Evidence map›Paper›PMID 32841354›Full record

ArticleJournal of travel medicine2020

Strategies at points of entry to reduce importation risk of COVID-19 cases and reopen travel.

Borame L Dickens, Joel R Koo, Jue Tao Lim, Haoyang Sun, Hannah E Clapham, Annelies Wilder-Smith, Alex R Cook

Abstract read
In one paragraph

Article in Journal of travel medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

41 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  5. The Risk from Reopening International Travel During a Disease X Pandemic: A Case Study of SARS-CoV-2.Risk analysis : an official publication of the Society for Risk Analysis · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Borame L DickensSaw Swee Hock School of Public Health, National University of Singapore and National University Health System, 1E Kent Ridge Rd, Singapore 117549.
Joel R KooSaw Swee Hock School of Public Health, National University of Singapore and National University Health System, 1E Kent Ridge Rd, Singapore 117549.
Jue Tao LimSaw Swee Hock School of Public Health, National University of Singapore and National University Health System, 1E Kent Ridge Rd, Singapore 117549.
Haoyang SunSaw Swee Hock School of Public Health, National University of Singapore and National University Health System, 1E Kent Ridge Rd, Singapore 117549.
Hannah E ClaphamSaw Swee Hock School of Public Health, National University of Singapore and National University Health System, 1E Kent Ridge Rd, Singapore 117549.
Annelies Wilder-SmithDepartment of Disease Control, London School of Hygiene & Tropical Medicine, Keppel St, Bloomsbury, London WC1E 7HT, UK.
Alex R CookSaw Swee Hock School of Public Health, National University of Singapore and National University Health System, 1E Kent Ridge Rd, Singapore 117549.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWith more countries exiting lockdown, public health safety requires screening measures at international travel entry points that can prevent the reintroduction or importation of the severe acute respiratory syndrome-related coronavirus-2. Here, we estimate the number of cases captured, quarantining days averted and secondary cases expected to occur with screening interventions.

methodsTo estimate active case exportation risk from 153 countries with recorded coronavirus disease-2019 cases and deaths, we created a simple data-driven framework to calculate the number of infectious and upcoming infectious individuals out of 100 000 000 potential travellers from each country, and assessed six importation risk reduction strategies; Strategy 1 (S1) has no screening on entry, S2 tests all travellers and isolates test-positives where those who test negative at 7 days are permitted entry, S3 the equivalent but for a 14 day period, S4 quarantines all travellers for 7 days where all are subsequently permitted entry, S5 the equivalent for 14 days and S6 the testing of all travellers and prevention of entry for those who test positive.

resultsThe average reduction in case importation across countries relative to S1 is 90.2% for S2, 91.7% for S3, 55.4% for S4, 91.2% for S5 and 77.2% for S6. An average of 79.6% of infected travellers are infectious upon arrival. For the top 100 exporting countries, an 88.2% average reduction in secondary cases is expected through S2 with the 7-day isolation of test-positives, increasing to 92.1% for S3 for 14-day isolation. A substantially smaller reduction of 30.0% is expected for 7-day all traveller quarantining, increasing to 84.3% for 14-day all traveller quarantining.

conclusionsThe testing and isolation of test-positives should be implemented provided good testing practices are in place. If testing is not feasible, quarantining for a minimum of 14 days is recommended with strict adherence measures in place.

Indexed as

Communicable Disease ControlCommunicable Diseases, ImportedCOVID-19AirportsAir TravelCOVID-19 TestingEpidemiological MonitoringGlobal HealthHumansMass ScreeningQuarantineRisk AssessmentSARS-CoV-2air passengersborder measuresisolationLockdownquarantineSARS-CoV-2travel restrictions

Identifiers

PMID32841354
PMCPMC7499710

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.