Commentary: The costly lesson from COVID-19 - elimination should be default strategy for future pandemics

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Commentary: The costly lesson from COVID-19 - elimination should be default strategy for future pandemics
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Localised quarantine measures, travel freezes and intensified surveillance can terminate virus outbreaks in countries over weeks, say public health experts.

note an expanding cluster of individuals with severe respiratory disease. Rapid whole genome sequencing identifies the disease-causing agent as a novel coronavirus.

Case numbers rise rapidly but plateau after three weeks, and then fall until no new cases are detected in the community., which terminated its initial COVID-19 outbreak in eight weeks using an elimination strategy. The outbreak had spread regionally within country X, but not internationally.AN UPGRADED PANDEMIC RESPONSE TO ELIMINATE AT SOURCE

The idea of eliminating novel emerging infectious diseases at the earliest possible stage is intuitively appealing and not new. It has been proposed for eliminating novel pandemic influenza outbreaks. It allowed time for vaccine development and roll-out and for jurisdictions to prepare their health systems for managing large numbers of infected people. Notable examples are New Zealand, Australia and Singapore. They have been able to keep their cumulative mortality low by international standards.If elimination is ultimately not successful or justifiable, an organised transition to another strategy should be considered.

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