(Updated 24 March 2020)
The SARs-CoV-2 virus has rocked our society to the core and presents a serious threat to the health of the global population and economy. Given our expertise and experience in research and knowledge translation, the Barcelona Institute for Global Health has made the fight against COVID-19 a priority line of action. In addition to adopting appropriate measures to protect the health of its own personnel, including expatriate staff, and providing them with the information they need, ISGlobal is focusing on responding to the pandemic with a strategy that encompasses a number of lines of action.
Care: The Top Priority
One of our top priorities, as an organisation closely linked to two major hospitals (the Hospital Clínic de Barcelona and Hospital del Mar), is the support of these institutions. As well as providing technical assistance to both hospitals, our team is also working with the two bodies responsible for coordinating medical care and public health in Catalonia: the Agència de Salut Pública de Catalunya (public health) and the Agència de Qualitat i Avaluació Sanitàries (responsible for quality in healthcare and public health). Current efforts are focused in particular on contact searching and the investigation of outbreaks. The overarching priority is to save lives and care for those in need.
Research: A Key Element of the Response and Future Learning
While caring for those affected must be a priority at this time to reduce the impact of the pandemic on human lives, science will play a key role in finding a way out of the current crisis. With this in mind, ISGlobal’s scientific research team have ramped up their efforts and are launching several lines of COVID-19 research. In addition to the projects that have already started, there are 15 more studies currently seeking funding. The following are some examples of the lines of work already underway.
ISGlobal is undertaking a series of serological studies among the healthcare personnel working at the Hospital Clínic de Barcelona. The results of these studies will determine the staff's exposure level and serological response to SARS-CoV-2 over time.
We are also involved in a population-based serological study in Catalonia, which is being undertaken in collaboration with the Agència de Salut Pública de Catalunya. The objective in this case is to investigate transmission patterns, groups affected and the development of herd immunity. The results will provide the information needed to elucidate the role of asymptomatic or mildly symptomatic cases in the spread of SARS-CoV-2 within the community and to ascertain the likelihood of herd immunity developing to a sufficient degree to protect vulnerable individuals in future SARS-CoV-2 outbreaks.
Much of the clinical research effort worldwide is focused on testing antivirals and other existing antimicrobial agents. One example is a multi-site clinical trial with remdesivir (an anti-Ebola drug) being carried out in more than 50 sites worldwide. ISGlobal and the Hospital Clínic de Barcelona have been participating in this global study since mid-March 2020.
ISGlobal is working with other research groups to develop technological solutions that will facilitate the task of tracking COVID-19 cases and their contacts.
Antoni Trilla is representing ISGlobal on the COVID-19 Scientific and Technical Committee tasked with advising the Government of Spain during the emergency. Dr Trilla is a Research Professor at ISGlobal, head of the Department of Epidemiology and Preventive Medicine at the Hospital Clínic de Barcelona, Dean of the Faculty of Medicine at the University of Barcelona and one of the six members of the expert committee.
The Policy and Global Development team at ISGlobal is continuously reviewing the new data on COVID-19 and—working closely with members of the research staff—is drafting reports for the appropriate authorities to facilitate policy decisions and the decision-making process. The team is in constant contact with the relevant authorities and decision-makers.
The Communications department is focusing on the creation and publication of new evidence-based content on all the channels used by the organisation. This includes a special report on COVID-19, which is complemented by other formats, including videos, opinion articles and twitter threads. At the same time, an in-house team of experts is working to ensure maximum outreach in the general population with a focus on communicating the main messages to the media and by means of interviews and informative articles.
Our experts are also delivering video-streamed seminars, such as the one given on 5 March by Antoni Trilla (Coronavirus: Myths and Facts) and the session streamed on 20 March (COVID-19: Pandemic, Socio-Economic Impact and Communication) delivered by Rafael Vilasanjuan, Jose Muñoz and Joan Bigorra.
ISGlobal has also been involved in the development of EpidemiXs, a web site providing quality information on COVID-19 that has reached a wide audience and become a crucial tool for communicating information on prevention and counteracting fake news.
Initiatives in Partnership
Another initiative that ISGlobal is involved in is “The Day After”, which was launched on 23 March 2020. The aim of this new platform, set up by an alliance of several partners, is to optimise our capacity to learn from the current crisis and situation of confinement in scientific, economic and social terms. In view of the seriousness of the COVID-19 crisis, the Institute has decided to redirect the resources dedicated to other ongoing initiatives to the situation currently affecting our country and society as a whole. Measures taken to slow the spread of infection and flatten the curve of the epidemic are having profound effects on our society and economy as well as on the environment, and now is time to measure and analyse these changes and their repercussions. The aim of “The Day After” is to "learn from the crisis during the crisis". The platform brings together individuals and organisations from various sectors: the field of science, private enterprise, the public sector and civil society. It will provide an important forum for discussion on topics closely related to the work of ISGlobal—everything from development cooperation to the environment—and will allow us to consider possible future developments using a rigorous approach in order to meet the challenge of making the changes needed to build a stronger and more sustainable society.