Effective Containment of a COVID-19 Subregional Outbreak in Italy Through Strict Quarantine and Rearrangement of Local Health Care Services
| Autor: | Tedeschi S., Badia L., Berveglieri F., Ferrari R., Coladonato S., Gabrielli S., Maestri A., Peroni G., Giannella M., Rossi A., Viale P., Acanto A., Battistoni A., Bendanti N., Dalfiume G., Fina A., Gardenghi E., Giulianini S., Grassi B., Neretti A., Prantoni S., Zanotti P., Zoffoli L., Assirelli C., Barilli G., Brozyna M.S., Cafaro M., Capoccia F., Momeni L.C., Contarino G., Contos G., Kanj M., Krawczyk A., Manara F., Puica A. |
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| Přispěvatelé: | Tedeschi S., Badia L., Berveglieri F., Ferrari R., Coladonato S., Gabrielli S., Maestri A., Peroni G., Giannella M., Rossi A., Viale P., Acanto A., Battistoni A., Bendanti N., Dalfiume G., Fina A., Gardenghi E., Giulianini S., Grassi B., Neretti A., Prantoni S., Zanotti P., Zoffoli L., Assirelli C., Barilli G., Brozyna M.S., Cafaro M., Capoccia F., Momeni L.C., Contarino G., Contos G., Kanj M., Krawczyk A., Manara F., Puica A. |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
coronavirus Disease 01 natural sciences Major Articles law.invention 03 medical and health sciences 0302 clinical medicine law Health care Epidemiology Quarantine Pandemic Medicine Outpatient clinic Cumulative incidence 030212 general & internal medicine 0101 mathematics outbreak business.industry 010102 general mathematics quarantine Outbreak medicine.disease coronaviru AcademicSubjects/MED00290 Infectious Diseases Italy Oncology Medical emergency business |
| Zdroj: | Open Forum Infectious Diseases |
| ISSN: | 2328-8957 |
| Popis: | Background Since the beginning of the pandemic, the epidemiology of coronavirus disease 2019 (COVID-19) in Italy has been characterized by the occurrence of subnational outbreaks. The World Health Organization recommended building the capacity to rapidly control COVID-19 clusters of cases in order to avoid the spread of the disease. This study describes a subregional outbreak of COVID-19 that occurred in the Emilia Romagna region, Italy, and the intervention undertaken to successfully control it. Methods Cases of COVID-19 were defined by a positive reverse transcriptase polymerase chain reaction (RT-PCR) for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) on nasopharyngeal swab. The outbreak involved the residential area of a small town, with ~10 500 inhabitants in an area of 9 km2. After the recognition of the outbreak, local health care authorities implemented strict quarantine and a rearrangement of health care services, consisting of closure of general practitioner outpatient clinics, telephone contact with all residents, activation of health care units to visit at-home patients with symptoms consistent with COVID-19, and a dedicated Infectious Diseases ambulatory unit at the nearest hospital. Results The outbreak lasted from February 24 to April 6, 2020, involving at least 170 people with a cumulative incidence of 160 cases/10 000 inhabitants; overall, 448 inhabitants of the municipality underwent at least 1 nasopharyngeal swab to detect SARS-CoV-2 (positivity rate, 38%). Ninety-three people presented symptoms before March 11 (pre-intervention period), and 77 presented symptoms during the postintervention period (March 11–April 6). Conclusions It was possible to control this COVID-19 outbreak by prompt recognition and implementation of a targeted local intervention. |
| Databáze: | OpenAIRE |
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