Background. Recent research has been conducted by various countries and regions on the impact of non-pharmaceutical interventions (NPIs) on reducing the spread of COVID19. This study evaluates the tradeoffs between potential benefits (e.g., reduction in infection spread and deaths) of NPIs for COVID19 and being homebound (i.e., refraining from interactions outside of the household).
Methods. An agent-based simulation model, which captures the natural history of the disease at the individual level, and the infection spread via a contact network assuming heterogeneous population mixing in households, peer groups (workplaces, schools), and communities, is adapted to project the disease spread and estimate the number of homebound people and person-days under multiple scenarios, including combinations of shelter-in-place, voluntary quarantine, and school closure in Georgia from March 1 to September 1, 2020.
Results. Compared to no intervention, under voluntary quarantine, voluntary quarantine with school closure, and shelter-in-place with school closure scenarios 4.5, 23.1, and 200+ homebound adult-days were required to prevent one infection, with the maximum number of adults homebound on a given day in the range of 119K-248K, 465K-499K, 5,388K-5,389K, respectively. Compared to no intervention, school closure only reduced the percentage of the population infected by less than 16% while more than doubling the peak number of adults homebound.
Conclusions. Voluntary quarantine combined with school closure significantly reduced the number of infections and deaths with a considerably smaller number of homebound person-days compared to shelter-in-place.

Figure 1

Figure 1
Figure 2
Figure 2
Figure 3
Figure 3
Figure 4
Figure 4
This is a list of supplementary files associated with this preprint. Click to download.
Loading...
Posted 18 Nov, 2020
On 23 Feb, 2021
Received 14 Feb, 2021
On 01 Feb, 2021
Received 19 Jan, 2021
On 07 Jan, 2021
Invitations sent on 15 Dec, 2020
On 08 Nov, 2020
On 08 Nov, 2020
On 08 Nov, 2020
On 30 Oct, 2020
Received 24 Oct, 2020
Received 26 Aug, 2020
On 21 Aug, 2020
On 21 Aug, 2020
Invitations sent on 18 Aug, 2020
On 12 Aug, 2020
On 11 Aug, 2020
On 11 Aug, 2020
Posted 18 Nov, 2020
On 23 Feb, 2021
Received 14 Feb, 2021
On 01 Feb, 2021
Received 19 Jan, 2021
On 07 Jan, 2021
Invitations sent on 15 Dec, 2020
On 08 Nov, 2020
On 08 Nov, 2020
On 08 Nov, 2020
On 30 Oct, 2020
Received 24 Oct, 2020
Received 26 Aug, 2020
On 21 Aug, 2020
On 21 Aug, 2020
Invitations sent on 18 Aug, 2020
On 12 Aug, 2020
On 11 Aug, 2020
On 11 Aug, 2020
Background. Recent research has been conducted by various countries and regions on the impact of non-pharmaceutical interventions (NPIs) on reducing the spread of COVID19. This study evaluates the tradeoffs between potential benefits (e.g., reduction in infection spread and deaths) of NPIs for COVID19 and being homebound (i.e., refraining from interactions outside of the household).
Methods. An agent-based simulation model, which captures the natural history of the disease at the individual level, and the infection spread via a contact network assuming heterogeneous population mixing in households, peer groups (workplaces, schools), and communities, is adapted to project the disease spread and estimate the number of homebound people and person-days under multiple scenarios, including combinations of shelter-in-place, voluntary quarantine, and school closure in Georgia from March 1 to September 1, 2020.
Results. Compared to no intervention, under voluntary quarantine, voluntary quarantine with school closure, and shelter-in-place with school closure scenarios 4.5, 23.1, and 200+ homebound adult-days were required to prevent one infection, with the maximum number of adults homebound on a given day in the range of 119K-248K, 465K-499K, 5,388K-5,389K, respectively. Compared to no intervention, school closure only reduced the percentage of the population infected by less than 16% while more than doubling the peak number of adults homebound.
Conclusions. Voluntary quarantine combined with school closure significantly reduced the number of infections and deaths with a considerably smaller number of homebound person-days compared to shelter-in-place.

Figure 1

Figure 1
Figure 2
Figure 2
Figure 3
Figure 3
Figure 4
Figure 4
This is a list of supplementary files associated with this preprint. Click to download.
Loading...