D'angelo Daniela, Sinopoli Alessandra, Napoletano Antonello, Gianola Silvia, Castellini Greta, Del Monaco Andrea, Fauci Alice Josephine, Latina Roberto, Iacorossi Laura, Salomone Katia, Coclite Daniela, Iannone Primiano
Centro Eccellenza Clinica, Qualità e Sicurezza delle Cure, Istituto Superiore di Sanità, Rome, Italy.
Department of Prevention, Local Health Unit Roma 1, Rome, Italy.
Saf Sci. 2021 Feb;134:105067. doi: 10.1016/j.ssci.2020.105067. Epub 2020 Oct 31.
In an attempt to curb the COVID-19 pandemic, several countries have implemented various social restrictions, such as closing schools and asking people to work from home. Nevertheless, after months of strict quarantine, a reopening of society is required. Many countries are planning exit strategies to progressively lift the lockdown without leading to an increase in the number of COVID-19 cases. Identifying exit strategies for a safe reopening of schools and places of work is critical in informing decision-makers on the management of the COVID-19 health crisis. This scoping review describes multiple population-wide strategies, including social distancing, testing, and contact tracing. It highlights how each strategy needs to be based on both the epidemiological situation and contextualize at local circumstances to anticipate the possibility of COVID-19 resurgence. However, the retrieved evidence lacks operational solutions and are mainly based on mathematical models and derived from grey literature. There is a need to report the impact of the implementation of country-tailored strategies and assess their effectiveness through high-quality experimental studies.
为了遏制新冠疫情，一些国家实施了各种社会限制措施，如关闭学校和要求人们居家办公。然而，经过数月的严格隔离后，社会需要重新开放。许多国家正在制定退出策略，以便逐步解除封锁，同时又不会导致新冠病例数量增加。确定安全重新开放学校和工作场所的退出策略对于为决策者提供有关新冠健康危机管理的信息至关重要。本范围综述描述了多种全人群策略，包括社交距离、检测和接触者追踪。它强调了每种策略如何需要基于流行病学情况并结合当地情况进行情境化，以预测新冠疫情卷土重来的可能性。然而，检索到的证据缺乏实际操作解决方案，主要基于数学模型且来源于灰色文献。有必要报告量身定制的国家策略的实施影响，并通过高质量的实验研究评估其有效性。
