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Flattening the curve is not enough, we need to squash it. An explainer using a simple model
Emma S McBryde.
Michael T Meehan.
James M Trauer.
Acceso Abierto
Atribución-NoComercial-SinDerivadas
10.1101/2020.03.30.20048009
Background: Around the world there are examples of both very good and effective control (e.g., South Korea, Japan) and slower, less aggressive control (e.g., Italy, Spain, United States) of COVID-19 with dramatic differences in the consequent epidemic curves. Models agree that flattening the curve without controlling the epidemic completely is insufficient and will lead to an overwhelmed health service. A recent model, calibrated for the UK and US, demonstrated this starkly. Methods: We used a simple compartmental deterministic model of COVID-19 transmission in Australia, to illustrate the dynamics resulting from shifting or flattening the curve versus completely squashing it. Results: We find that when the reproduction number is close to one, a small decrease in transmission leads to a large reduction in burden (i.e., cases, deaths and hospitalisations) but achieving this early in the epidemic through social distancing interventions also implies that the community will not reach herd immunity. Conclusions: Australia needs not just to shift and flatten the curve but to squash it by getting the reproduction number below one. This will require Australia to achieve for transmission rates at least two thirds lower than those seen in the most severely affected countries.
www.medrxiv.org
2020
Artículo
https://www.medrxiv.org/content/10.1101/2020.03.30.20048009v1.full.pdf
Inglés
VIRUS RESPIRATORIOS
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