《LANCET,4月2日,A risk-based approach is best for decision making on holding mass gathering events》

  • 来源专题:COVID-19科研动态监测
  • 编译者: zhangmin
  • 发布时间:2020-04-03
  • A risk-based approach is best for decision making on holding mass gathering events

    Brian McCloskey

    Alimuddin Zumla

    Poh Lian Lim

    Tina Endericks

    Paul Arbon

    Anita Cicero

    et al.

    Published:April 02, 2020DOI:https://doi.org/10.1016/S0140-6736(20)30794-7

    Memish and colleagues,1 in their response to our Comment,2 perceive conflict between the current best-practice risk management advice on physical distancing and the scientific evaluation of cancelling or continuing mass gathering events during the coronavirus disease 2019 (COVID-19) pandemic. Although we have already acknowledged the need to balance these two considerations in order to maintain public understanding and trust, we do not accept that conflict is inevitable as our approach requires all mass gatherings to be considered in context, including the prevailing advice on physical distancing and movement restrictions.

  • 原文来源:https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(20)30794-7/fulltext
相关报告
  • 《Nature,3月19日,Mass gathering events and reducing further global spread of COVID-19: a political and public health dilemma》

    • 来源专题:COVID-19科研动态监测
    • 编译者:zhangmin
    • 发布时间:2020-03-20
    • The coronavirus disease 2019 (COVID-19) pandemic presents countries with major political, scientific, and public health challenges. Pandemic preparedness and reducing risk of global spread of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) are key concerns. Mass gathering (MG) events2 pose considerable public health challenges to health authorities and governments. Historically, sporting, religious, music, and other MGs have been the source of infectious diseases that have spread globally. However, the scale of the problem has declined over the years as better public health measures have been implemented at MGs in response to the World Health Assembly’s endorsement on Dec 22, 2011, of the 130th Executive Board Decision “Global mass gatherings: implications and opportunities for global health security” that encompassed joint planning, enhancement of health infrastructures, and taking proper pre-emptive and preventive measures to control infectious diseases on an international scale.
  • 《MedRixv,2月4日,Estimating the risk on outbreak spreading of 2019-nCoV in China using transportation data》

    • 来源专题:COVID-19科研动态监测
    • 编译者:zhangmin
    • 发布时间:2020-02-05
    • Estimating the risk on outbreak spreading of 2019-nCoV in China using transportation data Hsiang-Yu Yuan, M. Pear Hossain, Mesfin Mengesha Tsegaye, Xiaolin Zhu, Pengfei Jia, Tzai-Hung Wen, Dirk Pfeiffer doi: https://doi.org/10.1101/2020.02.01.20019984 Abstract A novel corona virus (2019-nCoV) was identified in Wuhan, China and has been causing an unprecedented outbreak in China. The spread of this novel virus can eventually become an international emergency. During the early outbreak phase in Wuhan, one of the most important public health tasks is to prevent the spread of the virus to other cities. Therefore, full-scale border control measures to prevent the spread of virus have been discussed in many nearby countries. At the same time, lockdown in Wuhan cityu (border control from leaving out) has been imposed. The challenge is that many people have traveled from Wuhan to other cities before the border control. Thus, it is difficult to forecast the number of imported cases at different cities and estimate their risk on outbreak emergence. Here, we have developed a mathematical framework incorporating city-to-city connections to calculate the number of imported cases of the novel virus from an outbreak source, and the cumulative number of secondary cases generated by the imported cases. We used this number to estimate the arrival time of outbreak emergence using air travel frequency data from Wuhan to other cities, collected from the International Air Transport Association database. In addition, a meta-population compartmental model was built based on a classical SIR approach to simulate outbreaks at different cities. We consider the scenarios under three basic reproductive number settings using the best knowledge of the current findings, from high (2.92), mild (1.68), to a much lower numbers (1.4). The mean arrival time of outbreak spreading has been determined. Under the high , the critical time is 17.9 days after December 31, 2019 for outbreak spreading. Under the low , the critical time is between day 26.2 to day 35 after December 31, 2019. To make an extra 30 days gain, under the low (1.4), the control measures have to reduce 87% of the connections between the source and target cities. Under the higher (2.92), the effect on reducing the chance of outbreak emergence is generally low until the border control measure was enhanced to reduce more than 95% of the connections. *注,本文为预印本论文手稿,是未经同行评审的初步报告,其观点仅供科研同行交流,并不是结论性内容,请使用者谨慎使用.