Rescinding Community Mitigation Strategies in an Influenza Pandemic

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 case...

Full description

Bibliographic Details
Main Authors: Victoria J. Davey, Robert J. Glass
Format: Article
Language:English
Published: Centers for Disease Control and Prevention 2008-03-01
Series:Emerging Infectious Diseases
Subjects:
Online Access:https://wwwnc.cdc.gov/eid/article/14/3/07-0673_article
_version_ 1811285491320881152
author Victoria J. Davey
Robert J. Glass
author_facet Victoria J. Davey
Robert J. Glass
author_sort Victoria J. Davey
collection DOAJ
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.
first_indexed 2024-04-13T02:44:53Z
format Article
id doaj.art-4b827df2199b4b6fa5d213809823dc53
institution Directory Open Access Journal
issn 1080-6040
1080-6059
language English
last_indexed 2024-04-13T02:44:53Z
publishDate 2008-03-01
publisher Centers for Disease Control and Prevention
record_format Article
series Emerging Infectious Diseases
spelling doaj.art-4b827df2199b4b6fa5d213809823dc532022-12-22T03:06:03ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60592008-03-0114336537210.3201/eid1403.070673Rescinding Community Mitigation Strategies in an Influenza PandemicVictoria J. DaveyRobert J. GlassUsing 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.https://wwwnc.cdc.gov/eid/article/14/3/07-0673_articlePandemic influenzacommunity mitigationschool closingnonpharmaceutical interventionssocial distancingsequestering
spellingShingle Victoria J. Davey
Robert J. Glass
Rescinding Community Mitigation Strategies in an Influenza Pandemic
Emerging Infectious Diseases
Pandemic influenza
community mitigation
school closing
nonpharmaceutical interventions
social distancing
sequestering
title Rescinding Community Mitigation Strategies in an Influenza Pandemic
title_full Rescinding Community Mitigation Strategies in an Influenza Pandemic
title_fullStr Rescinding Community Mitigation Strategies in an Influenza Pandemic
title_full_unstemmed Rescinding Community Mitigation Strategies in an Influenza Pandemic
title_short Rescinding Community Mitigation Strategies in an Influenza Pandemic
title_sort rescinding community mitigation strategies in an influenza pandemic
topic Pandemic influenza
community mitigation
school closing
nonpharmaceutical interventions
social distancing
sequestering
url https://wwwnc.cdc.gov/eid/article/14/3/07-0673_article
work_keys_str_mv AT victoriajdavey rescindingcommunitymitigationstrategiesinaninfluenzapandemic
AT robertjglass rescindingcommunitymitigationstrategiesinaninfluenzapandemic