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就地避难令降低了 COVID-19 死亡率,并降低了住院增长率。

Shelter-In-Place Orders Reduced COVID-19 Mortality And Reduced The Rate Of Growth In Hospitalizations.

机构信息

Wei Lyu is a research associate in the Department of Health Management and Policy, College of Public Health, University of Iowa, in Iowa City, Iowa.

George L. Wehby (

出版信息

Health Aff (Millwood). 2020 Sep;39(9):1615-1623. doi: 10.1377/hlthaff.2020.00719. Epub 2020 Jul 9.

Abstract

Most states enacted shelter-in-place orders when mitigating the coronavirus disease 2019 (COVID-19) pandemic. Emerging evidence indicates that these orders have reduced COVID-19 cases. Using data starting at different dates in March and going through May 15, 2020, we examined the effects of shelter-in-place orders on daily growth rates of both COVID-19 deaths and hospitalizations, using event study models. We found that shelter-in-place orders reduced both the daily mortality growth rate nearly three weeks after their enactment and the daily growth rate of hospitalizations two weeks after their enactment. After forty-two days from enactment, the daily mortality growth rate declined by up to 6.1 percentage points. Projections suggest that as many as 250,000-370,000 deaths were possibly averted by May 15 in the forty-two states plus Washington, D.C., that had statewide shelter-in-place orders. The daily hospitalization growth rate examined in nineteen states with shelter-in-place orders and three states without them that had data on hospitalizations declined by up to 8.4 percentage points after forty-two days. This evidence suggests that shelter-in-place orders have been effective in reducing the daily growth rates of COVID-19 deaths and hospitalizations.

摘要

大多数州在缓解 2019 年冠状病毒病(COVID-19)大流行时颁布了就地避难令。新出现的证据表明,这些命令减少了 COVID-19 病例。使用从 2020 年 3 月开始的不同日期的数据,并持续到 5 月 15 日,我们使用事件研究模型研究了就地避难令对 COVID-19 死亡和住院人数的每日增长率的影响。我们发现,就地避难令颁布后近三周,每日死亡率增长率下降了近 3 个百分点,颁布后两周,住院人数的日增长率下降了 2 个百分点。从颁布之日起 42 天后,每日死亡率增长率下降了 6.1 个百分点。预测显示,截至 5 月 15 日,在实施全州范围的就地避难令的 42 个州加上华盛顿特区,可能避免了多达 25 万至 37 万人死亡。在 19 个实施了就地避难令的州和 3 个没有实施但有住院数据的州,在 42 天后,住院人数的每日增长率下降了 8.4 个百分点。这一证据表明,就地避难令在减少 COVID-19 死亡和住院人数的每日增长率方面是有效的。

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