"Russia and China have created and amplified disinformation and propaganda about COVID-19 worldwide to sow distrust and confusion and to reduce social cohesion among targeted audiences. The United States government, the European Union, and multinational organizations have developed a series of interventions in response. These include exposing disinformation, providing credible and authoritative public health information, imposing sanctions, investing in democratic resilience measures, setting up COVID-19 disinformation task forces, addressing disinformation through regulatory measures, countering emerging threat narratives from Russia and China, and addressing the vulnerabilities in the information and media environment. Digital platforms, including Twitter, Meta, YouTube, and TikTok, have stepped up to counter COVID-19 disinformation and misinformation via policy procedures, takedowns of inauthentic content, addition of new product features, and partner with civil society and multinational organizations to provide credible and reliable information to global audiences. In addition, digital platforms are addressing COVID-19-related disinformation and misinformation stemming from a variety of state and non-state actors, including China and Russia. Several of these initiatives have proven to be effective, including cross-sectoral collaboration to facilitate identification of the threat; enforcement actions between civil society, governments, and digital platforms; and investment in resilience mechanisms, including media literacy and online games to address disinformation. Despite some meaningful progress, gaps in countering COVID-19 disinformation and propaganda stemming from Russia and China and unintentional misinformation spread by everyday citizens still exist. Closing these gaps will require gaining a deeper understanding of how adversaries think; aligning and refining transatlantic regulatory approaches; building coordination and whole-of- society information-sharing mechanisms; expanding the use of sanctions to counter disinformation; localizing and contextualizing programs and technological solutions; strengthening societal resilience through media, digital literacy, and by addressing digital authoritarianism; and building and rebuilding trust in democratic institutions." (Executive summary)