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The COVID-19 Pandemic and the Need for an Integrated and Equitable Approach: An International Expert Consensus Paper

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单位: [1]Sorbonne Univ, INSERM, UMR S 938,Inst Univ Cancerol, Res Grp Canc Biol & Therapeut,Ctr Rech St Antoine, Paris, France [2]Hop Univ Est Parisien, Tenon St Antoine, Assistance Publ Hop Paris APHP, Thrombosis Ctr, Paris, France [3]Univ Milan, L Sacco Hosp, Res Ctr Vasc Dis, Milan, Italy [4]Univ Milan, L Sacco Hosp, Dept Biomed Sci, Angiol Unit, Milan, Italy [5]Ctr Immunol & Malad Infect UPMC UMRS CR7, Inserm U1135, CNRS ERL 8255, Paris, France [6]Donald & Barbara Zucker Sch Med Hofstra Northwell, Hempstead, NY USA [7]Russian Federat Sechenov Univ, Dept Obstet & Gynecol, IM Sechenov First Moscow State Med Univ, Minist Hlth, Moscow, Russia [8]Campbell Univ, Coll Pharm & Hlth Sci, Dept Clin Res, Buies Creek, NC 27506 USA [9]Univ Karachi, Dept Microbiol, Karachi, Pakistan [10]Heidelberg Univ, Dept Phys Chem, Heidelberg, Germany [11]DOASENSE GmbH, Heidelberg, Germany [12]ASST Papa Giovanni XXIII Hosp, Immunohematol & Transfus Med Dept, Bergamo, Italy [13]Univ Milano Bicocca, Sch Med, Monza, Italy [14]Loyola Univ Chicago, Cardiovasc Res Inst, Dept Pathol & Lab Med, Hlth Sci Div, Maywood, IL USA [15]Loyola Univ Chicago, Cardiovasc Res Inst, Dept Pharmacol & Neurosci, Hlth Sci Div, Maywood, IL USA [16]Amer Heart Inst Cyprus, Cyprus Dept Intervent Cardiol, Nicosia, Cyprus [17]Univ Belgrade, Fac Med, Clin Ctr Serbia, Clin Hematol, Belgrade, Serbia [18]Nuova Villa Claudia, Vasc Ctr, Rome, Italy [19]Univ Catolica Murcia, Hosp Univ Germans Trias & Pujol Badalona, Dept Internal Med, Murcia, Spain [20]Rambam Hlth Care Campus, Thrombosis & Hemostasis Unit, Dept Hematol & Bone Marrow Transplantat, Haifa, Israel [21]Technion Israel Inst Technol, Bruce Rappaport Fac Med, Haifa, Israel [22]Minist Hlth Russian Federat, VP Serbsky Fed Med Res Ctr Psychiat & Narcol, Dept Fundamental & Appl Neurobiol, Moscow, Russia [23]Trinity Coll Dublin, St Jamess Hosp, Dept Vasc Surg, Dublin, Ireland [24]Natl & Kapodistrian Univ Athens, Sch Med, Dept Clin Therapeut, Athens, Greece [25]McMaster Univ, Dept Med, Div Hematol & Thromboembolism, Hamilton, ON, Canada [26]St Josephs Healthcare Hamilton, Div Thorac Surg, Firestone Inst Resp Hlth, Hamilton, ON, Canada [27]Minist Hlth, Dept Surg, Riyadh, Saudi Arabia [28]St Imre Univ Teaching Hosp, Dept Angiol, Budapest, Hungary [29]Mashhad Univ Med Sci, Avicenna Bu Ali Res Inst, Immunol Dept, Mashhad, Razavi Khorasan, Iran [30]Univ Edinburgh, Usher Inst Populat Hlth Sci & Informat, Edinburgh, Midlothian, Scotland [31]Capital Med Univ, Xuan Wu Hosp, Dept Vasc Surg, Beijing, Peoples R China [32]Capital Med Univ, Inst Vasc Surg, Beijing, Peoples R China [33]Hop Univ Est Parisien, Hop Tenon, Med Oncol Dept, Assistance Publ Hop Paris APHP, Paris, France [34]Monash Hlth, Australia Dept Haematol, Clayton, Vic, Australia [35]Cent Univ Tamil Nadu, Sch Life Sci, Dept Life Sci, Div Blood & Vasc Biol, Thiruvarur, India [36]Okmeydani Training & Res Hosp, Dept Hematol, Istanbul, Turkey [37]Ctr Int Cancerol Dakar, Inst Canc UCAD, Dakar, Senegal [38]Aristotle Univ Thessaloniki, Hippokrateio Gen Univ Hosp, Surg Dept 5, Grp Vasc Surg, Thessaloniki, Greece [39]Stony Brook Southampton Hosp, Dept Surg, Southampton, NY USA [40]Univ Virtuelle Senegal, Dakar, Senegal [41]Univ Paris, Hop Louis Mourier, AP HP, Innovat Therapies Haemostasis,Colombes, F-75006 Paris, France [42]Univ Clin Hematol, Skopje, North Macedonia [43]Univ Med & Pharm, Med Clin 1, Cluj Napoca, Romania [44]Sorbonne Univ, Hop Univ Est Parisien, Hop Tenon, Assistance Publ Hop Paris,Fac Med,Serv Anesthesie, Paris, France [45]Flor Ferenc Teaching Hosp, Dept Vasc Med, Kistarcsa, Hungary [46]AO San Camillo Forlanini, Natl Hlth Inst ISS, San Camillo Forlanini Hosp, UOSD Angiol, Rome, Italy [47]Loyola Univ Med Ctr, Hemostasis & Thrombosis Res Labs, Maywood, IL 60153 USA [48]Brazilian Clin Res Inst, Brazil Sci Valley Res Inst, Sao Paulo, SP, Brazil [49]King Hussein Canc Ctr, Dept Internal Med, Amman, Jordan [50]Hop Fattouma Bourguiba, Lab Biol, Ctr Maternite & Neonatol, Monastir, Tunisia [51]Med Univ Vienna, Dept Internal Med 2, Div Angiol, Vienna, Austria [52]Loyola Univ Chicago, Cardiovasc Res Inst, Hlth Sci Div, Maywood, IL USA [53]Nobelpharma Co Ltd, Chuo Ku, Tokyo, Japan [54]Univ Libre Bruxelles, Serv Pathol Vasc, Hop ERASME, Brussels, Belgium [55]Northshore Cardiovasc Inst, Vasc Med, Skokie, IL USA [56]Amer Univ Beirut, Dept Internal Med, Div Hematol Oncol, Med Ctr, Beirut, Lebanon [57]Ernst von Bergmann Klinikum, Zentrum Innere Med 2, Klin Angiol, Potsdam, Germany [58]Capital Med Univ, Ctr Resp Med, Dept Pulm & Crit Care Med, China Japan Friendship Hosp,Peking Univ Hlth Sci, Beijing, Peoples R China [59]Chinese Acad Med Sci, Inst Resp Med, Beijing, Peoples R China [60]Mohammed V Univ, Ibn Sina Hosp, Clin Hematol Internal Med, Rabat, Morocco
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关键词: COVID-19 SARS-CoV-2 pandemic thrombosis health care systems

摘要:
Background One year after the declaration of the coronavirus disease 2019 (COVID-19) pandemic by the World Health Organization (WHO) and despite the implementation of mandatory physical barriers and social distancing, humanity remains challenged by a long-lasting and devastating public health crisis. Management Non-pharmacological interventions (NPIs) are efficient mitigation strategies. The success of these NPIs is dependent on the approval and commitment of the population. The launch of a mass vaccination program in many countries in late December 2020 with mRNA vaccines, adenovirus-based vaccines, and inactivated virus vaccines has generated hope for the end of the pandemic. Current Issues The continuous appearance of new pathogenic viral strains and the ability of vaccines to prevent infection and transmission raise important concerns as we try to achieve community immunity against severe acute respiratory syndrome coronavirus type 2 (SARS-CoV-2) and its variants. The need of a second and even third generation of vaccines has already been acknowledged by the WHO and governments. Perspectives There is a critical and urgent need for a balanced and integrated strategy for the management of the COVID-19 outbreaks organized on three axes: (1) P revention of the SARS-CoV-2 infection, (2) Detection and early diagnosis of patients at risk of disease worsening, and (3) Anticipation of medical care (PDA). Conclusion The "PDA strategy" integrated into state policy for the support and expansion of health systems and introduction of digital organizations (i.e., telemedicine, e-Health, artificial intelligence, and machine-learning technology) is of major importance for the preservation of citizens' health and life world-wide.

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出版当年[2020]版:
大类 | 2 区 医学
小类 | 2 区 外周血管病 3 区 血液学
最新[2025]版:
大类 | 2 区 医学
小类 | 2 区 血液学 2 区 外周血管病
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出版当年[2019]版:
Q1 HEMATOLOGY Q1 PERIPHERAL VASCULAR DISEASE
最新[2023]版:
Q1 HEMATOLOGY Q1 PERIPHERAL VASCULAR DISEASE

影响因子: 最新[2023版] 最新五年平均[2021-2025] 出版当年[2019版] 出版当年五年平均[2015-2019] 出版前一年[2018版] 出版后一年[2020版]

第一作者:
第一作者单位: [1]Sorbonne Univ, INSERM, UMR S 938,Inst Univ Cancerol, Res Grp Canc Biol & Therapeut,Ctr Rech St Antoine, Paris, France [2]Hop Univ Est Parisien, Tenon St Antoine, Assistance Publ Hop Paris APHP, Thrombosis Ctr, Paris, France [*1]Hop St Antoine, Canc Biol & Therapeut, INSERM U938, Ctr Rech St Antoine, Kourilsky Res Bldg,8th Floor, F-75571 Paris 12, France
通讯作者:
通讯机构: [1]Sorbonne Univ, INSERM, UMR S 938,Inst Univ Cancerol, Res Grp Canc Biol & Therapeut,Ctr Rech St Antoine, Paris, France [2]Hop Univ Est Parisien, Tenon St Antoine, Assistance Publ Hop Paris APHP, Thrombosis Ctr, Paris, France [*1]Hop St Antoine, Canc Biol & Therapeut, INSERM U938, Ctr Rech St Antoine, Kourilsky Res Bldg,8th Floor, F-75571 Paris 12, France
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