Méndez Lizárraga César Arturo, Armas-González Ruben, Loyola Steev, Bruno Alfredo, Pando-Robles Victoria, Fernández-Niño Julián Alfredo, Muñoz Reynaldo Flores, Coloma Josefina, Lescano Andrés G, Bravo-García Enrique, García Patricia J, Garza Juan, Pardo Esbeydy, Welty Susie, Reid Michael J A, Sepúlveda Jaime
Institute for Global Health Sciences, University of California San Francisco, Mission Hall, Box 1224 550 16th Street, Third Floor, San Francisco, CA, 94158, USA; Facultad de Medicina, Universidad Autónoma de Baja California, Humberto Torres Sanginés s/n, Centro Cívico; C.P. 21000. Mexicali, Mexico.
Universidad Espíritu Santo, Av. Samborondón 5, Samborondón, 092301, Ecuador; Instituto Interamericano de Cooperación para la Agricultura IICA Representación Ecuador - Proyecto 5CN-1RBT, Av. 12 de octubre y Francisco Salazar, Quito, Ecuador; Instituto Nacional de Investigación en Salud Pública - INSPI, Julián Coronel 905, Guayaquil, 090514, Ecuador.
Public Health. 2025 Apr 26:105602. doi: 10.1016/j.puhe.2025.01.003.
The Independent Panel for Pandemic Preparedness and Response issued a series of recommendations for future pandemic preparedness and response. Latin America's COVID-19-related deaths represented 25 % of the global demises, despite harboring less than 8 % of the world's population. As little data exists to support whether the Panel's recommendations reflect public health professionals' priorities in the region the study aimed to define these priorities utilizing a Delphi study.
A consensus-building modified Delphi technique.
For the first two rounds, participants were asked to rank a list of topics across seven domains on a 4-point Likert scale. Topics voted by at least 75 % of participants in either round as very important were included in the final round. Participants ranked the topics from each of the seven domains in numeric order to define top priorities.
A total of 115 responses were obtained across three rounds. Most respondents were involved in direct efforts against COVID-19 (75·0-86·%) and a considerable proportion had more than 16 years of public health experience (37·3-50·0 %). The top priority issues were zoonotic disease-pathogen surveillance systems (27·4 points), robust infection and prevention control programs (22·8 points), and indicator and event-based monitoring and reporting systems (22·1 points).
Establishing priorities for future pandemics is critical to ensure better health outcomes. The region should strengthen collaboration and enhance its capacities while conducting country-level analysis and defining priorities for future arrangements.
大流行防范和应对独立小组发布了一系列关于未来大流行防范和应对的建议。拉丁美洲的新冠疫情相关死亡人数占全球死亡人数的25%，尽管该地区人口不到世界人口的8%。由于几乎没有数据支持该小组的建议是否反映了该地区公共卫生专业人员的优先事项，本研究旨在通过德尔菲研究确定这些优先事项。
采用建立共识的改良德尔菲技术。
在前两轮中，要求参与者按照4分量表对七个领域的一系列主题进行排序。在任何一轮中，至少75%的参与者投票认为非常重要的主题被纳入最后一轮。参与者对七个领域中的每个主题按数字顺序进行排序，以确定首要优先事项。
三轮共获得115份回复。大多数受访者直接参与了抗击新冠疫情的工作（75.0%-86.%），相当一部分人有超过16年的公共卫生经验（37.3%-50.0%）。首要优先事项是动物源性疾病-病原体监测系统（27.4分）、强有力的感染预防控制计划（22.8分）以及基于指标和事件的监测与报告系统（22.1分）。
确定未来大流行的优先事项对于确保更好的健康结果至关重要。该地区应加强合作并提高其能力，同时进行国家层面的分析并确定未来安排的优先事项。
