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10.1073/pnas.2008087117

http://scihub22266oqcxt.onion/10.1073/pnas.2008087117
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32963094!7568326!32963094
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suck abstract from ncbi


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pmid32963094      Proc+Natl+Acad+Sci+U+S+A 2020 ; 117 (41): 25897-25903
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  • Transmission dynamics reveal the impracticality of COVID-19 herd immunity strategies #MMPMID32963094
  • Brett TS; Rohani P
  • Proc Natl Acad Sci U S A 2020[Oct]; 117 (41): 25897-25903 PMID32963094show ga
  • The rapid growth rate of COVID-19 continues to threaten to overwhelm healthcare systems in multiple countries. In response, severely affected countries have had to impose a range of public health strategies achieved via nonpharmaceutical interventions. Broadly, these strategies have fallen into two categories: 1) "mitigation," which aims to achieve herd immunity by allowing the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) virus to spread through the population while mitigating disease burden, and 2) "suppression," aiming to drastically reduce SARS-CoV-2 transmission rates and halt endogenous transmission in the target population. Using an age-structured transmission model, parameterized to simulate SARS-CoV-2 transmission in the United Kingdom, we assessed the long-term prospects of success using both of these approaches. We simulated a range of different nonpharmaceutical intervention scenarios incorporating social distancing applied to differing age groups. Our modeling confirmed that suppression of SARS-CoV-2 transmission is possible with plausible levels of social distancing over a period of months, consistent with observed trends. Notably, our modeling did not support achieving herd immunity as a practical objective, requiring an unlikely balancing of multiple poorly defined forces. Specifically, we found that 1) social distancing must initially reduce the transmission rate to within a narrow range, 2) to compensate for susceptible depletion, the extent of social distancing must be adaptive over time in a precise yet unfeasible way, and 3) social distancing must be maintained for an extended period to ensure the healthcare system is not overwhelmed.
  • |*Immunity, Herd[MESH]
  • |*Models, Theoretical[MESH]
  • |Age Factors[MESH]
  • |Betacoronavirus/physiology[MESH]
  • |COVID-19[MESH]
  • |Communicable Disease Control/methods[MESH]
  • |Computer Simulation[MESH]
  • |Coronavirus Infections/epidemiology/immunology/prevention & control/*transmission[MESH]
  • |Disease Susceptibility/epidemiology/immunology[MESH]
  • |Humans[MESH]
  • |Pandemics/prevention & control[MESH]
  • |Pneumonia, Viral/epidemiology/immunology/prevention & control/*transmission[MESH]
  • |SARS-CoV-2[MESH]


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  • suck abstract from ncbi

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