Effectiveness of social distancing measures during Coronavirus (COVID-19) Pandemic: A systematic Review

  • Mohammed Ahmed Garout Community Medicine and Pilgrims Health Department, Faculty of Medicine, Umm Al-Qura University, Makkah, KSA
Keywords: COVID-19 – pandemic – prevention – infection – coronavirus - SARS-CoV-2, COVID-19 – protection – social distance – transmission

Abstract

Background: In February 2020, world health organization has announced coronavirus outbreak (COVID-19) as a world pandemic. COVID-19 vaccines have recently been developed and approved by many countries for immediate distribution and use to contain the disease transmission and control the pandemic, however, the world is still at very early stages of ensuring vaccines’ effectiveness and their accurate positive impact on bringing COVID-19 pandemic under control. Therefore, using social distancing and behavioral measures to reduce the transmission of the virus within the residents are continued to be important tools in lessening the consequences of this pandemic. As a result, social distancing measures are employed globally and have been an efficient tool in reducing the comprehensive virus spreaders. Objective:  This study is a systematic review to evaluate the effects of social distance measure such as isolation, quarantine for decreasing the spread of COVID-19 during the pandemic era 2020. Methodology: A systematic review is performed in accordance with guidelines for best practice. Literature searches is done using online databases sources. Databases includes Medline, Web of Science, Embase, alongside relevant pre-print servers. PRISMA-P checklist is used in the planning of this study from 1st March to December 2020. The study examines the evidence-based guidelines for community protection issued by different health authorities affecting COVID-19 pandemic and compare the published articles from different countries. A narrative synthesis, using thematic analysis, is performed for the included studies. The study also offers a descriptive numerical summary using risk ratios (RRs), mean differences (MD), standardized mean differences (SMD).  Conclusion: This study may expedite the systematic advancement of behavioral interferences to increase social distancing measures importance. Moreover, this study could improve the literature on emphasizing the major social distancing measures in influencing COVID-19 in public health policy and interventions.

References

WHO, Novel coronavirus - China? January 12, 2020. http://www.who.int/csr/don/12-January-2020-novel-coronavirus-china/en/ (accessed 19 January 2020)

European Centre for Disease Prevention and Control. COVID-19 situation updates worldwide, as of Decemeber 2020. https://www.ecdc.europa.eu/en/geographical-distribution-2019-ncov-cases

WHO, Weekly operational update on COVID-19- 2 October 2020 https://www.who.int/publications/m/item/weekly-update-on-covid-19---2-october-2020

WHO, Rolling updates on coronavirus disease (COVID-19) report. https://www.who.int/emergencies/diseases/novel-coronavirus-2019

WHO, Critical preparedness, readiness and response actions for COVID-19. https://www.who.int/publications/i/item/critical-preparedness-readiness-and-response-actions-for-covid-19

WHO (2020). Coronavirus disease (COVID–19) Pandemic. https://www.who.int/emergencies/diseases/novelcoronavirus–2019

Lewnard JA, Lo NC. Scientific and ethical basis for social-distancing interventions against COVID–19. Lancet Infect Dis. 2020;20(6):631–633

Public Health England. Disparities in the risk and outcomes from COVID–19. London: PHE publications; 2020.

Elsland SL, O’Hare R (2020). Coronavirus pandemic could have caused 40 million deaths if left unchecked. https://www.imperial.ac.uk/news

Katie P. Excess deaths shows the true impact of COVID-19 in the US. John Hopkins Publication updates. September 2020. https://hub.jhu.edu/2020/09/01/comorbidities-and-coronavirus-deaths-cdc/

Sabine L. van Elsland, Roshni M, Stephen J. World leading experts in health, science and economics discuss post-COVID world. Imperial College London. https://www.imperial.ac.uk/news/209353

Peter R. Severe underestimation of COVID-19 case numbers: effect of epidemic growth rate and test restrictions. medRxiv preprint doi: https://doi.org/10.1101/2020.04.13.20064220 posted April 17, 2020

European Centre for Disease Prevention and Control 2020. ECDC TECHNICAL REPORT Guide to public health measure to reduce the impact on influenza pandemics in Europe: ‘The ECDC Menu’

WHO (2020). Basic protective measures against the new coronavirus. https://www.who.int/emergencies/diseases/novel-coronavirus–2019/

Harapan H, Itoh N, Yuka A, Winardi W, Keam S, Te H, et al. The COVID–19 pandemic calls for spatial distancing and social closeness: not for social distancing. J Infect Public Health. 2020;13(5):667–73.

Lin C, Ye R, Xia YL. A meta-analysis to evaluate the effectiveness of real-time PCR for diagnosing novel coronavirus infections. Genet Mol Res. 2015;14(4):15634–41.

Webster RK, Brooks SK, Smith LE, Woodland L, Wessely S, James R. How to improve adherence with quarantine: Rapid review of the evidence. medRxiv. 2020; doi.org/10.1101/2020.03.17.20037408

Mahtani KR, Heneghan C, Aronson JK. What is the evidence for social distancing during global pandemics? A rapid summary of current knowledge. Oxford: Oxford Unversity. https://www.phc.ox.ac.uk/les/covid–19-evidence-service/

Rashid H, Ridda I, King C et al. Evidence compendium and advice on social distancing and other related measures for response to an influenza pandemic. Paediatr Respir Rev. 2015;16(2):119–26.

Park M, Cook AR, Lim J, Sun Y, Dickens B. A Systematic Review of COVID–19 Epidemiology Based on Current Evidence. J Clin Med. 2020;9(4):967.

Lewnard JA, Lo NC. Scientific and ethical basis for social-distancing interventions against COVID–19. Lancet Infect Dis. 2020;20(6):631–633

University of Michigan (2020). Michigan Medicine projections show aggressive social distancing will dramatically reduce the peak number of hospitalized COVID–19 patients. https://www.uofmhealth.org/news/archive/202003/michigan-medicine-projections-showaggressive-social

Prem K, Liu Y, Russell T, Kucharski A, Eggo R, Davies N, et al. The effect of control strategies to reduce social mixing on outcomes of the COVID-19 epidemic in Wuhan, China: a modelling study. Lancet Public Heal. 2020;5:e261–70.

Borenstein M, Hedges L, Higgins J et al. Introduction to meta‐ analysis. Chichester: Wiley; 2009.

Thomas J, Harden A. Methods for the thematic synthesis of qualitative research in systematic reviews. BMC Med Res Methodol. 2008;8.

Williams SN, Armitage CJ, Dienes K. Public perceptions and experiences of social distancing and social isolation during the COVID–19 pandemic: A UK-based focus group study. medRxiv. 2020; doi.org/10.1101/2020.04.10.2006126

Hawryluck L, Gold WL, Robinson S, Pogorski S, Sandro G, Rima S. SARS Control and Psychological Effects of Quarantine, Toronto, Canada. Emerg Infect Dis. 2004;10(7):1206–12.

Katz R, Vaught A, Simmens S. Local Decision Making for Implementing Social Distancing in Response to Outbreaks. Public Health Rep. 2019;134(2):150–4.

Meier K, Glatz T, Guijt MC, Piccininni M, van der Meulen M, Atmar K, et al. Public perspectives on social distancing and other protective measure in Europe: a cross-sectional 1 survey study during the COVID–19 pandemic. medRxiv. 2020; doi.org/10.1101/2020.04.02.20049676

Rajesh S., Adhikari R. Age-structured impact of social distancing on the COVID-19 epidemic in India. arXiv:2003.12055v1 [q-bio.PE] 26 Mar 2020

D.A. Fitzgerald, K. Nunn, D. Isaacs, Consequences of physical distancing emanating from the COVID-19 pandemic: An australian perspective, Paediatric Respiratory Reviews (2020), doi: https:/ /doi.org/10.1016/j.prrv.2020.06.005

Pan A, Liu L, Wang C, et al. Association of Public Health Interventions With the Epidemiology of the COVID–19 Outbreak in Wuhan, China. JAMA. 2020;323(19):1–9. doi:10.1001/jama.2020.6130

Rios-González C. Knowledge, attitudes and practices towards COVID–19 in Paraguayans during outbreaks: a quick online survey. 2020.

Roy D, Tripathy S, Kar SK, Sharma N, Verma SK, Kaushal V. Study of knowledge, attitude, anxiety & perceived mental healthcare need in Indian population during COVID–19 pandemic. Asian J Psychiatr. 2020;51:102083. doi:10.1016/j.ajp.2020.102083

Maharaj and Kleczkowski. Controlling epidemic spread by social distancing: Do it well or not at allBMC Public Health 2012, 12:679. http://www.biomedcentral.com/1471-2458/12/679

Tabish SA. COVID-19 Pandemic: the crisis and the longer-term perspectives (2020). Journal of Cardiology 13(2):41-44. DOI: 10.15406/jccr.2020.13.00472

Edemekong PF, Huang B. Epidemiology Of Prevention Of Communicable Diseases. [Updated 2020 Nov 21]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK470303

Rahmet G., İmran H, Firdevs A (2020). COVID-19: Prevention and control measures in community. Turk J Med Sci 50: 571-577. doi:10.3906/sag-2004-146

Geldsetzer P. Knowledge and Perceptions of COVID–19 Among the General Public in the United States and the United Kingdom: A Cross-sectional Online Survey. Ann Intern Med. 2020;1–4.

Hawryluck L, Gold WL, Robinson S, Pogorski S, Sandro G, Rima S. SARS Control and Psychological Effects of Quarantine, Toronto, Canada. Emerg Infect Dis. 2004;10(7):1206–12.

Katz R, Vaught A, Simmens S. Local Decision Making for Implementing Social Distancing in Response to Outbreaks. Public Health Rep. 2019;134(2):150–4.

Chersich et al. COVID-19 in Africa: care and protection for frontline healthcare workers. Globalization and Health (2020) 16:46 https://doi.org/10.1186/s12992-020-00574-

European CDC. Coronavirus disease 2019 (COVID-19) pandemic: increased transmission in the EU/EEA and the UK – seventh update. Stockholm: ECDC; 2020.

Adly, H.M.; AlJahdali, I.A.; Garout, M.A.; Khafagy, A.A.; Saati, A.A.; Saleh, S.A.K. Correlation of COVID-19 Pandemic with Healthcare System Response and Prevention Measures in Saudi Arabia. Int. J. Environ. Res. Public Health 2020, 17, 6666.

Takian A, Kiani MM, Khanjankhani K. COVID–19 and the need to prioritize health equity and social determinants of health. Int J Public Health. 2020;10.1007/s00038–020–01398-z. doi:10.1007/s00038–020–01398-z

Weinfurt KP, Moghaddam FM. Culture and Social Distance: A Case Study of Methodological Cautions. J Soc Psychol. 2001;141(1):101–10. 1.

Alobuia WM, Dalva-Baird NP, Forrester JD, Bendavid E, Bhattacharya J, Kebebew E. Racial disparities in knowledge, attitudes and practices related to COVID–19 in the USA. J Public Health (Oxf). 2020;fdaa069. doi:10.1093/pubmed/fdaa069

Morrison L, Yardley L. What infection control measures will people carry out to reduce transmission of pandemic influenza? A focus group study. BMC Public Health 2009, 9:258 doi:10.1186/1471-2458-9-258

Hartley DM, Reisinger HS, and Perencevich EN. (2020). When infection prevention enters the temple: Intergenerational social distancing and COVID-19 Infection Control & Hospital Epidemiology, https://doi.org/10.1017/ice.2020.100

Friedman E, Friedman J, Johnson S, Landsberg A (2020). Transitioning Out of the Coronavirus Lockdown: A Framework for Evaluating Zone-Based Social Distancing.Front. Public Health 8:266. doi: 10.3389/fpubh.2020.00266

American Enterprise Institute. National Coronavirus Response: A Road Map to Reopening. AEI (2020). Available online at: https://www.aei.org/researchproducts/ report/national-coronavirus-response-a-road-map-to-reopening/

Edmond J. Safra Center For Ethics. Roadmap to Pandemic Resistance (2020). Available online at https://ethics.harvard.edu/files/center-forethics/ files/roadmaptopandemicresilience_final_0.pdf (accessed April 20, 2020).

Centers For Disease Control and Prevention. Interim Guidance for Businesses and Employers to Plan and Respond to Coronavirus Disease 2019 (COVID-19) (2020). Available online at: https://www.cdc.gov/coronavirus/2019-ncov/ community/guidance-business-response.html

Chandler W. Rundle, Colby L. Presley, Michelle Militello, Cara Barber, Douglas L. Powell, Sharon E. Jacob, Amber Reck Atwater, Kalman L. Watsky, Jiade Yu, Cory A. Dunnick, Hand hygiene during COVID-19: Recommendations from the American Contact Dermatitis Society, Journal of the American Academy of Dermatology, Volume 83, Issue 6,2020, 1730-1737. ISSN 0190-9622, https://doi.org/10.1016/j.jaad.2020.07.05

Güner R, Hasanoğlu I, Aktaş F. COVID-19: Prevention and control measures in community. Turk J Med Sci. 2020 Apr 21;50(SI-1):571-577. doi: 10.3906/sag-2004-146. PMID: 32293835; PMCID: PMC7195988.

Malay DS. COVID-19, Pandemic, and Social Distancing. J Foot Ankle Surg. 2020 May-Jun;59(3):447-448. doi: 10.1053/j.jfas.2020.03.010. PMID: 32354499; PMCID: PMC7186131.

Tirupathi R, Bharathidasan K, Palabindala V, Salim SA, Al-Tawfiq JA. Comprehensive review of mask utility and challenges during the COVID-19 pandemic. Infez Med. 2020 Jun 1;28(suppl 1):57-63. PMID: 32532940.

Galea S, Merchant RM, Lurie N. The Mental Health Consequences of COVID-19 and Physical Distancing: The Need for Prevention and Early Intervention. JAMA Intern Med. 2020 Jun 1;180(6):817-818. doi: 10.1001/jamainternmed.2020.1562. PMID: 32275292.

Chu DK, Akl EA, Duda S, Solo K, Yaacoub S, Schünemann HJ; COVID-19 Systematic Urgent Review Group Effort (SURGE) study authors. Physical distancing, face masks, and eye protection to prevent person-to-person transmission of SARS-CoV-2 and COVID-19: a systematic review and meta-analysis. Lancet. 2020 Jun 27;395(10242):1973-1987. doi: 10.1016/S0140-6736(20)31142-9. Epub 2020 Jun 1. PMID: 32497510; PMCID: PMC7263814.

Verbeek JH, Rajamaki B, Ijaz S, Sauni R, Toomey E, Blackwood B, Tikka C, Ruotsalainen JH, Kilinc Balci FS. Personal protective equipment for preventing highly infectious diseases due to exposure to contaminated body fluids in healthcare staff. Cochrane Database Syst Rev. 2020 May 15;5:CD011621. doi: 10.1002/14651858.CD011621.pub5. PMID: 32412096.

Soriano JB, Anzueto A, Bosnic Anticevich S, Kaplan A, Miravitlles M, Usmani O, Papadopoulos NG, Puggioni F, Canonica GW, Roche N; Respiratory Effectiveness Group. Face masks, respiratory patients and COVID-19. Eur Respir J. 2020 Nov 12;56(5):2003325. doi: 10.1183/13993003.03325-2020. PMID: 32994197; PMCID: PMC7525001.

Hwang TJ, Rabheru K, Peisah C, Reichman W, Ikeda M. Loneliness and social isolation during the COVID-19 pandemic. Int Psychogeriatr. 2020 Oct;32(10):1217-1220. doi: 10.1017/S1041610220000988. Epub 2020 May 26. PMID: 32450943; PMCID: PMC7306546.

Smith BJ, Lim MH. How the COVID-19 pandemic is focusing attention on loneliness and social isolation. Public Health Res Pract. 2020 Jun 30;30(2):3022008. doi: 10.17061/phrp3022008. PMID: 32601651.

Advice on the use of masks in the context of COVID-19: interim guidance, 6 April 2020 [online] Website https://apps.who.int/iris/handle/10665/331693. 2020.

Using face masks in the community reducing COVID-19 transmission from potentially asymptomatic or pre-symptomatic people through the use of face masks or presymptomatic people through the use of face masks ECDC Technical Report [online]. Website https://www.ecdc.europa. eu/en/publications-data/using-face-masks-communityreducing- covid-19-transmission. 2020.

Regmi K. Factors impacting social distancing measures for preventing coronavirus disease 2019 [COVID-19]: A systematic review (2020). Research Square. DOI: 10.21203/rs.3.rs-37498/v1

WHO issues its first emergency use validation for a COVID-19 vaccine and emphasizes need for equitable global access. https://www.who.int/news/item/31-12-2020-who-issues-its-first-emergency-use-validation-for-a-covid-19

Published
2021-01-26
Section
Medicine