当前位置：
X-MOL 学术
›
Eur. Heart J.
›
论文详情
Our official English website, www.x-mol.net, welcomes your
feedback! (Note: you will need to create a separate account there.)
Strategies to control COVID-19 and future pandemics in Africa and around the globe
European Heart Journal ( IF 37.6 ) Pub Date : 2020-04-07 , DOI: 10.1093/eurheartj/ehaa278 Anouar Fanidi 1, 2 , Xavier Jouven 1, 3, 4 , Bamba Gaye 1, 3
European Heart Journal ( IF 37.6 ) Pub Date : 2020-04-07 , DOI: 10.1093/eurheartj/ehaa278 Anouar Fanidi 1, 2 , Xavier Jouven 1, 3, 4 , Bamba Gaye 1, 3
Affiliation
Since COVID-19 has spread around the globe, most countries have applied quarantines and travel bans as a strategy to reduce or halt the spread of the virus and to avoid deaths reaching critical numbers. However, one country, South Korea, appears to have greatly slowed its epidemic without resorting to drastic lockdown; it reported about 75 new cases today (18 March 2020), down from 909 at its peak on 29 February. South Korea’s mass testing and early detection strategy may have afforded it the luxury of being able to avoid declaring a total shutdown. South Korea has the highest rate of testing worldwide, with>280 000 people being tested for an estimated population of 52 million, and a substantial number of tests were applied very quickly and among the young population ( 50% of tests were for people between the ages of 20 and 50, Figure 1).This suggests that testing was conducted on a significant number of people who presented no or few symptoms, and mainly for a population where the viral shedding is very high. By testing only patients that present with severe symptoms such as fever above 38 C and cough, and not testing patients at an early stage, many countries including Iran, Italy, and France may have failed to target a significant number of potential contaminators and therefore increased the risk of contamination through asymptomatic people. The most severe effect the virus can have on an individual is death. Therefore, some strategies, such as those used in South Korea, have shown a positive impact on the mortality rate of COVID-19, while keeping the economy active. Sadly, deaths in Italy, a country which has 25 times fewer inhabitants than China, has today (26 March 2020) surpassed the number of deaths in China, reaching the highest standardized death rate (standardize rate 1⁄4 135.37 per million) by 26 March 2020, despite having conducted mass testing ( 145 000 on 18 March). This large number of deaths could be due to the following potential reasons: (i) a delay between diagnosis of the first case (22 February) and the start of quarantine 16 days after the first diagnosed case; (ii) the late diagnosis of the first case; and (iii) the lack of mass testing, leading to poorly identifying and eliminating potential new infections and, in turn, isolating those infected individuals. As with South Korea, Germany is also considered a ‘best case scenario’, with currently only 198 registered deaths from 36 508 cases
更新日期：2020-04-07
京公网安备 11010802027423号