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  1. Article ; Online: Quantifying the impact of quarantine duration on COVID-19 transmission.

    Ashcroft, Peter / Lehtinen, Sonja / Angst, Daniel C / Low, Nicola / Bonhoeffer, Sebastian

    eLife

    2021  Volume 10

    Abstract: ... infectivity, and generation time to quantify how the duration of quarantine affects onward transmission ... about the appropriate duration of quarantine, particularly since the fraction of individuals who eventually test ... The large number of individuals placed into quarantine because of possible ...

    Abstract The large number of individuals placed into quarantine because of possible severe acute respiratory syndrome coronavirus 2 (SARS CoV-2) exposure has high societal and economic costs. There is ongoing debate about the appropriate duration of quarantine, particularly since the fraction of individuals who eventually test positive is perceived as being low. We use empirically determined distributions of incubation period, infectivity, and generation time to quantify how the duration of quarantine affects onward transmission from traced contacts of confirmed SARS-CoV-2 cases and from returning travellers. We also consider the roles of testing followed by release if negative (test-and-release), reinforced hygiene, adherence, and symptoms in calculating quarantine efficacy. We show that there are quarantine strategies based on a test-and-release protocol that, from an epidemiological viewpoint, perform almost as well as a 10-day quarantine, but with fewer person-days spent in quarantine. The findings apply to both travellers and contacts, but the specifics depend on the context.
    MeSH term(s) COVID-19/epidemiology ; COVID-19/transmission ; COVID-19/virology ; Contact Tracing ; Humans ; Models, Theoretical ; Pandemics ; Public Health Surveillance ; Quarantine ; SARS-CoV-2/physiology ; Time Factors
    Language English
    Publishing date 2021-02-05
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2687154-3
    ISSN 2050-084X ; 2050-084X
    ISSN (online) 2050-084X
    ISSN 2050-084X
    DOI 10.7554/eLife.63704
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Quantifying the impact of quarantine duration on COVID-19 transmission

    Peter Ashcroft / Sonja Lehtinen / Daniel C Angst / Nicola Low / Sebastian Bonhoeffer

    eLife, Vol

    2021  Volume 10

    Abstract: ... infectivity, and generation time to quantify how the duration of quarantine affects onward transmission ... about the appropriate duration of quarantine, particularly since the fraction of individuals who eventually test ... The large number of individuals placed into quarantine because of possible ...

    Abstract The large number of individuals placed into quarantine because of possible severe acute respiratory syndrome coronavirus 2 (SARS CoV-2) exposure has high societal and economic costs. There is ongoing debate about the appropriate duration of quarantine, particularly since the fraction of individuals who eventually test positive is perceived as being low. We use empirically determined distributions of incubation period, infectivity, and generation time to quantify how the duration of quarantine affects onward transmission from traced contacts of confirmed SARS-CoV-2 cases and from returning travellers. We also consider the roles of testing followed by release if negative (test-and-release), reinforced hygiene, adherence, and symptoms in calculating quarantine efficacy. We show that there are quarantine strategies based on a test-and-release protocol that, from an epidemiological viewpoint, perform almost as well as a 10-day quarantine, but with fewer person-days spent in quarantine. The findings apply to both travellers and contacts, but the specifics depend on the context.
    Keywords COVID-19 ; SARS-CoV-2 ; quarantine ; epidemic containment ; contact tracing ; Medicine ; R ; Science ; Q ; Biology (General) ; QH301-705.5
    Language English
    Publishing date 2021-02-01T00:00:00Z
    Publisher eLife Sciences Publications Ltd
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: Quantifying the impact of quarantine duration on COVID-19 transmission

    Ashcroft, Peter / Lehtinen, Sonja / Bonhoeffer, Sebastian

    medRxiv

    Abstract: ... impact of longer quarantine on transmission prevention may support a quarantine duration below 10 days ... of incubation period, infectivity, and generation time to quantify how the duration of quarantine affects ... transmission. With this model we address the impact of shortening the quarantine for returning travellers and ...

    Abstract The numbers of confirmed cases of SARS-CoV-2 infection are increasing in many places. Consequently, the number of individuals placed into quarantine is increasing too. The large number of individuals in quarantine has high societal and economical costs, as well as infringing on the freedom of the individual. This has led to a vigorous debate about the duration of quarantine, particularly in light of the potentially low specificity of quarantine (i.e. low probability of quarantined individuals indeed being infected). We present a mathematical model that leverages empirically determined distributions of incubation period, infectivity, and generation time to quantify how the duration of quarantine affects transmission. With this model we address the impact of shortening the quarantine for returning travellers and traced contacts of confirmed cases, both in terms of prevented transmission and the ratio of prevented transmission to days spent in quarantine. We also consider the impact of i) test-and-release strategies; ii) additional hygiene measures imposed upon release after a negative test; iii) the development of symptoms during quarantine; iv) the relationship between quarantine duration and adherence; and v) the specificity of quarantine. When considering the benefit versus cost utility of quarantine, we find that the diminishing impact of longer quarantine on transmission prevention may support a quarantine duration below 10 days, particularly for returning travellers. A greater gain of utility can be achieved through a test-and-release strategy, and this can be even further strengthened by imposed hygiene measures post-release. We also find that unless a test-and-release strategy is considered, the specificity of quarantine does not affect the optimal duration of quarantine. Therefore, the argument that we should shorten quarantine because of lack of specificity is misguided.
    Keywords covid19
    Language English
    Publishing date 2020-09-25
    Publisher Cold Spring Harbor Laboratory Press
    Document type Article ; Online
    DOI 10.1101/2020.09.24.20201061
    Database COVID19

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  4. Article ; Online: Quantifying the impact of quarantine duration on COVID-19 transmission

    Ashcroft, P. / Lehtinen, S. / Bonhoeffer, S.

    Abstract: ... impact of longer quarantine on transmission prevention may support a quarantine duration below 10 days ... of incubation period, infectivity, and generation time to quantify how the duration of quarantine affects ... transmission. With this model we address the impact of shortening the quarantine for returning travellers and ...

    Abstract The numbers of confirmed cases of SARS-CoV-2 infection are increasing in many places. Consequently, the number of individuals placed into quarantine is increasing too. The large number of individuals in quarantine has high societal and economical costs, as well as infringing on the freedom of the individual. This has led to a vigorous debate about the duration of quarantine, particularly in light of the potentially low specificity of quarantine (i.e. low probability of quarantined individuals indeed being infected). We present a mathematical model that leverages empirically determined distributions of incubation period, infectivity, and generation time to quantify how the duration of quarantine affects transmission. With this model we address the impact of shortening the quarantine for returning travellers and traced contacts of confirmed cases, both in terms of prevented transmission and the ratio of prevented transmission to days spent in quarantine. We also consider the impact of i) test-and-release strategies; ii) additional hygiene measures imposed upon release after a negative test; iii) the development of symptoms during quarantine; iv) the relationship between quarantine duration and adherence; and v) the specificity of quarantine. When considering the benefit versus cost utility of quarantine, we find that the diminishing impact of longer quarantine on transmission prevention may support a quarantine duration below 10 days, particularly for returning travellers. A greater gain of utility can be achieved through a test-and-release strategy, and this can be even further strengthened by imposed hygiene measures post-release. We also find that unless a test-and-release strategy is considered, the specificity of quarantine does not affect the optimal duration of quarantine. Therefore, the argument that we should shorten quarantine because of lack of specificity is misguided.
    Keywords covid19
    Publisher MedRxiv; WHO
    Document type Article ; Online
    DOI 10.1101/2020.09.24.20201061
    Database COVID19

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