1921
Volume 103, Issue 1
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645

Abstract

Abstract.

In response to the COVID-19 pandemic, in addition to the more routine public health measures, many countries have implemented “lockdowns”—closing borders, restricting international travel, and placing severe limitations on individual movement and group gatherings. While lockdowns may be an important tool to limit transmission, they come at a potentially great cost with regard to economic impact, mental health consequences, and increased morbidity and mortality from non–COVID-19 diseases. Furthermore, implementation of the required draconian measures may be difficult in some settings because of logistical, economic, and sociocultural impediments, especially in many low- and middle-income countries. Governments and health authorities must chart a course on how to “unlock” or control transmission where lockdowns are not feasible. “Precision physical distancing”—distancing tailored and optimized to specific physical, social, cultural, political, and economic contexts and to specific groups and settings—is proposed and discussed here as an important tool in the control of COVID-19. It has the advantages of being low cost, adaptable to diverse sociocultural and economic settings through community ownership and local action, and more easily monitored and potentially enforced than less precise measures. Precision physical distancing can be one important component of a sustainable long-term solution that is proportionate to the risk yet does not have a disproportionate impact on society and the economy, allowing a partial return to normal activities, with the community as an essential partner.

[open-access] This is an open-access article distributed under the terms of the Creative Commons Attribution (CC-BY) License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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References

  1. Lau H, Khosrawipour V, Kocbach P, Mikołajczyk A, Schubert J, Bania J, 2020. The positive impact of lockdown in Wuhan on containing the COVID-19 outbreak in China. J Travel Med [Epub ahead of print]. Available at: https://doi.org/10.1093/jtm/taaa037.
    [Google Scholar]
  2. CNN News, 2020. China is Trying to Revive its Economy without Risking More Lives. The World is Watching. CNN News.
    [Google Scholar]
  3. CNN News, 2020. Coronavirus: India Defiant as Millions Struggle Under Lockdown. CNN News.
    [Google Scholar]
  4. Favas C, Abdelmagid N, Checchi F, Garry S, Jarrett P, Ratnayake R, Warsame A 2020. Guidance for the Prevention of COVID-19 Infections Among High-Risk Individuals in Camps and Camp-Like Settings. London, United Kingdom: Health in Humanitarian Crisis Centre, London School of Hygiene & Tropical Medicine.
    [Google Scholar]
  5. SSHAP, 2020. Key Considerations: COVID-19 in Informal Urban Settlements (March 2020): Social Science in Humanitarian Action.
    [Google Scholar]
  6. Picheta R, Qiblawi T, 2020. Jordan Eases Lockdown after Total Curfew Leads to Chaos. CNN News.
    [Google Scholar]
  7. Keaten J, 2020. UN Health Agency Settles in for Long Fight with Virus. Geneva, Switzerland: Associated Press.
    [Google Scholar]
  8. IDinsight, 2020. Policy Brief: Evidence-Informed Social Distancing Policies for African Countries. Available at: https://www.idinsight.org. Accessed June 10, 2020.
  9. Jarvis CI, van Zandvoort K, Gimma A, Prem KCMMID COVID-19 working groupKlepac P, Rubin GJ, Edmunds WJ 2020. Quantifying the impact of physical distance measures on the transmission of COVID-19 in the UK. BMC Med 18: 124.
    [Google Scholar]
  10. Prem K et al., 2020. The effect of control strategies to reduce social mixing on outcomes of the COVID-19 epidemic in Wuhan, China: a modelling study. Lancet Public Health 5: e261e270.
    [Google Scholar]
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  • Received : 24 Apr 2020
  • Accepted : 09 May 2020
  • Published online : 18 May 2020

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