Mass screening <em>vs</em> lockdown <em>vs</em> combination of both to control COVID-19: a systematic review

Coronavirus disease 2019 (COVID-19) is a global pandemic. Non-pharmacological interventions, such as lockdown and mass testing, remain as the mainstay of control measures for the outbreak. We aim to evaluate the effectiveness of mass testing, lockdown, or a combination of both to control COVID-19 pa...

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Main Authors: Nadya Johanna, Henrico Citrawijaya, Grace Wangge
Format: Article
Language:English
Published: SAGE Publishing 2020-12-01
Series:Journal of Public Health Research
Subjects:
Online Access:https://jphres.org/index.php/jphres/article/view/2011
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author Nadya Johanna
Henrico Citrawijaya
Grace Wangge
author_facet Nadya Johanna
Henrico Citrawijaya
Grace Wangge
author_sort Nadya Johanna
collection DOAJ
description Coronavirus disease 2019 (COVID-19) is a global pandemic. Non-pharmacological interventions, such as lockdown and mass testing, remain as the mainstay of control measures for the outbreak. We aim to evaluate the effectiveness of mass testing, lockdown, or a combination of both to control COVID-19 pandemic. A systematic search on 11 major databases was conducted on June 8, 2020. This review is registered in Prospero (CRD42020190546). We included primary studies written in English which investigate mass screening, lockdown, or a combination of both to control and/or mitigate the COVID-19 pandemic. There are four important outcomes as selected by WHO experts for their decision-making process: incident cases, onward transmission, mortality, and resource use. Among 623 studies, only 14 studies met our criteria. Four observational studies were rated as strong evidence and ten modelling studies were rated as moderate evidence. Based on one modelling study, mass testing reduced the total infected people compared to no mass testing. For lockdown, ten studies consistently showed that it successfully reduced the incidence, onward transmission, and mortality rate of COVID-19. A limited evidence showed that a combination of lockdown and mass screening resulted in a greater reduction of incidence and mortality rate compared to lockdown only. However, there is not enough evidence on the effectiveness of mass testing only.
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spelling doaj.art-804a20e4b55e46a58f3c2585e0b2b3842023-01-02T01:59:29ZengSAGE PublishingJournal of Public Health Research2279-90282279-90362020-12-019410.4081/jphr.2020.2011Mass screening <em>vs</em> lockdown <em>vs</em> combination of both to control COVID-19: a systematic reviewNadya Johanna0Henrico Citrawijaya1Grace Wangge2Faculty of Medicine, Universitas Indonesia, JakartaFaculty of Medicine, Universitas Indonesia, JakartaSoutheast Asian Ministers of Education Organization Regional Centre for Food and Nutrition / Pusat Kajian Gizi Regional Universitas Indonesia, Central JakartaCoronavirus disease 2019 (COVID-19) is a global pandemic. Non-pharmacological interventions, such as lockdown and mass testing, remain as the mainstay of control measures for the outbreak. We aim to evaluate the effectiveness of mass testing, lockdown, or a combination of both to control COVID-19 pandemic. A systematic search on 11 major databases was conducted on June 8, 2020. This review is registered in Prospero (CRD42020190546). We included primary studies written in English which investigate mass screening, lockdown, or a combination of both to control and/or mitigate the COVID-19 pandemic. There are four important outcomes as selected by WHO experts for their decision-making process: incident cases, onward transmission, mortality, and resource use. Among 623 studies, only 14 studies met our criteria. Four observational studies were rated as strong evidence and ten modelling studies were rated as moderate evidence. Based on one modelling study, mass testing reduced the total infected people compared to no mass testing. For lockdown, ten studies consistently showed that it successfully reduced the incidence, onward transmission, and mortality rate of COVID-19. A limited evidence showed that a combination of lockdown and mass screening resulted in a greater reduction of incidence and mortality rate compared to lockdown only. However, there is not enough evidence on the effectiveness of mass testing only.https://jphres.org/index.php/jphres/article/view/2011COVID-19SARS-CoV-2 infectionmass screeninglockdowncommunity containmentquarantine
spellingShingle Nadya Johanna
Henrico Citrawijaya
Grace Wangge
Mass screening <em>vs</em> lockdown <em>vs</em> combination of both to control COVID-19: a systematic review
Journal of Public Health Research
COVID-19
SARS-CoV-2 infection
mass screening
lockdown
community containment
quarantine
title Mass screening <em>vs</em> lockdown <em>vs</em> combination of both to control COVID-19: a systematic review
title_full Mass screening <em>vs</em> lockdown <em>vs</em> combination of both to control COVID-19: a systematic review
title_fullStr Mass screening <em>vs</em> lockdown <em>vs</em> combination of both to control COVID-19: a systematic review
title_full_unstemmed Mass screening <em>vs</em> lockdown <em>vs</em> combination of both to control COVID-19: a systematic review
title_short Mass screening <em>vs</em> lockdown <em>vs</em> combination of both to control COVID-19: a systematic review
title_sort mass screening em vs em lockdown em vs em combination of both to control covid 19 a systematic review
topic COVID-19
SARS-CoV-2 infection
mass screening
lockdown
community containment
quarantine
url https://jphres.org/index.php/jphres/article/view/2011
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AT gracewangge massscreeningemvsemlockdownemvsemcombinationofbothtocontrolcovid19asystematicreview