Epidemiological modelling of the health and economic effects of COVID-19 control in Australia's second wave.

Background: We investigated the public health and economy outcomes of different levels of social distancing to control a 'second wave' outbreak in Australia and identify implications for public health management of COVID-19. Methods: Individual-based and compartment models were used to simulate the...

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Publicado en:Journal of Public Health: From Theory to Practice (2198-1833) Vol. 31; no. 6; pp. 917 - 933
Autores principales: Grafton, R. Quentin, Parslow, John, Kompas, Tom, Glass, Kathryn, Banks, Emily
Formato: Artículo
Publicado: Springer Nature Jun2023
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Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2023
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      pub: Springer Nature
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        163725102
        10.1007/s10389-021-01611-0
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        atl: Epidemiological modelling of the health and economic effects of COVID-19 control in Australia's second wave.
      aug:
        au:
          Grafton, R. Quentin
          Parslow, John
          Kompas, Tom
          Glass, Kathryn
          Banks, Emily
        affil:
          Crawford School of Public Policy, The Australian National University, Canberra, Australian Capital Territory, Australia
          Hobart, Australia
          Centre of Excellence for Biosecurity Risk Analysis, School of Biosciences, University of Melbourne, 3010, Melbourne, Victoria, Australia
          College of Health and Medicine, The Australian National University, Canberra, Australian Capital Territory, Australia
      su:
        Australia
        Public health
        Uncertainty
        Cost benefit analysis
        Epidemics
        Disease progression
        COVID-19
        Confidence intervals
        Statistical models
        Social distancing
      sug:
        subj:
          Public health
          Uncertainty
          Cost benefit analysis
          Epidemics
          Australia
          Health and Welfare Funds
          Disease progression
          COVID-19
          Confidence intervals
          Statistical models
          Social distancing
      keyword:
        Compartment models
        Individual based models
        Pandemic
        SARS-CoV-2
        Compartment models
        Individual based models
        Pandemic
        SARS-CoV-2
      ab: Background: We investigated the public health and economy outcomes of different levels of social distancing to control a 'second wave' outbreak in Australia and identify implications for public health management of COVID-19. Methods: Individual-based and compartment models were used to simulate the effects of different social distancing and detection strategies on Australian COVID-19 infections and the economy from March to July 2020. These models were used to evaluate the effects of different social distancing levels and the early relaxation of suppression measures, in terms of public health and economy outcomes. Results: The models, fitted to observations up to July 2020, yielded projections consistent with subsequent cases and showed that better public health outcomes and lower economy costs occur when social distancing measures are more stringent, implemented earlier and implemented for a sufficiently long duration. Early relaxation of suppression results in worse public health outcomes and higher economy costs. Conclusions: Better public health outcomes (reduced COVID-19 fatalities) are positively associated with lower economy costs and higher levels of social distancing; achieving zero community transmission lowers both public health and economy costs compared to allowing community transmission to continue; and early relaxation of social distancing increases both public health and economy costs.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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