communicable disease control

传染病控制
  • 文章类型: Journal Article
    2019年冠状病毒病意外发生在2019年12月下旬,在疫情爆发的早期阶段很难立即开发出有效的疫苗或提出有针对性的医疗干预措施。在这一点上,非药物干预措施(NPIs)是对COVID-19的公共卫生反应的重要组成部分。如何在疫情爆发初期对不同的NPI进行组合,控制疫情的传播,确保政策组合不产生高昂的社会经济成本,成为本次研究的重点。
    我们主要使用模糊集定性比较分析来评估不同NPI组合对COVID-19大流行早期控制效果的影响,使用包含案例编号的开放数据集,国家人口和政策对策。
    我们表明,高发病率结果的配置包括一个,这是非严格的面部覆盖的组合,社会隔离和旅行限制。非高发病率结果的配置包括三个,一是严格的口罩佩戴措施,这本身就构成了解释结果的充分条件;二是严格的测试和接触者追踪,社会隔离;第三是严格的测试和接触者追踪,旅行限制。稳健性检验的结果表明,更改最小情况频率后,配置的组件和一致性没有改变,证明了分析结果的可靠性。
    在流行病的早期阶段,高发病率的原因与非高发病率的原因不对称。严格的面部覆盖是预防和控制流行病所需的最基本措施,不严格的面部覆盖和围堵相结合是导致防控不力的最重要因素,严格遏制和主动追求相结合是实现卓越防控的途径,及时积极的遏制策略有更好的预防和控制,并应动员公众合作。
    UNASSIGNED: Coronavirus disease 2019 occurred unexpectedly in late December 2019, it was difficult to immediately develop an effective vaccine or propose targeted medical interventions in the early stages of the outbreak. At this point, non-pharmaceutical interventions (NPIs) are essential components of the public health response to COVID-19. How to combine different NPIs in the early stages of an outbreak to control the spread of epidemics and ensure that the policy combination does not incur high socio-economic costs became the focus of this study.
    UNASSIGNED: We mainly used the fuzzy set qualitative comparative analysis to assess the impact of different combinations of NPIs on the effectiveness of control in the COVID-19 pandemic early stage, using open datasets containing case numbers, country populations and policy responses.
    UNASSIGNED: We showed that the configuration of high morbidity results includes one, which is the combination of non-strict face covering, social isolation and travel restrictions. The configuration of non-high morbidity results includes three, one is strict mask wearing measures, which alone constitute sufficient conditions for interpreting the results; the second is strict testing and contact tracing, social isolation; the third is strict testing and contact tracing, travel restriction. The results of the robustness test showed that the number, components and consistency of the configurations have not changed after changing the minimum case frequency, which proved that the analysis results are reliable.
    UNASSIGNED: In the early stages of the epidemic, the causes of high morbidity are not symmetrical with the causes of non-high morbidity. Strict face covering is the most basic measure required to prevent and control epidemics, and the combination of non-strict face covering and containment is the most important factor leading to poor prevention and control, and the combination of strict containment and proactive pursuit is the way to achieve superior prevention and control, timely and proactive containment strategies have better prevention and control, and should mobilize the public to cooperate.
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  • 文章类型: Journal Article
    适当的传染病特异性健康素养(IDSHL)有利于居民应对传染病。本研究旨在探讨居民获取传染病防治知识(IDPC知识)的方法,以寻求有效的健康教育方法,以提高居民的IDSHL水平。2022年,山东省进行了一项横断面研究,中国。通过多阶段抽样从农村地区招募参与者。IDPC知识认知问卷,作为一个可靠和有效的工具,应用于数据收集和调查参与者的IDPC知识。采用卡方分析法分析不同亚组间IDSHL占有水平的差异。还通过卡方分析检查了人口统计学因素与获取IDPC知识的方法之间的关系。在总共2283名参与者中,IDSHL的持有率为31.80%。IDSHL水平与社会人口因素之间存在显着关联,包括年龄(P<.001),性别(P=0.02),教育(P<.001),职业(P<.001),家庭年收入(P<.001),是否使用智能手机(P<.001),是否在智能手机上浏览微信(P<.001),以及是否在智能手机上浏览除微信以外的应用程序(P<.001)。单因素分析表明,是否采用特定的方法,包括电视(P=0.02),智能手机上的微信(P<.001),传染病防控宣传(P<.001),获得IDPC知识的医生建议(P<.001)与IDSHL水平显著相关。年龄(P<.001),教育(P<0.05),职业(P<0.05),和家庭年收入(P<.01)与获取IDPC知识的方法相关。山东省农村居民充足的IDSHL,中国,并不乐观。传统方法与互联网宣传平台的结合,应该为农村人群中的IDSHL健康教育承担更大的责任。
    Adequate infectious disease-specific health literacy (IDSHL) is of benefit to residents in dealing with infectious diseases. This study aimed to investigate the methods by which residents acquire knowledge about infectious disease prevention and control (IDPC knowledge) so as to find effective health education methods used to improve residents\' IDSHL level. In 2022, a cross-sectional study was conducted in Shandong Province, China. Participants were recruited from rural areas by multistage sampling. The IDPC knowledge cognitive questionnaire, as a reliable and valid tool, was applied to data collection and to investigate the participants\' IDPC knowledge. Chi-square analysis was utilized to analyze the differences in possession level of IDSHL between different subgroups. The relationship between demographic factors and methods to acquire IDPC knowledge was also examined by chi-square analysis. The possession rate of adequate IDSHL among the total 2283 participants was 31.80%. There was a significant association between IDSHL level and socio-demographic factors, including age (P < .001), sex (P = .02), education (P < .001), occupation (P < .001), annual family income (P < .001), whether to use smartphones (P < .001), whether to browse WeChat on smartphones (P < .001), and whether to browse apps on smartphones except WeChat (P < .001). Univariate analysis showed that whether to adopt specific methods, including television (P = .02), WeChat on smartphones (P < .001), propaganda of infectious disease prevention and control (P < .001), and doctor\'s advice (P < .001) to acquire IDPC knowledge had significant associations with IDSHL level. Age (P < .001), education (P < .05), occupation (P < .05), and annual family income (P < .01) were associated with methods to acquire IDPC knowledge. The rural residents\' adequate IDSHL in Shandong Province, China, was not optimistic. The combination of traditional methods and Internet publicity platforms should take greater responsibility for IDSHL health education among rural populations.
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  • 文章类型: Journal Article
    During the late Qing Dynasty, Tianjin Customs gradually established the seaport quarantine system to prevent the spread of epidemics from Japan, Hong Kong, and the Northeast. The major infectious diseases inspected by the quarantine institution of Tianjin Port include cholera, plague, smallpox, typhus and yellow fever, of which cholera is the most frequent and influential infectious disease in modern Tianjin, followed by plague and smallpox, and no large-scale epidemics of typhus and yellow fever have been found.In the process of preventing the spreading of foreign infectious diseases, the quarantine institution of Tianjin Port has gradually developing. A set of business system has been established, which is based on ship inspection and takes preventive injection, rat flea research and disease diagnosis and treatment as the core.In conclusion,the seaport quarantine institutions in Tianjin played an active role in the prevention, detection, and response to major infectious diseases ,opened up a precedent for Chinese people to independently handle border health quarantine.Its historical practice and quarantine mode are a window for understanding the development history of quarantine infectious diseases in modern China, which has very important reference value.
    晚清时期,为防止日本、香港、东北等地的疫情传入天津,天津海关逐步建立起天津海港检疫制度。天津海港检疫机构施检的重大传染病包括霍乱、鼠疫、天花、斑疹伤寒和黄热病,其中霍乱是近代天津地区爆发最频繁、影响力最大的传染病,鼠疫、天花次之,未发现斑疹伤寒和黄热病大规模流行的记载。天津海港检疫机构在抵制外来传染病入侵的过程中逐渐成熟,建立起以船舶检验为基础,以预防注射、鼠蚤研究和疾病诊疗为核心的业务体系。天津海港检疫机构在重大传染病预防、检测与应对方面发挥了积极的作用,开辟了国人自主办理国境卫生检疫的先河,其历史实践和检疫模式是认识和了解近代中国检疫传染病发展史的一个窗口,具有十分重要的借鉴价值。.
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  • 文章类型: Editorial
    暂无摘要。
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  • 文章类型: English Abstract
    To understand the progress of national schistosomiasis elimination program of China in 2023 and summarize the lessons and experiences, data on the endemic status of schistosomiasis and national schistosomiasis surveillance results in the People\'s Republic of China were collected and analyzed at a national level. By the end of 2023, Shanghai Municipality, Zhejiang Province, Fujian Province, Guangdong Province and Guangxi Zhuang Autonomous Region continued to consolidate the achievements of schistosomiasis elimination, and Sichuan and Jiangsu provinces maintained the criteria of transmission interruption, while Yunnan and Hubei provinces were identified to achieve the criteria of transmission interruption in 2020, and Anhui, Jiangxi and Hunan provinces achieved the criteria of transmission interruption in 2023. A total of 451 counties (cites, districts) were found to be endemic for schistosomiasis in China in 2023, including 26 250 endemic villages covering 73 034 500 residents at risk of infections. Among the 451 endemic counties (cities, districts), 78.49% (354/451) achieved the criteria of schistosomiasis elimination and 21.51% (97/451) achieved the criteria of transmission interruption, respectively. In 2023, a total of 4 216 643 individuals received immunological tests, with 47 794 sero-positives identified, and a total of 184 216 individuals received parasitological examinations, with 4 egg-positives detected. A total of 27 768 cases with advanced schistosomiasis were documented in China by the end of 2023. In 2023, 539 548 bovines were raised in schistosomiasis-endemic areas of China, and 125 440 bovines received immunological tests, with 124 sero-positives detected, while no egg-positives were identified among the 133 508 bovines receiving parasitological examinations. In 2023, snail survey was performed at an area of 641 339.53 hm2 and 184 819.77 hm2 snail habitats were identified, including 51.53 hm2 emerging snail habitats and 642.25 hm2 reemerging snail habitats. In 2023, there were 20 198 schistosomiasis patients receiving praziquantel chemotherapy, and 598 183 person-time individuals and 283 954 herdtime bovines were given expanded chemotherapy. In 2023, snail control with chemical treatment was performed in 116 347.95 hm2 snail habitats, and the actual area of chemical treatment was 65 690.89 hm2, while environmental improvements were performed in snail habitats covering an area of 1 334.62 hm2. The national schistosomiasis surveillance results showed that the mean prevalence of Schistosoma japonicum infections were both zero among humans and bovines in 2023, and no S. japonicum infection was detected in snails. These data demonstrated that transmission interruption of schistosomiasis had been achieved across all endemic provinces in China in 2023, and the endemic status of schistosomiasis tended to be stable, while advanced cases were predominant among all schistosomiasis cases. However, the areas of snail habitats remained high and cattle re-raising was very common in some regions. Intensified schistosomiasis surveillance and forecast and snail control in high-risk areas are needed.
    [摘要] 为了解全国血吸虫病消除工作进展、总结防治经验及存 在的问题, 本文对2023年全国血吸虫病疫情和监测结果进行了概 括分析。截至2023年底, 上海、浙江、福建、广东、广西等5个省 (直辖市、自治区) 继续维持血吸虫病消除状态, 四川、江苏省继续 维持传播阻断标准, 云南、湖北省于2020年达到传播阻断标准, 安 徽、江西、湖南省于2023年新达到传播阻断标准。2023年, 全国 共有451个血吸虫病流行县 (市、区) 、26 250个流行村, 流行村总 人口7 303.45万人; 451个流行县 (市、区) 中, 354个 (78.49%) 已达 到血吸虫病消除标准、97个 (21.51%) 已达到传播阻断标准。2023 年全国共开展居民血吸虫病免疫学检查4 216 643例, 阳性47 794 例; 开展病原学检查184 216例, 阳性4例; 全国尚存晚期血吸虫病 患者27 768例。2023年全国血吸虫病流行村现有存栏牛539 548 头, 累计开展免疫学检查查病125 440头, 阳性124头; 病原学检查查病133 508头, 未发现阳性。全国累计开展钉螺调查 641 339.53 hm2, 查出有螺面积184 819.77 hm2, 其中新发现有螺面积51.53 hm2、复现有螺面积642.25 hm2。2023年, 全国 累计治疗血吸虫病患者20 198例, 人群病原学扩大治疗598 183例·次, 牛病原学扩大治疗283 954头·次; 全国累计开展 药物灭螺116 347.95 hm2, 实际药物灭螺65 690.89 hm2, 环境改造灭螺1 334.62 hm2。2023年, 全国血吸虫病监测结果显 示人、畜血吸虫感染率均为0, 未发现感染性钉螺。疫情数据分析显示, 2023年全国所有流行省份均达到血吸虫病传播 阻断标准、疫情趋于稳定, 血吸虫病病例以晚期病例为主; 但钉螺面积居高不下, 部分地区牛复养现象严重。需继续加强 血吸虫病监测预警, 做好重点地区钉螺控制工作。.
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  • 文章类型: Journal Article
    这项研究的目的是总结四个东亚国家对COVID-19的卫生系统反应,分析他们的卫生系统反应的有效性,并为其他国家控制疫情和优化卫生系统应对措施提供经验教训。
    这项研究调查并总结了四个东亚国家的COVID-19数据和卫生系统反应,中国,Japan,蒙古,和韩国的国家政府和卫生部,世卫组织国家办事处,和国际组织的官方网站,评估卫生系统措施的有效性。
    截至2022年6月30日,这四个国家的COVID-19比例都在下降。中国有两个浪潮,新病例缓慢增加,每百万病例总数保持在4个以内,表明水平较低。日本经历了六次浪潮,随着病例增长达到历史最高水平,每百万病例总数为250.994。蒙古后来开始流行,但也经历了四次浪潮,每百万病例总数为632.658,是四个国家中最高的。韩国每波新病例数量不断增加,总病例为473.759。
    在中国和蒙古采取的遏制战略中,以及日本和韩国采取的缓解策略,卫生系统在COVID-19的预防和控制中发挥了重要作用。在推广疫苗接种的同时,各国应重视非药物卫生系统措施,这证明了:侧重于引导公众思想的公共宣传运动;加强早期发现和识别的检测能力;使用技术方法参与接触者追踪,促进精确判断隔离。
    UNASSIGNED: The purpose of this study is to summarize the health system response to COVID-19 in four East Asian countries, analyze the effectiveness of their health system response, and provide lessons for other countries to control the epidemic and optimize their health system response.
    UNASSIGNED: This study investigated and summarized COVID-19 data and health system response in four East Asian countries, China, Japan, Mongolia, and South Korea from national governments and ministries of health, WHO country offices, and official websites of international organizations, to assess the effectiveness of health system measures.
    UNASSIGNED: As of June 30, 2022, all four countries are in a declining portion of COVID-19. China has two waves, and new cases increased slowly, with the total cases per million remaining within 4, indicating a low level. Japan has experienced six waves, with case growth at an all-time high, total cases per million of 250.994. Mongolia started the epidemic later, but also experienced four waves, with total cases per million of 632.658, the highest of the four countries. South Korea has seen an increasing number of new cases per wave, with a total case per million of 473.759.
    UNASSIGNED: In containment strategies adopted by China and Mongolia, and mitigation strategies adopted by Japan and South Korea, health systems have played important roles in COVID-19 prevention and control. While promoting vaccination, countries should pay attention to non-pharmaceutical health system measures, as evidenced by: focusing on public information campaigns to lead public minds; strengthening detection capabilities for early detection and identification; using technical ways to participate in contact tracing, and promoting precise judging isolation.
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  • 文章类型: Journal Article
    目的:通过比较身体活动(PA)的变化,研究2019年冠状病毒病锁定期间学龄前儿童的“超级补偿”效应,心理,以及锁定前后的睡眠指示器。
    方法:共招募127名3-6岁儿童。封锁前后,使用ActiGraphGT3X+测量儿童的PA水平,他们的心理和睡眠指标使用强度和困难问卷(SDQ)和儿童睡眠习惯问卷(CSHQ)进行测量,分别。
    结果:关于PA,儿童的总体力活动,低强度体力活动,和中等强度的体力活动(MVPA)在封锁后比封锁前更高,MVPA差异显著(p<0.05)。关于心理学,儿童的SDQ和多维分数在封锁后比封锁前更好,SDQ评分差异显著(p<0.05)。关于睡眠,孩子们的CSHQ成绩在封锁后比封锁前更好,CSHQ评分差异极显著(p<0.01)。
    结论:封锁后,儿童PA,心理,和睡眠的影响是“超级补偿”。\"特别是,以前学龄前儿童的PA,during,锁定后可能会显示“基线-抑制-超级补偿”过程。
    OBJECTIVE: To investigate the \"supercompensation\" effect of preschoolers during the coronavirus disease 2019 lockdown by comparing the changes in physical activity (PA), psychological, and sleep indicators before and after the lockdown.
    METHODS: A total of 127 children (aged 3-6 years) were recruited. Before and after the lockdown, the children\'s PA levels were measured using the ActiGraph GT3X+, and their psychological and sleep indicators were measured using the Strengths and Difficulties Questionnaire (SDQ) and Child Sleep Habit Questionnaire (CSHQ), respectively.
    RESULTS: Regarding PA, the children\'s total physical activity, low-intensity physical activity, and medium-intensity physical activity (MVPA) were higher after the lockdown than before the lockdown, with significant differences in MVPA (p < 0.05). Regarding psychology, the children\'s SDQ and multidimensional scores were better after the lockdown than before the lockdown, with a significant difference in SDQ scores (p < 0.05). Regarding sleep, the children\'s CSHQ scores were better after the lockdown than before the lockdown, with a highly significant difference in CSHQ scores (p < 0.01).
    CONCLUSIONS: After lockdown, children\'s PA, psychological, and sleep effects were \"supercompensated.\" In particular, the PA of preschoolers before, during, and after the lockdown may show a \"baseline-inhibition-supercompensation\" process.
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  • 文章类型: Journal Article
    背景:针对COVID-19大流行采取的各种措施不仅可以有效减少疾病的传播,但也会导致一些意想不到的结果。本文将这些措施视为干预措施,并探讨其对汕头市结核病发病率的影响。中国。
    方法:1月1日的结核病发病率和监测资料,2018年12月31日,2021年由汕头市结核病预防控制研究所提供。数据分为大流行前时期(1月1日,2018年12月31日,2019年)和大流行期(1月1日,2020年12月31日,2021)。中断时间序列(ITS)用于分析COVID-19流行之前和期间的结核病发病率趋势。
    结果:结果表明,与大流行前相比,大流行期间汕头的结核病发病率显着下降(p<0.05)。其中,45-64岁年龄组和65岁以上年龄组有统计学意义的下降.当患者按职业分层时,失业者和从事农业工作的人减少最多。
    结论:为了应对大流行,封锁和隔离等措施似乎降低了结核病的发病率。然而,这并不意味着真正的减少。真实发病率降低的根本原因需要进一步审查。研究结果为针对一种疾病设计的干预措施提供了初步探索,但对另一种疾病却产生了意想不到的结果。
    BACKGROUND: Various measures taken against the COVID-19 pandemic are not only effective in reducing the spread of the disease, but also lead to some unexpected results. This article regarded these measures as an intervention and explored their impact on the incidence of tuberculosis in Shantou, China.
    METHODS: The incidence rate and the surveillance data of tuberculosis from January 1st, 2018 to December 31st, 2021 were provided by the Shantou Tuberculosis Prevention and Control Institute. Data were divided into pre-pandemic period (January 1st, 2018 - December 31st, 2019) and pandemic periods (January 1st, 2020 - December 31st, 2021). The Interrupted Time Series (ITS) was used to analyze the trend of tuberculosis incidence prior to and during the COVID-19 epidemic.
    RESULTS: The results showed that the incidence of tuberculosis cases in Shantou decreased significantly (p < 0.05) during the pandemic as compared to that prior to the pandemic. Among them, the 45-64 age group and the 65 + age group have statistically significant declines. When patients were stratified by occupation, the unemployed and those working in agriculture reduced the most.
    CONCLUSIONS: In response to the pandemic, measures like lockdowns and quarantines seem to have reduced tuberculosis incidence. However, this does not imply a true decrease. Underlying causes for the reduced true incidence need further scrutiny. Findings offer a preliminary exploration of interventions designed for one disease but functioning as unexpected results for another.
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  • 文章类型: Journal Article
    2019年冠状病毒病(COVID-19)大流行,随着公共卫生和社会措施(PHSM)的实施,显著重塑了传染病的传播动态。我们分析了PHSMs对中国大陆24种法定报告传染病(NIDs)的影响,使用时间序列模型预测没有PHSM或大流行的传播趋势。我们的发现揭示了NID发病率的不同季节性模式,呼吸系统疾病对PHSM的反应最大,而血源性和性传播疾病的反应较为温和。8个NID被鉴定为对PHSM易感,包括手,脚,和口病,登革热,风疹,猩红热,百日咳,腮腺炎,疟疾,和日本脑炎.PHSM的终止并没有导致NID立即死灰复燃,除了百日咳,经历了自2008年1月以来2023年12月的最高峰。我们的发现强调了PHSMs对不同NID的不同影响以及可持续发展的重要性,长期战略,比如疫苗开发。
    The coronavirus disease 2019 (COVID-19) pandemic, along with the implementation of public health and social measures (PHSMs), have markedly reshaped infectious disease transmission dynamics. We analysed the impact of PHSMs on 24 notifiable infectious diseases (NIDs) in the Chinese mainland, using time series models to forecast transmission trends without PHSMs or pandemic. Our findings revealed distinct seasonal patterns in NID incidence, with respiratory diseases showing the greatest response to PHSMs, while bloodborne and sexually transmitted diseases responded more moderately. 8 NIDs were identified as susceptible to PHSMs, including hand, foot, and mouth disease, dengue fever, rubella, scarlet fever, pertussis, mumps, malaria, and Japanese encephalitis. The termination of PHSMs did not cause NIDs resurgence immediately, except for pertussis, which experienced its highest peak in December 2023 since January 2008. Our findings highlight the varied impact of PHSMs on different NIDs and the importance of sustainable, long-term strategies, like vaccine development.
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  • 文章类型: Journal Article
    地区之间控制措施和响应速度的差异可能是造成全球传染病感染数量差异的原因。因此,本文旨在研究全球传染病的衰变阶段。我们通过考虑2020年第一波COVID-19疫情来展示我们的方法。
    我们在变系数SEIR模型中引入衰减率的概念,以衡量不同城市对流行病控制的影响,并通过集成的调整卡尔曼滤波算法进行推断。
    我们将变系数SEIR模型应用于实施控制措施后确诊病例总数超过20例的中国136个城市,并分析了估计衰减率与局部因素之间的关系。随后的分析和推断结果表明,衰减率与当地年度GDP和城市或地区的经纬度显著相关。我们还将变系数SEIR模型应用于中国以外的其他地区。我们发现,通过变系数SEIR模型模拟的每日平均新确诊病例数的拟合曲线与真实数据一致。
    结果表明,经济发展较好的城市在一定程度上能够更有效地控制疫情。另一方面,地理位置也影响了区域流行病控制的有效性。此外,通过衰减率分析的结果,我们得出的结论是,2020年中国和韩国在控制疫情方面取得了良好的效果。
    Differences in control measures and response speeds between regions may be responsible for the differences in the number of infections of global infectious diseases. Therefore, this article aims to examine the decay stage of global infectious diseases. We demonstrate our method by considering the first wave of the COVID-19 epidemic in 2020.
    We introduce the concept of the attenuation rate into the varying coefficient SEIR model to measure the effect of different cities on epidemic control, and make inferences through the integrated adjusted Kalman filter algorithm.
    We applied the varying coefficient SEIR model to 136 cities in China where the total number of confirmed cases exceeded 20 after the implementation of control measures and analyzed the relationship between the estimated attenuation rate and local factors. Subsequent analysis and inference results show that the attenuation rate is significantly related to the local annual GDP and the longitude and latitude of a city or a region. We also apply the varying coefficient SEIR model to other regions outside China. We find that the fitting curve of the average daily number of new confirmed cases simulated by the variable coefficient SEIR model is consistent with the real data.
    The results show that the cities with better economic development are able to control the epidemic more effectively to a certain extent. On the other hand, geographical location also affected the effectiveness of regional epidemic control. In addition, through the results of attenuation rate analysis, we conclude that China and South Korea have achieved good results in controlling the epidemic in 2020.
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