IRD, Sorbonne Université, UMMISCO, F-93143, Bondy, France.
MIVEGEC, IRD, CNRS, Université Montpellier, Montpellier, France; NGO PIVOT, Ranomafana, Madagascar.
Epidemics. 2020 Dec;33:100424. doi: 10.1016/j.epidem.2020.100424. Epub 2020 Nov 24.
Due to the COVID-19 pandemic, many countries have implemented a complete lockdown of their population that may not be sustainable for long. To identify the best strategy to replace this full lockdown, sophisticated models that rely on mobility data have been developed. In this study, using the example of France as a case-study, we develop a simple model considering contacts between age classes to derive the general impact of partial lockdown strategies targeted at specific age groups. We found that epidemic suppression can only be achieved by targeting isolation of young and middle age groups with high efficiency. All other strategies tested result in a flatter epidemic curve, with outcomes in (e.g. mortality and health system over-capacity) dependent of the age groups targeted and the isolation efficiency. Targeting only the elderly can decrease the expected mortality burden, but in proportions lower than more integrative strategies involving several age groups. While not aiming to provide quantitative forecasts, our study shows the benefits and constraints of different partial lockdown strategies, which could help guide decision-making.
由于 COVID-19 大流行,许多国家已经对其民众实施了全面封锁,而这种封锁可能无法长期持续。为了确定可替代全面封锁的最佳策略,人们开发了依赖移动数据的复杂模型。在本研究中,我们以法国为例进行了研究,开发了一个简单的模型,考虑了年龄组之间的接触,以得出针对特定年龄组的部分封锁策略的一般影响。我们发现,只有通过高效隔离年轻和中年群体,才能实现疫情的抑制。我们测试的所有其他策略都会导致疫情曲线变得平缓,其结果(例如死亡率和医疗系统超量使用)取决于目标年龄组和隔离效率。仅针对老年人进行隔离虽然可以降低预期的死亡负担,但比例低于涉及多个年龄组的更综合的策略。虽然本研究并不旨在提供定量预测,但它展示了不同部分封锁策略的优势和限制,这可能有助于指导决策。