Rescinding Community Mitigation Strategies in an Influenza Pandemic

Details

• Alternative Title:
  Emerg Infect Dis
• Personal Author:
  Davey, Victoria J. ; Glass, Robert J.
• Description:
  Using a networked, agent-based computational model of a stylized community, we evaluated thresholds for rescinding 2 community mitigation strategies after an influenza pandemic. We ended child sequestering or all-community sequestering when illness incidence waned to thresholds of 0, 1, 2, or 3 cases in 7 days in 2 levels of pandemic severity. An unmitigated epidemic or strategy continuation for the epidemic duration served as control scenarios. The 0-case per 7-day rescinding threshold was comparable to the continuation strategy on infection and illness rates but reduced the number of days strategies would be needed by 6% to 32% in mild or severe pandemics. If cases recurred, strategies were resumed at a predefined 10-case trigger, and epidemic recurrence was thwarted. Strategies were most effective when used with high compliance and when combined with stringent rescinding thresholds. The need for strategies implemented for control of an influenza pandemic was reduced, without increasing illness rates.
• Subjects:
  Adolescent Adult Child Communicable Disease Control Computer Simulation Disease Outbreaks Humans Influenza, Human Models, Theoretical Patient Compliance Quarantine

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• Source:
  Emerg Infect Dis. 14(3):365-372.
• Document Type:
  Journal Article
• Volume:
  14
• Issue:
  3
• Collection(s):
  Emerging Infectious Diseases
• Main Document Checksum:
  urn:sha256:66f282ae73309b4444d908178731df71afbacd2ebcf72eb19aee4b9157c2c574
• Download URL:
  https://stacks.cdc.gov/view/cdc/16881/cdc_16881_DS1.pdf
• File Type:
  [PDF - 582.15 KB ]