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  • 1
    UID:
    almahu_9949881074902882
    Umfang: 1 online resource (1122 pages)
    Ausgabe: 1st ed.
    ISBN: 9783031484087
    Anmerkung: Intro -- Foreword -- Preface -- Learning Tracks: Fields of Study and Practice -- Acknowledgments -- Contents -- Editors and Contributors -- About the Editors -- Contributors -- Abbreviations -- I: Pandemic Preparedness and Research Response: A Necessary New Field -- 1 Introduction -- 2 Clinical Research on Infectious Diseases: An Overview -- 1 Introduction -- 2 Evolution of Clinical Trial Methodology -- 2.1 The Inclusion of a Placebo Group in Clinical Trial Design -- 2.2 Concurrent Versus Historical Control Groups -- 2.3 Randomization Versus Alternation in Enrollment -- 2.4 Formal Ethical and Regulatory Frameworks -- 3 Critical Ground Rules for Research Studies During Epidemics -- 3.1 Jurisdictional Levels and Collaborations -- 3.2 Community Engagement -- 3.3 Identifying and Clarifying the Elements of Engagement -- 3.4 Broad-Based Scientific Participation -- 3.5 Communication and Messengers -- 3.6 Special Considerations in Conflict Zones and Failed States -- 4 Lessons Learned from Emergency Clinical Research -- 4.1 The Genesis of the Ebola Epidemic in West Africa: The Consequences of Early Errors in Response -- 4.2 Launching Clinical Trials of Therapeutics and Vaccines -- 4.3 Is it Ethical to Conduct Controlled Clinical Trials During a Public Health Emergency? -- 4.4 Contentious Study Design Issues -- 4.5 The Relevance of Adaptive Clinical Trial Designs and Prepositioned Research and Patient Networks -- 4.6 Achieving Trust and Support of the Affected Community -- 4.7 Speeding the Clinical Research Process and Regulatory Approval Without Compromising Safety -- 4.8 Recommendations to Improve Clinical Research and Trials During Public Health Emergencies -- 4.9 The Emergence of SARS-CoV-2 and the COVID-19 Pandemic -- 5 Conclusions -- References -- 3 Guiding Principles for Emergency Research Response -- 1 Introduction -- 2 Principles. , 2.1 Principle 1: Research Should Be an Integral Part of Preparedness and Emergency Response -- 2.2 Principle 2: Research Response Should Align with the Goals of the Health Emergency -- 2.3 Principle 3: Research Response Should Be Implemented Quickly and Efficiently Based on Outbreak Preparedness Plans -- 2.4 Principle 4: The Scientific and Ethical Norms for Human Subject Research Do Not Change During a Health Emergency -- 2.5 Principle 5: Research Response Should Be Led by the Government of the Country Experiencing the Health Emergency -- 2.6 Principle 6: Good Participatory Practice Applies to Research in Health Emergencies -- 3 Other Applicable Principles and Considerations -- References -- II: Norms for Emergency Research Response -- 4 Ethics of Pandemic Research -- 1 Introduction -- 2 Do Pandemics Necessitate or Justify Deviations from Ethical and Scientific Standards for Research? -- 3 Do Pandemics Raise Novel Ethical Issues for Research? -- 4 Setting Research Priorities During a Pandemic -- 5 Research Versus Response or Research as Response? -- 6 Research Governance, Coordination, and Oversight During Pandemics -- 7 Conclusion -- References -- 4.1 In Practice: Vaccine Efficacy and Safety Testing-An Ethical Case for Individual Randomization -- 1 Introduction -- 2 Supporting Considerations -- 3 Conclusion -- References -- 4.2 In Practice: Research Ethics Committee Review in Public Health Emergencies -- 1 Introduction -- 2 Historical Notes -- 3 Research Intervention in a Public Health Emergency -- 4 Seeking and Retaining Stakeholder Commitment -- 5 Future Directions -- References -- 5 Health Emergency Research amid Global Inequities: Some Considerations for Researchers -- 1 Introduction -- 2 Research Participants and Communities -- 2.1 Research Participant Rights and Benefits -- 2.2 Building Mutual Respect with Communities. , 2.2.1 Respect Community Beliefs and Cultural Practices -- Include all Relevant Stakeholders -- 2.2.2 Avoid Exploitation and the Perception of Exploitation -- 2.3 Post-trial Access to Trial Products, Procedures, or Devices -- 3 Partnerships -- 3.1 Minimizing North-South Inequality in Research Partnerships -- 3.2 Fair Treatment and Support for Front-Line Workers -- 3.3 Equity in Publication -- 3.4 Work with Non-government Organizations (NGOs) Already on the Ground or with Relevant Experience -- 4 Nation-States and Global Response -- 4.1 When Governments Put Their Own Interests First -- 4.2 Protecting Nations at Risk -- 4.3 International Economic Interventions Can Undermine Preparedness -- 4.4 National Sovereignty vs. Possible Global Impact -- 5 Questions and Conclusion -- 5.1 Can We Achieve Sustainable Preparedness and Response? -- 5.2 Conclusion -- References -- 6 Meeting Regulatory Criteria and Seeking Licensure: Medicines Development Before and During Public Health Emergencies -- 1 Introduction -- 2 Development and Licensure of Medicinal Products in Brief -- 3 Medical Countermeasure Development During a Public Health Emergency -- 4 Lessons Learned and Regulatory Strategies to Prepare for Future Emergencies -- 4.1 Chemistry, Manufacturing, and Controls and Reliance on Available Data on Platform Technologies -- 4.2 Preclinical Studies -- 4.3 Clinical Studies -- 4.4 Post-approval Monitoring -- 5 Regulatory Communications and Stakeholder Exchange -- 5.1 Additional Considerations on Chemistry, Manufacturing, and Controls -- 6 Concluding Remarks -- References -- 7 Research, Sample, and Data Sharing During Outbreaks, Pandemics, and Beyond -- 1 Introduction -- 2 The Impact of Pandemic Diseases on Health Data Sharing -- 3 The Utility of Viral Sequences -- 4 Sharing Data -- 4.1 Mechanisms for Sharing Data -- 4.2 Rapidity vs. Equity? -- 4.3 Legal Frameworks. , 5 A Roadmap to Improve Data Sharing -- 6 Conclusion -- References -- III: Preparedness for Emergency Research Response -- 8 Building Biomedical Research Capacity in Low- and Middle-Income Countries: Why It Matters and Some of the Barriers to Success -- 1 Introduction -- 2 Local or National Research Agendas Enable Research Capacity to Respond to Local Needs -- 3 Investing in Local Research Infrastructure Before Crises -- 3.1 Education and Training -- 3.2 Institutional Infrastructure -- 3.3 Operational Needs -- 3.4 Community Engagement -- 4 Research, Public Health, and Healthcare Capacity as Synergistic Forces for EID Response -- 5 COVID-19 and Lessons for Research Capacity Strengthening -- 6 Systemic Challenges to LMIC Research Capacity Strengthening -- 7 Conclusion -- References -- 9 Laboratory Needs for Research Response -- 1 Introduction -- 2 Who, What, Where, When, and Why -- 3 Field Laboratories -- 3.1 Where? Site Location -- 3.2 Assay and Equipment Selection -- 3.3 Regulatory and Legal Concerns -- 3.3.1 Regulatory Management Tools for Emergencies -- 3.3.2 Expedited Evaluation and Approval Processes -- 3.3.3 Diagnostic Preparedness -- 3.4 Specimen Collection, Transport, and Storage -- 3.5 Obstacles to Proper Sample Packaging and Transport -- 4 Implementing Effective Laboratory Biosafety and Biosecurity -- 5 Documentation, Data Quality, and Data Management -- 6 Case Study -- 7 Summary and Conclusion -- References -- 10 Understanding How and Where Pathogens Emerge: Preparedness and Response for Zoonotic Diseases -- 1 Introduction -- 2 Why Is Pre-outbreak Information Important? -- 2.1 Impact of Uncontrolled Emerging Zoonoses -- 2.2 Increasing Rates of Emergence and Potential Future Threats -- 2.3 Availability of Targeted Interventions to Prevent, Detect, and Respond to Emerging Zoonoses. , 2.4 Time, Focus, and Resources Are Limited Once Outbreaks Start -- 3 Pre-outbreak Information: What We Already Know About How and Where Pathogens Emerge -- 3.1 The Risk Landscape Is Not Uniform: Specific Conditions Create Spillover Hot Spots -- 3.2 Specific Conditions and Human Behaviors at Hot Spots Affecting Spillover, Amplification, and Geographical Spread -- 3.3 Certain Animals Tend to Be Associated with Zoonotic Pathogens and Spillover Events -- 3.4 Some Zoonotic Pathogens Are More Capable of Spillover -- 3.5 Spillover of Zoonotic Pathogens Can Change Over Time -- 3.6 Interventions to Reduce Spillover Risk -- 4 What We Still Need to Know -- 4.1 Characterization of Risk at the Animal-Human-Environment Interface -- 4.2 Developing and Assessing Safety and Efficacy of Interventions to Reduce Spillover, Amplification, and Geographical Spread -- 5 Pre-outbreak Information: Best Practices and Recommendations -- 5.1 Strengthening Country Capacities Improves Detection and Response for Zoonotic Pathogens -- 5.2 Systematic Collection of Pre-outbreak Information -- 5.3 Surveillance and Research Networks Improve Information Sharing, Preparedness, and Response -- 5.4 Targeted Risk Reduction Interventions Work -- 5.5 Coordination with Other Infectious Disease Programs and Across Sectors to Improve Prevention, Detection, and Response -- 5.6 Linking Action Plans to Resource Mapping -- 6 Recommendations -- 6.1 Strengthen and Prioritize Collection of Pre-outbreak Information -- 6.1.1 Country Activities, Taking into Consideration the Best Practices and Gaps Previously Mentioned -- 6.1.2 Regional and Global Activities, Taking into Consideration the Best Practices and Gaps Previously Mentioned -- 6.2 Strengthen In-County Data Systems and Their Linkages with International Databases. , 6.2.1 Country Activities, Taking into Consideration the Best Practices and Gaps Previously Mentioned.
    Weitere Ausg.: Print version: Higgs, Elizabeth S. Principles and Practice of Emergency Research Response Cham : Springer International Publishing AG,c2024 ISBN 9783031484070
    Sprache: Englisch
    Schlagwort(e): Electronic books. ; Electronic books.
    URL: Volltext  (kostenfrei)
    URL: Volltext  (kostenfrei)
    Bibliothek Standort Signatur Band/Heft/Jahr Verfügbarkeit
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  • 2
    UID:
    almahu_9949877002902882
    Umfang: 1 online resource (1122 pages)
    Ausgabe: 1st ed. 2024.
    ISBN: 9783031484087 , 3031484088
    Inhalt: Robust global health security requires effective preparation for and response to emerging and re-emerging pathogens. The nascent field of emergency research response and preparedness is a crucial component in preventing and mitigating outbreaks, yet it is rife with critical scientific, ethical, and policy questions. How can local, national, and global systems collaborate across disciplines and political boundaries to protect health security? How can we conduct rigorous research in fragile or failed nation-states? What is needed for equitable distribution of vaccines and therapeutic medicines in short supply? How can we accelerate trials of vaccines and therapeutics during an emergency without compromising scientific rigor or ethical standards? How do we integrate communities and stakeholders into research preparedness and response? The editors bring decades of experience to their collaboration with renowned research scientists and health policy experts. Together they have crafted a compendium that proposes normative standards and offers practical guidance for preparedness and rapid research response. This pioneering, open access textbook presents principles and practices forged from experience in health emergencies – insights that illuminate a path forward for research response and preparedness. The goal is to stop outbreaks from becoming avoidable pandemics, and to mitigate illness, death, and social disruption if they cannot be stopped. Principles and Practice of Emergency Research Response merges historical understanding with insights into possible futures. It will serve as an indispensable compass for curtailing infectious disease threats through research, global health policy changes, and research capacity improvements where they are most needed. This book will be an ongoing reference for governments, health organizations, development agencies, researchers, policy experts, ethicists, and socialscientists. To facilitate focused and enhanced learning, it incorporates pedagogical tools such as abstracts, learning objectives, discussion questions, real-life examples, and learning tracks.
    Anmerkung: Section I. Pandemic Preparedness and Research Response: A Necessary New Field -- 1. Introduction -- 2. Clinical Research on Infectious Diseases -- 3. Guiding Principles for Emergency Research Response -- Section II. Norms for Emergency Research Response -- 4. Ethics of Pandemic Research -- 4.1. In Practice: Vaccine Efficacy and Safety Testing - An Ethical Case for Individual Randomization -- 4.2. In Practice: Research Ethics Committee Review in Public Health Emergencies -- 5. Health Emergency Research amid Global Inequities -- 6. Meeting Regulatory Criteria and Seeking Licensure -- 7. Research, Sample, and Data Sharing During Outbreaks, Pandemics, and Beyond -- Section III. Preparedness for Emergency Research Response -- 8. Building Biomedical Research Capacity in Low- and Middle-Income Countries -- 9. Laboratory Needs for Research Response -- 10. Understanding How and Where Pathogens Emerge -- 11. Accelerating Diagnostic Innovation for Pandemic Control -- 12. Vaccine Candidates for Novel Pathogens.-12.1. In Focus: Novel Manufacturing Platforms for Pandemic Preparedness and Emergency Response -- 13. Accelerating Vaccine Development -- 14. Accelerating Development of Therapeutics for Preparedness, Response, and a More Secure World -- 14.1. In Practice: The RECOVERY Trial -- Section IV. Research Response -- 15. ACTIV: A U.S. Public-Private Partnership Responds to COVID-19 -- 15.1. In Practice: Leveraging an Integrated National Health System for Research Response -- 16. Challenges for Emergency Research Interventions in Fragile, Weak, and Failed Nation States -- 16.1. In Practice: Responding to an Infectious Disease Outbreak amid a Humanitarian Emergency -- 17. Integrating Clinical Research into Ebola Response: Liberia Case Study -- 17.1. In Practice: Integration of Clinical Research and Patient Care in the DRC PALM Ebola Therapeutics Trial -- 18. Good Participatory Practice. Social Mobilization, Communications, and Community Engagement -- 18.1. In Practice: Building Community Engagement for Clinical Research Response -- 18.2. In Practice: Adapting Social Analytics for Research Response -- 19. Understanding and Reporting the Natural History of an Infectious Disease -- 20. Turning Research Results into Clinical Practice Guidelines in Public Health Emergencies -- Section V. Methodology for Research Response -- 21. Epidemiological Research in the Setting of Outbreak Response -- 21.1. In Focus: The Impact and Mechanisms of Superspreading -- 22. Vaccine Trial Designs -- 22.1. In Focus: Ring Trial Design -- 23. Data and Safety Monitoring of Clinical Trials During Public Health Emergencies -- 23.1. In Practice: Monitoring the PALM Ebola Therapeutics Study in the Democratic Republic of the Congo -- 24. Mathematical Modeling for Emergency Response -- 25. Models in the COVID-19 Pandemic -- 25.1. Case Study: Modeling Fractional-Dose Emergency Vaccination Campaigns for Yellow Fever -- 26. Social Science Evidence for Outbreak and Pandemic Response -- Section VI. Governance, Institutions, and Partnerships -- 27. A Global Framework for Research Preparedness and Response -- 28. Financing Emergency Research Response during Infectious Disease Outbreaks -- 29. International Collaboration to Advance Research Preparedness and Response -- 30. Organizational Partnerships for Preparedness and Response to Emerging and Re-Emerging Infectious Diseases -- 30.1. In Focus: Research and Medical Humanitarian NGOs -- 30.2. In Practice: Building and Maintaining Preparedness for a Rapid Research Response in Indonesia -- Section VII. Research Operations -- 31. Operational Recommendations for Streamlining Emergency Research Responses to Pandemics -- 32. Launching a Clinical Research Operation -- 32.1. In Practice: Clinical Research Communications During an Outbreak -- 32.2. In Focus: Clinical Trial Insurance and Indemnification -- 33. Ethical Review of Research During an Emergency Response -- 33.1. In Practice: Ethical Review During Emergencies - The Liberian Experience -- 33.2. In Practice: Independent Monitoring of Emergency Response Clinical Trials -- 33.3. In Practice: Capacity Building for Research Ethics Review in Low- and Middle-Income Countries -- 34. Information and Communications Technology to Support Research Low-Resource Settings -- 35. Data Management in Emergency Response Research -- 36. Safety and Pharmacovigilance in Emergency Research Response -- 37. Supply and Logistics for Clinical Research in Low-Resource Settings -- 38. Pharmaceutical Management -- 39. Cold Chain and Electrical Power for Emergency Research Response -- 40. Selecting and Opening a Clinical Research Site in a Low-Resource Setting -- 40.1. In Practice: Improving Patient Care in the Field - The CUBE Isolation Unit -- 41. Management of Security for Clinical Trials During Emergencies -- 42. Locally Hired Staff for Clinical Research Sites in Low-Resource Settings.
    Weitere Ausg.: ISBN 9783031484070
    Weitere Ausg.: ISBN 303148407X
    Sprache: Englisch
    Bibliothek Standort Signatur Band/Heft/Jahr Verfügbarkeit
    BibTip Andere fanden auch interessant ...
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