WorldPop, School of Geography and Environmental Science, University of Southampton, Southampton, UK.
School of Public Health, Fudan University, Key Laboratory of Public Health Safety, Ministry of Education, Shanghai, China.
Nature. 2020 Sep;585(7825):410-413. doi: 10.1038/s41586-020-2293-x. Epub 2020 May 4.
On 11 March 2020, the World Health Organization (WHO) declared coronavirus disease 2019 (COVID-19) a pandemic. The strategies based on non-pharmaceutical interventions that were used to contain the outbreak in China appear to be effective, but quantitative research is still needed to assess the efficacy of non-pharmaceutical interventions and their timings. Here, using epidemiological data on COVID-19 and anonymized data on human movement, we develop a modelling framework that uses daily travel networks to simulate different outbreak and intervention scenarios across China. We estimate that there were a total of 114,325 cases of COVID-19 (interquartile range 76,776-164,576) in mainland China as of 29 February 2020. Without non-pharmaceutical interventions, we predict that the number of cases would have been 67-fold higher (interquartile range 44-94-fold) by 29 February 2020, and we find that the effectiveness of different interventions varied. We estimate that early detection and isolation of cases prevented more infections than did travel restrictions and contact reductions, but that a combination of non-pharmaceutical interventions achieved the strongest and most rapid effect. According to our model, the lifting of travel restrictions from 17 February 2020 does not lead to an increase in cases across China if social distancing interventions can be maintained, even at a limited level of an on average 25% reduction in contact between individuals that continues until late April. These findings improve our understanding of the effects of non-pharmaceutical interventions on COVID-19, and will inform response efforts across the world.
2020 年 3 月 11 日,世界卫生组织(WHO)宣布 2019 年冠状病毒病(COVID-19)为大流行。中国用来控制疫情爆发的非药物干预策略似乎是有效的,但仍需要定量研究来评估非药物干预措施及其时机的效果。在这里,我们使用 COVID-19 的流行病学数据和匿名的人类活动数据,开发了一个建模框架,该框架使用每日旅行网络来模拟中国各地不同的疫情爆发和干预情景。我们估计,截至 2020 年 2 月 29 日,中国大陆共有 114325 例 COVID-19 病例(四分位距 76776-164576)。如果没有非药物干预,我们预测到 2020 年 2 月 29 日,病例数将增加 67 倍(四分位距 44-94 倍),并且我们发现不同干预措施的效果有所不同。我们估计,早期发现和隔离病例比旅行限制和减少接触更能阻止感染,但非药物干预措施的组合能实现最强和最快的效果。根据我们的模型,如果可以保持社交距离干预措施,即使在个人接触减少 25%的有限水平上持续到 4 月底,那么从 2020 年 2 月 17 日起取消旅行限制不会导致中国各地病例增加。这些发现提高了我们对非药物干预措施对 COVID-19 影响的理解,并将为全球的应对工作提供信息。
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