scholarly journals The impact of relaxing interventions on human contact patterns and SARS-CoV-2 transmission in China

2021 ◽  
Vol 7 (19) ◽  
pp. eabe2584
Author(s):  
Juanjuan Zhang ◽  
Maria Litvinova ◽  
Yuxia Liang ◽  
Wen Zheng ◽  
Huilin Shi ◽  
...  
Keyword(s):  
Reproduction Number ◽  
School Closure ◽  
School Interventions ◽  
Community Activities ◽  
Human Contact ◽  
Contact Patterns ◽  
Social Mixing ◽  
The Mean ◽  
Nonpharmaceutical Interventions ◽  
The Impact

Nonpharmaceutical interventions to control SARS-CoV-2 spread have been implemented with different intensity, timing, and impact on transmission. As a result, post-lockdown COVID-19 dynamics are heterogeneous and difficult to interpret. We describe a set of contact surveys performed in four Chinese cities (Wuhan, Shanghai, Shenzhen, and Changsha) during the pre-pandemic, lockdown and post-lockdown periods to quantify changes in contact patterns. In the post-lockdown period, the mean number of contacts increased by 5 to 17% as compared to the lockdown period. However, it remains three to seven times lower than its pre-pandemic level sufficient to control SARS-CoV-2 transmission. We find that the impact of school interventions depends nonlinearly on the intensity of other activities. When most community activities are halted, school closure leads to a 77% decrease in the reproduction number; in contrast, when social mixing outside of schools is at pre-pandemic level, school closure leads to a 5% reduction in transmission.

scholarly journals The impact of relaxing interventions on human contact patterns and SARS-CoV-2 transmission in China

2020 ◽  
Author(s):  
Juanjuan Zhang ◽  
Maria Litvinova ◽  
Yuxia Liang ◽  
Wen Zheng ◽  
Huilin Shi ◽  
...  
Keyword(s):  
School Closure ◽  
Reproductive Number ◽  
Targeted Interventions ◽  
Community Activities ◽  
Human Contact ◽  
Contact Patterns ◽  
Social Mixing ◽  
Specific Contact ◽  
The Mean ◽  
The Impact

Non-pharmaceutical interventions to control COVID-19 spread have been implemented in several countries with different intensity, timing, and impact on transmission. As a result, post-lockdown COVID-19 dynamics are heterogenous and difficult to interpret. Here we describe a set of contact surveys performed in four Chinese cities (Wuhan, Shanghai, Shenzhen, and Changsha) during the pre-pandemic, lockdown, and post-lockdown period to quantify the transmission impact of relaxing interventions via changes in age-specific contact patterns. We estimate that the mean number of contacts increased 5%-17% since the end of the lockdown but are still 3-7 times lower than their pre-pandemic levels. We find that post-lockdown contact patterns in China are still sufficiently low to keep SARS-CoV-2 transmission under control. We also find that the impact of school interventions depends non-linearly on the share of other activities being resumed. When most community activities are halted, school closure leads to a 77% decrease in the reproductive number; in contrast, when social mixing outside of schools is at pre-pandemic level, school closure leads to a 5% reduction in transmission. Moving forward, to control COVID-19 spread without resorting to a lockdown, it will be key to dose relaxation in social mixing in the community and strengthen targeted interventions.

scholarly journals Changes in contact patterns shape the dynamics of the COVID-19 outbreak in China

Science ◽  
2020 ◽  
Vol 368 (6498) ◽  
pp. 1481-1486 ◽  
Author(s):  
Juanjuan Zhang ◽  
Maria Litvinova ◽  
Yuxia Liang ◽  
Yan Wang ◽  
Wei Wang ◽  
...  
Keyword(s):  
Confidence Interval ◽  
Odds Ratio ◽  
School Closure ◽  
Hunan Province ◽  
Contact Tracing ◽  
Transmission Model ◽  
Social Distancing ◽  
Susceptibility To Infection ◽  
Contact Patterns ◽  
The Impact

Intense nonpharmaceutical interventions were put in place in China to stop transmission of the novel coronavirus disease 2019 (COVID-19). As transmission intensifies in other countries, the interplay between age, contact patterns, social distancing, susceptibility to infection, and COVID-19 dynamics remains unclear. To answer these questions, we analyze contact survey data for Wuhan and Shanghai before and during the outbreak and contact-tracing information from Hunan province. Daily contacts were reduced seven- to eightfold during the COVID-19 social distancing period, with most interactions restricted to the household. We find that children 0 to 14 years of age are less susceptible to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection than adults 15 to 64 years of age (odds ratio 0.34, 95% confidence interval 0.24 to 0.49), whereas individuals more than 65 years of age are more susceptible to infection (odds ratio 1.47, 95% confidence interval 1.12 to 1.92). Based on these data, we built a transmission model to study the impact of social distancing and school closure on transmission. We find that social distancing alone, as implemented in China during the outbreak, is sufficient to control COVID-19. Although proactive school closures cannot interrupt transmission on their own, they can reduce peak incidence by 40 to 60% and delay the epidemic.

THEORETICAL INVESTIGATION OF THE IMPACT ON EPIDEMIC THRESHOLD OF TRAVEL BETWEEN COMMUNITIES OF RESIDENT POPULATIONS

2013 ◽  
Vol 21 (02) ◽  
pp. 1350010 ◽  
Author(s):  
KLOT PATANARAPEELERT ◽  
D. GARCIA LOPEZ ◽  
I-MING TANG ◽  
MARC A. DUBOIS
Keyword(s):  
Basic Reproduction Number ◽  
Epidemic Model ◽  
Initial Phase ◽  
Reproduction Number ◽  
Travel Patterns ◽  
Epidemic Threshold ◽  
Contact Patterns ◽  
Resident Populations ◽  
The Impact ◽  
The Basic Reproduction Number

During the initial phase of an epidemic, individual displacements between different regions modify the contact patterns. Understanding mobility processes and their consequences is necessary to predict the subsequent spread of the disease in order to optimize control policies. The basic reproduction number is commonly used to determine the threshold between extinction and expansion of the disease. Once it is derived for an epidemic model that includes the travel of population between distinct localities, the dependence of the diseases dynamics upon travel rates becomes explicit. In this study, we examine the effects of travel on the epidemic threshold for a model of two communities. The travel rates are treated as varying subject to two scenarios. We show theoretically that if the transmission potentials within communities are moderate, the epidemic threshold can be modified by travel. The conditions for the presence of the threshold induced by travel is determined and the critical values of travel at which the basic reproduction number is equal to one are derived. We show further that these results can also be applied to a model of three communities under specific travel patterns and that the derived basic reproduction number has a form similar to that of the two communities problem.

scholarly journals Protective impacts of household-based tuberculosis contact tracing are robust across endemic incidence levels and community contact patterns

2021 ◽  
Vol 17 (2) ◽  
pp. e1008713 ◽  
Author(s):  
Joshua Havumaki ◽  
Ted Cohen ◽  
Chengwei Zhai ◽  
Joel C. Miller ◽  
Seth D. Guikema ◽  
...  
Keyword(s):  
Population Level ◽  
Contact Tracing ◽  
Spatially Explicit Model ◽  
Household Transmission ◽  
Contact Patterns ◽  
Social Mixing ◽  
High Incidence ◽  
Community Transmission ◽  
The Impact ◽  
The Relationship

There is an emerging consensus that achieving global tuberculosis control targets will require more proactive case finding approaches than are currently used in high-incidence settings. Household contact tracing (HHCT), for which households of newly diagnosed cases are actively screened for additional infected individuals is a potentially efficient approach to finding new cases of tuberculosis, however randomized trials assessing the population-level effects of such interventions in settings with sustained community transmission have shown mixed results. One potential explanation for this is that household transmission is responsible for a variable proportion of population-level tuberculosis burden between settings. For example, transmission is more likely to occur in households in settings with a lower tuberculosis burden and where individuals mix preferentially in local areas, compared with settings with higher disease burden and more dispersed mixing. To better understand the relationship between endemic incidence levels, social mixing, and the impact of HHCT, we developed a spatially explicit model of coupled household and community transmission. We found that the impact of HHCT was robust across settings of varied incidence and community contact patterns. In contrast, we found that the effects of community contact tracing interventions were sensitive to community contact patterns. Our results suggest that the protective benefits of HHCT are robust and the benefits of this intervention are likely to be maintained across epidemiological settings.

scholarly journals The impact of illness and the impact of school closure on social contact patterns.

2010 ◽  
Vol 14 (34) ◽  
Author(s):  
KTD Eames ◽  
NL Tilston ◽  
PJ White, ◽  
E Adams ◽  
WJ Edmunds
Keyword(s):  
Social Contact ◽  
School Closure ◽  
Contact Patterns ◽  
The Impact

scholarly journals Time use and social mixing during and around festive periods: Potential changes in the age distribution of COVID-19 cases from increased intergenerational interactions

2020 ◽  
Author(s):  
Edwin van Leeuwen ◽  
Frank G. Sandmann ◽  
Rosalind M. Eggo ◽  
Peter J. White ◽  
Keyword(s):  
Time Use ◽  
Reproduction Number ◽  
Age Distribution ◽  
Age Groups ◽  
List Type ◽  
Relative Incidence ◽  
Holiday Period ◽  
Social Mixing ◽  
Intergenerational Interactions ◽  
The Impact

AbstractRationaleAmid the ongoing coronavirus disease 2019 (COVID-19) pandemic in which many countries have adopted physical distancing measures, tiered restrictions, and episodic “lockdowns,” the impact of potentially increased social mixing during festive holidays on the age distribution of new COVID-19 cases remains unclear.ObjectiveWe aimed to gain insights into possible changes in the age distribution of COVID-19 cases in the UK after temporarily increased intergenerational interactions in late December 2020.MethodWe modelled changes in time use and social mixing based on age-stratified contact rates using historical nationally-representative surveys and up-to-date Google mobility data from four weeks before and after the festive period. We explored changes in the effective reproduction number and the age distribution of cases, in four scenarios: (1) “normal”: time use and contact patterns as observed historically, (2) “pre-lockdown”: patterns as seen before the lockdown in November 2020, (3) “lockdown”: patterns restricted as in November 2020, and (4) “festive break”: similar to 3 but with social visits over the holiday period as in 1.ResultsAcross ages, the estimated Reff decreases during the festive break in scenarios 1-3 and returns to pre-holiday levels in scenarios 2-3, while remaining relatively stable in scenario 4. Relative incidence is likely to decrease in children aged 0-15 but increase in other ages. Changes in age distribution were large during the holidays, and are likely to start before the holidays for individuals aged 16-24 years in scenarios 1-3.ConclusionsOur modelling findings suggest that increased contacts during the festive period may shift the age distribution of COVID-19 cases from children towards adults. Given that COVID-19-related hospitalisations and deaths rise by age, more intergenerational mixing risks an increased burden in the period following the holidays.HighlightsHome visits are associated with increased intergenerational mixing.The effective reproduction number is likely to remain stable or even reduce slightly due to a reduction in contacts at work and school.Relative incidence is likely to become lower in children, but higher in theolder (more vulnerable) age groups around the holiday period, which could lead to increased health care burden.

scholarly journals The influence of school holiday timing on epidemic impact

2013 ◽  
Vol 142 (9) ◽  
pp. 1963-1971 ◽  
Author(s):  
K. T. D. EAMES
Keyword(s):  
Mathematical Models ◽  
School Closure ◽  
Influenza Epidemic ◽  
Final Size ◽  
Peak Incidence ◽  
Social Mixing ◽  
Mixing Patterns ◽  
The Uk ◽  
The Impact

SUMMARYThe impact of reactive school closure on an epidemic is uncertain, since it is not clear how an unplanned closure will affect social mixing patterns. The effect of school holidays on social mixing patterns is better understood. Here, we use mathematical models to explore the influence of the timing of school holidays on the final size and peak incidence of an influenza-like epidemic. A well-timed holiday can reduce the impact of an epidemic, in particular substantially reducing an epidemic's peak. Final size and peak incidence cannot both be minimized: a later holiday is optimal for minimizing the final size, while an earlier holiday minimizes peak incidence. Using social mixing data from the UK, we estimated that, had the 2009 influenza epidemic not been interrupted by the school summer holidays, the final size would have been about 20% larger and the peak about 170% higher.

scholarly journals Analyses of the 1957 (Asian) influenza pandemic in the United Kingdom and the impact of school closures

2007 ◽  
Vol 136 (2) ◽  
pp. 166-179 ◽  
Author(s):  
E. VYNNYCKY ◽  
W. J. EDMUNDS
Keyword(s):  
United Kingdom ◽  
Reproduction Number ◽  
Clinical Symptoms ◽  
Influenza Pandemic ◽  
School Closures ◽  
Epidemic Size ◽  
The United Kingdom ◽  
Contact Patterns ◽  
Potential Impact ◽  
The Impact

SUMMARYMany countries plan to close schools during a future influenza pandemic, although the potential impact is poorly understood. We apply a model of the transmission dynamics of pandemic influenza to consultation, serological and clinical data from the United Kingdom from the 1957 (Asian) influenza pandemic, to estimate the basic reproduction number (R0), the proportion of infected individuals who experience clinical symptoms and the impact of school/nursery closures. The R0 for Asian influenza was about 1·8 and 60–65% of infected individuals were estimated to have experienced clinical symptoms. During a future pandemic, closure of schools/nurseries could reduce the epidemic size only by a very small amount (<10%) if R0 is high (e.g. 2·5 or 3·5), and modest reductions, e.g. 22% might be possible if it is low (1·8) and schools are closed early, depending on assumptions about contact patterns. Further data on contact patterns and their dependence on school closures are needed.

scholarly journals Preliminary estimation of the basic reproduction number of novel coronavirus (2019-nCoV) in China, from 2019 to 2020: A data-driven analysis in the early phase of the outbreak

2020 ◽  
Author(s):  
Shi Zhao ◽  
Qianyin Lin ◽  
Jinjun Ran ◽  
Salihu S Musa ◽  
Guangpu Yang ◽  
...  
Keyword(s):  
Basic Reproduction Number ◽  
Exponential Growth ◽  
Early Phase ◽  
Reproduction Number ◽  
Fold Increase ◽  
Reporting Rate ◽  
The Mean ◽  
Novel Coronavirus ◽  
The Impact ◽  
The Basic Reproduction Number

AbstractBackgroundsAn ongoing outbreak of a novel coronavirus (2019-nCoV) pneumonia hit a major city of China, Wuhan, December 2019 and subsequently reached other provinces/regions of China and countries. We present estimates of the basic reproduction number, R0, of 2019-nCoV in the early phase of the outbreak.MethodsAccounting for the impact of the variations in disease reporting rate, we modelled the epidemic curve of 2019-nCoV cases time series, in mainland China from January 10 to January 24, 2020, through the exponential growth. With the estimated intrinsic growth rate (γ), we estimated R0 by using the serial intervals (SI) of two other well-known coronavirus diseases, MERS and SARS, as approximations for the true unknown SI.FindingsThe early outbreak data largely follows the exponential growth. We estimated that the mean R0 ranges from 2.24 (95%CI: 1.96-2.55) to 3.58 (95%CI: 2.89-4.39) associated with 8-fold to 2-fold increase in the reporting rate. We demonstrated that changes in reporting rate substantially affect estimates of R0.ConclusionThe mean estimate of R0 for the 2019-nCoV ranges from 2.24 to 3.58, and significantly larger than 1. Our findings indicate the potential of 2019-nCoV to cause outbreaks.

scholarly journals Close contact infection dynamics over time: insights from a second large-scale social contact survey in Flanders, Belgium, in 2010-2011

2020 ◽  
Author(s):  
Thang Van Hoang ◽  
Pietro Coletti ◽  
Yimer Wasihun Kiffe ◽  
Kim Van Kerckhove ◽  
Sarah Vercruysse ◽  
...  
Keyword(s):  
Large Scale ◽  
Close Contact ◽  
Social Contact ◽  
Contact Rates ◽  
Contact Patterns ◽  
Time Period ◽  
Social Mixing ◽  
Mixing Patterns ◽  
Contact Survey ◽  
The Impact

AbstractBackgroundIn 2010-2011, we conducted a social contact survey in Flanders, Belgium, aimed at improving and extending the design of the first social contact survey conducted in Belgium in 2006. This second social contact survey aimed to enable, for the first time, the estimation of social mixing patterns for an age range of 0 to 99 years and the investigation of whether contact rates remain stable over this 5-year time period.MethodsDifferent data mining techniques are used to explore the data, and the age-specific number of social contacts and the age-specific contact rates are modelled using a GAMLSS model. We compare different matrices using assortativeness measures. The relative change in the basic reproduction number (R0) and the ratio of relative incidences with 95% bootstrap confidence intervals (BCI) are employed to investigate and quantify the impact on epidemic spread due to differences in gender, day of the week, holiday vs. regular periods and changes in mixing patterns over the 5-year time gap between the 2006 and 2010-2011 surveys. Finally, we compare the fit of the contact matrices in 2006 and 2010-2011 to Varicella serological data.ResultsAll estimated contact patterns featured strong homophily in age and gender, especially for small children and adolescents. A 30% (95% BCI [17%; 37%] ) and 29% (95% BCI [14%; 40%] ) reduction in R0 was observed for weekend versus weekdays and for holiday versus regular periods, respectively. Significantly more interactions between people aged 60+ years and their grandchildren were observed on holiday and weekend days than on regular weekdays. Comparing contact patterns using different methods did not show any substantial differences over the 5-year time period under study.ConclusionsThe second social contact survey in Flanders, Belgium, endorses the findings of its 2006 predecessor and adds important information on the social mixing patterns of people older than 60 years of age. Based on this analysis, the mixing patterns of people older than 60 years exhibit considerable heterogeneity, and overall, the comparison of the two surveys shows that social contact rates can be assumed stable in Flanders over a time span of 5 years.

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