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Ethical review systems need to build on their experiences of COVID-19 research to enhance their preparedness for future pandemics. Recommendations from representatives from over twenty countries include: improving relationships across the research ecosystem; demonstrating willingness to reform and adapt systems and processes; and making the case robustly for better resourcing.

Original publication




Journal article


BMC Med Ethics

Publication Date





Ethical preparedness; research ethics; ethical review; rapid review; COVID-19; infectious disease outbreaks; low- and middle-income countries, Humans, Emergencies, Ecosystem, COVID-19, Ethical Review