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短期严格的封锁措施阻止了 SARS-CoV-2 在丹麦各城市的传播。

Short, stringent lockdowns halted SARS-CoV-2 transmissions in Danish municipalities.

机构信息

Interdisciplinary Centre on Population Dynamics, University of Southern Denmark, Odense, Denmark.

出版信息

Sci Rep. 2024 Aug 12;14(1):18712. doi: 10.1038/s41598-024-68929-z.

Abstract

In late 2020, the focus of the global effort against the COVID-19 pandemic centered around the development of a vaccine, when reports of a mutated SARS-CoV-2 virus variant in a population of 17 million farmed mink came from Denmark, threatening to jeopardize this effort. Spillover infections of the new variant between mink and humans were feared to threaten the efficacy of upcoming vaccines. In this study the ensuing short-lived yet stringent lockdowns imposed in 7 of the countries 98 municipalities are analysed for their effectiveness to reduce SARS-CoV-2 infections. Synthetic counterfactuals are created for each of these municipalities using a weighted average combination of the remaining municipalities not targeted by the stringent measures. This allows for a clear overview regarding the development of test-positivity rates, citizen mobility behaviours and lastly daily infection numbers in response to the restrictions. The findings show that these targeted, short-term lockdowns significantly curtailed further infections, demonstrating a marked decrease, first in citizens mobility and then in daily cases when compared to their synthetic counterfactuals. Overall, the estimates indicate average reductions to infection numbers to be around 31%. This study underscores the potential of strict, yet severe lockdowns in breaking ongoing infection dynamics, by utilising a rare quasi-experimental design case that avoids bias introduced through treatment selection.

摘要

2020 年末,全球对抗 COVID-19 大流行的重点集中在疫苗的开发上,当时丹麦报告了 1700 万养殖水貂群体中一种 SARS-CoV-2 病毒变异株,这威胁到了这一努力。人们担心新变异株在水貂和人类之间的溢出感染会威胁到即将推出的疫苗的效果。在这项研究中,分析了随后在 98 个市的 7 个国家实施的短暂而严格的封锁措施,以评估其减少 SARS-CoV-2 感染的效果。对于这些每个城市,使用加权平均组合来创建剩余不受严格措施影响的城市的合成反事实,以创建每个城市的合成反事实。这使得可以清楚地了解测试阳性率、公民流动性行为以及最后是针对限制措施的每日感染人数的发展情况。研究结果表明,这些有针对性的短期封锁显著减少了进一步的感染,与合成反事实相比,首先是在公民流动性方面,然后是在每日病例方面,都显示出显著下降。总体而言,估计表明感染数量的平均减少约为 31%。这项研究利用了一种罕见的准实验设计案例,避免了通过治疗选择引入的偏差,强调了严格但严重的封锁在打破持续感染动态方面的潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/43a5/11319722/b70bff25ce4b/41598_2024_68929_Fig1_HTML.jpg

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