State Key Laboratory for Diagnosis and Treatment of Infectious Diseases, Department of Infectious Diseases, National Clinical Research Center for Infectious Diseases, Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, China.
Department of Gastroenterology, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, China.
Front Public Health. 2021 Jul 2;9:650672. doi: 10.3389/fpubh.2021.650672. eCollection 2021.
Reemergent local outbreaks of coronavirus disease 2019 (COVID-19) have occurred in China, yet few Chinese response strategies and its evaluation have been reported. This study presents a preliminary assessment of Chinese strategy in controlling reemergent local outbreaks of COVID-19. Time course of accumulative and daily new cases and time-varying reproductive numbers (Rt) of outbreak areas were presented. The asymptomatic rate, days required to control the outbreaks, seeding time (ST), and doubling time (DT) of areas with over 96 reemergent cases were calculated. National and local year-on-year growth rates of gross domestic product (GDP) were presented. Accumulative numbers of 30, 8, 11, 430, 15, 139, 1,067, 382, 42, and 94 confirmed reemergent COVID-19 cases were diagnosed in Hulun Buir, Shanghai, Tianjin, Kashgar, Qingdao, Dalian, Urumchi, Beijing, Jilin, and Harbin, respectively. Among them, maximum rate of asymptomatic infections was 81.9%. Time required to control the local outbreaks in the areas given above varied from 29 to 51 days. After activation of outbreak responses, the late-stage DTs of Kashgar, Urumchi, Beijing, and Dalian were apparently lengthened compared to the early-stage DTs. Although the year-on-year GDP growth rate of Urumchi was slightly affected, the GDP growth rate of Dalian, Beijing, Jilin, and Harbin kept rising during the reemergence. Moreover, the year-on-year GDP growth rate of Mainland China turned positive regardless of the reemergent local outbreaks. In general, the Chinese strategy to maintain the status of no or minimal transmission was effective in balancing the control of COVID-19 reemergent local outbreak and the recovery of economy.
中国已出现 2019 冠状病毒病(COVID-19)局部疫情复燃,但有关中国应对策略及其效果评价的报道较少。本研究初步评估了中国控制 COVID-19 局部疫情复燃的策略。呈现了疫情地区累计和每日新增病例的时间进程和时变繁殖数(Rt)。计算了 96 例以上复发病例地区的无症状率、控制疫情所需天数、播种时间(ST)和倍增时间(DT)。呈现了全国和地方 GDP 的年度同比增长率。在呼伦贝尔、上海、天津、喀什、青岛、大连、乌鲁木齐、北京、吉林和哈尔滨,分别确诊了 30、8、11、430、15、139、1、067、382、42 和 94 例确诊的 COVID-19 复发病例。其中,无症状感染的最高比例为 81.9%。上述地区控制疫情所需的时间从 29 天到 51 天不等。在疫情响应启动后,喀什、乌鲁木齐、北京和大连的后期 DT 明显长于早期 DT。虽然乌鲁木齐的 GDP 年度同比增长率略有下降,但复发病例期间大连、北京、吉林和哈尔滨的 GDP 增长率持续上升。此外,无论是否出现局部疫情复燃,中国大陆的 GDP 年度同比增长率均转为正值。总体而言,中国维持无或低传播状态的策略在平衡 COVID-19 局部疫情复燃的控制和经济复苏方面是有效的。