Smycka Jan, Levinsky Rene, Hromadkova Eva, Soltes Michal, Slerka Josef, Tucek Vit, Trnka Jan, Smid Martin, Zajicek Milan, Diviak Tomas, Neruda Roman, Vidnerova Petra, Berec Ludek
medRxiv. 2021 Feb 16:2020.11.06.20227330. doi: 10.1101/2020.11.06.20227330.
Running across the globe for more than a year, the COVID-19 pandemic keeps demonstrating its strength. Despite a lot of understanding, uncertainty regarding the efficiency of interventions still persists. We developed an age-structured epidemic model parameterized with sociological data for the Czech Republic and found that (1) delaying the spring 2020 lockdown by four days produced twice as many confirmed cases by the end of the lockdown period, (2) personal protective measures such as face masks appear more effective than just a reduction of social contacts, (3) only sheltering the elderly is by no means effective, and (4) leaving schools open is a risky strategy. Despite the onset of vaccination, an evidence-based choice and timing of non-pharmaceutical interventions still remains the most important weapon against the COVID-19 pandemic.
新冠疫情已在全球肆虐一年多,仍在持续展现其影响力。尽管人们对此有诸多了解,但干预措施的效果仍存在不确定性。我们利用捷克共和国的社会学数据,建立了一个按年龄分层的疫情模型,结果发现:(1)2020年春季封锁措施推迟四天,在封锁期结束时确诊病例数会增加一倍;(2)诸如佩戴口罩等个人防护措施似乎比单纯减少社交接触更有效;(3)仅对老年人进行隔离效果不佳;(4)让学校继续开放是一项冒险策略。尽管疫苗已经开始接种,但基于证据选择非药物干预措施的时机,仍然是抗击新冠疫情最重要的武器。