scholarly journals A rapid systematic review and case study on test, contact tracing, testing, and isolation policies for Covid-19 prevention and control

Author(s):  
Sheng-Chia Chung ◽  
Sushila Marlow ◽  
Nicholas Tobias ◽  
Ivano Alogna ◽  
Alessio Alogna ◽  
...  

AbstractObjectivesTo conduct a rapid review on the efficacy and policy of contact tracing, testing, and isolation (TTI) in Covid-19 prevention and control, including a case study for their delivery.MethodResearch articles and reviews on the use of contact tracing, testing, self-isolation and quarantine for Covid-19 management published in English within 1 year (2019 to 28th May, 2020) were eligible to the review. We searched MEDLINE (PubMed), Cochrane Library, SCOPUS and JSTOR with search terms included “contact tracing” or “testing” or “self-isolation” or “quarantine” in the title in combination with “Covid-19” or “COVID-19” or “coronavirus” in the title or abstract. Studies not associated with TTI or Covid-19 or being solely commentary were excluded. A narrative synthesis with a tabulation system was used to analyse studies for their diverse research designs, methods, and implications. Data for the case study were obtained from the Ministry of Health and Welfare and Centers for Disease Control Taiwan.ResultsAmong the 160 initial publications, 48 eligible studies are included in the review. Included studies applied various designs: experiments, clinical studies, Government Documents, systematic reviews, observational studies, surveys, practice guidelines, technical reports. A case study on TTI delivery is summarised based on policy and procedures in Taiwan.ConclusionsThe information included in the review may inform the TTI program in the UK.

2021 ◽  
Author(s):  
Carolyn Ingram ◽  
Vicky Downey ◽  
Mark Roe ◽  
Fionn Cléirigh Büttner ◽  
Yanbing Chen ◽  
...  

Workplaces are high-risk environments for SARS-CoV-2 outbreaks and subsequent community transmission. Identifying, understanding, and implementing effective workplace SARS-CoV-2 infection prevention and control (IPC) measures is critical to protect workers, their families, and communities. A rapid review and meta-analysis were conducted to synthesize evidence assessing the effectiveness of COVID-19 IPC measures implemented in global workplace settings through April 2021. Medline, Embase, PubMed, and Cochrane Library were searched for studies that quantitatively assessed the effectiveness of workplace COVID-19 IPC measures. Included studies comprised varying empirical designs and occupational settings. Measures of interest included surveillance measures, outbreak investigations, personal protective equipment (PPE), changes in work arrangements, and worker education. Sixty-three studies from international healthcare, nursing home, meatpacking, manufacturing, and office settings were included, accounting for ~280,000 employees. Meta-analyses showed that combined measures (0.2% positivity; 95%CI 0-0.4%) were associated with lower post-intervention employee COVID-19 positivity estimates than single measures like asymptomatic PCR testing (1.7%; 95%CI 0.9-2.9%) and universal masking (24%; 95%CI 3.4-55.5%). Modelling studies showed that combinations of (i) timely and widespread contact tracing and case isolation, (ii) facilitating smaller worker cohorts, and (iii) effective use of PPE can reduce workplace transmission. Comprehensive COVID-19 IPC measures incorporating swift contact tracing and case isolation, PPE, and facility zoning, can effectively prevent workplace outbreaks. Masking alone should not be considered as sufficient protection from SARS-CoV-2 outbreaks in workplace environments at high risk of virus transmission.


Author(s):  
Carolyn Ingram ◽  
Vicky Downey ◽  
Mark Roe ◽  
Yanbing Chen ◽  
Mary Archibald ◽  
...  

Workplaces can be high-risk environments for SARS-CoV-2 outbreaks and subsequent community transmission. Identifying, understanding, and implementing effective workplace SARS-CoV-2 infection prevention and control (IPC) measures is critical to protect workers, their families, and communities. A rapid review and meta-analysis were conducted to synthesize evidence assessing the effectiveness of COVID-19 IPC measures implemented in global workplace settings through April 2021. Medline, Embase, PubMed, and Cochrane Library were searched for studies that quantitatively assessed the effectiveness of workplace COVID-19 IPC measures. The included studies comprised varying empirical designs and occupational settings. Measures of interest included surveillance measures, outbreak investigations, environmental adjustments, personal protective equipment (PPE), changes in work arrangements, and worker education. Sixty-one studies from healthcare, nursing home, meatpacking, manufacturing, and office settings were included, accounting for ~280,000 employees based in Europe, Asia, and North America. Meta-analyses showed that combined IPC measures resulted in lower employee COVID-19 positivity rates (0.2% positivity; 95% CI 0–0.4%) than single measures such as asymptomatic PCR testing (1.7%; 95% CI 0.9–2.9%) and universal masking (24%; 95% CI 3.4–55.5%). Modelling studies showed that combinations of (i) timely and widespread contact tracing and case isolation, (ii) facilitating smaller worker cohorts, and (iii) effective use of PPE can reduce workplace transmission. Comprehensive COVID-19 IPC measures incorporating swift contact tracing and case isolation, PPE, and facility zoning can effectively prevent workplace outbreaks. Masking alone should not be considered sufficient protection from SARS-CoV-2 outbreaks in the workplace.


2016 ◽  
Vol 21 (4) ◽  
Author(s):  
Saara M. Kotila ◽  
Lara Payne Hallström ◽  
Niesje Jansen ◽  
Peter Helbling ◽  
Ibrahim Abubakar

As a setting for potential tuberculosis (TB) transmission and contact tracing, aircraft pose specific challenges. Evidence-based guidelines are needed to support the related-risk assessment and contact-tracing efforts. In this study evidence of TB transmission on aircraft was identified to update the Risk Assessment Guidelines for TB Transmitted on Aircraft (RAGIDA-TB) of the European Centre for Disease Prevention and Control (ECDC). Electronic searches were undertaken from Medline (Pubmed), Embase and Cochrane Library until 19 July 2013. Eligible records were identified by a two-stage screening process and data on flight and index case characteristics as well as contact tracing strategies extracted. The systematic literature review retrieved 21 records. Ten of these records were available only after the previous version of the RAGIDA guidelines (2009) and World Health Organization guidelines on TB and air travel (2008) were published. Seven of the 21 records presented some evidence of possible in-flight transmission, but only one record provided substantial evidence of TB transmission on an aircraft. The data indicate that overall risk of TB transmission on aircraft is very low. The updated ECDC guidelines for TB transmission on aircraft have global implications due to inevitable need for international collaboration in contract tracing and risk assessment.


2020 ◽  
Vol 9 (1) ◽  
pp. 224-240
Author(s):  
Indasah Indasah ◽  
Dedi Saifulah ◽  
Anita Restu Korbaffo

This research is a type of descriptive research using a qualitative approach design using a case study research design. Funding for the TB program in Pasuruan Regency was sourced from the APBD and also Health Operational Assistance sourced from the Special Allocation Fund decreased. The budget for TB prevention prevention programs is absorbed entirely But the performance of achieving the discovery targets is still not significant. Still not found the whole case, complete treatment has not been maximized, some even DO. TB control activities allocated for TB prevention and control services appear to be relatively small compared to the TB treatment budget. Based on all the challenges faced, a strategy was formulated to eliminate TB within the next 5 years by strengthening the leadership of a quality TB service program with a sustainable program across stakeholders


Author(s):  
Yu ◽  
Zhao ◽  
Fu

With the rapid expansion of impervious surfaces, urban waterlogging has become a typical “urban disease” in China, seriously hindering the sustainable development of cities. Therefore, reducing the impact of impervious surfaces on surface runoff is an effective approach to alleviate urban waterlogging. Presently, the development mode of many cities in China has shifted from an increase in urban scale to the improvement of urban quality through urban renewal, which is the current and future development path for most cities. Optimizing the design of impervious surfaces in urban renewal planning to reduce its impact on surface runoff is an important way to prevent and control urban waterlogging. The aim of this research is to construct an optimization model of impervious surface space layout under the framework of a geographic simulation technology-integrated ant colony optimization (ACO) and Soil Conservation Service curve number (SCS-CN) model (ACO-SCS) in a case study of Guangzhou in China. Urban runoff plots in the study area are divided according to the area of the urban planning unit. With the goal of minimizing the runoff coefficient, the optimal space layout of the impervious surfaces is obtained, which provides a technical method and reference for urban waterlogging prevention and control through urban renewal planning. The results reveal that the optimization of impervious surface space layout through ACO-SCS achieves a satisfactory effect with an average optimization rate of 9.52%, and a maximum optimization rate of 33.16%. The research also shows that the initial impervious surface layout is the key influencing factor in ACO-SCS. In the urban renewal planning stage, the space layout of the impervious surfaces with a high–low–high density discontinuous connection can be constructed by transforming medium-density impervious surfaces into low-density impervious surfaces to achieve the flat and long-type agglomeration of the low-density and high-density impervious surfaces, which can effectively reduce the influence of urban development on surface runoff. There is spatial heterogeneity of the optimal results in different urban runoff plots. Therefore, the policy of urban renewal planning for urban waterlogging prevention and control should be different. The optimized results of impervious surface space layout provide useful reference information for urban renewal planning.


2020 ◽  
Vol 79 (13) ◽  
Author(s):  
Qixiang Yan ◽  
Kai Yang ◽  
Wang Wu ◽  
Feng Wang ◽  
Fusheng He

BMJ Open ◽  
2020 ◽  
Vol 10 (8) ◽  
pp. e039897
Author(s):  
Wen-Yi Luo ◽  
Ji-Wen Sun ◽  
Wen-Lan Zhang ◽  
Qian Li ◽  
Ping Ni ◽  
...  

ObjectivesRelevant guidelines and consensuses for COVID-19 contain recommendations aimed at optimising the management in paediatric wards. The goal of this study was to determine the quality of those recommendations and provide suggestions to hospital managers for the adjustment of existing hospital prevention and control strategies, and also to offer recommendations for further research.DesignA rapid review of the guidelines and consensuses for the management in paediatric wards facing COVID-19.MethodsPubMed, EMBASE, the Cochrane Library, UpToDate, China National Knowledge Infrastructure, the Wanfang database and relevant websites such as medlive.cn, dxy.cn, the National Health and Health Commission and the China Center for Disease Control and Prevention were systematically searched through late May 2020. The Appraisal of Guidelines for Research and Evaluation II (AGREE II) tool was then used to assess the quality of the selected articles and summarise the relevant evidence concerning management in paediatric wards.ResultsA total of 35 articles were included, composed of 3 consensus guidelines, 25 expert consensuses and 7 expert opinions. Of the 35 papers, 24 were from China, 2 from the USA, 1 from Spain, 1 from Brazil, 1 from Saudi Arabia and 6 from multinational cooperative studies. Scores for the six domains of the AGREE II tool (scope and purpose, stakeholder involvement, rigour of development, clarity of presentation, applicability and editorial independence) were 98.57%, 53.57%, 17.92%, 69.62%, 26.96% and 50.35%, respectively. Recommendations for nosocomial infection and control, human resource management as well as management of paediatric patients and their families were summarised.ConclusionsDue to the outbreak of COVID-19, the quality of rapid guidelines and consensuses for the management in paediatric wards affected by COVID-19 is unsatisfactory. In the future, it will be necessary to develop more high-quality guidelines or consensuses for the management in paediatric wards to deal with nosocomial outbreaks in order to fully prepare for emergency medical and health problems.


Sign in / Sign up

Export Citation Format

Share Document