-19 continues to present significant policy challenges that require a collaborative, global response. We offer a framework for understanding remaining and new policy challenges for successful global vaccine campaigns against COVID-19 as well as potential solutions to address them. Decision-makers must be aware of these challenges and strategize solutions that can be implemented at scale. These include challenges around maintaining R&D incentives, running clinical trials, authorizations, post-market surveillance, manufacturing and supply, global dissemination, allocation, uptake, and clinical system adaption. Alongside these challenges, financial and ethical concerns must also be addressed.
Developing and distributing a safe and effective SARS-CoV-2 (COVID-19) vaccine has garnered immense global interest. Less than a year after COVID-19 was declared a pandemic, several vaccine candidates had received emergency use authorization across a range of countries. Despite this scientific breakthrough, the journey from vaccine discovery to global herd immunity against COVID-19 continues to present significant policy challenges that require a collaborative, global response. We offer a framework for understanding remaining and new policy challenges for successful global vaccine campaigns against COVID-19 as well as potential solutions to address them. Decision-makers must be aware of these challenges and strategize solutions that can be implemented at scale. These include challenges around maintaining R&D incentives, running clinical trials, authorizations, post-market surveillance, manufacturing and supply, global dissemination, allocation, uptake, and clinical system adaption. Alongside these challenges, financial and ethical concerns must also be addressed.
Highlights•Significant global interest exists around generation of safe and effective COVID-19 vaccines. •Addressing eleven challenges (among many others) could greatly benefit COVID-19 vaccine policies. •These challenges fall under three dimensions – vaccine development, dissemination, and deployment. •Decision-makers can anticipate and recognize these challenges, and strategize solutions at scale. •Effective vaccines can add to our existing arsenal of weapons against COVID-19.
Author Mossialos, Elias
Jit, Mark
Shah, Soleil
Forman, Rebecca
Jeurissen, Patrick
Author_xml – sequence: 1
  givenname: Rebecca
  surname: Forman
  fullname: Forman, Rebecca
  organization: London School of Economics & Political Science, United Kingdom
– sequence: 2
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  surname: Shah
  fullname: Shah, Soleil
  organization: Stanford University School of Medicine, United States
– sequence: 3
  givenname: Patrick
  surname: Jeurissen
  fullname: Jeurissen, Patrick
  organization: Scientific Institute for Quality of Healthcare, Radboud University Medical Center, Nijmegen, the Netherlands
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  givenname: Mark
  surname: Jit
  fullname: Jit, Mark
  organization: London School of Hygiene & Tropical Medicine, United Kingdom
– sequence: 5
  givenname: Elias
  surname: Mossialos
  fullname: Mossialos, Elias
  email: e.a.mossialos@lse.ac.uk
  organization: London School of Economics & Political Science, United Kingdom
BackLink https://www.ncbi.nlm.nih.gov/pubmed/33820678$$D View this record in MEDLINE/PubMed
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Copyright © 2021 The Author(s). Published by Elsevier B.V. All rights reserved.
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Snippet •Significant global interest exists around generation of safe and effective COVID-19 vaccines.•Addressing eleven challenges (among many others) could greatly...
Highlights•Significant global interest exists around generation of safe and effective COVID-19 vaccines. •Addressing eleven challenges (among many others)...
Developing and distributing a safe and effective SARS-CoV-2 (COVID-19) vaccine has garnered immense global interest. Less than a year after COVID-19 was...
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SubjectTerms Authorization
Campaigns
Candidates
Challenges
Clinical research
Clinical trials
Coronaviruses
COVID-19
COVID-19 - epidemiology
COVID-19 - prevention & control
COVID-19 vaccines
COVID-19 Vaccines - administration & dosage
Decision makers
Dissemination
Ethics
Humans
Immunity
Immunization
Internal Medicine
Pandemics
R&D
Research & development
SARS-CoV-2
Severe acute respiratory syndrome coronavirus 2
Surveillance
Uptake
Vaccines
Title COVID-19 vaccine challenges: What have we learned so far and what remains to be done?
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https://www.clinicalkey.es/playcontent/1-s2.0-S0168851021000853
https://dx.doi.org/10.1016/j.healthpol.2021.03.013
https://www.ncbi.nlm.nih.gov/pubmed/33820678
https://www.proquest.com/docview/2559745606
https://www.proquest.com/docview/2509282149
https://pubmed.ncbi.nlm.nih.gov/PMC7997052
Volume 125
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