Trade-off Between Quarantine Length and Compliance to Optimize COVID-19 Control.
Epidemiology
; 34(4): 589-600, 2023 07 01.
Artigo
em Inglês
| MEDLINE | ID: covidwho-20245451
ABSTRACT
BACKGROUND:
Guidance on COVID-19 quarantine duration is often based on the maximum observed incubation periods assuming perfect compliance. However, the impact of longer quarantines may be subject to diminishing returns; the largest benefits of quarantine occur over the first few days. Additionally, the financial and psychological burdens of quarantine may motivate increases in noncompliance behavior.METHODS:
We use a deterministic transmission model to identify the optimal length of quarantine to minimize transmission. We modeled the relation between noncompliance behavior and disease risk using a time-varying function of leaving quarantine based on studies from the literature.RESULTS:
The first few days in quarantine were more crucial to control the spread of COVID-19; even when compliance is high, a 10-day quarantine was as effective in lowering transmission as a 14-day quarantine; under certain noncompliance scenarios a 5-day quarantine may become nearly protective as 14-day quarantine.CONCLUSION:
Data to characterize compliance dynamics will help select optimal quarantine strategies that balance the trade-offs between social forces governing behavior and transmission dynamics.
Texto completo:
Disponível
Coleções:
Bases de dados internacionais
Base de dados:
MEDLINE
Assunto principal:
Quarentena
/
COVID-19
Tipo de estudo:
Estudo prognóstico
/
Pesquisa qualitativa
Limite:
Humanos
Idioma:
Inglês
Revista:
Epidemiology
Assunto da revista:
Epidemiologia
Ano de publicação:
2023
Tipo de documento:
Artigo
País de afiliação:
EDE.0000000000001619
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