TY - JOUR TI - A look into the future of the COVID-19 pandemic in Europe: an expert consultation AU - Iftekhar, Emil Nafis AU - Priesemann, Viola AU - Balling, Rudi AU - Bauer, AU - Simon AU - Beutels, Philippe AU - Valdez, Andre Calero AU - Cuschieri, AU - Sarah AU - Czypionka, Thomas AU - Dumpis, Uga AU - Glaab, Enrico AU - Grill, AU - Eva AU - Hanson, Claudia AU - Hotulainen, Pirta AU - Klimek, Peter and AU - Kretzschmar, Mirjam AU - Kruger, Tyll AU - Krutzinna, Jenny AU - Low, AU - Nicola AU - Machado, Helena AU - Martins, Carlos AU - McKee, Martin and AU - Mohr, Sebastian Bernd AU - Nassehi, Armin AU - Perc, Matjaz AU - Petelos, AU - Elena AU - Pickersgill, Martyn AU - Prainsack, Barbara AU - Rocklov, Joacim AU - and Schernhammer, Eva AU - Staines, Anthony AU - Szczurek, Ewa and AU - Tsiodras, Sotirios AU - Van Gucht, Steven AU - Willeit, Peter JO - LANCET REGIONAL HEALTH-EUROPE PY - 2021 VL - 8 TODO - null SP - null PB - Elsevier SN - null TODO - 10.1016/j.lanepe.2021.100185 TODO - COVID-19; SARS-CoV-2; expert survey; Delphi study; group forecast; non-pharmaceutical interventions; variants of concern; Europe; policy advice TODO - How will the coronavirus disease 2019 (COVID-19) pandemic develop in the coming months and years? Based on an expert survey, we examine key aspects that are likely to influence the COVID-19 pandemic in Europe. The challenges and developments will strongly depend on the progress of national and global vaccination programs, the emergence and spread of variants of concern (VOCs), and public responses to non-pharmaceutical interventions (NPIs). In the short term, many people remain unvaccinated, VOCs continue to emerge and spread, and mobility and population mixing are expected to increase. Therefore, lifting restrictions too much and too early risk another damaging wave. This challenge remains despite the reduced opportunities for transmission given vaccination progress and reduced indoor mixing in summer 2021. In autumn 2021, increased indoor activity might accelerate the spread again, whilst a necessary reintroduction of NPIs might be too slow. The incidence may strongly rise again, possibly filling intensive care units, if vaccination levels are not high enough. A moderate, adaptive level of NPIs will thus remain necessary. These epidemiological aspects combined with economic, social, and health-related consequences provide a more holistic perspective on the future of the COVID-19 pandemic. (c) 2021 The Author(s). Published by Elsevier Ltd. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/) ER -