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Table 1 Research priorities identified at the Long Covid Forum. Framework for identifying research needs from the Long COVID Forum

From: Research priorities for Long Covid: refined through an international multi-stakeholder forum

Research priorities (aligned to the WHO mid-term and long-term research priorities: 2019 novel coronavirus [4])

Identified sub-priority for Long Covid

Populations (multi-country studies needed)

Virus: natural history, transmission and diagnosis

- Identify pathogenesis

- Investigate the impact of chronic and acute co-infections

Hospitalised patients; non-hospitalised patients; clinical diagnosis only, individuals; children; vulnerable communities; resource-constrained populations

Epidemiological studies

- Define the clinical presentations of Long Covid and characterise the burden and spectrum of Long Covid across populations according to clear case definition

- Determine any associations between host genetic factors and Long Covid

Clinical characterisation and management

- Agree case definition and diagnosis

- Establish causality

-Relationship between acute disease and Long Covid development

- Describe underlying mechanisms to identify potential therapeutic targets

- Investigate pathogenesis to explain, e.g. thrombotic tendencies, organ impairment

- Investigate the impact of chronic and acute co-infections and co-morbidities

- Characterise mental health and neurological impacts

Candidate therapeutics R&D

- Investigate antiviral and anti-inflammatory therapeutics and therapeutic timings to prevent Long Covid

- Investigate therapeutics to treat Long Covid symptoms and non-pharmaceutical interventions

Candidate vaccines R&D

- Investigate the impact of COVID-19 vaccination on people with Long Covid

- Investigate whether vaccination prevents Long Covid

- Investigate re-infection in people with Long Covid and impact on vaccine priority list

Social sciences in the outbreak response

- Health systems research on identifying and supporting Long Covid cases (through holistic care)