An integrative review of the limited evidence on international travel bans as an emerging infectious disease disaster control measure.
An integrative review of the limited evidence on international travel bans as an emerging infectious disease disaster control measure.
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DOI：
10.5055/jem.2020.0446
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发表时间：
2020-01-01
期刊：
影响因子：
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通讯作者：
Rutkow, Lainie
中科院分区：
文献类型：
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作者：
Errett, Nicole A;Sauer, Lauren M;Rutkow, Lainie
在我们日益相互关联的世界中，新出现的传染病（EID）在全球范围内传播的可能性是最令人担忧的。旅行禁令在此定义为完全限制从至少一个地理区域到至少另一个国际地理区域的旅行是控制疾病全球传播的潜在政策解决方案。旅行禁令的社会、经济和健康相关后果，以及关于旅行限制在预防流感全球传播方面的有效性的现有证据，以前已经描述过。然而，旅行禁令在减少非流感EID传播方面的有效性，以不同的传播速度和模式为特征，还不太清楚。本研究采用综合性审查方法，总结了旅行禁令有效性的最小证据，以减少严重急性呼吸道综合征（SARS），中东呼吸道综合征（MERS），埃博拉病毒病（EVD）和寨卡病毒病（ZVD）的传播。我们描述并鉴定了六项模拟研究中提出的证据，这些研究评估了旅行禁令在控制这些非流感EID事件中的有效性。我们的结论是，迫切需要进行更多的研究，为下一次疫情爆发前使用旅行禁令和其他控制措施控制非流感EID的政策决策提供信息。
In our increasingly interconnected world, the potential for emerging infectious diseases (EIDs) to spread globally is of paramount concern. Travel bans-herein defined as the complete restriction of travel from at least one geographic region to at least one other international geographic region-are a potential policy solution to control the global spread of disease. The social, economic, and health-related consequences of travel bans, as well as the available evidence on the effectiveness of travel restrictions in preventing the global spread of influenza, have been previously described. However, the effectiveness of travel bans in reducing the spread of noninfluenza EIDs, characterized by different rates and modes of transmission, is less well understood. This study employs an integrative review approach to summarize the minimal evidence on effectiveness of travel bans to decrease the spread of severe acute respiratory syndrome (SARS), Middle Eastern respiratory syndrome (MERS), Ebola virus disease (EVD), and Zika virus disease (ZVD). We describe and qualify the evidence presented in six modeling studies that assess the effectiveness of travel bans in controlling these noninfluenza EID events. We conclude that there is an urgent need for additional research to inform policy decisions on the use of travel bans and other control measures to control noninfluenza EIDs in advance of the next outbreak.