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What is required to prevent a second major outbreak of the novel coronavirus SARS-CoV-2 upon lifting the metropolitan-wide quarantine of Wuhan city, China
Lei Zhang; Mingwang Shen; Xiaomeng Ma; Shu Su; Wenfeng Gong; Jing Wang; Yusha Tao; Zhuoru Zou; Rui Zhao; Joseph Lau; Wei Li; Feng Liu; Kai Ye; Youfa Wang; Guihua Zhuang; Christopher K Fairley.
  • Lei Zhang; Xi'an Jiaotong University
  • Mingwang Shen; Xi'an Jiaotong University
  • Xiaomeng Ma; University of Toronto
  • Shu Su; Xi'an Jiaotong University
  • Wenfeng Gong; Bill and Melinda Gates Foundation
  • Jing Wang; Xi'an Jiaotong University
  • Yusha Tao; Monash University
  • Zhuoru Zou; Xi'an Jiaotong University
  • Rui Zhao; Xi'an Jiaotong University
  • Joseph Lau; The Chinese University of Hong Kong
  • Wei Li; Southeast University
  • Feng Liu; 10. Shaanxi Provincial Center for Disease Control and Prevention
  • Kai Ye; Xi'an Jiaotong University
  • Youfa Wang; Xi'an Jiaotong University
  • Guihua Zhuang; Xi'an Jiaotong University
  • Christopher K Fairley; Monash University
Preprint Dans Anglais | medRxiv | ID: ppmedrxiv-20042374
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BackgroundThe Chinese government implemented a metropolitan-wide quarantine of Wuhan city on 23rd January 2020 to curb the epidemic of the coronavirus COVID-19. Lifting of this quarantine is imminent. We modelled the effects of two key health interventions on the epidemic when the quarantine is lifted. MethodWe constructed a compartmental dynamic model to forecast the trend of the COVID-19 epidemic at different quarantine lifting dates and investigated the impact of different rates of public contact and facial mask usage on the epidemic. ResultsWe estimated that at the end of the epidemic, a total of 65,572 (46,156-95,264) individuals would be infected by the virus, among which 16,144 (14,422-23,447, 24.6%) would be infected through public contacts, 45,795 (32,390-66,395, 69.7%) through household contact, 3,633 (2,344-5,865, 5.5%) through hospital contacts (including 783 (553-1,134) non-COVID-19 patients and 2,850 (1,801-4,981) medical staff members). A total of 3,262 (1,592-6,470) would die of COVID-19 related pneumonia in Wuhan. For an early lifting date (21st March), facial mask needed to be sustained at a relatively high rate ([≥]85%) if public contacts were to recover to 100% of the pre-quarantine level. In contrast, lifting the quarantine on 18th April allowed public person-to-person contact adjusted back to the pre-quarantine level with a substantially lower level of facial mask usage (75%). However, a low facial mask usage (<50%) combined with an increased public contact (>100%) would always lead a significant second outbreak in most quarantine lifting scenarios. Lifting the quarantine on 25th April would ensure a smooth decline of the epidemics regardless of the combinations of public contact rates and facial mask usage. ConclusionThe prevention of a second epidemic is viable after the metropolitan-wide quarantine is lifted but requires a sustaining high facial mask usage and a low public contact rate.
Texte intégral: Disponible Collection: Preprints Base de données: medRxiv langue: Anglais Année: 2020 Type de document: Preprint

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Texte intégral: Disponible Collection: Preprints Base de données: medRxiv langue: Anglais Année: 2020 Type de document: Preprint