Format

Send to

Choose Destination
Lancet Infect Dis. 2020 Mar 5. pii: S1473-3099(20)30129-8. doi: 10.1016/S1473-3099(20)30129-8. [Epub ahead of print]

Can we contain the COVID-19 outbreak with the same measures as for SARS?

Author information

1
London School of Hygiene and Tropical Medicine, London, UK; Heidelberg Institute of Global Health, University of Heidelberg, Heidelberg, Germany; Lee Kong Chian School of Medicine, Singapore, Singapore. Electronic address: annelies.wilder-smith@lshtm.ac.uk.
2
National University Health System, Singapore, Singapore.
3
Saw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore.

Abstract

The severe acute respiratory syndrome (SARS) outbreak in 2003 resulted in more than 8000 cases and 800 deaths. SARS was eventually contained by means of syndromic surveillance, prompt isolation of patients, strict enforcement of quarantine of all contacts, and in some areas top-down enforcement of community quarantine. By interrupting all human-to-human transmission, SARS was effectively eradicated. By contrast, by Feb 28, 2020, within a matter of 2 months since the beginning of the outbreak of coronavirus disease 2019 (COVID-19), more than 82 000 confirmed cases of COVID-19 have been reported with more than 2800 deaths. Although there are striking similarities between SARS and COVID-19, the differences in the virus characteristics will ultimately determine whether the same measures for SARS will also be successful for COVID-19. COVID-19 differs from SARS in terms of infectious period, transmissibility, clinical severity, and extent of community spread. Even if traditional public health measures are not able to fully contain the outbreak of COVID-19, they will still be effective in reducing peak incidence and global deaths. Exportations to other countries need not result in rapid large-scale outbreaks, if countries have the political will to rapidly implement countermeasures.

Supplemental Content

Full text links

Icon for Elsevier Science Icon for PubMed Central
Loading ...
Support Center