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The impact of lockdown strategies targeting age groups on the burden of COVID-19 in France

Due to the COVID-19 pandemic, many countries have implemented a complete lockdown of their population that may not be sustainable for long. To identify the best strategy to replace this full lockdown, sophisticated models that rely on mobility data have been developed. In this study, using the examp...

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Detalles Bibliográficos
Autores principales: Roche, Benjamin, Garchitorena, Andres, Roiz, David
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Authors. Published by Elsevier B.V. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7685047/
https://www.ncbi.nlm.nih.gov/pubmed/33285420
http://dx.doi.org/10.1016/j.epidem.2020.100424
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author Roche, Benjamin
Garchitorena, Andres
Roiz, David
author_facet Roche, Benjamin
Garchitorena, Andres
Roiz, David
author_sort Roche, Benjamin
collection PubMed
description Due to the COVID-19 pandemic, many countries have implemented a complete lockdown of their population that may not be sustainable for long. To identify the best strategy to replace this full lockdown, sophisticated models that rely on mobility data have been developed. In this study, using the example of France as a case-study, we develop a simple model considering contacts between age classes to derive the general impact of partial lockdown strategies targeted at specific age groups. We found that epidemic suppression can only be achieved by targeting isolation of young and middle age groups with high efficiency. All other strategies tested result in a flatter epidemic curve, with outcomes in (e.g. mortality and health system over-capacity) dependent of the age groups targeted and the isolation efficiency. Targeting only the elderly can decrease the expected mortality burden, but in proportions lower than more integrative strategies involving several age groups. While not aiming to provide quantitative forecasts, our study shows the benefits and constraints of different partial lockdown strategies, which could help guide decision-making.
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spelling pubmed-76850472020-11-25 The impact of lockdown strategies targeting age groups on the burden of COVID-19 in France Roche, Benjamin Garchitorena, Andres Roiz, David Epidemics Article Due to the COVID-19 pandemic, many countries have implemented a complete lockdown of their population that may not be sustainable for long. To identify the best strategy to replace this full lockdown, sophisticated models that rely on mobility data have been developed. In this study, using the example of France as a case-study, we develop a simple model considering contacts between age classes to derive the general impact of partial lockdown strategies targeted at specific age groups. We found that epidemic suppression can only be achieved by targeting isolation of young and middle age groups with high efficiency. All other strategies tested result in a flatter epidemic curve, with outcomes in (e.g. mortality and health system over-capacity) dependent of the age groups targeted and the isolation efficiency. Targeting only the elderly can decrease the expected mortality burden, but in proportions lower than more integrative strategies involving several age groups. While not aiming to provide quantitative forecasts, our study shows the benefits and constraints of different partial lockdown strategies, which could help guide decision-making. The Authors. Published by Elsevier B.V. 2020-12 2020-11-24 /pmc/articles/PMC7685047/ /pubmed/33285420 http://dx.doi.org/10.1016/j.epidem.2020.100424 Text en © 2020 The Authors Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Article
Roche, Benjamin
Garchitorena, Andres
Roiz, David
The impact of lockdown strategies targeting age groups on the burden of COVID-19 in France
title The impact of lockdown strategies targeting age groups on the burden of COVID-19 in France
title_full The impact of lockdown strategies targeting age groups on the burden of COVID-19 in France
title_fullStr The impact of lockdown strategies targeting age groups on the burden of COVID-19 in France
title_full_unstemmed The impact of lockdown strategies targeting age groups on the burden of COVID-19 in France
title_short The impact of lockdown strategies targeting age groups on the burden of COVID-19 in France
title_sort impact of lockdown strategies targeting age groups on the burden of covid-19 in france
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7685047/
https://www.ncbi.nlm.nih.gov/pubmed/33285420
http://dx.doi.org/10.1016/j.epidem.2020.100424
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