Infectious Diseases
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Infectious Diseases
A curation of the best Articles and Research on Infectious Diseases. (Not a news site, focus on ideas, research, solutions, protocols and discussions related infectious/communicable/tropical diseases.
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Case-Initiated COVID-19 Contact Tracing Using Anonymous Notifications

Case-Initiated COVID-19 Contact Tracing Using Anonymous Notifications | Infectious Diseases | Scoop.it

We discuss the concept of a participatory digital contact notification approach to assist tracing of contacts who are exposed to confirmed cases of coronavirus disease (COVID-19);

 

The core functionality of our concept is to provide a usable, labor-saving tool for contact tracing by confirmed cases themselves

 

the approach is simple and affordable for countries with limited access to health care resources and advanced technology.

 

The proposed tool serves as a supplemental contract tracing approach to counteract the shortage of health care staff while providing privacy protection for both cases and contacts.

  • This tool can be deployed on the internet or as a plugin for a smartphone app.
  • Confirmed cases with COVID-19 can use this tool to provide contact information (either email addresses or mobile phone numbers) of close contacts.
  • The system will then automatically send a message to the contacts informing them of their contact status, what this status means, the actions that should follow (eg, self-quarantine, respiratory hygiene/cough etiquette), and advice for receiving early care if they develop symptoms.
  • The name of the sender of the notification message by email or mobile phone can be anonymous or not.
  • The message received by the contact contains no disease information but contains a security code for the contact to log on the platform to retrieve the information.

 

Conclusion

The successful application of this tool relies heavily on public social responsibility and credibility, and it remains to be seen if the public would adopt such a tool and what mechanisms are required to prevent misuse.

 

This is a simple tool that does not require complicated computer techniques despite strict user privacy protection design with respect to countries and regions. Additionally, this tool can help avoid coercive surveillance, facilitate the allocation of health resources, and prioritize clinical service for patients with COVID-19. Information obtained from the platform can also increase our understanding of the epidemiology of COVID-19.

 

read this concept paper at https://mhealth.jmir.org/2020/6/e20369

 

 

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The Impact of COVID-19 Management Policies Tailored to Airborne SARS-CoV-2 Transmission

The Impact of COVID-19 Management Policies Tailored to Airborne SARS-CoV-2 Transmission | Infectious Diseases | Scoop.it

The COVID-19 pandemic consistently demonstrated a pattern of growing community transmission worldwide, even with the adoption of social distancing measures (lockdown or voluntarily shelter in place) in January and early May 2020.

 

The continuing transmission of the virus despite the policy measures adopted in some countries was an important point of debate and investigation in the scientific community and among authorities. Unexpected forms of transmission (atmospheric) associated with the social distancing policy became the central question for the infectious transmission modeling of SARS-CoV-2 and predictive methods.

 

Daily new COVID-19 cases from January to April 2020 demonstrate varying patterns of SARS-CoV-2 transmission across different geographical regions.

 

China and South Korea successfully and quickly flattened their COVID-19 curve. To understand why this was the case, this paper investigated possible aerosol-forming patterns in the atmosphere and their relationship to the policy measures adopted by select countries.


Objective: The main research objective was to compare the outcomes of policies adopted by countries between January and April 2020. Policies included physical distancing measures that in some cases were associated with mask use and city disinfection. We investigated whether the type of social distancing framework adopted by some countries (ie, without mask use and city disinfection) led to the continual dissemination of SARS-CoV-2 (daily new cases) in the community during the study period.


Methods: We examined the policies used as a preventive framework for virus community transmission in some countries and compared them to the policies adopted by China and South Korea. Countries that used a policy of social distancing by 1-2 m were divided into two groups. The first group consisted of countries that implemented social distancing (1-2 m) only, and the second comprised China and South Korea, which implemented distancing with additional transmission/isolation measures using masks and city disinfection. Global daily case maps from Johns Hopkins University were used to provide time-series data for the analysis.


Results: The results showed that virus transmission was reduced due to policies affecting SARS-CoV-2 propagation over time. Remarkably, China and South Korea obtained substantially better results than other countries at the beginning of the epidemic due to their adoption of social distancing (1-2 m) with the additional use of masks and sanitization (city disinfection). These measures proved to be effective due to the atmosphere carrier potential of SARS-CoV-2 transmission.


Conclusions: Our findings confirm that social distancing by 1-2 m with mask use and city disinfection yields positive outcomes. These strategies should be incorporated into prevention and control policies and be adopted both globally and by individuals as a method to fight the COVID-19 pandemic.

 

read the study at https://publichealth.jmir.org/2021/4/e20699/

 

 

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Acceptability of App-Based Contact Tracing for COVID-19

Acceptability of App-Based Contact Tracing for COVID-19 | Infectious Diseases | Scoop.it

The COVID-19 pandemic is the greatest public health crisis of the last 100 years. Countries have responded with various levels of lockdown to save lives and stop health systems from being overwhelmed. At the same time, lockdowns entail large socioeconomic costs.

 

One exit strategy under consideration is a mobile phone app that traces the close contacts of those infected with COVID-19.

 

Recent research has demonstrated the theoretical effectiveness of this solution in different disease settings. However, concerns have been raised about such apps because of the potential privacy implications. This could limit the acceptability of app-based contact tracing in the general population. As the effectiveness of this approach increases strongly with app uptake, it is crucial to understand public support for this intervention.

 

Objective: The objective of this study is to investigate the user

acceptability of a contact-tracing app in five countries hit by the pandemic.


Methods: We conducted a largescale, multicountry study (N=5995) to measure public support for the digital contact tracing of COVID-19 infections.

 

We ran anonymous online surveys in France, Germany, Italy, the United Kingdom, and the United States and measured intentions to use a contact-tracing app across different installation regimes (voluntary installation vs automatic installation by mobile phone providers) and studied how these intentions vary across individuals and countries.


Results: We found strong support for the app under both regimes, in all countries, across all subgroups of the population, and irrespective of regional-level COVID-19 mortality rates.

We investigated the main factors that may hinder or facilitate uptake and found that concerns about cybersecurity and privacy, together with a lack of trust in the government, are the main barriers to adoption.


Conclusions:

 

Epidemiological evidence shows that app-based contact tracing can suppress the spread of COVID-19 if a high enough proportion of the population uses the app and that it can still reduce the number of infections if uptake is moderate. Our findings show that the willingness to install the app is very high. The available evidence suggests that app-based contact tracing may be a viable approach to control the diffusion of COVID-19.

 

read the study at https://mhealth.jmir.org/2020/8/e19857

 

nrip's curator insight, June 12, 2021 5:34 AM

A lot of research and anecdotal evidence shows that mHealth/Mobile App based contact tracing can suppress the spread of COVID-19 if a high enough proportion of the population uses the app. 

that it can still reduce the number of infections if uptake is moderate is interesting to note.

 

 

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WHO, Germany launch new global hub for pandemic and epidemic intelligence

The WHO Hub for Pandemic and Epidemic Intelligence will be a global platform for pandemic and epidemic intelligence, creating shared and networked access to vital multi-sectoral data, driving innovations in data analytics and building the communities
of practice needed to predict, prevent, detect, prepare for and respond to worldwide health threats.

 

The WHO Hub will be a new global collaboration of countries and partners worldwide, driving innovations to increase availability and linkage of diverse data; develop tools and predictive models for risk analysis; and to monitor disease control measures
and infodemics. 

 

The WHO Hub will enable partners from around the world to collaborate and co-create the tools and data access that all countries need to prepare, detect and respond to pandemic and epidemic risks. 

 

The World Health Organization (WHO) and the Federal Republic of Germany will establish a new global hub for pandemic and epidemic intelligence, data, surveillance and analytics innovation. The Hub, based in Berlin and working with partners around the
world, will lead innovations in data analytics across the largest network of global data to predict, prevent, detect prepare for and respond to pandemic and epidemic risks worldwide. 

 

Critically, the WHO Hub will support the work of public health experts and policy-makers in all countries with insights so
they can take rapid decisions to prevent and respond to future public health emergencies.“We need to identify pandemic and epidemic risks as quickly as possible, wherever they occur in the world. For that aim, we need to strengthen the global early warning surveillance system with improved collection of health-related data and inter-disciplinary risk analysis,” said Jens Spahn, German Minister of Health.

 

Working with partners globally, the WHO Hub will drive a scale-up in innovation for existing forecasting and early warning capacities in WHO and Member States.

 

At the same time, the WHO Hub will accelerate global collaborations across public and private sector organizations, academia, and international partner networks. It will help them to collaborate and co-create the necessary tools for managing and analyzing data for early warning surveillance. It will also promote greater access to data and information.

 

“One of the lessons of COVID-19 is that world needs a significant leap forward in data analysis to help leaders make informed public health decisions,” said Dr Tedros Adhanom Ghebreyesus, WHO Director-General. “This requires harnessing the potential of advanced technologies such as artificial intelligence, combining diverse data sources, and collaborating across multiple disciplines. Better data and better analytics will lead to better decisions.”

 

read the release at the WHO website at https://www.who.int/news/item/05-05-2021-who-germany-launch-new-global-hub-for-pandemic-and-epidemic-intelligence

 

also useful to read the note on the UN website about the same

https://news.un.org/en/story/2021/05/1091332

 

 

nrip's insight:

Step in the positive direction. Am trying to find more information about this initiative. I  could not find any information on the GOARN website. If anyone is able to find information regarding this, please do share while I look for this. I am thrilled to hear about the setting up of a hub for an Epidemic ‘surveillance system’.

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