不到两个月后,促使世界进入严格封锁状态的模拟似乎是错误的,它们所产生的政策也是错误的。

IF 1.5 Q3 HEALTH POLICY & SERVICES
Health Services Research and Managerial Epidemiology Pub Date : 2020-06-17 eCollection Date: 2020-01-01 DOI:10.1177/2333392820932324
Alberto Boretti
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引用次数: 0

摘要

在此,我们回顾了基于最新数据的 Covid-19 死亡率模型预测。英国政府所信任的帝国理工学院模型预测,疫情爆发两个多月后,美国的死亡峰值将超过 170/百万人,英国的死亡峰值将超过 215/百万人,疫情爆发时间将远远超过 4 个月。这些预测促使世界各国采取严厉的隔离措施,忘记了群体免疫的概念。中国在出现首例死亡 40 天后,死亡峰值低于 0.1 人/百万人,疫情持续了 80 天。意大利、比利时、荷兰、瑞典或英国在首次死亡 40 天、39 天、33 天、44 天和 39 天后,或在每日确诊死亡人数达到每百万人 0.1 人 31 天、29 天、24 天、38 天和 29 天后,死亡率曲线趋于平缓,分别为每百万人 13.6 人、28.6 人、9.0 人、10.6 人和 13.9 人。与比利时或瑞典相比,意大利、荷兰或英国的下降曲线要慢得多。与英国、意大利或比利时实施全面封锁不同,荷兰只采取了 "智能 "封锁,而瑞典则没有采取任何封锁措施。然而,他们取得了更好的结果。再加上新的证据表明,Covid-19 对健康人群的影响极小,大部分人即使受到挑战也不会被感染,或者即使被感染也只是轻微或无症状,因此我们有很多充分的理由质疑特定流行病学模型模拟及其产生的政策的有效性。减少对健康人群的限制,同时更好地保护易感人群,本应是一个更好的选择,这样可以更持久地保护国家,否则一旦取消严格的措施,这些国家就会面临第二波感染的风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

After Less Than 2 Months, the Simulations That Drove the World to Strict Lockdown Appear to be Wrong, the Same of the Policies They Generated.

After Less Than 2 Months, the Simulations That Drove the World to Strict Lockdown Appear to be Wrong, the Same of the Policies They Generated.

After Less Than 2 Months, the Simulations That Drove the World to Strict Lockdown Appear to be Wrong, the Same of the Policies They Generated.

After Less Than 2 Months, the Simulations That Drove the World to Strict Lockdown Appear to be Wrong, the Same of the Policies They Generated.

Here, we review modeling predictions for Covid-19 mortality based on recent data. The Imperial College model trusted by the British Government predicted peak mortalities above 170 deaths per million in the United States, and above 215 deaths per million in Great Britain, after more than 2 months from the outbreak, and a length for the outbreak well above 4 months. These predictions drove the world to adopt harsh distancing measures and forget the concept of herd immunity. China had peak mortalities of less than 0.1 deaths per million after 40 days since first deaths, and an 80-day-long outbreak. Italy, Belgium, the Netherlands, Sweden, or Great Britain flattened the curve at 13.6, 28.6, 9.0, 10.6, and 13.9 deaths per million after 40, 39, 33, 44, and 39 days from first deaths, or 31, 29, 24, 38, and 29 days since the daily confirmed deaths reached 0.1 per million people, respectively. The declining curve is much slower for Italy, the Netherlands, or Great Britain than Belgium or Sweden. Opposite to Great Britain, Italy, or Belgium that enforced a complete lockdown, the Netherlands only adopted an "intelligent" lockdown, and Sweden did not adopt any lockdown. However, they achieved better results. Coupled to new evidence for minimal impact of Covid-19 on the healthy population, with the most part not infected even if challenged, or only mild or asymptomatic if infected, there are many good reasons to question the validity of the specific epidemiological model simulations and the policies they produced. Fewer restrictions on the healthy while better protecting the vulnerable would have been a much better option, permitting more sustainable protection of countries otherwise at risk of second waves as soon as the strict measures are lifted.

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来源期刊
CiteScore
1.60
自引率
6.20%
发文量
32
审稿时长
12 weeks
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