COVID-19: towards controlling of a pandemic

Most national response strategies include varying levels of contact tracing and self-isolation or quarantine; promotion of public health measures, including handwashing, respiratory etiquette, and social distancing; preparation of health systems for a surge of severely ill patients who require isola...

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Bibliographic Details
Published in:	The Lancet 2020-03, Vol.395 (10229), p.1015-1018
Main Authors:	Bedford, Juliet, Enria, Delia, Giesecke, Johan, Heymann, David L, Ihekweazu, Chikwe, Kobinger, Gary, Lane, H Clifford, Memish, Ziad, Oh, Myoung-don, Sall, Amadou Alpha, Schuchat, Anne, Ungchusak, Kumnuan, Wieler, Lothar H
Format:	Article
Language:	eng
Subjects:	Age Factors Aneurysm, Infected Betacoronavirus - genetics Betacoronavirus - pathogenicity Civil Defense Comorbidity Contact Contact Tracing Containment Coronavirus Infections - mortality Coronavirus Infections - prevention & control Coronaviruses COVID-19 Developing Countries Disease control Disease prevention Disease transmission Epidemics Epidemiology Financial Support Health care Health care facilities Humans Hygiene Infections Long-term care Mechanical ventilation Medical research Medicin och hälsovetenskap Mortality Nurses Nursing homes Older people Pandemics Pandemics - prevention & control Patient Isolation Patients Pneumonia, Viral - mortality Pneumonia, Viral - prevention & control Population Surveillance Prevention Public awareness Public health Quarantine R&D Research & development Risk Assessment SARS-CoV-2 Severe acute respiratory syndrome coronavirus 2 Social distancing Ventilation Ventilators World Health Organization
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Summary:	Most national response strategies include varying levels of contact tracing and self-isolation or quarantine; promotion of public health measures, including handwashing, respiratory etiquette, and social distancing; preparation of health systems for a surge of severely ill patients who require isolation, oxygen, and mechanical ventilation; strengthening health facility infection prevention and control, with special attention to nursing home facilities; and postponement or cancellation of large-scale public gatherings. [...]all countries should consider a combination of response measures: case and contact finding; containment or other measures that aim to delay the onset of patient surges where feasible; and measures such as public awareness, promotion of personal protective hygiene, preparation of health systems for a surge of severely ill patients, stronger infection prevention and control in health facilities, nursing homes, and long-term care facilities, and postponement or cancellation of large-scale public gatherings. [...]countries with no or a few first cases of COVID-19 should consider active surveillance for timely case finding; isolate, test, and trace every contact in containment; practise social distancing; and ready their health-care systems and populations for spread of infection.
ISSN:	0140-6736 1474-547X 1474-547X