The spatio-temporal course of an epidemic (such as COVID-19) can be significantly affected by non-pharmaceutical interventions (NPIs) such as full or partial lockdowns. Bayesian Susceptible-Infected-Removed (SIR) models can be applied to the spatio-temporal spread of infectious diseases (STIFs) (such as COVID-19). In causal inference, it is classically of interest to investigate the counterfactuals. In the context of STIF, it is possible to use nowcasting to assess the possible counterfactual realization of disease in an incidence that would have been evidenced with no NPI. Classic lagged dependency spatio-temporal IF models are discussed, and the importance of the ST component in nowcasting is assessed. Real examples of lockdowns for COVID-19 in two US states during 2020 and 2021 are provided. The degeneracy in prediction over longer time periods is highlighted, and the wide confidence intervals characterize the forecasts. For SC, the early and short lockdown contrasted with the longer NJ intervention. The approach here demonstrated marked differences in spatio-temporal disparities across counties with respect to an adherence to counterfactual predictions.
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http://dx.doi.org/10.3390/v15020325 | DOI Listing |
J Asthma Allergy
January 2025
Department of Thoracic Medicine, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan.
Background: Non-pharmaceutical interventions (NPIs) were widely used during the coronavirus disease 2019 (COVID-19) pandemic, however their impact on acute asthma exacerbations (AEs) is not well studied.
Methods: We had retrospectively collected patients with asthma AEs between 2019 and 2020 and retrieved data from the Chang Gung Research Database, including clinical manifestations, medications, pulmonary function, clinic and emergency department visits and hospitalizations.
Results: A total of 39,108 adult patients with asthma were enrolled, of whom 1502 were eligible for analysis.
Heliyon
January 2025
Department of Epidemiology and Biostatistics, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.
Objectives: The emergence of respiratory infectious diseases (ERID) poses a significant threat to global public health. However, effectively managing ERID outbreaks in large cities remains a challenge.
Methods: An age-structured Susceptible-Exposed-Infectious-Removed (SEIR) model was developed to predict the effectiveness of non-pharmaceutical interventions (NPIs) in controlling ERID outbreaks.
Introduction: China implemented a dynamic zero-COVID strategy to curb viral transmission in response to the coronavirus disease 2019 (COVID-19) pandemic. This strategy was designed to inhibit mutation of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the virus responsible for COVID-19. This study explores the dynamics of viral evolution under stringent non-pharmaceutical interventions (NPIs) through real-world observations.
View Article and Find Full Text PDFJ Prev Alzheimers Dis
February 2025
Department of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Background: Cognitive training (CT) has been one of the important non-pharmaceutical interventions that could delay cognitive decline. Currently, no definite CT methods are available. Furthermore, little attention has been paid to the effect of CT on mood and instrumental activities of daily living (IADL).
View Article and Find Full Text PDFBr J Hosp Med (Lond)
January 2025
Nuffield Department of Primary Health Care Sciences, University of Oxford, Oxford, UK.
The contribution of health care to environmental and climate crises is significant, under-addressed, and with consequences for human health. This editorial is a call to action. Focusing on pharmaceuticals as a major environmental threat, we examine pharmaceutical impacts across their lifecycle, summarising greenhouse gas emissions, pollution, and biodiversity loss, and outlining challenges and opportunities to reduce this impact.
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