Evaluating the impact of test-trace-isolate for COVID-19 management and alternative strategies

Copyright: © 2023 Zhang et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited..

There are many contrasting results concerning the effectiveness of Test-Trace-Isolate (TTI) strategies in mitigating SARS-CoV-2 spread. To shed light on this debate, we developed a novel static-temporal multiplex network characterizing both the regular (static) and random (temporal) contact patterns of individuals and a SARS-CoV-2 transmission model calibrated with historical COVID-19 epidemiological data. We estimated that the TTI strategy alone could not control the disease spread: assuming R0 = 2.5, the infection attack rate would be reduced by 24.5%. Increased test capacity and improved contact trace efficiency only slightly improved the effectiveness of the TTI. We thus investigated the effectiveness of the TTI strategy when coupled with reactive social distancing policies. Limiting contacts on the temporal contact layer would be insufficient to control an epidemic and contacts on both layers would need to be limited simultaneously. For example, the infection attack rate would be reduced by 68.1% when the reactive distancing policy disconnects 30% and 50% of contacts on static and temporal layers, respectively. Our findings highlight that, to reduce the overall transmission, it is important to limit contacts regardless of their types in addition to identifying infected individuals through contact tracing, given the substantial proportion of asymptomatic and pre-symptomatic SARS-CoV-2 transmission.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:19

Enthalten in:

PLoS computational biology - 19(2023), 9 vom: 01. Sept., Seite e1011423

Sprache:

Englisch

Beteiligte Personen:

Zhang, Kun [VerfasserIn]
Xia, Zhichu [VerfasserIn]
Huang, Shudong [VerfasserIn]
Sun, Gui-Quan [VerfasserIn]
Lv, Jiancheng [VerfasserIn]
Ajelli, Marco [VerfasserIn]
Ejima, Keisuke [VerfasserIn]
Liu, Quan-Hui [VerfasserIn]

Links:

Volltext

Themen:

Journal Article
Research Support, Non-U.S. Gov't

Anmerkungen:

Date Completed 18.09.2023

Date Revised 23.09.2023

published: Electronic-eCollection

Citation Status MEDLINE

doi:

10.1371/journal.pcbi.1011423

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM361545142