Challenges in evaluating risks and policy options around endemic establishment or elimination of novel pathogens

When a novel pathogen emerges there may be opportunities to eliminate transmission - locally or globally - whilst case numbers are low. However, the effort required to push a disease to elimination may come at a vast cost at a time when uncertainty is high. Models currently inform policy discussions...

Full description

Bibliographic Details
Main Authors: Metcalf, CJE, Andriamandimby, SF, Baker, RE, Glennon, EE, Hampson, K, Hollingsworth, TD, Klepac, P, Wesolowski, A
Format: Journal article
Language:English
Published: Elsevier 2021
_version_ 1797169941269446656
author Metcalf, CJE
Andriamandimby, SF
Baker, RE
Glennon, EE
Hampson, K
Hollingsworth, TD
Klepac, P
Wesolowski, A
author_facet Metcalf, CJE
Andriamandimby, SF
Baker, RE
Glennon, EE
Hampson, K
Hollingsworth, TD
Klepac, P
Wesolowski, A
author_sort Metcalf, CJE
collection OXFORD
description When a novel pathogen emerges there may be opportunities to eliminate transmission - locally or globally - whilst case numbers are low. However, the effort required to push a disease to elimination may come at a vast cost at a time when uncertainty is high. Models currently inform policy discussions on this question, but there are a number of open challenges, particularly given unknown aspects of the pathogen biology, the effectiveness and feasibility of interventions, and the intersecting political, economic, sociological and behavioural complexities for a novel pathogen. In this overview, we detail how models might identify directions for better leveraging or expanding the scope of data available on the pathogen trajectory, for bounding the theoretical context of emergence relative to prospects for elimination, and for framing the larger economic, behavioural and social context that will influence policy decisions and the pathogen’s outcome.
first_indexed 2024-03-07T07:20:50Z
format Journal article
id oxford-uuid:12ce4f3d-8cd6-40ad-a594-a695e801e9a1
institution University of Oxford
language English
last_indexed 2024-03-07T07:20:50Z
publishDate 2021
publisher Elsevier
record_format dspace
spelling oxford-uuid:12ce4f3d-8cd6-40ad-a594-a695e801e9a12022-10-06T15:11:47ZChallenges in evaluating risks and policy options around endemic establishment or elimination of novel pathogensJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:12ce4f3d-8cd6-40ad-a594-a695e801e9a1EnglishSymplectic ElementsElsevier2021Metcalf, CJEAndriamandimby, SFBaker, REGlennon, EEHampson, KHollingsworth, TDKlepac, PWesolowski, AWhen a novel pathogen emerges there may be opportunities to eliminate transmission - locally or globally - whilst case numbers are low. However, the effort required to push a disease to elimination may come at a vast cost at a time when uncertainty is high. Models currently inform policy discussions on this question, but there are a number of open challenges, particularly given unknown aspects of the pathogen biology, the effectiveness and feasibility of interventions, and the intersecting political, economic, sociological and behavioural complexities for a novel pathogen. In this overview, we detail how models might identify directions for better leveraging or expanding the scope of data available on the pathogen trajectory, for bounding the theoretical context of emergence relative to prospects for elimination, and for framing the larger economic, behavioural and social context that will influence policy decisions and the pathogen’s outcome.
spellingShingle Metcalf, CJE
Andriamandimby, SF
Baker, RE
Glennon, EE
Hampson, K
Hollingsworth, TD
Klepac, P
Wesolowski, A
Challenges in evaluating risks and policy options around endemic establishment or elimination of novel pathogens
title Challenges in evaluating risks and policy options around endemic establishment or elimination of novel pathogens
title_full Challenges in evaluating risks and policy options around endemic establishment or elimination of novel pathogens
title_fullStr Challenges in evaluating risks and policy options around endemic establishment or elimination of novel pathogens
title_full_unstemmed Challenges in evaluating risks and policy options around endemic establishment or elimination of novel pathogens
title_short Challenges in evaluating risks and policy options around endemic establishment or elimination of novel pathogens
title_sort challenges in evaluating risks and policy options around endemic establishment or elimination of novel pathogens
work_keys_str_mv AT metcalfcje challengesinevaluatingrisksandpolicyoptionsaroundendemicestablishmentoreliminationofnovelpathogens
AT andriamandimbysf challengesinevaluatingrisksandpolicyoptionsaroundendemicestablishmentoreliminationofnovelpathogens
AT bakerre challengesinevaluatingrisksandpolicyoptionsaroundendemicestablishmentoreliminationofnovelpathogens
AT glennonee challengesinevaluatingrisksandpolicyoptionsaroundendemicestablishmentoreliminationofnovelpathogens
AT hampsonk challengesinevaluatingrisksandpolicyoptionsaroundendemicestablishmentoreliminationofnovelpathogens
AT hollingsworthtd challengesinevaluatingrisksandpolicyoptionsaroundendemicestablishmentoreliminationofnovelpathogens
AT klepacp challengesinevaluatingrisksandpolicyoptionsaroundendemicestablishmentoreliminationofnovelpathogens
AT wesolowskia challengesinevaluatingrisksandpolicyoptionsaroundendemicestablishmentoreliminationofnovelpathogens