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Nonpharmaceutical Measures for Pandemic Influenza in Nonhealthcare Settings-Social Distancing Measures.
Emerging Infectious Diseases ( IF 11.8 ) Pub Date : 2020-05-17 , DOI: 10.3201/eid2605.190995
Min W. Fong , Huizhi Gao , Jessica Y. Wong , Jingyi Xiao , Eunice Y.C. Shiu , Sukhyun Ryu , Benjamin J. Cowling

Influenza virus infections are believed to spread mostly by close contact in the community. Social distancing measures are essential components of the public health response to influenza pandemics. The objective of these mitigation measures is to reduce transmission, thereby delaying the epidemic peak, reducing the size of the epidemic peak, and spreading cases over a longer time to relieve pressure on the healthcare system. We conducted systematic reviews of the evidence base for effectiveness of multiple mitigation measures: isolating ill persons, contact tracing, quarantining exposed persons, school closures, workplace measures/closures, and avoiding crowding. Evidence supporting the effectiveness of these measures was obtained largely from observational studies and simulation studies. Voluntary isolation at home might be a more feasible social distancing measure, and pandemic plans should consider how to facilitate this measure. More drastic social distancing measures might be reserved for severe pandemics.

中文翻译:

非医疗机构中大流行性流感的非药物措施-社会隔离措施。

据信,流感病毒感染主要通过在社区中的密切接触传播。社会隔离措施是应对流感大流行的公共卫生措施的重要组成部分。这些缓解措施的目的是减少传播,从而延迟流行病高峰,减小流行病高峰的规模,并在更长的时间内传播病例,以减轻医疗保健系统的压力。我们对多种缓解措施的有效性的证据基础进行了系统的审查:隔离患病者,联系追踪,隔离暴露者,学校停课,工作场所措施/停课并避免拥挤。支持这些措施有效性的证据主要来自观察研究和模拟研究。在家里自愿隔离可能是一种更可行的社会疏远措施,大流行计划应考虑如何促进这一措施。对于严重的大流行,可能会采取更为严厉的社会隔离措施。
更新日期:2020-04-16
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