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How fast and how well the Omicron epidemic was curtailed. A Guangzhou experience to share

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机构: [1]Institute of Public Health, Guangzhou Medical University & Guangzhou Center for Disease Control and Prevention, Guangzhou, Guangdong, China. [2]National Center for Respiratory Medicine, State Key Laboratory of Respiratory Disease & National Clinical Research Center for Respiratory Disease, Guangzhou Institute of Respiratory Health, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong, China. [3]Guangzhou Laboratory, Bio-Island, Guangzhou, China. [4]State Key Laboratory of Quality Research in Chinese Medicine, Macau Institute for Applied Research in Medicine and Health, Macau University of Science and Technology, Macao, Macau SAR, China. [5]Guangzhou Key Laboratory for Clinical Rapid Diagnosis and Early Warning of Infectious Diseases, Guangzhou, China. [6]Macau Institute of Systems Engineering, Macau University of Science and Technology, Macao, Macau SAR, China. [7]Guangdong Center for Disease Control and Prevention, Guangzhou, Guangdong, China. [8]Shunde Urban and Rural Planning Information Research Center, Foshan, Guangdong, China.
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关键词: COVID-19 public health controlmeasure epidemiological investigation health code

摘要:
SARS-CoV-2 has ravaged the world and undergone multiple mutations during the course of the COVID-19 pandemic. On 7 April 2022, an epidemic caused by SARS-CoV-2 Omicron (BA.2) variant broke out in Guangzhou, China, one of the largest transportation and logistical hubs of the country.To fast curtained the Omicron epidemic, based on the routine surveillance on the risk population of SARS-CoV-2 infection, we identify key places of the epidemic and implement enhanced control measures against Omicron.Transmission characteristics of the Omicron variant were analyzed for 273 confirmed cases, and key places involved in this epidemic were fully presented. The median incubation time and the generation time were 3 days, and the reproduction number Rt was sharply increased with a peak of 4.20 within 2 days. We tried an all-out effort to tackle the epidemic in key places, and the proportion of confirmed cases increased from 61.17% at Stage 2 to 88.89% at Stage 4. Through delimited risk area management, 99 cases were found, and the cases were isolated in advance for 2.61 ± 2.76 days in a lockdown zone, 0.44 ± 1.08 days in a controlled zone, and 0.27 ± 0.62 days in a precautionary zone. People assigned with yellow code accounted for 30.32% (84/277) of confirmed COVID-19 cases, and 83.33% of them were detected positive over 3 days since code assignment. For the districts outside the epicenter, the implementation duration of NPIs was much shorter compared with the Delta epidemic last year.By blocking out transmission risks and adjusting measures to local epidemic conditions through the all-out effort to tackle the epidemic in key places, by delimiting risk area management, and by conducting health code management of the at-risk population, the Omicron epidemic could be contained quickly.Copyright © 2022 Cai, Yang, Liang, Lin, Ma, Chen, Li, Li, Mai, Mai, Kong, Liang, Li, Tu, Chen, Hon, Qin, Li, Li, Miao, Liu, Guan, Zeng, Qiu, He, Zhang, Yang and Zhong.

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出版当年[2021]版:
大类 | 3 区 医学
小类 | 3 区 公共卫生、环境卫生与职业卫生
最新[2025]版:
大类 | 3 区 医学
小类 | 3 区 公共卫生、环境卫生与职业卫生
第一作者:
第一作者机构: [1]Institute of Public Health, Guangzhou Medical University & Guangzhou Center for Disease Control and Prevention, Guangzhou, Guangdong, China.
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通讯作者:
通讯机构: [2]National Center for Respiratory Medicine, State Key Laboratory of Respiratory Disease & National Clinical Research Center for Respiratory Disease, Guangzhou Institute of Respiratory Health, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong, China. [3]Guangzhou Laboratory, Bio-Island, Guangzhou, China.
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