2024, Number 4
<< Back
salud publica mex 2024; 66 (4)
Pandemic preparedness: required actions. Conclusions of the PUIREE 2024 multidisciplinary panel
Rodríguez-Álvarez M, Ponce de León-Rosales S, Zaidi-Jacobson M, Pérez-Cuevas R, Argüelles-Gómez C, Baridó-Murguía ME, Campillo-Balderas JA, Cornejo-Juárez P, Cruz-Hervert LP, Cruz-Pacheco G, de la Concha F, Díaz-Ramírez JB, García-García ML, Hernández-Cárdenas CM, Jácome-Ramírez R, Jiménez-Corona ME, Lazcano-Araujo A, Linares-Salgado JE, López-Vidal Y, Martínez-Cristo N, Martuscelli-Quintana J, Miranda-Novales MG, Ochoa-Hein E, Provencio-Durazo E, Santillán-Doherty P, Soto-Nieto GI, Torres-Ruiz MF, Volkow-Fernández P
Language: Spanish
References: 23
Page: 616-626
PDF size: 263.07 Kb.
ABSTRACT
Objective. In response to the growing threat of pandemic
risks and the recent experience of the Covid-19 pandemic,
UNAM through the PUIREE carried out a multidisciplinary
analysis to identify and prioritize essential actions for the response
to pandemics in Mexico.
Materials and methods.
The structured Delphi method of communication and analysis
was used, and a questionnaire was presented to the health and
life experts. In three meetings, discussions were held about
the actions that should contain a pandemic preparedness and
response plan for Mexico.
Results. Key areas of intervention
were identified: the need for effective coordination between
all levels of Government, health institutions and diverse sectors
of the population; the importance of a transparent and
effective communication system, as well as the strengthening
of infrastructure and trained human resources for health
care in public institutions. The need to invest in research
and development to ensure self-sufficiency in the production
of vaccines and medicines, as well as the implementation of
early physical distancing and confinement measures, was also
highlighted.
Conclusions. Effective pandemic preparedness
requires immediate actions to achieve comprehensive
and multidisciplinary planning, as well as collaboration and
communication between academies and related sectors to
minimize the impact and threats of future pandemics. The
above will strengthen Mexico’s response capacity and serve
as a model for other low- and middle-income countries.
REFERENCES
Oshitani H, Kamigaki T, Suzuki A. Major issues and challenges of influenzapandemic preparedness in developing countries. Emerg Infect Dis. 2008;14(6):875-80. https://doi.org/10.3201/eid1406.070839
Fineberg HV. Pandemic preparedness and response-lessons from theH1N1 influenza of 2009. N Engl J Med. 2014;370(14):1335-42. https://doi.org/10.1056/NEJMra1208802
Khan MS, Dar O, Erondu NA, Rahman-Shepherd A, Hollmann L,Ihekweazu C, et al. Using critical information to strengthen pandemicpreparedness: the role of national public health agencies. BMJ Glob Health.2020;5(9):e002830. https://doi.org/10.1136/bmjgh-2020-002830
Worldometer. COVID-19 CORONAVIRUS PANDEMIC. Dover:Worldometers, 2024 [citado abr 1, 2024]. Disponible en: https://www.worldometers.info/coronavirus/
Alimohamadi Y, Tola HH, Abbasi-Ghahramanloo A, Janani M, Sepandi M.Case fatality rate of COVID-19: a systematic review and meta-analysis. JPrev Med Hyg. 2021;62(2):E311-20. https://doi.org/10.15167/2421-4248/jpmh2021.62.2.1627
Dessie ZG, Zewotir T. Mortality-related risk factors of COVID-19: a systematicreview and meta-analysis of 42 studies and 423,117 patients. BMCInfect Dis. 2021;21(1):855. https://doi.org/10.1186/s12879-021-06536-3
Squalli J. Deciphering the link between healthcare expenditure, corruption,and COVID-19 mortality. Sci Rep. 2024;14(1):12702. https://doi.org/10.1038/s41598-024-63766-6
Tawde P, Igburuke L, Olanipekun D, Marwaha V, Lambo J. Prognostic factorsfor mortality in adults hospitalized with COVID-19 infection in the Americas.Cureus. 2024;16(2):e55044. https://doi.org/10.7759/cureus.55044
Savedoff W, Góngora P, Giedion U, Distrutti M. Gasto inteligente ensalud. Cómo hacer que cada peso cuente. Washington: Banco Interamericanode Desarrollo, 2023 [citado abr 1, 2024]. Disponible en: https://publications.iadb.org/en/publications/spanish/viewer/Gasto-inteligente-ensalud-como-hacer-que-cada-peso-cuente.pdf
Organización Mundial de la Salud. Pandemic influenza preparednessand response: a WHO guidance document. Ginebra: OMS, 2009[citado abr 1, 2024]. Disponible en: https://www.ncbi.nlm.nih.gov/books/NBK143062/pdf/Bookshelf_NBK143062.pdf
Organización Mundial de la Salud. 2019 Novel Coronavirus (2019-nCoV) strategic preparedness and response plan. Ginebra: OMS, 2021[citado abr 1, 2024]. Disponible en: https://www.who.int/publications/i/item/strategic-preparedness-and-response-plan-for-the-new-coronavirus
Organización Mundial de la Salud. Timeline: WHO’s COVID-19 response.Ginebra: OMS, 2024 [citado 1 abr, 2024]. Disponible en: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/interactive-timeline
Centro Nacional de Programas Preventivos y Control de Enfermedades.Plan nacional para la preparación y respuesta ante la intensificación de lainfluenza estacional o ante una pandemia de influenza. Ciudad de México:SS, 2018 [citado may 1, 2024]. Disponible en: https://www.gob.mx/salud/cenaprece/documentos/plan-nacional-para-la-preparacion-y-respuesta-ante-laintensificacion-de-la-influenza-estacional-o-ante-una-pandemia-de-influenza
Dirección General de Epidemiología. Datos abiertos dirección general deepidemiología. COVID-19. Ciudad de México: SS, 2023 [citado may 1, 2024].Disponible en: https://www.gob.mx/salud/documentos/datos-abiertos-152127
Gobierno de México. Exceso de mortalidad en México. Ciudad deMéxico: Gobierno de México, 2023 [citado abr 1, 2024]. Disponible en:https://coronavirus.gob.mx/exceso-de-mortalidad-en-mexico/
Rodríguez-Alvarez M, Ponce de León-Rosales S, Zaidi-Jacobson M,Pérez-Cuevas R, Arguelles-Gómez C, Baridó-Murguóa ME, et al. Anexo 1.Síntesis curricular de los co-autores del artículo Preparación pandémica:acciones requeridas [conclusiones del panel multidisciplinarioPUIREE – UNAM 2024]. México: Figshare, 2024. https://doi.org/10.6084/m9.figshare.26444986
Neumann G, Kawaoka Y. Which virus will cause the next pandemic?Viruses. 2023;15(1):199. https://doi.org/10.3390/v15010199
Chiu KHY, Sridhar S, Yuen KY. Preparation for the next pandemic:challenges in strengthening surveillance. Emerg Microbes Infect.2023;12(2):2240441. https://doi.org/10.1080/22221751.2023.2240441
Organización Mundial de la Salud. Global research and innovationfor health emergencies. Building the world’s resilience againstfuture outbreaks and pandemics. Ginebra: OMS, 2023 [citado abr 1,
2024]. Disponible en: https://cdn.who.int/media/docs/default-source/documents/r-d-blueprint-meetings/global-research-and-innovation-forhealth-emergencies_report-2023.pdf20. Casadevall A. Pandemics past, present, and future: progress and persistentrisks. J Clin Invest. 2024;134(7):e179519. https://doi.org/10.1172/JCI179519
Rodriguez-Álvarez M, López-Vidal Y, Soto-Hernandez JL, Miranda-Novales MG, Flores-Moreno K, Ponce de Leon-Rosales S. COVID-19:clouds over the antimicrobial resistance landscape. Arch Med Res.2021;52(1):123-6. https://doi.org/10.1016/j.arcmed.2020.10.010
Petrakis V, Panopoulou M, Rafailidis P, Lemonakis N, Lazaridis G,Terzi I, et al. The Impact of the COVID-19 pandemic on antimicrobialresistance and management of bloodstream infections. Pathogens.2023;12(6):780. https://doi.org/10.3390/pathogens12060780
Baquero F, Martínez JL, Lanza VF, Rodríguez-Beltrán J, Galán JC, SanMillán A, et al. Evolutionary pathways and trajectories in antibiotic resistance.Clin Microbiol Rev. 2021;34(4):e0005019. https://doi.org/10.1128/CMR.00050-19