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COVID-19 response: a massive global failure

Widespread failures at multiple levels worldwide have led to millions of preventable deaths
and a reversal in progress towards sustainable development for many countries

Failures of prevention

Failures of rationality Years of setbacks in the


sustainable development process

Failures of transparency

This has led to...


Failures to follow normal
public health practice

17·7 million excess deaths


Failures of operational cooperation due to COVID-19
Including unreported deaths,
projected to Sept 15, 2022
Failures of international solidarity
Source: IHME

At a national level, most governments...

Were ill-prepared Were too slow in their Paid too little attention Were hampered by
and unable to response to the outbreak to the most vulnerable low public trust and an
adequately respond of SARS-CoV-2 groups in their societies epidemic of misinformation

The Lancet COVID-19 Commission makes 11 recommendations in three key areas of interest

Practical steps to control and understand Ambitious proposals to


the current pandemic enhance multilateralism
Establish global and national Maintain WHO as the lead
vaccination-plus strategies to institution for the response to
end the COVID-19 pandemic emerging infectious diseases

An intensified investigation Establish a global


into possible origins of pandemic agreement and
SARS-CoV-2, both natural strengthen the International
and laboratory-related Health Regulations

Reform of WHO governance

Necessary investments to strengthen Regulations for the


the defence against future pandemics prevention of pandemics

G20 support for


Strengthen national
finance, research and
health systems and
development, and the
increase investments
production capacities of
in primary health care
low-income and
and public health
middle-income countries
National pandemic
New Global Health Fund
preparedness plans
to ensure Sustainable
Financing for Development Goal 3
sustainable (Health for All), universal
development and health coverage, and
green recovery plans functioning health systems

Illustrations by Elfy Chiang

Read the full Lancet COVID-19 Commission for more details

Speciality title name xxxx The best science for better lives

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