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DOI10.1126/science.abb8001
Changes in contact patterns shape the dynamics of the COVID-19 outbreak in China
Zhang J.; Litvinova M.; Liang Y.; Wang Y.; Wang W.; Zhao S.; Wu Q.; Merler S.; Viboud C.; Vespignani A.; Ajelli M.; Yu H.
发表日期2020
ISSN10959203
起始页码1481
结束页码1486
卷号368期号:6498
英文摘要Intense nonpharmaceutical interventions were put in place in China to stop transmission of the novel coronavirus disease 2019 (COVID-19). As transmission intensifies in other countries, the interplay between age, contact patterns, social distancing, susceptibility to infection, and COVID-19 dynamics remains unclear. To answer these questions, we analyze contact survey data for Wuhan and Shanghai before and during the outbreak and contact-tracing information from Hunan province. Daily contacts were reduced seven- to eightfold during the COVID-19 social distancing period, with most interactions restricted to the household. We find that children 0 to 14 years of age are less susceptible to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection than adults 15 to 64 years of age (odds ratio 0.34, 95% confidence interval 0.24 to 0.49), whereas individuals more than 65 years of age are more susceptible to infection (odds ratio 1.47, 95% confidence interval 1.12 to 1.92). Based on these data, we built a transmission model to study the impact of social distancing and school closure on transmission. We find that social distancing alone, as implemented in China during the outbreak, is sufficient to control COVID-19. Although proactive school closures cannot interrupt transmission on their own, they can reduce peak incidence by 40 to 60% and delay the epidemic. Copyright © 2020 The Authors, some rights reserved; exclusive licensee American Association for the Advancement of Science. No claim to original U.S. Government Works.
关键词adolescentadultageagedbehaviorBetacoronaviruschildChinacommunicable disease controlcontact examinationCoronavirus infectiondisease predispositionepidemicfemalehumaninfantmalemiddle agedpandemicpreschool childschooltheoretical modelvirus pneumoniaworkplaceyoung adultAdolescentAdultAge FactorsAgedBehaviorBetacoronavirusChildChild, PreschoolChinaCommunicable Disease ControlContact TracingCoronavirus InfectionsDisease OutbreaksDisease SusceptibilityFemaleHumansInfantMaleMiddle AgedModels, TheoreticalPandemicsPneumonia, ViralSchoolsWorkplaceYoung Adult
语种英语
来源机构Science (New York, N.Y.)
文献类型期刊论文
条目标识符http://gcip.llas.ac.cn/handle/2XKMVOVA/133405
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GB/T 7714
Zhang J.,Litvinova M.,Liang Y.,et al. Changes in contact patterns shape the dynamics of the COVID-19 outbreak in China[J]. Science (New York, N.Y.),2020,368(6498).
APA Zhang J..,Litvinova M..,Liang Y..,Wang Y..,Wang W..,...&Yu H..(2020).Changes in contact patterns shape the dynamics of the COVID-19 outbreak in China.,368(6498).
MLA Zhang J.,et al."Changes in contact patterns shape the dynamics of the COVID-19 outbreak in China".368.6498(2020).
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