Background
The COVID-19 pandemic has caused disruptions to the functioning of societies and their health systems. Prior to the pandemic, health systems in low- and middle-income countries (LMIC) were particularly stretched and vulnerable. The International Society of Global Health (ISoGH) sought to systematically identify priorities for health research that would have the potential to reduce the impact of the COVID-19 pandemic in LMICs.
Methods
The Child Health and Nutrition Research Initiative (CHNRI) method was used to identify COVID-19-related research priorities. All ISoGH members were invited to participate. Seventy-nine experts in clinical, translational, and population research contributed 192 research questions for consideration. Fifty-two experts then scored those questions based on five pre-defined criteria that were selected for this exercise: 1) feasibility and answerability; 2) potential for burden reduction; 3) potential for a paradigm shift; 4) potential for translation and implementation; and 5) impact on equity.
Results
Among the top 10 research priorities, research questions related to vaccination were prominent: health care system access barriers to equitable uptake of COVID-19 vaccination (ranked 1st), determinants of vaccine hesitancy (4th), development and evaluation of effective interventions to decrease vaccine hesitancy (5th), and vaccination impacts on vulnerable population/s (6th). Health care delivery questions also ranked highly, including: effective strategies to manage COVID-19 globally and in LMICs (2nd) and integrating health care for COVID-19 with other essential health services in LMICs (3rd). Additionally, the assessment of COVID-19 patients’ needs in rural areas of LMICs was ranked 7th, and studying the leading socioeconomic determinants and consequences of the COVID-19 pandemic in LMICs using multi-faceted approaches was ranked 8th. The remaining questions in the top 10 were: clarifying paediatric case-fatality rates (CFR) in LMICs and identifying effective strategies for community engagement against COVID-19 in different LMIC contexts.
Interpretation
Health policy and systems research to inform COVID-19 vaccine uptake and equitable access to care are urgently needed, especially for rural, vulnerable, and/or marginalised populations. This research should occur in parallel with studies that will identify approaches to minimise vaccine hesitancy and effectively integrate care for COVID-19 with other essential health services in LMICs. ISoGH calls on the funders of health research in LMICs to consider the urgency and priority of this research during the COVID-19 pandemic and support studies that could make a positive difference for the populations of LMICs.
Nearly half (45%) of the U.S. peach production is sold through the fresh market sector, making post-harvest disinfectant washing treatments a critical step for reducing surface microorganisms. This study was conducted to determine the effects of various disinfectant washing treatments on the surface decontamination of fresh whole freestone peaches. Minimal application of disinfectant washing treatments (five-second dip) reduced numbers of Listeria innocua recovered from inoculated peaches by 93% (acidified electrolyzed water containing 22 ppm sodium hypochlorite, pH 2.8) or 96% (chlorine containing 22 ppm sodium hypochlorite, pH 8.2) compared to cell counts on unwashed or water-only washed peaches. Increasing the wash time to 40 minutes resulted in a greater reduction in numbers of Listeria innocua recovered from the surfaces of peaches (99.95% and 99.9% for acidified electrolyzed water and chlorine treatments, respectively). All of the washing treatments decreased counts of total aerobic microorganisms on peaches (>92% reduction) when applied for 40 minutes. The results of this study demonstrate that washing peaches reduced but did not completely eliminate surface microorganisms.
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