To lockdown or not to lockdown: Analysis of the EU lockdown performance vs. COVID-19 outbreak.

Frontiers in Medical Technology Pub Date : 2022-10-21 eCollection Date: 2022-01-01 DOI:10.3389/fmedt.2022.981620
Emanuele Lindo Secco, Stefano Conte
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Abstract

The worldwide COVID-19 outbreak has dramatically called for appropriate responses from governments. Scientists estimated both the basic reproduction number and the lethality of the virus. The former one depends on several factors (environment and social behavior, virus characteristics, removal rate). In the absence of specific treatments (vaccine, drugs) for COVID-19 there was a limited capability to control the likelihood of transmission or the recovery rate. Therefore, to limit the expected exponential spread of the disease and to reduce its consequences, most national authorities have adopted containment strategies that are mostly focused on social distancing measures. In this context, we performed an analysis of the effects of government lockdown policies in 5 European Countries (France, Germany, Italy, Spain, United Kingdom). We used phone mobility data, published by Apple Inc. and Google, as an indirect measure of social distancing over time since we believe they represent a good approximation of actual changes in social behaviors. (i) The responsiveness of the governments in taking decisions. (ii) The coherence of the lockdown policy with changes in mobility data. (iii) The lockdown implementation performance in each country. (iv) The effects of social distancing on the epidemic evolution. These data were first analyzed in relation with the evolution of political recommendations and directives to both assess (i) responsiveness of governments in taking decisions and (ii) the implementation performance in each country. Subsequently, we used data made available by John Hopkins University in the attempt to compare changes in people behaviors with the evolution of COVID-19 epidemic (confirmed cases, new and cumulative) in each country in scope. Finally, we made an attempt to identify some key lockdown performance parameters in order to: (i) establish responsiveness, efficiency and effectiveness of the lockdown measures. (ii) model the latency occurring between the changes in social behaviors and the changes in growth rate of the disease.

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封锁还是不封锁:欧盟封锁表现与新冠肺炎疫情的对比分析。
COVID-19 在全球范围内的爆发极大地要求各国政府采取适当的应对措施。科学家们估算了病毒的基本繁殖数量和致死率。前者取决于多个因素(环境和社会行为、病毒特征、清除率)。在没有针对 COVID-19 的特定治疗方法(疫苗、药物)的情况下,控制传播可能性或恢复率的能力有限。因此,为了限制该疾病的预期指数式传播并减少其后果,大多数国家当局都采取了以社会隔离措施为主的遏制策略。在此背景下,我们对欧洲五国(法国、德国、意大利、西班牙和英国)政府封锁政策的效果进行了分析。我们使用苹果公司和谷歌公司发布的手机移动数据作为衡量社会距离随时间变化的间接指标,因为我们相信这些数据可以很好地近似反映社会行为的实际变化。(i) 政府决策的响应速度。(ii) 封锁政策与移动数据变化的一致性。(iii) 各国实施封锁的绩效。(iv) 社会距离对流行病演变的影响。我们首先结合政治建议和指令的演变对这些数据进行分析,以评估 (i) 各国政府在做出决策时的反应能力和 (ii) 各国的执行情况。随后,我们利用约翰-霍普金斯大学提供的数据,试图将人们行为的变化与 COVID-19 在每个国家的流行情况(确诊病例、新增病例和累积病例)的变化进行比较。最后,我们试图确定一些关键的封锁性能参数,以便(i) 确定封锁措施的反应能力、效率和效果。(ii) 模拟社会行为变化与疾病增长率变化之间的潜伏期。
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