Mitigation policies, community mobility, and COVID-19 case counts in Australia, Japan, Hong Kong, and Singapore.

Mitigation policies, community mobility, and COVID-19 case counts in Australia, Japan, Hong Kong, and Singapore.
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DOI:
10.1016/j.puhe.2021.02.001
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发表时间:
2021-05
期刊:
影响因子:
5.2
通讯作者:
Marston BJ
Marston BJ
中科院分区:
医学3区
文献类型:
--
作者:
Hakim AJ;Victory KR;Chevinsky JR;Hast MA;Weikum D;Kazazian L;Mirza S;Bhatkoti R;Schmitz MM;Lynch M;Marston BJ

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该研究的目的是描述澳大利亚、日本、香港和新加坡的选定缓解政策的时间和趋势、社区流动性的变化以及2019冠状病毒病(COVID-19)流行病学。从媒体报道和政府网站获得的公开可用的缓解政策的前瞻性摘要。分析的数据包括七种缓解政策(大规模聚集限制,国际旅行限制,乘客筛查,旅行者隔离/检疫,学校关闭,企业关闭和国内流动限制),谷歌社区流动报告数据评估的社区流动性选定指标的变化,以及澳大利亚,日本,香港和新加坡。在研究期间,澳大利亚、日本和新加坡的社区流动性下降;香港的变化不大。流动性下降幅度最大的地方是执行缓解政策的地方。在所有设置中,与交通相关的移动性下降最多,与工作场所相关的移动性下降最少。新加坡尽管有居家隔离令,但病例仍有所增加,因为住在宿舍的外来务工人员面临安全隔离的挑战。公共政策可能对严重急性呼吸道冠状病毒2型传播的流动性和传播产生不同的影响。在颁布缓解政策时,决策者应考虑强制执行措施可能产生的影响、行动限制以外的其他因素对传播的影响以及缓解政策对亚种群的不同影响。
The objective of the study was to characterize the timing and trends of select mitigation policies, changes in community mobility, and coronavirus disease 2019 (COVID-19) epidemiology in Australia, Japan, Hong Kong, and Singapore. Prospective abstraction of publicly available mitigation policies obtained from media reports and government websites. Data analyzed include seven kinds of mitigation policies (mass gathering restrictions, international travel restrictions, passenger screening, traveler isolation/quarantine, school closures, business closures, and domestic movement restrictions) implemented between January 1 and April 26, 2020, changes in selected measures of community mobility assessed by Google Community Mobility Reports data, and COVID-19 epidemiology in Australia, Japan, Hong Kong, and Singapore. During the study period, community mobility decreased in Australia, Japan, and Singapore; there was little change in Hong Kong. The largest declines in mobility were seen in places that enforced mitigation policies. Across settings, transit-associated mobility declined the most and workplace-associated mobility the least. Singapore experienced an increase in cases despite the presence of stay-at-home orders, as migrant workers living in dormitories faced challenges to safely quarantine. Public policies may have different impacts on mobility and transmission of severe acute respiratory coronavirus-2 transmission. When enacting mitigation policies, decision makers should consider the possible impact of enforcement measures, the influence on transmission of factors other than movement restrictions, and the differential impact of mitigation policies on subpopulations.
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