COVID-19 Outbreak Forecasting and Effects of Self-Restraint Against Excursions in Tokyo, Japan, as of the End of March, 2020, Before the Emergency Declaration on April 7, 2020
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- Sugishita Yoshiyuki
- National Institute of Infectious Diseases (NIID)
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- Kurita Junko
- Department of Nursing, Tokiwa University
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- Sugawara Tamie
- National Institute of Infectious Diseases (NIID)
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- Ohkusa Yasushi
- National Institute of Infectious Diseases (NIID)
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抄録
<p>In Tokyo, Japan, coronavirus disease 2019 (COVID-19) cases have been increasing gradually since late March 2020. This study was aimed to predict the effects of self-restraint against excursions in Tokyo before the emergency declaration of April 7, 2020. Data of symptomatic patients collected between January 14 and March 28, 2020, in Tokyo, were used to formulate a susceptible–infected–recovered (SIR) model using three age classes and estimate the basic reproduction number (R0). Based on the estimated R0, we inferred outbreak outcomes and medical burdens if self-restraint against excursions had not been enacted. Thereafter, we estimated the effects of self-restraint against excursions. The results suggested an R0 value of 2.86, with a 95% confidence interval of 2.73–2.97. It is likely that the exhaustion of medical resources could have occurred on April 28, 2020, if no self-restraint against excursions had occurred. If self-restraint against excursions had been enacted from April 6, 2020, and more than 60% of trips outside the home had been restricted voluntarily, medical care services would then have been predicted to be maintained. Our suggestion might have contributed to countermeasures against COVID-19 in Tokyo.</p>
収録刊行物
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- Journal of Disaster Research
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Journal of Disaster Research 16 (1), 6-11, 2021-01-30
富士技術出版株式会社