scholarly journals Epidemiological observations on breaking COVID-19 transmission: from the experience of Taiwan

2021 ◽  
pp. jech-2020-216240
Author(s):  
Iona MacDonald ◽  
Jye-Lin Hsu

With almost no community-transmitted cases and without any complete lockdown throughout 2020, Taiwan is one of very few countries worldwide that has recorded minimal impact from the COVID-19 pandemic attack. This is despite being only 130 km from China and having frequent business communications with that country, where COVID-19 first emerged. At the end of December 2020, Taiwan had recorded just 873 cases and 7 deaths, in a country of around 24 million people. How to determine the effectiveness of public health policies is an important issue that must be resolved, especially in those countries that have experienced few cases of community-transmitted COVID-19. Our analysis of epidemiological data in Taiwan relating to influenza-like illness (ILI), enterovirus and diarrhoea from the past 3 years reveals dramatic reductions in the incidence of ILI and enterovirus in 2020, compared with 2018 and 2019. These reductions occurred within 2 weeks of the government issuing public health policies for COVID-19 and indicate that such policies can effectively reduce infectious diseases overall. In contrast, no such reduction in ILI activity was observed in 2020 after the first COVID-19 case was reported in the USA. We suggest that infectious diseases data can be used to inform effective public health policies needed to break the transmission chain of COVID-19 and that ongoing monitoring of infectious diseases data can provide confidence about nationwide health.

PLoS Biology ◽  
2020 ◽  
Vol 18 (12) ◽  
pp. e3000506
Author(s):  
Olga Krylova ◽  
David J. D. Earn

Smallpox is unique among infectious diseases in the degree to which it devastated human populations, its long history of control interventions, and the fact that it has been successfully eradicated. Mortality from smallpox in London, England was carefully documented, weekly, for nearly 300 years, providing a rare and valuable source for the study of ecology and evolution of infectious disease. We describe and analyze smallpox mortality in London from 1664 to 1930. We digitized the weekly records published in the London Bills of Mortality (LBoM) and the Registrar General’s Weekly Returns (RGWRs). We annotated the resulting time series with a sequence of historical events that might have influenced smallpox dynamics in London. We present a spectral analysis that reveals how periodicities in reported smallpox mortality changed over decades and centuries; many of these changes in epidemic patterns are correlated with changes in control interventions and public health policies. We also examine how the seasonality of reported smallpox mortality changed from the 17th to 20th centuries in London.


2021 ◽  
Vol 13 (17) ◽  
pp. 9866
Author(s):  
Yasuhiro Nakamoto ◽  
Taketo Kawagishi

Considering that people can invest in their health-related quality of life (HRQOL), we investigate the effects of public health policies (i.e., a health investment subsidy policy and the direct distribution of health-related goods) on HRQOL in a small open economy. We find that when the government makes public investment in HRQOL temporarily, HRQOL deteriorates or does not improve at least. On the contrary, when public investment is enforced permanently, it improves in the long run.


2019 ◽  
Vol 4 (2) ◽  
pp. 91
Author(s):  
Maha Alkaid Albqoor, RN, MPH, MSN, PhD

<p><em>Despite the concerns about very high rates of smoking in Jordanian population and the growing efforts to combat the tobacco epidemic, smoking at hospitals in Jordan and the poor complying with smoking prevention policies are important aspects of the problem. The paper examined the scope </em><em>and the progress </em><em>of smoking problem in Jordanian hospitals, </em><em>recognized public health policies on tobacco control </em><em>in hospitals in Jordan, and explored the obstacles in applying tobacco control policies in hospitals. The paper also proposed some recommendations for effective public health policies that regulate tobacco smoking in hospitals and other health care facilities in Jordan.</em></p>


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
A B Gilmore ◽  
L Robertson ◽  
M Petticrew ◽  
N Maani Hessari

Abstract Current models of the determinants of health risk framing public health problems and solutions in ways that obscure the role that the private sector, in particular large transnational companies, play in shaping population health. This presentation will propose a new conceptual model of the commercial determinants of health which recognises the commercial sector's direct, indirect, upstream and downstream influences on health. It will also present emerging evidence-based taxonomies that draw together evidence on the key corporate practices which stymie the implementation of effective public health policies. In so doing, the presentation will explore how we move from understanding to addressing the commercial determinants of health.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
M Komaroff ◽  
A A Belhouchet

Abstract Background Was the world prepared to face the pandemic with a standard strategy? Objectives To evaluate the association between public health interventions against the COVID-19 outbreak and the outcome. Methods The observational study included data on incidence of confirmed COVID-19 cases (outcome) and public health non-pharmaceutical interventions (exposure) from five countries: France, Italy, Japan, South Korea, and the USA, December 31, 2019 through April 12, 2020. The public health measures were grouped into five categories: lockdown, movement restrictions, public health measures, social (including social distancing) and economic measures, and use of facial mask. The multiple linear regressions were utilized to test the hypothesis that implementation of some public health measures was associated with the change in the incident number of COVID-19 cases, 2-sided, α = 0.05. Results The incidence of COVID-19 would be significantly greater without lockdown (1.89 times, p-value &lt;.0001), public health and economic measures (25.17, p-value &lt;.0001), and using masks (11.93, p-value=0.002), assuming that all other public health policies are the same. The effectiveness increases with earlier time of implementation. Among considered countries, South Korea was the most efficacious, where all measures were statistically significantly efficacious (p-value &lt;0.05). Conclusions The findings demonstrate an association between public health measures and the outcome. The experience from South Korea should be studied further as the most effective non-pharmacological approach to fight the disease. This paper is the first step to develop the standardized approach utilizing the public health interventions to be applied effectively to the globe population. Key messages the most effective measures to control the COVID-19, and future outbreaks. The effect of particular measure varied by country and time of implementation.


2019 ◽  
pp. 123-143
Author(s):  
Mary Augusta Brazelton

This chapter focuses on vaccination in the early years of the People's Republic of China. The 1949 establishment of the PRC formally ended the conflicts that had engulfed China for almost twenty years. However, the new nation was still in crisis. The People's Liberation Army continued to wage military campaigns in Tibet and Xinjiang, war loomed in Korea, and infectious diseases still threatened the country's population. In 1949, bubonic plague struck Tianjin and Beijing, and in the following year smallpox broke out in Shanghai. The establishment of national vaccination campaigns, first against smallpox in 1950 and then against tuberculosis, diphtheria, and other diseases in 1952, signaled a national commitment of the new regime to epidemic prevention. Such an achievement was possible, this chapter argues, because new systems of recordkeeping, surveillance, and accountability accompanied the implementation of public health policies. These programs built power over life by self-consciously protecting it from epidemic catastrophe.


2020 ◽  
Author(s):  
Yun Jung Kang

Abstract On December 31st, 2019, the Chinese government announced officially that the country had a pneumonia case with an unknown cause. After that, Korea had 24 confirmed cases on February 8th, and the number has increased constantly since then. COVID-19, a highly contagious virus, infected another patient, Case No. 31, in Daegu; she was the first patient related to Sincheonji Church in Daegu. Later, the number of cases involved with Sincheonji skyrocketed. On March 6th, 2020, the accumulated number of confirmed cases was 6,284, with 42 dead among them. This study, through collecting epidemiological data about various COVID-19 infection cases, found out that getting together in large groups and religious ceremonies leads to massive infection, and that paying close attention to personal hygiene by wearing masks and sanitary gloves, etc., can prevent the spread of COVID-19. Additional epidemiological data and related studies on COVID-19 infections in Korea might either support or modify this conclusion. However, this study is significant in that it emphasizes the precautionary principle in preventing and managing infectious diseases, and that it has a suggestion for public health policies which are on urgent demand currently.


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