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10.1136/bmjopen-2020-042002

http://scihub22266oqcxt.onion/10.1136/bmjopen-2020-042002
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33589454!7886666!33589454
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suck abstract from ncbi


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pmid33589454      BMJ+Open 2021 ; 11 (2): e042002
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  • Assessing the regional impact of Japan s COVID-19 state of emergency declaration: a population-level observational study using social networking services #MMPMID33589454
  • Yoneoka D; Shi S; Nomura S; Tanoue Y; Kawashima T; Eguchi A; Matsuura K; Makiyama K; Uryu S; Ejima K; Sakamoto H; Taniguchi T; Kunishima H; Gilmour S; Nishiura H; Miyata H
  • BMJ Open 2021[Feb]; 11 (2): e042002 PMID33589454show ga
  • OBJECTIVE: On 7 April 2020, the Japanese government declared a state of emergency in response to the novel coronavirus outbreak. To estimate the impact of the declaration on regional cities with low numbers of COVID-19 cases, large-scale surveillance to capture the current epidemiological situation of COVID-19 was urgently conducted in this study. DESIGN: Cohort study. SETTING: Social networking service (SNS)-based online survey conducted in five prefectures of Japan: Tottori, Kagawa, Shimane, Tokushima and Okayama. PARTICIPANTS: 127 121 participants from the five prefectures surveyed between 24 March and 5 May 2020. INTERVENTIONS: An SNS-based healthcare system named COOPERA (COvid-19: Operation for Personalized Empowerment to Render smart prevention And care seeking) was launched. It asks questions regarding postcode, personal information, preventive actions, and current and past symptoms related to COVID-19. PRIMARY AND SECONDARY OUTCOME MEASURES: Empirical Bayes estimates of age-sex-standardised incidence rate (EBSIR) of symptoms and the spatial correlation between the number of those who reported having symptoms and the number of COVID-19 cases were examined to identify the geographical distribution of symptoms in the five prefectures. RESULTS: 97.8% of participants had no subjective symptoms. We identified several geographical clusters of fever with significant spatial correlation (r=0.67) with the number of confirmed COVID-19 cases, especially in the urban centres of prefectural capital cities. CONCLUSIONS: Given that there are still several high-risk areas measured by EBSIR, careful discussion on which areas should be reopened at the end of the state of emergency is urgently required using real-time SNS system to monitor the nationwide epidemic.
  • |*Social Networking[MESH]
  • |Adolescent[MESH]
  • |Adult[MESH]
  • |Aged[MESH]
  • |Aged, 80 and over[MESH]
  • |Bayes Theorem[MESH]
  • |COVID-19/*epidemiology[MESH]
  • |Cohort Studies[MESH]
  • |Epidemiological Monitoring[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Japan/epidemiology[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]


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