评估 Covid-19 遏制措施有效性的自然实验

Dr. rer. nat. Dipl.-Geogr. Thomas Wieland
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引用次数: 0

摘要

为了评估非药物干预措施(NPIs)在控制科维德-19 大流行期间的感染方面的有效性,自然实验非常有用。本文介绍了自然实验的原理及其统计分析,并首先讨论了自然实验在以往 NPI 研究中的应用。许多关于 NPIs 效果的研究的有效性受到限制,一方面是因为通常没有或只有较弱的控制条件,另一方面是因为分析模型的规范存在问题。由于没有任何其他原因的控制变量,人们往往隐含地假定只有非感染性药物才能减缓感染过程。在第二步中,对第二轮科罗娜浪潮中五项措施的有效性进行了自然实验分析。瑞士(未采取这些措施)和邻近的巴登-符腾堡州作为对比地区。结果表明,关闭密切接触服务机构会减少有效繁殖数量,即抑制感染潮。然而,关闭学校、托儿所和酒店的效果并不明显。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Natürliche Experimente zur Beurteilung der Effektivität von Covid-19-Eindämmungs- maßnahmen
To assess the effectiveness of non-pharmaceutical interventions (NPIs) in controlling infections during the Covid-19 pandemic, natural experiments are useful. This article introduces the principle of natural experiments and their statistical analysis and, in the first step, discusses their implementation in previous NPI studies. The validity of many studies on the effectiveness of NPIs is limited because, on the one hand, there are often no or only weak control conditions and, on the other hand, because there are problems in the specification of the analysis models. It is often implicitly assumed that only NPIs can slow down the infection process because there are no control variables for any other causes. In the second step, a natural experiment is analyzed about the effectiveness of five measures in the second Corona wave. Switzerland (where these measures were not taken) and neighboring Baden-Württemberg serve as comparison regions. It turns out that the closure of close-contact services causes a reduction in the effective reproduction number, i.e., dampens the wave of infections. However, closing schools and daycare facilities as well as hotels is not effective.
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