دورية أكاديمية

Epidemic and control of COVID-19 in Niger: quantitative analyses in a least developed country.

التفاصيل البيبلوغرافية
العنوان: Epidemic and control of COVID-19 in Niger: quantitative analyses in a least developed country.
المؤلفون: Tchole AIM; Institute of EcoHealth, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, P. R. China.; Directorate of Surveillance and Response to Epidemics, Ministry of Public Health, Niamey, Niger., Li ZW; Institute of EcoHealth, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, P. R. China., Wei JT; Institute of EcoHealth, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, P. R. China., Ye RZ; Institute of EcoHealth, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, P. R. China.; State Key Laboratory of Pathogen and Biosecurity, Beijing Institute of Microbiology and Epidemiology, Beijing, P. R. China., Wang WJ; Institute of EcoHealth, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, P. R. China., Du WY; Institute of EcoHealth, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, P. R. China., Wang HT; Institute of EcoHealth, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, P. R. China., Yin CN; Institute of EcoHealth, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, P. R. China., Ji XK; Institute for Medical Dataology, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, P. R. China., Xue FZ; Institute for Medical Dataology, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, P. R. China., Bachir AM; Directorate of Surveillance and Response to Epidemics, Ministry of Public Health, Niamey, Niger., Zhao L; Institute of EcoHealth, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, P. R. China., Cao WC; Institute of EcoHealth, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, P. R. China.; State Key Laboratory of Pathogen and Biosecurity, Beijing Institute of Microbiology and Epidemiology, Beijing, P. R. China.
مؤلفون مشاركون: Cheeloo EcoHealth Consortium (CLEC)
المصدر: Journal of global health [J Glob Health] 2020 Dec; Vol. 10 (2), pp. 020513.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: International Society of Global Health Country of Publication: Scotland NLM ID: 101578780 Publication Model: Print Cited Medium: Internet ISSN: 2047-2986 (Electronic) Linking ISSN: 20472978 NLM ISO Abbreviation: J Glob Health Subsets: MEDLINE
أسماء مطبوعة: Publication: <2019>-: Edinburgh : International Society of Global Health
Original Publication: Edinburgh : Edinburgh University Global Health Society, 2011-
مواضيع طبية MeSH: COVID-19/*epidemiology , COVID-19/*prevention & control , Communicable Disease Control/*organization & administration, Adult ; Developing Countries ; Female ; Health Personnel ; Humans ; Male ; Middle Aged ; Niger/epidemiology ; Pandemics ; SARS-CoV-2 ; Socioeconomic Factors
مستخلص: Background: The COVID-19 pandemic is challenging the public health response system worldwide, especially in poverty-stricken, war-torn, and least developed countries (LDCs).
Methods: We characterized the epidemiological features and spread dynamics of COVID-19 in Niger, quantified the effective reproduction number ( R t ), evaluated the impact of public health control measures, and estimated the disease burden.
Results: As of 4 July 2020, COVID-19 has affected 29 communes of Niger with 1093 confirmed cases, among whom 741 (67.8%) were males. Of them 89 cases died, resulting in a case fatality rate (CFR) of 8.1%. Both attack rates and CFRs were increased with age ( P  <  0.0001). Health care workers accounted for 12.8% cases. Among the reported cases, 39.3% were isolated and treated at home, and 42.3% were asymptomatic. 74.6% cases were clustered in Niamey, the capital of Niger. The R t fluctuated in correlation to control measures at different outbreak stages. After the authorities initiated the national response and implemented the strictest control measures, R t quickly dropped to below the epidemic threshold (<1), and maintained low level afterward. The national disability-adjusted life years attributable to COVID-19 was 1267.38 years in total, of which years of life lost accounted for over 99.1%.
Conclusions: Classic public health control measures such as prohibition of public gatherings, travelling ban, contact tracing, and isolation and quarantine at home, are proved to be effective to contain the outbreak in Niger, and provide guidance for controlling the ongoing COVID-19 pandemic in LDCs.
Competing Interests: Competing interests: The authors completed the ICMJE Unified Competing Interest form (available upon request from the corresponding author), and declare no conflicts of interest.
(Copyright © 2020 by the Journal of Global Health. All rights reserved.)
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تواريخ الأحداث: Date Created: 20201214 Date Completed: 20210108 Latest Revision: 20220418
رمز التحديث: 20221213
مُعرف محوري في PubMed: PMC7719275
DOI: 10.7189/jogh.10.020513
PMID: 33312506
قاعدة البيانات: MEDLINE
الوصف
تدمد:2047-2986
DOI:10.7189/jogh.10.020513