Active case finding with case management: the key to tackling the COVID-19 pandemic

Active case finding with case management: the key to tackling the COVID-19 pandemic
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DOI:
10.1016/s0140-6736(20)31278-2
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发表时间:
2020-07-04
期刊:
影响因子:
168.9
通讯作者:
Feng, Zijian
Feng, Zijian
中科院分区:
医学1区
文献类型:
--
作者:
Li, Zhongjie;Chen, Qiulan;Feng, Zijian

文献摘要

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COVID-19于2020年3月11日被世卫组织宣布为大流行,这是第一次非流感大流行,影响了200多个国家和地区,截至2020年5月31日,病例超过590万例。各国已制定符合其流行病学情况、能力和价值观的应对COVID-19大流行的战略。我们从中国迄今为止的COVID-19经验的角度描述了中国预防和控制COVID-19的策略(遏制和抑制)及其应用。虽然中国已经控制了严重急性呼吸综合征冠状病毒2型(SARS-CoV-2),几乎阻止了本土传播,但必须继续大力遏制,以防止与输入有关的病例重新建立社区传播。我们认为,病例发现和管理,以及对密切接触者的识别和隔离,是至关重要的遏制措施,对中国的前进道路至关重要。我们描述了中国在遏制努力之后计划的下一步措施。我们相信,分享各国的经验将有助于全球社会通过确定在抗击SARS-CoV-2的斗争中有效的方法来管理COVID-19大流行。
COVID-19 was declared a pandemic by WHO on March 11, 2020, the first non-influenza pandemic, affecting more than 200 countries and areas, with more than 5.9 million cases by May 31, 2020. Countries have developed strategies to deal with the COVID-19 pandemic that fit their epidemiological situations, capacities, and values. We describe China's strategies for prevention and control of COVID-19 (containment and suppression) and their application, from the perspective of the COVID-19 experience to date in China. Although China has contained severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and nearly stopped indigenous transmission, a strong suppression effort must continue to prevent re-establishment of community transmission from importation-related cases. We believe that case finding and management, with identification and quarantine of close contacts, are vitally important containment measures and are essential in China's pathway forward. We describe the next steps planned in China that follow the containment effort. We believe that sharing countries' experiences will help the global community manage the COVID-19 pandemic by identifying what works in the struggle against SARS-CoV-2.