Abstract

During the coronavirus disease 2019 (COVID-19) pandemic, uncoordinated national responses have been observed around the world which have contributed to the difficulties in controlling the spread of the virus. This lack of dialogue between nations reflects several key determinants including the lack of platforms for non-English speaking researchers and healthcare professionals to engage with critical matters in their native languages. Here, we demonstrate how setting up a dedicated forum for Portuguese-speaking professionals from Brazil, Mozambique and Portugal facilitated the comparison of testing strategies undertaken by those countries during 2020. This working group was established in response to an open workshop conducted in Portuguese in March 2020, in which renowned scientists from lusophone countries were invited to share the COVID-19 responses in their respective countries. To date, the group has convened to address actions, in turn identifying the opportunity to publish the different established approaches to testing strategies undertaken by their countries. This effort highlighted that the governments of those three countries took very different approaches, from case definition to type of test most commonly deployed. This piece emphasizes the need for international bodies to acknowledge the importance of creating forums which are more inclusive to non-speaking English professionals who are at the frontline of healthcare response in challenging settings such as low- and middle-income countries. Finally, fostering approaches like this could represent an efficient strategy to facilitate dialogue, building the necessary steps for a more coordinated response to future global threats.

Highlights

  • The current coronavirus disease 2019 (COVID-19) pandemic has shed light on the need for coordinated international strategies to prepare and respond effectively to pandemics

  • Whilst considering the effectiveness of communication strategies relies heavily on understanding cultural context, testing strategies should be guided by international standards, acknowledging that the variation in economic abilities will be an important driver in implementation and that political aspects should not be ignored

  • The three countries represented in the working group (WG) shared a common cultural heritage but display acutely different economic status - each one representing a different tier of per capita gross national income according to the World Bank and United Nations classification: Portugal, Brazil, and Mozambique[3]. This piece is a result of the sustained activity of the WG, in which different national testing strategies were observed and characterised, including the definitions of confirmed cases, the importance given to different types of tests and the reported testing capacity in the three countries during 2020

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Summary

Introduction

The current coronavirus disease 2019 (COVID-19) pandemic has shed light on the need for coordinated international strategies to prepare and respond effectively to pandemics. The three countries represented in the WG shared a common cultural heritage but display acutely different economic status - each one representing a different tier of per capita gross national income according to the World Bank and United Nations classification: Portugal (high income), Brazil (middle income), and Mozambique (low income)[3] This piece is a result of the sustained activity of the WG, in which different national testing strategies were observed and characterised, including the definitions of confirmed cases, the importance given to different types of tests and the reported testing capacity in the three countries during 2020. Tests that detect SARS-CoV-2 antigens (such as proteins) They can be performed rapidly and at the point of care and may be more accessible with faster results compared to RT-PCR and commonly have high specificity (≤97%). SARS-CoV-2=severe acute respiratory syndrome coronavirus 2, RT-PCR=reverse transcriptase real-time polymerase chain reaction

Conclusion
Findings
World Health Organization
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