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Article ; Online: Does COVID-19 vaccination cause excess deaths?

Liu, Jui-Yao / Chen, Tzeng-Ji / Hou, Ming-Chih

Journal of the Chinese Medical Association : JCMA

2021 Volume 84, Issue 9, Page(s) 811–812

MeSH term(s)	Age Factors ; Aged ; Aged, 80 and over ; COVID-19/prevention & control ; COVID-19 Vaccines/adverse effects ; Cause of Death ; Female ; Humans ; Male ; Middle Aged ; SARS-CoV-2/immunology ; Vaccination/mortality
Chemical Substances	COVID-19 Vaccines
Language	English
Publishing date	2021-08-30
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	2107283-8
ISSN	1728-7731 ; 1726-4901
ISSN (online)	1728-7731
ISSN	1726-4901
DOI	10.1097/JCMA.0000000000000580
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Analysis of community-acquired COVID-19 cases in Taiwan.

Liu, Jui-Yao / Chen, Tzeng-Ji / Hwang, Shinn-Jang

Journal of the Chinese Medical Association : JCMA

2020 Volume 83, Issue 12, Page(s) 1087–1092

Abstract: Background: The demographic characteristics and transmission dynamics of the community-acquired coronavirus disease 2019 (COVID-19) cases in Taiwan were analyzed for more effective control and prevention of the community transmission of this novel ... ...

Abstract	Background: The demographic characteristics and transmission dynamics of the community-acquired coronavirus disease 2019 (COVID-19) cases in Taiwan were analyzed for more effective control and prevention of the community transmission of this novel disease. Methods: Open-access data and press releases on COVID-19 in Taiwan were collected on the website of the Taiwan Centers for Disease Control. All 55 community-acquired cases of COVID-19 confirmed from January 28 to April 12, 2020, in Taiwan were included. Basic demographic characteristics, symptom presentation, infection source, route of identification, and transmission dynamics were analyzed. Results: Of the 55 cases, 52.7% were female and 74.5% were between 20-59 years of age. One-sixth (16.4%) of community-acquired cases were asymptomatic. More than half (58.2%) of the cases were identified via contact tracing. The median incubation period was 6 days (range 1-13 d) and the median serial interval was 4 days (range -3-24 d). Twenty-six cases (47.3%) were transmitted from presymptomatic cases, 11 cases (20%) from symptomatic cases, and 2 cases (3.6%) from an asymptomatic case. The contagious period of symptomatic cases was from 7 days before to 15 days after the onset of symptoms. Conclusion: The high proportion of asymptomatic cases and the transmissibility in the presymptomatic and asymptomatic periods make control of COVID-19 challenging. Protective measures such as social distancing, wearing face masks, and hand washing are mandatory to prevent community transmission.
MeSH term(s)	Adult ; Basic Reproduction Number ; COVID-19/epidemiology ; COVID-19/mortality ; COVID-19/transmission ; Community-Acquired Infections/epidemiology ; Female ; Humans ; Male ; Middle Aged ; SARS-CoV-2 ; Taiwan/epidemiology
Keywords	covid19
Language	English
Publishing date	2020-08-12
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	2107283-8
ISSN	1728-7731 ; 1726-4901
ISSN (online)	1728-7731
ISSN	1726-4901
DOI	10.1097/JCMA.0000000000000411
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Analysis of Imported Cases of COVID-19 in Taiwan: A Nationwide Study.

Liu, Jui-Yao / Chen, Tzeng-Ji / Hwang, Shinn-Jang

International journal of environmental research and public health

2020 Volume 17, Issue 9

Abstract: In the early stages of the 2019 novel coronavirus disease (COVID-19) pandemic, containment of disease importation from epidemic areas was essential for outbreak control. This study is based on publicly accessible data on confirmed COVID-19 cases in ... ...

Abstract	In the early stages of the 2019 novel coronavirus disease (COVID-19) pandemic, containment of disease importation from epidemic areas was essential for outbreak control. This study is based on publicly accessible data on confirmed COVID-19 cases in Taiwan extracted from the Taiwan Centers for Disease Control website. We analysed the characteristics, infection source, symptom presentation, and route of identification of the 321 imported cases that were identified from 21 January to 6 April 2020. They were mostly returned Taiwanese citizens who had travelled to one or more of 37 countries for tourism, business, work, or study. Half of these cases developed symptoms before arrival, most of the remainder developed symptoms 1-13 days (mean 4.0 days) after arrival, and 3.4% never developed symptoms. Three-quarters of the cases had respiratory symptoms, 44.9% had fever, 13.1% lost smell or taste, and 7.2% had diarrhoea. Body temperature and symptom screening at airports identified 32.7% of the cases. Of the remainder, 27.7% were identified during home quarantining, 16.2% were identified via contact tracing, and 23.4% were reported by hospitals. Under the strict enforcement of these measures, the incidence of locally acquired COVID-19 cases in Taiwan remains sporadic. In conclusion, proactive border control measures are effective for preventing community transmission of this disease.
MeSH term(s)	Airports ; Asymptomatic Infections ; Betacoronavirus ; COVID-19 ; Contact Tracing ; Coronavirus/isolation & purification ; Coronavirus Infections/diagnosis ; Coronavirus Infections/epidemiology ; Coronavirus Infections/transmission ; Disease Outbreaks/prevention & control ; Disease Transmission, Infectious/prevention & control ; Fever of Unknown Origin/diagnosis ; Humans ; Incidence ; Mass Screening/methods ; Pandemics/prevention & control ; Pneumonia, Viral/diagnosis ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/transmission ; Population Surveillance ; Quarantine ; SARS-CoV-2 ; Sentinel Surveillance ; Social Isolation ; Taiwan/epidemiology ; Travel ; Travel Medicine
Keywords	covid19
Language	English
Publishing date	2020-05-09
Publishing country	Switzerland
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ISSN	1660-4601
ISSN (online)	1660-4601
DOI	10.3390/ijerph17093311
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Analysis of Imported Cases of COVID-19 in Taiwan

Jui-Yao Liu / Tzeng-Ji Chen / Shinn-Jang Hwang

International Journal of Environmental Research and Public Health, Vol 17, Iss 3311, p

A Nationwide Study

2020 Volume 3311

Abstract	In the early stages of the 2019 novel coronavirus disease (COVID-19) pandemic, containment of disease importation from epidemic areas was essential for outbreak control. This study is based on publicly accessible data on confirmed COVID-19 cases in Taiwan extracted from the Taiwan Centers for Disease Control website. We analysed the characteristics, infection source, symptom presentation, and route of identification of the 321 imported cases that were identified from 21 January to 6 April 2020. They were mostly returned Taiwanese citizens who had travelled to one or more of 37 countries for tourism, business, work, or study. Half of these cases developed symptoms before arrival, most of the remainder developed symptoms 1–13 days (mean 4.0 days) after arrival, and 3.4% never developed symptoms. Three-quarters of the cases had respiratory symptoms, 44.9% had fever, 13.1% lost smell or taste, and 7.2% had diarrhoea. Body temperature and symptom screening at airports identified 32.7% of the cases. Of the remainder, 27.7% were identified during home quarantining, 16.2% were identified via contact tracing, and 23.4% were reported by hospitals. Under the strict enforcement of these measures, the incidence of locally acquired COVID-19 cases in Taiwan remains sporadic. In conclusion, proactive border control measures are effective for preventing community transmission of this disease.
Keywords	2019 novel coronavirus diseases (COVID-19) ; pandemic outbreak ; imported cases ; border control ; quarantine ; isolation ; Medicine ; R ; covid19
Language	English
Publishing date	2020-05-01T00:00:00Z
Publisher	MDPI AG
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Book ; Online: Analysis of Imported Cases of COVID-19 in Taiwan

Jui-Yao Liu / Tzeng-Ji Chen / Shinn-Jang Hwang

International Journal of Environmental Research and Public Health ; Volume 17 ; Issue 9

A Nationwide Study

2020

Abstract	In the early stages of the 2019 novel coronavirus disease (COVID-19) pandemic, containment of disease importation from epidemic areas was essential for outbreak control. This study is based on publicly accessible data on confirmed COVID-19 cases in Taiwan extracted from the Taiwan Centers for Disease Control website. We analysed the characteristics, infection source, symptom presentation, and route of identification of the 321 imported cases that were identified from 21 January to 6 April 2020. They were mostly returned Taiwanese citizens who had travelled to one or more of 37 countries for tourism, business, work, or study. Half of these cases developed symptoms before arrival, most of the remainder developed symptoms 1– 13 days (mean 4.0 days) after arrival, and 3.4% never developed symptoms. Three-quarters of the cases had respiratory symptoms, 44.9% had fever, 13.1% lost smell or taste, and 7.2% had diarrhoea. Body temperature and symptom screening at airports identified 32.7% of the cases. Of the remainder, 27.7% were identified during home quarantining, 16.2% were identified via contact tracing, and 23.4% were reported by hospitals. Under the strict enforcement of these measures, the incidence of locally acquired COVID-19 cases in Taiwan remains sporadic. In conclusion, proactive border control measures are effective for preventing community transmission of this disease.
Keywords	2019 novel coronavirus diseases (COVID-19) ; pandemic outbreak ; imported cases ; border control ; quarantine ; isolation ; contact tracing ; symptom ; reproduction number ; covid19
Language	English
Publishing date	2020-05-09
Publisher	Multidisciplinary Digital Publishing Institute
Publishing country	ch
Document type	Book ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Characteristics of Clinics without National Health Insurance Contracts

Pei-Jyun Lu / Jui-Yao Liu / Hsin Ma / Tzeng-Ji Chen / Li-Fang Chou / Shinn-Jang Hwang

International Journal of Environmental Research and Public Health, Vol 19, Iss 1517, p

A Nationwide Survey in Taiwan

2022 Volume 1517

Abstract: Based on the 1978 Alma-Ata Declaration, the key to achieving health for all is primary health care, and many countries have established various comprehensive health care systems. Because of the financial toll of a public health care system, government- ... ...

Abstract	Based on the 1978 Alma-Ata Declaration, the key to achieving health for all is primary health care, and many countries have established various comprehensive health care systems. Because of the financial toll of a public health care system, government-sponsored public health insurance is not universally accepted. This study used Taiwan as the backdrop to understand why many health clinics have chosen not to accept the National Health Insurance (NHI), despite it covering 99.93% of the country’s population. The clinics’ operational details were garnered from the datasets of Taiwan’s open government data platforms and checked against the list of contracting clinics within the NHI. Of 10,907 Western medicine primary care clinics in 2016, as many as 9846 (90.3%) clinics had signed contracts with the NHI. The remaining 1061 noncontracting clinics were distributed in urban (94.5%, n = 1003), suburban (4.9%, n = 52), and rural/remote areas (0.6%, n = 6). The NHI did not have contracts with 183 plastic surgery, 88 internal medicine, and 85 surgery clinics. In conclusion, nearly one-tenth of clinics practiced independently of the NHI in Taiwan. Their reasons for declining the contract and practices for delivering their services deserve further studies.
Keywords	ambulatory care facilities ; national health programs ; private practice ; Taiwan ; Medicine ; R
Subject code	360
Language	English
Publishing date	2022-01-01T00:00:00Z
Publisher	MDPI AG
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Analysis of community-acquired COVID-19 cases in Taiwan

Liu, Jui-Yao / Chen, Tzeng-Ji / Hwang, Shinn-Jang

Journal of the Chinese Medical Association

2020 Volume Publish Ahead of Print

Keywords	General Medicine ; covid19
Language	English
Publisher	Ovid Technologies (Wolters Kluwer Health)
Publishing country	us
Document type	Article ; Online
ZDB-ID	2107283-8
ISSN	1728-7731 ; 1726-4901
ISSN (online)	1728-7731
ISSN	1726-4901
DOI	10.1097/jcma.0000000000000411
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Characteristics of Clinics without National Health Insurance Contracts: A Nationwide Survey in Taiwan.

Lu, Pei-Jyun / Liu, Jui-Yao / Ma, Hsin / Chen, Tzeng-Ji / Chou, Li-Fang / Hwang, Shinn-Jang

International journal of environmental research and public health

2022 Volume 19, Issue 3

Abstract	Based on the 1978 Alma-Ata Declaration, the key to achieving health for all is primary health care, and many countries have established various comprehensive health care systems. Because of the financial toll of a public health care system, government-sponsored public health insurance is not universally accepted. This study used Taiwan as the backdrop to understand why many health clinics have chosen not to accept the National Health Insurance (NHI), despite it covering 99.93% of the country's population. The clinics' operational details were garnered from the datasets of Taiwan's open government data platforms and checked against the list of contracting clinics within the NHI. Of 10,907 Western medicine primary care clinics in 2016, as many as 9846 (90.3%) clinics had signed contracts with the NHI. The remaining 1061 noncontracting clinics were distributed in urban (94.5%,
MeSH term(s)	Ambulatory Care Facilities ; Health Services Accessibility ; National Health Programs ; Surveys and Questionnaires ; Taiwan/epidemiology
Language	English
Publishing date	2022-01-28
Publishing country	Switzerland
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2175195-X
ISSN	1660-4601 ; 1661-7827
ISSN (online)	1660-4601
ISSN	1661-7827
DOI	10.3390/ijerph19031517
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Article: Analysis of Imported Cases of COVID-19 in Taiwan: A Nationwide Study

Liu, Jui-Yao / Chen, Tzeng-Ji / Hwang, Shinn-Jang

Int. j. environ. res. public health (Online)

Abstract	In the early stages of the 2019 novel coronavirus disease (COVID-19) pandemic, containment of disease importation from epidemic areas was essential for outbreak control. This study is based on publicly accessible data on confirmed COVID-19 cases in Taiwan extracted from the Taiwan Centers for Disease Control website. We analysed the characteristics, infection source, symptom presentation, and route of identification of the 321 imported cases that were identified from 21 January to 6 April 2020. They were mostly returned Taiwanese citizens who had travelled to one or more of 37 countries for tourism, business, work, or study. Half of these cases developed symptoms before arrival, most of the remainder developed symptoms 1-13 days (mean 4.0 days) after arrival, and 3.4% never developed symptoms. Three-quarters of the cases had respiratory symptoms, 44.9% had fever, 13.1% lost smell or taste, and 7.2% had diarrhoea. Body temperature and symptom screening at airports identified 32.7% of the cases. Of the remainder, 27.7% were identified during home quarantining, 16.2% were identified via contact tracing, and 23.4% were reported by hospitals. Under the strict enforcement of these measures, the incidence of locally acquired COVID-19 cases in Taiwan remains sporadic. In conclusion, proactive border control measures are effective for preventing community transmission of this disease.
Keywords	covid19
Publisher	WHO
Document type	Article
Note	WHO #Covidence: #209556
Database	COVID19

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Article: Analysis of community-acquired COVID-19 cases in Taiwan

Liu, Jui-Yao / Chen, Tzeng-Ji / Hwang, Shinn-Jang

J. Chin. Med. Assoc

Abstract: BACKGROUND: The demographic characteristics and transmission dynamics of the community-acquired coronavirus disease 2019 (COVID-19) cases in Taiwan were analysed for more effective control and prevention of the community transmission of this novel ... ...

Abstract	BACKGROUND: The demographic characteristics and transmission dynamics of the community-acquired coronavirus disease 2019 (COVID-19) cases in Taiwan were analysed for more effective control and prevention of the community transmission of this novel disease. METHODS: Open-access data and press releases on COVID-19 in Taiwan were collected on the website of the Taiwan Centers for Disease Control. All 55 community-acquired cases of COVID-19 confirmed from January 28 to April 12, 2020 in Taiwan were included. Basic demographic characteristics, symptom presentation, infection source, route of identification, and transmission dynamics were analyzed. RESULTS: Of the 55 cases, 52.7% were female and 74.5% were between 20-59 years of age. One sixth (16.4%) of community-acquired cases were asymptomatic. More than half (58.2%) of the cases were identified via contact tracing. The median incubation period was 6 days (range 1 to 13 days) and the median serial interval was 4 days (range -3 to 24 days). Twenty-six cases (47.3%) were transmitted from pre-symptomatic cases, eleven cases (20%) from symptomatic cases, and two cases (3.6%) from an asymptomatic case. The contagious period of symptomatic cases was from 7 days before to 15 days after the onset of symptoms. CONCLUSION: The high proportion of asymptomatic cases and the transmissibility in the pre-symptomatic and asymptomatic periods make control of COVID-19 challenging. Protective measures such as social distancing, wearing face masks, and hand washing are mandatory to prevent community transmission.
Keywords	covid19
Publisher	WHO
Document type	Article
Note	WHO #Covidence: #717250
Database	COVID19

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