Evidence map›Paper›PMID 33303516›Full record

ArticleBMJ global health2020

Modelling interventions to control COVID-19 outbreaks in a refugee camp.

Robert Tucker Gilman, Siyana Mahroof-Shaffi, Christian Harkensee, Andrew T Chamberlain

Abstract read
In one paragraph

Article in BMJ global health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 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

24 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  19. Modeling of the Long-Term Epidemic Dynamics of COVID-19 in the United States.International journal of environmental research and public health · 2021
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  20. Refugees and Covid-19: Beyond Health Risks to Insecurity.Schweizerische Zeitschrift fur Politikwissenschaft = Revue suisse de science politique = Swiss political science review · 2021
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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

4 authors.

Robert Tucker GilmanCentre for Crisis Studies and Mitigation, The University of Manchester, Manchester, UK tucker.gilman@manchester.ac.uk.ORCID http://orcid.org/0000-0003-2000-7966
Siyana Mahroof-ShaffiKitrinos Healthcare, Lesbos, Greece.
Christian HarkenseeDepartment of Paediatrics, Queen Elizabeth Hospital Gateshead, Gateshead, UK.
Andrew T ChamberlainDepartment of Earth and Environmental Sciences, The University of Manchester, Manchester, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn the absence of effective treatments or vaccines, non-pharmaceutical interventions are the mainstay of control in the COVID-19 pandemic. Refugee populations in displacement camps live under adverse conditions that are likely to favour the spread of disease. To date, only a few cases of COVID-19 have appeared in refugee camps, and whether feasible non-pharmaceutical interventions can prevent the spread of the SARS-CoV-2 virus in such settings remains untested.

methodsWe constructed the first spatially explicit agent-based model of a COVID-19 outbreak in a refugee camp, and applied it to evaluate feasible non-pharmaceutical interventions. We parameterised the model using published data on the transmission rates and progression dynamics of COVID-19, and demographic and spatial data from Europe's largest refugee camp, the Moria displacement camp on Lesbos, Greece. We simulated COVID-19 epidemics with and without four feasible interventions.

resultsSpatial subdivision of the camp ('sectoring') was able to 'flatten the curve', reducing peak infection by up to 70% and delaying peak infection by up to several months. The use of face masks coupled with the efficient isolation of infected individuals reduced the overall incidence of infection, and sometimes averted epidemics altogether. These interventions must be implemented quickly in order to be maximally effective. Lockdowns had only small effects on COVID-19 dynamics.

conclusionsAgent-based models are powerful tools for forecasting the spread of disease in spatially structured and heterogeneous populations. Our findings suggest that feasible interventions can slow the spread of COVID-19 in a refugee camp setting, and provide an evidence base for camp managers planning intervention strategies. Our model can be modified to study other closed populations at risk from COVID-19 or future epidemics.

Indexed as

Refugee CampsCOVID-19Disease OutbreaksGreeceHumansModels, TheoreticalRisk FactorsSARS-CoV-2control strategiesepidemiologyother study designpublic healthrespiratory infections

Identifiers

PMID33303516
PMCPMC7733233

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LicenceCC BY
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Registered trials

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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.