Global COVID-19 pandemic demands joint interventions for the suppression of future waves.

Li, Ruiyun; Chen, Bin; Zhang, Tao; Ren, Zhehao; Song, Yimeng; Xiao, Yixiong; Hou, Lin; Cai, Jun et al. · Proc Natl Acad Sci U S A · 2020

other · Level V

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Abstract

Emerging evidence suggests a resurgence of COVID-19 in the coming years. It is thus critical to optimize emergency response planning from a broad, integrated perspective. We developed a mathematical model incorporating climate-driven variation in community transmissions and movement-modulated spatial diffusions of COVID-19 into various intervention scenarios. We find that an intensive 8-wk intervention targeting the reduction of local transmissibility and international travel is efficient and effective. Practically, we suggest a tiered implementation of this strategy where interventions are first implemented at locations in what we call the Global Intervention Hub, followed by timely interventions in secondary high-risk locations. We argue that thinking globally, categorizing locations in a hub-and-spoke intervention network, and acting locally, applying interventions at high-risk areas, is a functional strategy to avert the tremendous burden that would otherwise be placed on public health and society.

Medical subject headings