Birgit Bortoluzzi

 Long Covid - ME/CFS - chronic diseases - Strategies from a 360 perspective


Strategic Moves in a 360° Perspective


The management of complex health risks such as Long COVID, ME/CFS, MCS, and zoonotic threats requires more than medical expertise. It demands a strategic architecture that interlinks global resilience, semantic integrity, and robust communication.

This list of players is not a static model — it is a dynamic playing field where targeted moves are necessary to overcome systemic blind spots and enable global collective solutions.

My selection of “players” is deliberately interdisciplinary, multipolar, and semantically precise. It includes international organizations, space agencies, environmental and health institutions, AI and EO platforms, biobanks, patient networks, indigenous monitoring programs, toxicology experts, micronutrient researchers, database developers, start-ups, and visionary individuals. Each actor represents a strategic move — whether for detection, regulation, prevention, or healing.

I think in terms of sequences of moves, counterstrategies, and synergies — like in a global chess game against the invisible.

This list is not exhaustive. It is a representative excerpt of a global co-construction that demonstrates: no one will succeed alone. The challenges we face — whether natural disasters, biological risks, or digital vulnerability — are far too complex, interconnected, and (highly) dynamic to be solved in isolation. Only through collective intelligence and shared responsibility can a sustainable, technologically precise and resilient global architecture emerge.

I have chosen this 360° approach to systematically capture all relevant aspects and pursue the goal of a strategic “checkmate” against these diseases and risks. It will require many targeted moves — but I am convinced: if we maintain the holistic perspective, we can overcome them together.


Strategische Spielzüge im 360°-Blickwinkel

Die Bewältigung komplexer Gesundheitsrisiken wie Long COVID, ME/CFS, MCS und zoonotischer Bedrohungen erfordert mehr als medizinisches Fachwissen. Sie verlangt eine strategische Architektur, die globale Resilienz, semantische Integrität und belastbare Kommunikation miteinander verknüpft. 

Diese Playerliste ist kein statisches Modell – sie ist ein dynamisches Spielfeld, auf dem gezielte Spielzüge notwendig sind, um systemische Blindstellen zu überwinden und globale kollektive Lösungen zu ermöglichen.

Meine Auswahl an „Spielern“ ist bewusst interdisziplinär, multipolar und semantisch präzise. Sie umfasst internationale Organisationen, Raumfahrtagenturen, Umwelt- und Gesundheitsinstitutionen, KI- und EO-Plattformen, Biobanken, Patientennetzwerke, indigene Monitoring-Programme, toxikologische Expert:innen, Mikronährstoffforscher:innen, Datenbankentwickler:innen, Start-ups und visionäre Einzelpersonen. Jeder Akteur steht für einen strategischen Zug – sei es zur Aufdeckung, Regulierung, Prävention oder Heilung.

Ich denke hierbei in Zugfolgen, Konterstrategien und Synergien – wie in einem globalen Schachspiel gegen Unsichtbares.

Diese Liste ist nicht abschließend. Sie ist ein repräsentativer Ausschnitt einer globalen Ko-Konstruktion, die zeigt: Niemand wird es allein schaffen. Die Herausforderungen, denen wir gegenüberstehen – ob Naturkatastrophen, biologische Risiken oder digitale Verletzlichkeit – sind viel zu komplex, zu vernetzt und zu (hoch)dynamisch, um isoliert gelöst zu werden. Nur durch kollektive Intelligenz und geteilte Verantwortung kann eine tragfähige, technologisch präzise und belastbare globale Resilienzarchitektur entstehen.

Ich habe diesen 360°-Ansatz gewählt, um alle relevanten Aspekte systematisch zu erfassen und das Ziel eines strategischen „Schachmatts“ gegen diese Krankheiten und Risiken zu verfolgen. Es wird viele gezielte Spielzüge brauchen – aber ich bin überzeugt: Wenn wir den ganzheitlichen Blickwinkel beibehalten, können wir es gemeinsam bewältigen.



(M)eine kleine Auswahl von "Spielern" / My small selection of “players” (This list could go on indefinitely)

The enormous global multi-hazard challenges require a coordinated, global effort across disciplines, technologies and geopolitical boundaries. No one can do it alone. The challenges we face — whether in the form of natural disasters, biological risks or digital vulnerability — are too complex, too interconnected, and too dynamic to be solved in isolation.

We must break down disciplinary silos and focus on transversal intelligence — a key principle for managing complex, chronic and zoonotic risks.

  • GRSS Disaster Management & Early Warning Working Group (Ing. Hassan Abouseda / Dr. Siri Jodha Singh Khalsa with Working Group Team)
  • UN-OCHA / WHO / UNO / UNESCO / OECD / UNDRR (UN Office for Disaster Risk Reduction) / UNIDIR (UN Institute for Disarmament Research) / UNEP / World Economic Forum (WEF) / FEMA / IEEE / FAO / WOAH (OIE) / Red Cross / Planet Labs / ESRI Public Health / UN-Habitat / GeoHealth & Urban Health Initiatives, Global Health Security Agenda (GHSA)
  • Only through collective intelligence and shared responsibility can a sustainable, viable, and technologically precise resilience architecture be created: NASA, NASA ARSET, UN-SPIDER, Copernicus/CEMS, Elon Musk & Starlink, Sentinel Hub, OpenEO, Indien & ISRO, China / CNSA & EO-Systeme, Roscosmos, WMO (World Meteorological Organization), GEO (Group on Earth Observations), ITU (International Telecommunication Union), Humanitarian OpenStreetMap Team (HOT), ReliefWeb (UN-OCHA), CEOS (Committee on Earth Observation Satellites), CAREC Institute, ICC (Inuit Circumpolar Council), ISO/TC 211, SERVIR Amazonia, RCMRD (Regional Centre for Mapping of Resources for Development, Nairobi), Pacific Community (SPC), ASEAN Coordinating Centre for Humanitarian Assistance (AHA Centre),  SUPARCO, LAPAN, SANSA, INPE, Digital Earth Africa
  • World Bank / GFDRR (Global Facility for Disaster Reduction and Recovery)
  • ACAPS (Assessment Capacities Project), Global Partnership for AI (GPAI), OECD.AI Observatory, CrisisReady / Harvard & Direct Relief
  • Veterinary Epidemiology Networks (e.g., SAVIR, ISVEE) / EcoHealth Alliance / LSHTM (London School of Hygiene & Tropical Medicine) / Swiss TPH (Tropical and Public Health Institute) / ZALF (Leibniz Centre for Agricultural Landscape Research) / ISME (International Society for Microbial Ecology), African Disaster Mitigation Research Center (ADMiR)
  • GISRS (Global Influenza Surveillance and Response System) 
  • GenBank / NCBI / EMBL-EBI Relevance: Integration of EO with global genomic databases and pathogen tracking / GISAID & GenBank
  • Digital Earth Africa / Asia / Latin America & Global South EO Hubs
  • Indigenous Environmental Monitoring Programs (e.g., Amazon Watch, Arctic Council) / Wildlife Conservation Society (WCS)
  • ERAU / Prof. Alexander Siedschlag
  • Professor CHAN Chun Yong, Eric BSc (Pharm) (Hons), PhD, Singapore – a real pioneering role with its PK Weekly Dose on LinkedIN
  • Prof. Thomas Backhaus conducts research on antibiotic resistance in aquatic ecosystems.
  • Dr. Linfa Wang
  • Dr. Constância Ayres – Oswaldo Cruz Foundation (Fiocruz), Brazil
  • Prof. Marion Koopmans – Erasmus MC, Netherlands
  • Dr. Isabella Eckerle – University Genf, Centre for Emerging Viral Diseases
  • Prof. Xavier Rodó - ICREA Professor & Forscher am Barcelona Institute for Global Health (ISGlobal)
  • Dr. Joëlle Rüegg – Professor of Environmental Toxicology, Uppsala University
  • Dr. Lyle D. Burgoon – Environmental Toxicologist & Strategic Advisor (USA)
  • Prof. Taosheng Chen – Director of the HTB Center, St. Jude Children’s Research Hospital
  • Prof. Beatrice Opeolu
  • Prof. Beatrice Opeolu – Cape Peninsula University of Technology, South Africa
  • Prof. S. Venkata Mohan – Indian Institute of Chemical Technology, Hyderabad
  • Prof. Cui Peng – UNESCO Chair for Mountain Disaster Risk Reduction; Chinese Academy of Sciences
  • Prof. Yang Saini – Executive Director, Integrated Research on Disaster Risk (IRDR); Beijing Normal University
  • Prof. Hao Zhu & Xing Zhu
  • Dr. Kalim Al-Mahmoud – Environment Agency Abu Dhabi (EAD)
  • Dr. Paul S. Roy – International Crops Research Institute / UK Collaborator
  • Prof. Shinsuke Tanabe – Ehime University (Japan)
  • Dr. Ana Bjelic-Radisic – University Hospital Graz
  • Prof. Monica Lopes-Ferreira – Butantan Institute, São Paulo
  • Prof. Carlos Afonso Nogueira – Federal University of Rio de Janeiro (UFRJ)
  • Dr. Adam Saeid Pirasteh
  • Medical Medium (Anthony William) - Many millions of people follow and live by it
  • Dr. Ziyad Al-Aly
  • Prof. Viacheslav Lipatov
  • Dr. Elena A. Grigorieva
  • Dr. Abbas Ostadtaghizadeh
  • Prof. Ali Ardalan (Health system resilience and Sendai Framework implementation in Iran)
  • Prof. S. Venkata Mohan
  • Dr. Belayneh Fentahun Shibesh
  • Prof. Cui Peng
  • Prof. Dawit Kanito
  • Prof. Maya Negev
  • Prof. Bruria Adini
  • Prof. Nadav Davidovitch
  • Prof. Ramesh Ramaswamy (Disaster risk modeling and climate adaptation strategies)
  • Prof. M. Mohapatra – Director General of Meteorology, IMD; cyclone forecasting and early warning systems
  • Mykhaylo Khvesyk & Mariia Ilina (Smart Technologies in Urban Engineering)
  • Dr. Iman Nuwayhid & Rima R. Habib
  • Abdalftah Hamed Ali
  • Yaryna Andrushko (Penn State University, USA)
  • Dr. Tanzeel M. A. Omer, Madani M. Madani, Toga K. Mohamed
  • Tarig Alhaj Rakhy & Hala Abushama
  • Professor David F. Putrino (Long Covid specialist and neuroscientist - Mount Sinai/New York)
  • Dr. William Wallace, Ph.D (LinkedIn/Instagram)
  • YouScript: Kristine Ashcraft – PGX / Personalized Medicine
  • Dr. Amine Zorgani – The Microbiome Mavericks
  • PRECISEU project - Horizon Europe (25 partners from 12 European region)
  • Professor Yohannes Hagos (PortaCellTech)
  • Professor Henk-Jan-Guchelaar
  • Professor Erwin Loh
  • Michael F. Hughes (Supervisory Toxicologist at US Environmental Protection Agency (EPA))
  • Professor Dr. med. Carmen Scheibenbogen (Charité Berlin) / Professor Dr. Uta Behrends (TUM München)
  • Daniel Epstein 
  • Andrew Michaelson
  • Professor Dr. Robert Murphy (Freiburg)
  • Professor Magnus Ingelmann-Sundberg
  • Dr. Shilpa Thakur, Ph.D Medical Nutrition
  • Kent Jones (Multiple sclerosis guerilla and Accessibility advocate)
  • Professor Dr. Hannelore Daniel
  • Chris Methmann, Food Watch / Food Watch France
  • Zeyad Ibrahim
  • Ryan Stoffko (OPP NEURO-SPA's mission)
  • Evonne Fouesnant 
  • Dr. Eric Topol
  • Professor Kevin Kavanagh
  • Dr. Dong Ha Kim, Dongjin Kim & Heewon Kang
  • Prof. Jong-Ju Ahn – Environmental Toxicologist, Korea Occupational Safety & Health Agency; Lessons from Environmental Health Disasters
  • Prof. Huei-Min Tsai & Dr. Yih-Ren Lin – Indigenous Resilience to Disasters in Taiwan and Beyond; Focus on Typhoon Morakot and Indigenous Knowledge Systems
  • Peter Groenen (Biomarker Expert)
  • Miguel Angel Cabrera-Pérez
  • Dr. Maureen Miller (a Columbia University infectious disease epidemiologist and medical anthropologist targeting systems level change)
  • Professor Jianzhong Wang (College of Veterinary Medicine, China Agricultural University)
  • Professor Antonella Bertazzo (Food Chemistry, Nutritional Science - University of Padua)
  • Professor Youssef Daali (University of Geneva: Anesthesiology, Pharmacology, Intensive Care and Emergencies)
  • Professor Ram Shankar Upadhayaya (Uppsala University)
  • Christoph & Philipp Ströck - WE&ME Stiftung - Österreich
  • Janice Goh – Development of coffee simulator
  • Dotan Shaniv (Israel)
  • Dr. Uwe Gröber is one of the leading micronutrient experts in the German-speaking world
  • Cohen Center for Recovery From Complex Chronic Illnesses (Mount Sinai)
  • American Academy of Clinical Toxicology (AACT)
  • Nanotechnology (Institute for Tissue Engineering and Regenerative Medicine, Helmholtz Munich)
  • University College London (Pharmacology and Toxicology)
  • Zhejiang University (China)
  • University of Montreal (Canada)
  • NYSIM a center for simulation education in the health sciences at CUNY & NYU Langone Health
  • CeMM (Wien)
  • NIH - National Institutes of Health
  • FEAM (Brüssel)
  • PAN Germany / Pesticide Action Network
  • FDA / EMA / CPIC / PharmVar, health research, pharmacovigilance, (Specialist) committees / BioBank Graz / Shanghai Zhangjiang Biobank
  • Munich Environmental Institute
  • IBM Watson Health
  • Luoheng Qin, InSilico Medicine
  • Mayo Clinic
  • University of Cambridge
  • Boston Scientific
  • Horizon Lab Company
  • Förderverein OrphanHealthcare (Dr. Frank Grossmann)
  • Disaster management strategies for Long Covid, ME/CFS and MCS
  • Frontiers
  • Solution Group (Beijing) Company
  • Memorial Healthcare system
  • National Healthcare Group
  • Kmch Research Foundation
  • BAYER
  • vfa - research-based pharmaceutical companies
  • MedWatch (FDA / USA)
  • European database of reported adverse reactions / EudraVigilance
  • Software and technology companies, start-ups
  • The many valuable patient organizations and associations, Healthcare providers, pharmacists/Pharmacists' associations, Healthcare providers, pharmacists, biobanks, insurers, health insurance companies, MedSafetyWeek organizers, fellows, investors, angel and venture communities, Environmental physicians, biomedical scientists
  • Pharmaceutical and vaccine manufacturers and developers (From A for AbbVie to V for ViiV Healthcare GmbH), MedTech Pharma
  • Educational institutions, lawyers, authorities, security forces, inistries
  • all international environmental organizations/institutions 

AND EVERY ONE OF US

Wollen Sie mehr über meine Ökosysteme "Personalisierte Medizin und PGx" im 360-Blick-Winkel erfahren? Would you like to find out more about my “Personalized Medicine and PGx” ecosystems from a 360° perspective?

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