Title
Estimated conditions to control the COVID-19 pandemic in pre- and postquarantine scenarios in Peru
Other title
Condiciones estimadas para controlar la pandemia de COVID-19 en escenarios de pre y poscuarentena en el Perú
Date Issued
01 January 2020
Access level
open access
Resource Type
journal article
Author(s)
Timaná Ruiz, Raul
Pinedo J.
Pérez, Jhelly
Hospital Nacional Adolfo Guevara Velasco
Instituto de Evaluación de Tecnologías en Salud e Investigación
Publisher(s)
Instituto Nacional de Salud
Abstract
Objectives: To determine the probability of controlling the outbreak of COVID-19 in Peru, in a pre- and post-quarantine scenario using mathematical simulation models. Materials and methods: Outbreak simulations for the COVID-19 pandemic are performed, using stochastic equations under the following assumptions: a pre-quarantine population R0 of 2.7 or 3.5, a post-quarantine R0 of 1.5, 2 or 2.7, 18% or 40%, of asymptomatic positives and a maximum response capacity of 50 or 150 patients in the intensive care units. The success of isolation and contact tracing is evaluated, no other mitigation measures are included. Results: In the pre-quarantine stage, success in controlling more than 80% of the simulations occurred only if the isolation of positive cases was implemented from the first case, after which there was less than 40% probability of success. In post-quarantine, with 60 positive cases it is necessary to isolate them early, track all of their contacts and decrease the R0 to 1.5 for outbreak control to be successful in more than 80% of cases. Other scenarios have a low probability of success. Conclusions: The control of the outbreak in Peru during pre-quarantine stage demanded requirements that were difficult to comply with, therefore quarantine was necessary; to successfully suspend it would require a significant reduction in the spread of the disease, early isolation of positives and follow-up of all contacts of positive patients.
Start page
195
End page
202
Volume
37
Issue
2
Language
Spanish
OCDE Knowledge area
Epidemiología Salud pública, Salud ambiental
Scopus EID
2-s2.0-85088968627
PubMed ID
Source
Revista Peruana de Medicina Experimental y Salud Publica
ISSN of the container
17264634
Sources of information: Directorio de Producción Científica Scopus