Association of public health interventions and COVID-19 incidence in Vietnam, January to December 2020.

Association of public health interventions and COVID-19 incidence in Vietnam, January to December 2020.
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DOI:
10.1016/j.ijid.2021.07.044
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发表时间:
2021-10
期刊:
International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases
影响因子:
--
通讯作者:
Vogt F
Vogt F
中科院分区:
其他
文献类型:
--
作者:
Quach HL;Nguyen KC;Hoang NA;Pham TQ;Tran DN;Le MTQ;Do HT;Vien CC;Phan LT;Ngu ND;Tran TA;Phung DC;Tran QD;Dang TQ;Dang DA;Vogt F

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Background: Vietnam implemented various public health interventions such as contact tracing and testing, mandatory quarantine, and lockdowns in response to coronavirus disease 2019 (COVID-19). However, the effects of these measures on the epidemic remain unclear. Methods: This article describes the public health interventions in relation to COVID-19 incidence. Maximum likelihood estimations were used to assess containment delays (time between symptom onset and start of isolation) and multivariable regression was employed to identify associated factors between interventions and COVID-19 incidence. The effective reproductive numbers (Rt) were calculated based on transmission pairs. Results: Interventions were introduced periodically in response to the epidemic. Overall, 817 (55.4%) among 1474 COVID-19 cases were imported. Based on a serial interval of 8.72 ± 5.65 days, it was estimated that Rt decreased to below 1 (lowest at 0.02, 95% CI 0–0.12) during periods of strict border control and contact tracing, and increased ahead of new clusters. The main method to detect cases shifted over time from passive notification to active case-finding at immigration or in lockdown areas, with containment delays showing significant differences between modes of case detection. Conclusions: A combination of early, strict, and consistently implemented interventions is crucial to control COVID-19. Low-middle income countries with limited capacity can contain COVID-19 successfully using non-pharmaceutical interventions.
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