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The Outcome and Implications of Public Precautionary Measures in Taiwan-Declining Respiratory Disease Cases in the COVID-19 Pandemic.
Int J Environ Res Public Health. 2020 Jul 06; 17(13)IJ

Abstract

With the rapid development of the COVID-19 pandemic, countries are trying to cope with increasing medical demands, and, at the same time, to reduce the increase of infected numbers by implementing a number of public health measures, namely non-pharmaceutical interventions (NPIs). These public health measures can include social distancing, frequent handwashing, and personal protective equipment (PPE) at the personal level; at the community and the government level, these measures can range from canceling activities, avoiding mass gatherings, closing facilities, and, at the extreme, enacting national or provincial lockdowns. Rather than completely stopping the infectious disease, the major purpose of these NPIs in facing an emerging infectious disease is to reduce the contact rate within the population, and reduce the spread of the virus until the time a vaccine or reliable medications become available. The idea is to avoid a surge of patients with severe symptoms beyond the capacity of the hospitals' medical resources, which would lead to more mortality and morbidity. While many countries have experienced steep curves in new cases, some, including Hong Kong, Vietnam, South Korea, New Zealand, and Taiwan, seem to have controlled or even eliminated the infection locally. From its first case of COVID-19 on the 21 January until the 12 May, Taiwan had 440 cases, including just 55 local infections, and seven deaths in total, representing 1.85 cases per 100,000 population and a 1.5% death rate (based on the Worldometer 2020 statistics of Taiwan's population of 23.8 million). This paper presents evidence that spread prevention involving mass masking and universal hygiene at the early stage of the COVID-19 pandemic resulted in a 50% decline of infectious respiratory diseases, based on historical data during the influenza season in Taiwan. These outcomes provide potential support for the effectiveness of widely implementing public health precaution measures in controlling COVID-19 without a lockdown policy.

Authors+Show Affiliations

Department of Emergency Medicine, National Cheng Kung University Hospital, Tainan 701401, Taiwan.Department of Emergency Medicine, National Cheng Kung University Hospital, Tainan 701401, Taiwan.Waikato Management School, University of Waikato, Hamilton 3210, New Zealand.School of Management, Massey University, Auckland 0745, New Zealand.Institute of International Management, National Cheng Kung University, Tainan 701401, Taiwan.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

32640752

Citation

Hsieh, Chih-Chia, et al. "The Outcome and Implications of Public Precautionary Measures in Taiwan-Declining Respiratory Disease Cases in the COVID-19 Pandemic." International Journal of Environmental Research and Public Health, vol. 17, no. 13, 2020.
Hsieh CC, Lin CH, Wang WYC, et al. The Outcome and Implications of Public Precautionary Measures in Taiwan-Declining Respiratory Disease Cases in the COVID-19 Pandemic. Int J Environ Res Public Health. 2020;17(13).
Hsieh, C. C., Lin, C. H., Wang, W. Y. C., Pauleen, D. J., & Chen, J. V. (2020). The Outcome and Implications of Public Precautionary Measures in Taiwan-Declining Respiratory Disease Cases in the COVID-19 Pandemic. International Journal of Environmental Research and Public Health, 17(13). https://doi.org/10.3390/ijerph17134877
Hsieh CC, et al. The Outcome and Implications of Public Precautionary Measures in Taiwan-Declining Respiratory Disease Cases in the COVID-19 Pandemic. Int J Environ Res Public Health. 2020 Jul 6;17(13) PubMed PMID: 32640752.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The Outcome and Implications of Public Precautionary Measures in Taiwan-Declining Respiratory Disease Cases in the COVID-19 Pandemic. AU - Hsieh,Chih-Chia, AU - Lin,Chih-Hao, AU - Wang,William Yu Chung, AU - Pauleen,David J, AU - Chen,Jengchung Victor, Y1 - 2020/07/06/ PY - 2020/4/12/received PY - 2020/6/29/revised PY - 2020/6/30/accepted PY - 2020/7/10/entrez PY - 2020/7/10/pubmed PY - 2020/7/18/medline KW - COVID-19 KW - mass making KW - public precautionary measures KW - universal hygiene JF - International journal of environmental research and public health JO - Int J Environ Res Public Health VL - 17 IS - 13 N2 - With the rapid development of the COVID-19 pandemic, countries are trying to cope with increasing medical demands, and, at the same time, to reduce the increase of infected numbers by implementing a number of public health measures, namely non-pharmaceutical interventions (NPIs). These public health measures can include social distancing, frequent handwashing, and personal protective equipment (PPE) at the personal level; at the community and the government level, these measures can range from canceling activities, avoiding mass gatherings, closing facilities, and, at the extreme, enacting national or provincial lockdowns. Rather than completely stopping the infectious disease, the major purpose of these NPIs in facing an emerging infectious disease is to reduce the contact rate within the population, and reduce the spread of the virus until the time a vaccine or reliable medications become available. The idea is to avoid a surge of patients with severe symptoms beyond the capacity of the hospitals' medical resources, which would lead to more mortality and morbidity. While many countries have experienced steep curves in new cases, some, including Hong Kong, Vietnam, South Korea, New Zealand, and Taiwan, seem to have controlled or even eliminated the infection locally. From its first case of COVID-19 on the 21 January until the 12 May, Taiwan had 440 cases, including just 55 local infections, and seven deaths in total, representing 1.85 cases per 100,000 population and a 1.5% death rate (based on the Worldometer 2020 statistics of Taiwan's population of 23.8 million). This paper presents evidence that spread prevention involving mass masking and universal hygiene at the early stage of the COVID-19 pandemic resulted in a 50% decline of infectious respiratory diseases, based on historical data during the influenza season in Taiwan. These outcomes provide potential support for the effectiveness of widely implementing public health precaution measures in controlling COVID-19 without a lockdown policy. SN - 1660-4601 UR - https://www.unboundmedicine.com/medline/citation/32640752/The_Outcome_and_Implications_of_Public_Precautionary_Measures_in_Taiwan_Declining_Respiratory_Disease_Cases_in_the_COVID_19_Pandemic_ DB - PRIME DP - Unbound Medicine ER -