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Reducing societal impacts of SARS-CoV-2 interventions through subnational implementation

Title: Reducing societal impacts of SARS-CoV-2 interventions through subnational implementation
Authors: Dekker, Mark M.; Coffeng, Luc E.; Pijpers, Frank P.; Panja, Deb; de Vlas, Sake J.; Simulation of Complex Systems; Sub Simulation of Complex Systems
Publication Year: 2023
Subject Terms: COVID-19/epidemiology; Epidemics; Humans; Netherlands/epidemiology; Policy; SARS-CoV-2; Interventions; Epidemiological modelling; General Biochemistry,Genetics and Molecular Biology; General Immunology and Microbiology; General Neuroscience
Description: To curb the initial spread of SARS-CoV-2, many countries relied on nation-wide implementation of non-pharmaceutical intervention measures, resulting in substantial socio-economic impacts. Potentially, subnational implementations might have had less of a societal impact, but comparable epidemiological impact. Here, using the first COVID-19 wave in the Netherlands as a case in point, we address this issue by developing a high-resolution analysis framework that uses a demographically stratified population and a spatially explicit, dynamic, individual contact-pattern based epidemiology, calibrated to hospital admissions data and mobility trends extracted from mobile phone signals and Google. We demonstrate how a subnational approach could achieve similar level of epidemiological control in terms of hospital admissions, while some parts of the country could stay open for a longer period. Our framework is exportable to other countries and settings, and may be used to develop policies on subnational approach as a better strategic choice for controlling future epidemics.
Document Type: article in journal/newspaper
File Description: application/pdf
Language: English
ISSN: 2050-084X
Relation: https://dspace.library.uu.nl/handle/1874/427547
Availability: https://dspace.library.uu.nl/handle/1874/427547
Rights: info:eu-repo/semantics/OpenAccess
Accession Number: edsbas.229D95F7
Database: BASE