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Impact of Lockdown on the Epidemic Dynamics of COVID-19 in France

The COVID-19 epidemic was reported in the Hubei province in China in December 2019 and then spread around the world reaching the pandemic stage at the beginning of March 2020. Since then, several countries went into lockdown. Using a mechanistic-statistical formalism, we estimate the effect of the l...

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Autores principales: Roques, Lionel, Klein, Etienne K., Papaïx, Julien, Sar, Antoine, Soubeyrand, Samuel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7290065/
https://www.ncbi.nlm.nih.gov/pubmed/32582739
http://dx.doi.org/10.3389/fmed.2020.00274
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author Roques, Lionel
Klein, Etienne K.
Papaïx, Julien
Sar, Antoine
Soubeyrand, Samuel
author_facet Roques, Lionel
Klein, Etienne K.
Papaïx, Julien
Sar, Antoine
Soubeyrand, Samuel
author_sort Roques, Lionel
collection PubMed
description The COVID-19 epidemic was reported in the Hubei province in China in December 2019 and then spread around the world reaching the pandemic stage at the beginning of March 2020. Since then, several countries went into lockdown. Using a mechanistic-statistical formalism, we estimate the effect of the lockdown in France on the contact rate and the effective reproduction number R(e) of the COVID-19. We obtain a reduction by a factor 7 (R(e) = 0.47, 95%-CI: 0.45–0.50), compared to the estimates carried out in France at the early stage of the epidemic. We also estimate the fraction of the population that would be infected by the beginning of May, at the official date at which the lockdown should be relaxed. We find a fraction of 3.7% (95%-CI: 3.0–4.8%) of the total French population, without taking into account the number of recovered individuals before April 1st, which is not known. This proportion is seemingly too low to reach herd immunity. Thus, even if the lockdown strongly mitigated the first epidemic wave, keeping a low value of R(e) is crucial to avoid an uncontrolled second wave (initiated with much more infectious cases than the first wave) and to hence avoid the saturation of hospital facilities.
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spelling pubmed-72900652020-06-23 Impact of Lockdown on the Epidemic Dynamics of COVID-19 in France Roques, Lionel Klein, Etienne K. Papaïx, Julien Sar, Antoine Soubeyrand, Samuel Front Med (Lausanne) Medicine The COVID-19 epidemic was reported in the Hubei province in China in December 2019 and then spread around the world reaching the pandemic stage at the beginning of March 2020. Since then, several countries went into lockdown. Using a mechanistic-statistical formalism, we estimate the effect of the lockdown in France on the contact rate and the effective reproduction number R(e) of the COVID-19. We obtain a reduction by a factor 7 (R(e) = 0.47, 95%-CI: 0.45–0.50), compared to the estimates carried out in France at the early stage of the epidemic. We also estimate the fraction of the population that would be infected by the beginning of May, at the official date at which the lockdown should be relaxed. We find a fraction of 3.7% (95%-CI: 3.0–4.8%) of the total French population, without taking into account the number of recovered individuals before April 1st, which is not known. This proportion is seemingly too low to reach herd immunity. Thus, even if the lockdown strongly mitigated the first epidemic wave, keeping a low value of R(e) is crucial to avoid an uncontrolled second wave (initiated with much more infectious cases than the first wave) and to hence avoid the saturation of hospital facilities. Frontiers Media S.A. 2020-06-05 /pmc/articles/PMC7290065/ /pubmed/32582739 http://dx.doi.org/10.3389/fmed.2020.00274 Text en Copyright © 2020 Roques, Klein, Papaïx, Sar and Soubeyrand. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Medicine
Roques, Lionel
Klein, Etienne K.
Papaïx, Julien
Sar, Antoine
Soubeyrand, Samuel
Impact of Lockdown on the Epidemic Dynamics of COVID-19 in France
title Impact of Lockdown on the Epidemic Dynamics of COVID-19 in France
title_full Impact of Lockdown on the Epidemic Dynamics of COVID-19 in France
title_fullStr Impact of Lockdown on the Epidemic Dynamics of COVID-19 in France
title_full_unstemmed Impact of Lockdown on the Epidemic Dynamics of COVID-19 in France
title_short Impact of Lockdown on the Epidemic Dynamics of COVID-19 in France
title_sort impact of lockdown on the epidemic dynamics of covid-19 in france
topic Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7290065/
https://www.ncbi.nlm.nih.gov/pubmed/32582739
http://dx.doi.org/10.3389/fmed.2020.00274
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