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Publicaciones científicas sobre COVID-19 para descargar: abordaje, combate, contención, tech (casos China-Taiwán)

Compartimos aquí desde PIA una serie de papers publicados recientemente en revistas científicas de primer nivel, muchos de ellos producidos desde China respecto de la situación de pandemia COVID-19

The outbreak of COVID-19. An overview

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Journal of the Chinese Medical Association: March 2020 – Volume 83 – Issue 3 – p 217-220

Wu, Yi-Chia; Chen, Ching-Sunga; Chan, Yu-Jiun

doi: 10.1097/JCMA.0000000000000270


China’s local governments are combating COVID-19 with unprecedented responses —- from a Wenzhou governance perspective

Fanghua Gong, Yong Xiong , Jian Xiao, Li Lin, Xiaodong Liu, Dezhong Wang, Xiaokun Li

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https://doi.org/10.1007/s11684-020-0755-z

Abstract

The COVID-19 caused by a novel strain of coronavirus has been spreading rapidly since its onset in Wuhan, the capital city of central China’s Hubei Province, in December 2019. It is highly communicable through human-to-human transmission. China has been making unprecedented efforts in treating the confirmed cases, identifying and isolating their close contacts and suspected cases to control the source of infection and cut the route of transmission. China’s devotion in handling this epidemic has effectively and efficiently curbed communication domestically and across the border. Representative measures adopted by Wenzhou, the worst hit city out of Hubei Province, are examined to elucidate those massive undertakings with the aim of enhancing international understanding and building global rapport in fighting this evolving epidemic situation.

Received February 12, 2020; accepted February 13, 2020

Frontiers of Medicine (2020)


Response to COVID-19 in TaiwanBig Data Analytics, New Technology, and Proactive Testing

Por C. Jason Wang, MD, PhD1,2; Chun Y. Ng, MBA, MPH2; Robert H. Brook, MD, ScD3,4

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PUBLICADO EN © 2020 American Medical Association.

FRAGMENTO:

Given the continual spread of COVID-19 around the world, understanding the action items that were implemented quickly in Taiwan and assessing the effectiveness of these actions in preventing a large-scale epidemic may be instructive for other countries. (…)
Conclusions

Taiwan’s government learned from its 2003 SARS experience and established a public health response mechanism for enabling rapid actions for the next crisis. Well-trained and experienced teams of officials were quick to recognize the crisis and activated emergency management structures to address the emerging outbreak.

In a crisis, governments often make difficult decisions under uncertainty and time constraints. These decisions must be both culturally appropriate and sensitive to the population. Through early recognition of the crisis, daily briefings to the public, and simple health messaging, the government was able to reassure the public by delivering timely, accurate, and transparent information regarding the evolving epidemic. Taiwan is an example of how a society can respond quickly to a crisis and protect the interests of its citizens.”


COVID-19 control in China during mass population movements at New Year
Simiao Chen, Juntao Yang, Weizhong Yang, Chen Wang, Till Bärnighausen
Published:February 24, 2020DOI:https://doi.org/10.1016/S0140-6736(20)30421-9
FRAGMENTO:
“About 5 million people left Wuhan, the capital city of Hubei province and epicentre of the COVID-19 epidemic, before the start of the travel ban on Jan 23, 2020. About a third of those individuals travelled to locations outside of Hubei province. Limiting the social contacts of these individuals was crucial for COVID-19 control, because patients with no or mild symptoms can spread the virus.”
“Government policies enacted during the Chinese Lunar New Year holiday are likely to have helped reduce the spread of the virus by decreasing contact and increasing physical distance between those who have COVID-19 and those who do not.”
“As for COVID-19 in China, this combination of an outbreak-control closure period for social distancing and a range of accompanying epidemic control measures seems to have prevented new infections, especially in provinces other than Hubei, where new infections have been declining for more than 2 weeks. As fearsome and consequential as the COVID-19 outbreak has been, China’s vigorous, multifaceted response is likely to have prevented a far worse situation.”

 


The effectiveness of quarantine and isolation determine the trend of the COVID-19 epidemics in the final phase of the current outbreak in China

Biao Tang, Fan Xia, Sanyi Tang, Nicola Luigi Bragazzi, Qian Li, Xiaodan Sun, Juhua Liang, Yanni Xiao, Jianhong Wu

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To appear in: International Journal of Infectious Diseases

Received Date: 18 February 2020

Revised Date: 4 March 2020

Accepted Date: 6 March 2020

FRAGMENTO:

Highlights

 Since January 23rd 2020, stringent measures for controlling the novel coronavirus epidemics have been enforced and strengthened in mainland China

 Most infected cases have been quarantined or put in suspected class, which has been ignored in existing models.

 Results of our model show that the trend of the epidemics mainly depends on quarantined and suspected cases.

 It is important to continue enhancing the quarantine and isolation strategy and improving the detection rate in mainland China.

Summary

OBJECTIVES: Since January 23rd 2020, stringent measures for controlling the novel coronavirus epidemics have been gradually enforced and strengthened in mainland China. The detection and diagnosis have been improved as well. However, the daily reported cases staying in a high level make the epidemics trend prediction difficult.

METHODS: Since the traditional SEIR model does not evaluate the effectiveness of control strategies, a novel model in line with the current epidemics process and control measures was proposed, utilizing multisource datasets including cumulative number of reported, death, quarantined and suspected caSES.

RESULTS: Results show that the trend of the epidemics mainly depends on quarantined and suspected cases. The predicted cumulative numbers of quarantined and suspected cases nearly reached static states and their inflection points have already been achieved, with the epidemics peak coming soon. The estimated effective reproduction numbers using model-free and model-based methods are decreasing, as well as new infections, while new reported cases are increasing. Most infected cases have been quarantined or put in suspected class, which has been ignored in existing models.

CONCLUSIONS: The uncertainty analyses reveal that the epidemics is still uncertain and it is important to continue enhancing the quarantine and isolation strategy and improving the detection rate in mainland China”

 


 

SARS to novel coronavirus – old lessons and new lessons

Brian McCloskey1 and David L. Heymann

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Abstract

The response to the novel coronavirus outbreak in China suggests that many of the lessons from the 2003 SARS epidemic have been implemented and the response improved as a consequence. Nevertheless some questions remain and not all lessons have been successful. The national and international response demonstrates the complex link between public health, science and politics when an outbreak threatens to impact on global economies and reputations. The unprecedented measures implemented in China are a bold attempt to control the outbreak – we need to understand their effectiveness to balance costs and benefits for similar events in the future.

PUBLISHED: Epidemiology and Infection 148, e22, 1–4. https://doi.org/10.1017/ S0950268820000254

Received: 29 January 2020


Protecting Health Care Workers during the COVID-19 Coronavirus Outbreak –Lessons from Taiwan’s SARS response

Jonathan Schwartz1 , Chwan-Chuen King2 , and Muh-Yong Yen3

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Abstract

During major epidemic outbreaks, demand for health care workers grows even as the extreme pressures they face cause declining availability. We draw on Taiwan’s SARS experience to argue that a modified form of Traffic Control Bundling protects health care worker safety and by extension strengthens overall COVID-19 epidemic control.

Published by Oxford University Press for the Infectious Diseases Society of America