What might the pandemic look like five years from now?

Publicly released:
New Zealand; International
PHOTO: Kevin Grieve/Unsplash
PHOTO: Kevin Grieve/Unsplash

Vaccines herald the "next phase", not the end, of the pandemic, writes a newly formed international panel of experts. The group, which includes Sir David Skegg and Sir Peter Gluckman, says that what happens next will partly depend on how the virus evolves, our individual behaviours, government responses, and the level of international collaboration. This panel will report later in the year on the possible COVID-19 scenarios that could pan out over the next three to five years.

Media release

From: University of Otago

Two top New Zealand scientists are key members of a new international panel mapping future Covid-19
scenarios.


Epidemiologist Professor Sir David Skegg of the University of Otago and Professor Sir Peter Gluckman, the
President-elect of the International Science Council (ISC) are part of an oversight panel for the recently
launched ISC Covid-19 Scenarios Project.


The panel was announced today in the world-leading medical journal The Lancet in a commentary Future
scenarios for the Covid-19 pandemic co-authored by Sir David and Sir Peter and panel members Geoffrey
Boulton, Heide Hackmann, Salim Abdool Karim, Peter Piot, and Christiane Woopen. (Ed note: Wednesday
17 February NZ Time).


The panel of international science leaders also includes representatives from the World Health
Organization, the United Nations Office for Disaster Risk Reduction (UNDRR), an advisor to President
Biden’s Covid-19 advisory board and other microbiologists and epidemiologists.


Within eight months, the panel will report on the possible Covid-19 scenarios the world faces over the
next three to five years, and on the choices for governments, agencies, and citizens.


Sir Peter, who heads Koi Tū: The Centre for Informed Futures at the University of Auckland, initiated the
ISC project. He says decisions made by governments and individuals over coming months will impact on
how the world recovers from the pandemic over the next three to five years.


“At some stage the world will be dealing with a low level of endemic virus infection and global economic
and social life will be recovering, but how we get there depends on many decisions by governments and
individuals.


“While vaccines offer much hope, the battle against the virus is not yet close to being won. Different
countries are in very different stages of the pandemic, the virus evolves, and access to vaccines and
gaining effective lasting immunity will be a challenge in many countries. Yet the virus knows no borders.”


Sir David Skegg thinks the chief value of the project will be to encourage governments and health policy
makers to think about long-term outcomes.


“There are a number of possible scenarios as to how this pandemic will progress over the next few years.
In the throes of a pandemic, it is natural to be making decisions about immediate priorities. But it is
essential that there is also awareness about how those decisions will affect the ultimate outcome,” he
says.


Sir Peter says while many people view vaccines as the light at the end of the tunnel, unless there is
massive international cooperation and a concerted global approach to vaccine availability, distribution
and delivery, the world could face years of disruption.

“A nationalistic approach is not only morally wrong, but it could also delay any return to a level of
normality – such as relaxed border controls. No country can be safe until all are safe.”


In the commentary, the authors say the virus may continue to mutate which may accelerate transmission
and reduce vaccine effectiveness, while naive assumptions about herd immunity, given the appearance of
new and challenging variants of the virus, could seriously risk repeated outbreaks and recurrences.


The authors say the virus can probably never be globally eradicated, because of its presence in many
animals (including cats and dogs), and incomplete vaccine coverage and protection.


“With such uncertainties, we should not assume that recent scientific progress on COVID-19 diagnostics,
vaccines, and treatments will end the pandemic. The world is likely to have many more years of COVID-19
decision making ahead—there is no quick solution available at present. The decisions of global agencies
and governments, as well as the behaviours of citizens in every society, will greatly affect the journey
ahead,” the authors say.

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Research The Lancet, Web page
Journal/
conference:
The Lancet
Research:Paper
Organisation/s: University of Auckland, University of Otago
Funder: Conflicts of interest: PP has received grants from the Bill & Melinda Gates Foundation and personal fees as special adviser from the European Commission and as Chair of the Board from the HMG SCOR Board, unrelated to the current project. CW is a member of the working group on pandemics and crisis of the Group of Chief Science Advisors to the European Commission and the European Group on Ethics in Science and New Technologies and has received grants from the German Federal Ministry of Research and Education, the German Federal Ministry for Family and Seniors, the Bertelsmann Foundation, the German Federal Ministry for Health, the German Federal Ministry of Justice and for Consumer Protection, personal fees from Agaplesion gAG as a member of supervisory board, and personal fees from several companies and organisations all unrelated to this Comment
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