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严格封控政策对 COVID-19 大流行危机的影响:应对下一次大流行影响的经验教训。

Effects of strict containment policies on COVID-19 pandemic crisis: lessons to cope with next pandemic impacts.

机构信息

CNR-National Research Council of Italy, Collegio Carlo Alberto, Via Real Collegio, 30, Moncalieri, 10024, Turin, Italy.

出版信息

Environ Sci Pollut Res Int. 2023 Jan;30(1):2020-2028. doi: 10.1007/s11356-022-22024-w. Epub 2022 Aug 4.

Abstract

The goal of the study here is to analyze and assess whether strict containment policies to cope with Coronavirus Disease 2019 (COVID-19) pandemic crisis are effective interventions to reduce high numbers of infections and deaths. A homogenous sample of 31 countries is categorized in two sets: countries with high or low strictness of public policy to cope with COVID-19 pandemic crisis. The findings here suggest that countries with a low intensity of strictness have average confirmed cases and fatality rates related to COVID-19 lower than countries with high strictness in containment policies (confirmed cases are 24.69% vs. 26.06% and fatality rates are 74.33% vs. 76.38%, respectively, in countries with low and high strictness of COVID-19 public policies of containment). What this study adds is that high levels of strict restriction policies may not be useful measures of control in containing the spread and negative impact of pandemics similar to COVID-19 and additionally a high strictness in containment policies generates substantial social and economic costs. These findings can be explained with manifold socioeconomic and environmental factors that support transmission dynamics and circulation of COVID-19 pandemic. Hence, high levels of strictness in public policy (and also a high share of administering new vaccines) seem to have low effectiveness to stop pandemics similar to COVID-19 driven by mutant viral agents. These results here suggest that the design of effective health policies for prevention and preparedness of future pandemics should be underpinned in a good governance of countries and adoption of new technology, rather than strict and generalized health polices having ambiguous effects of containment in society.

摘要

本研究旨在分析和评估严格控制新冠病毒(COVID-19)大流行危机的政策是否是减少大量感染和死亡的有效干预措施。对 31 个国家的同质样本进行了分类,分为两组:应对 COVID-19 大流行危机的公共政策严格程度高或低的国家。研究结果表明,在应对 COVID-19 大流行的公共政策严格程度较低的国家,其确诊病例和死亡率均低于政策严格程度较高的国家(确诊病例分别为 24.69%和 26.06%,死亡率分别为 74.33%和 76.38%)。本研究的新发现是,高水平的严格限制政策可能不是控制类似 COVID-19 的大流行传播和负面影响的有用措施,此外,严格的控制政策会产生巨大的社会和经济成本。这些发现可以用多种社会经济和环境因素来解释,这些因素支持了 COVID-19 大流行的传播动态和循环。因此,公共政策的严格程度较高(以及新疫苗接种比例较高)似乎对阻止类似 COVID-19 的由突变病毒驱动的大流行效果不佳。这些结果表明,为预防和准备未来的大流行而制定有效的卫生政策,应该建立在国家良好治理和采用新技术的基础上,而不是严格和普遍的卫生政策对社会的遏制效果不明确。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/103b/9813140/6d7f755aabb0/11356_2022_22024_Fig1_HTML.jpg

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