Tags

Type your tag names separated by a space and hit enter

Assessment of Coronavirus Disease 2019 Community Containment Strategies in Shenzhen, China.
JAMA Netw Open. 2020 06 01; 3(6):e2012934.JN

Abstract

Importance

A new outbreak of pneumonia caused by severe acute respiratory syndrome coronavirus 2 in Wuhan, China, is spreading rapidly around the globe. Limited information on control in community settings is available.

Objective

To detail measures enacted within a community to prevent the spread of coronavirus disease 2019 (COVID-19) and to evaluate the spread of COVID-19 associated with implementation of the program.

Design, Setting, and Participants

This case series study details the implementation of prevention measures in a specific community setting among community-dwelling individuals exposed to or at risk of COVID-19 in Haiyu, Shenzhen, China, from January 23 to April 10, 2020.

Exposures

Community containment strategies for tracking, quarantine, and management were strictly, cooperatively, and effectively implemented by a team that included a general practitioner, a community manager, and public safety bureau officials.

Main Outcomes and Measures

Number of locally acquired cases with indirect links to confirmed COVID-19 cases. Diagnosis with COVID-19 was confirmed when throat swab samples tested positive for severe acute respiratory syndrome coronavirus 2 on reverse transcription-polymerase chain reaction.

Results

Approximately 34 686 individuals live in Haiyu, including 2382 residents aged 65 years or older. Seven individuals with COVID-19 acquired outside the community (age, 20-70 years; 3 [42%] women) were moved from quarantine to a hospital for standard isolation treatment. A total of 20 people who were asymptomatic and who had had direct contact with these individuals were closely observed by health care workers at a nearby hotel. Additionally, 800 individuals considered to be at higher risk were moved from quarantine to home isolation for 14 days. There were no locally acquired cases of COVID-19 with indirect links reported in the Haiyu community from the time that the study began on January 23, 2020, to April 10, 2020.

Conclusions and Relevance

These findings suggest that cooperation among the authorities of multiple sectors allowed for the implementation of preventive measures that were associated with limited community transmission.

Authors+Show Affiliations

Department of Emergency, Affiliated Baoan Hospital of Southern Medical University, People's Hospital of Shenzhen, Baoan District, Shenzhen, China.Department of Emergency, Affiliated Baoan Hospital of Southern Medical University, People's Hospital of Shenzhen, Baoan District, Shenzhen, China.Department of Emergency, Affiliated Baoan Hospital of Southern Medical University, People's Hospital of Shenzhen, Baoan District, Shenzhen, China.Department of Emergency, Affiliated Baoan Hospital of Southern Medical University, People's Hospital of Shenzhen, Baoan District, Shenzhen, China.Department of Emergency, Affiliated Baoan Hospital of Southern Medical University, People's Hospital of Shenzhen, Baoan District, Shenzhen, China.Department of Emergency, Affiliated Baoan Hospital of Southern Medical University, People's Hospital of Shenzhen, Baoan District, Shenzhen, China.Department of Emergency, Affiliated Baoan Hospital of Southern Medical University, People's Hospital of Shenzhen, Baoan District, Shenzhen, China.Department of Emergency, Affiliated Baoan Hospital of Southern Medical University, People's Hospital of Shenzhen, Baoan District, Shenzhen, China.Department of Rehabilitation Sciences, Hong Kong Polytechnic University, Hong Kong, China.

Pub Type(s)

Evaluation Study
Journal Article

Language

eng

PubMed ID

32568401

Citation

Zhang, Xiao-Ming, et al. "Assessment of Coronavirus Disease 2019 Community Containment Strategies in Shenzhen, China." JAMA Network Open, vol. 3, no. 6, 2020, pp. e2012934.
Zhang XM, Zhou HE, Zhang WW, et al. Assessment of Coronavirus Disease 2019 Community Containment Strategies in Shenzhen, China. JAMA Netw Open. 2020;3(6):e2012934.
Zhang, X. M., Zhou, H. E., Zhang, W. W., Dou, Q. L., Li, Y., Wei, J., Hu, R., Liu, J., & Cheng, A. S. K. (2020). Assessment of Coronavirus Disease 2019 Community Containment Strategies in Shenzhen, China. JAMA Network Open, 3(6), e2012934. https://doi.org/10.1001/jamanetworkopen.2020.12934
Zhang XM, et al. Assessment of Coronavirus Disease 2019 Community Containment Strategies in Shenzhen, China. JAMA Netw Open. 2020 06 1;3(6):e2012934. PubMed PMID: 32568401.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Assessment of Coronavirus Disease 2019 Community Containment Strategies in Shenzhen, China. AU - Zhang,Xiao-Ming, AU - Zhou,Hui-Er, AU - Zhang,Wen-Wu, AU - Dou,Qing-Li, AU - Li,Ye, AU - Wei,Jian, AU - Hu,Rui, AU - Liu,Jiangping, AU - Cheng,Andy S K, Y1 - 2020/06/01/ PY - 2020/6/23/entrez PY - 2020/6/23/pubmed PY - 2020/7/3/medline SP - e2012934 EP - e2012934 JF - JAMA network open JO - JAMA Netw Open VL - 3 IS - 6 N2 - Importance: A new outbreak of pneumonia caused by severe acute respiratory syndrome coronavirus 2 in Wuhan, China, is spreading rapidly around the globe. Limited information on control in community settings is available. Objective: To detail measures enacted within a community to prevent the spread of coronavirus disease 2019 (COVID-19) and to evaluate the spread of COVID-19 associated with implementation of the program. Design, Setting, and Participants: This case series study details the implementation of prevention measures in a specific community setting among community-dwelling individuals exposed to or at risk of COVID-19 in Haiyu, Shenzhen, China, from January 23 to April 10, 2020. Exposures: Community containment strategies for tracking, quarantine, and management were strictly, cooperatively, and effectively implemented by a team that included a general practitioner, a community manager, and public safety bureau officials. Main Outcomes and Measures: Number of locally acquired cases with indirect links to confirmed COVID-19 cases. Diagnosis with COVID-19 was confirmed when throat swab samples tested positive for severe acute respiratory syndrome coronavirus 2 on reverse transcription-polymerase chain reaction. Results: Approximately 34 686 individuals live in Haiyu, including 2382 residents aged 65 years or older. Seven individuals with COVID-19 acquired outside the community (age, 20-70 years; 3 [42%] women) were moved from quarantine to a hospital for standard isolation treatment. A total of 20 people who were asymptomatic and who had had direct contact with these individuals were closely observed by health care workers at a nearby hotel. Additionally, 800 individuals considered to be at higher risk were moved from quarantine to home isolation for 14 days. There were no locally acquired cases of COVID-19 with indirect links reported in the Haiyu community from the time that the study began on January 23, 2020, to April 10, 2020. Conclusions and Relevance: These findings suggest that cooperation among the authorities of multiple sectors allowed for the implementation of preventive measures that were associated with limited community transmission. SN - 2574-3805 UR - https://www.unboundmedicine.com/medline/citation/32568401/Assessment_of_Coronavirus_Disease_2019_Community_Containment_Strategies_in_Shenzhen_China_ L2 - https://jamanetwork.com/journals/jamanetworkopen/fullarticle/10.1001/jamanetworkopen.2020.12934 DB - PRIME DP - Unbound Medicine ER -