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Volume 26, Number 5—May 2020
Policy Review

Nonpharmaceutical Measures for Pandemic Influenza in Nonhealthcare Settings—Social Distancing Measures

Min W. Fong1, Huizhi Gao1, Jessica Y. Wong, Jingyi Xiao, Eunice Y.C. Shiu, Sukhyun Ryu, and Benjamin J. CowlingComments to Author 
Author affiliations: University of Hong Kong, Hong Kong, China

Main Article

Figure

Intended impact of social distancing measures as nonpharmaceutical interventions for an influenza pandemic. Adapted from similar diagrams in the European Centre for Disease Prevention and Control Technical Report (3) and the Centers for Disease Control and Prevention Guidance Report (4).

Figure. Intended impact of social distancing measures as nonpharmaceutical interventions for an influenza pandemic. Adapted from similar diagrams in the European Centre for Disease Prevention and Control Technical Report (3) and the Centers for Disease Control and Prevention Guidance Report (4).

Main Article

References
  1. Centers for Disease Control and Prevention. Pandemic influenza, 2019 [cited 2019 Jul 7]. https://www.cdc.gov/flu/pandemic-resources/index.htm
  2. Ahmed  F, Zviedrite  N, Uzicanin  A. Effectiveness of workplace social distancing measures in reducing influenza transmission: a systematic review. BMC Public Health. 2018;18:518. DOIPubMed
  3. European Centre for Disease Prevention and Control. Guide to public health measures to reduce the impact of influenza pandemics in Europe: The ECDC Menu. Stockholm: The Centre; 2009.
  4. Qualls  N, Levitt  A, Kanade  N, Wright-Jegede  N, Dopson  S, Biggerstaff  M, et al.; CDC Community Mitigation Guidelines Work Group. Community mitigation guidelines to prevent pandemic influenza—United States, 2017. MMWR Recomm Rep. 2017;66:134. DOIPubMed
  5. Bell  D, Nicoll  A, Fukuda  K, Horby  P, Monto  A, Hayden  F, et al.; World Health Organization Writing Group. Non-pharmaceutical interventions for pandemic influenza, international measures. Emerg Infect Dis. 2006;12:817. DOIPubMed
  6. Markel  H, Lipman  HB, Navarro  JA, Sloan  A, Michalsen  JR, Stern  AM, et al. Nonpharmaceutical interventions implemented by US cities during the 1918-1919 influenza pandemic. JAMA. 2007;298:64454. DOIPubMed
  7. Caley  P, Philp  DJ, McCracken  K. Quantifying social distancing arising from pandemic influenza. J R Soc Interface. 2008;5:6319. DOIPubMed
  8. Chu  CY, de Silva  UC, Guo  JP, Wang  Y, Wen  L, Lee  VJ, et al. Combined interventions for mitigation of an influenza A (H1N1) 2009 outbreak in a physical training camp in Beijing, China. Int J Infect Dis. 2017;60:7782. DOIPubMed
  9. Gaillat  J, Dennetière  G, Raffin-Bru  E, Valette  M, Blanc  MC. Summer influenza outbreak in a home for the elderly: application of preventive measures. J Hosp Infect. 2008;70:2727. DOIPubMed
  10. Vera  DM, Hora  RA, Murillo  A, Wong  JF, Torre  AJ, Wang  D, et al. Assessing the impact of public health interventions on the transmission of pandemic H1N1 influenza a virus aboard a Peruvian navy ship. Influenza Other Respir Viruses. 2014;8:3539. DOIPubMed
  11. Fraser  C, Riley  S, Anderson  RM, Ferguson  NM. Factors that make an infectious disease outbreak controllable. Proc Natl Acad Sci U S A. 2004;101:614651. DOIPubMed
  12. Centers for Disease Control and Prevention. Influenza (flu) preventive steps, 2018 [cited 2019 Jul 7]. https://www.cdc.gov/flu/prevent/prevention.htm
  13. Cowling  BJ, Chan  KH, Fang  VJ, Lau  LLH, So  HC, Fung  ROP, et al. Comparative epidemiology of pandemic and seasonal influenza A in households. N Engl J Med. 2010;362:217584. DOIPubMed
  14. Patrozou  E, Mermel  LA. Does influenza transmission occur from asymptomatic infection or prior to symptom onset? Public Health Rep. 2009;124:1936. DOIPubMed
  15. Wu  JT, Riley  S, Fraser  C, Leung  GM. Reducing the impact of the next influenza pandemic using household-based public health interventions. PLoS Med. 2006;3:e361. DOIPubMed
  16. Peak  CM, Childs  LM, Grad  YH, Buckee  CO. Comparing nonpharmaceutical interventions for containing emerging epidemics. Proc Natl Acad Sci U S A. 2017;114:40238. DOIPubMed
  17. An der Heiden  M, Buchholz  U, Krause  G, Kirchner  G, Claus  H, Haas  WH. Breaking the waves: modelling the potential impact of public health measures to defer the epidemic peak of novel influenza A/H1N1. PLoS One. 2009;4:e8356. DOIPubMed
  18. Miyaki  K, Sakurazawa  H, Mikurube  H, Nishizaka  M, Ando  H, Song  Y, et al. An effective quarantine measure reduced the total incidence of influenza A H1N1 in the workplace: another way to control the H1N1 flu pandemic. J Occup Health. 2011;53:28792. DOIPubMed
  19. Fujita  M, Sato  H, Kaku  K, Tokuno  S, Kanatani  Y, Suzuki  S, et al. Airport quarantine inspection, follow-up observation, and the prevention of pandemic influenza. Aviat Space Environ Med. 2011;82:7829. DOIPubMed
  20. Li  X, Geng  W, Tian  H, Lai  D. Was mandatory quarantine necessary in China for controlling the 2009 H1N1 pandemic? Int J Environ Res Public Health. 2013;10:4690700. DOIPubMed
  21. van Gemert  C, Hellard  M, McBryde  ES, Fielding  J, Spelman  T, Higgins  N, et al. Intrahousehold transmission of pandemic (H1N1) 2009 virus, Victoria, Australia. Emerg Infect Dis. 2011;17:1599607. DOIPubMed
  22. McLeod  MA, Baker  M, Wilson  N, Kelly  H, Kiedrzynski  T, Kool  JL. Protective effect of maritime quarantine in South Pacific jurisdictions, 1918-19 influenza pandemic. Emerg Infect Dis. 2008;14:46870. DOIPubMed
  23. Ferguson  NM, Cummings  DA, Fraser  C, Cajka  JC, Cooley  PC, Burke  DS. Strategies for mitigating an influenza pandemic. Nature. 2006;442:44852. DOIPubMed
  24. World Health Organization. Ethical considerations in developing a public health response to pandemic influenza. Report no. WHO/CDS/EPR/GIP/2007.2. Geneva: The Organization; 2007.
  25. Lessler  J, Reich  NG, Brookmeyer  R, Perl  TM, Nelson  KE, Cummings  DA. Incubation periods of acute respiratory viral infections: a systematic review. Lancet Infect Dis. 2009;9:291300. DOIPubMed
  26. Rothstein  MA, Talbott  MK. Encouraging compliance with quarantine: a proposal to provide job security and income replacement. Am J Public Health. 2007;97(Suppl 1):S4956. DOIPubMed
  27. Jackson  C, Vynnycky  E, Hawker  J, Olowokure  B, Mangtani  P. School closures and influenza: systematic review of epidemiological studies. BMJ Open. 2013;3:e002149. DOIPubMed
  28. Cauchemez  S, Ferguson  NM, Wachtel  C, Tegnell  A, Saour  G, Duncan  B, et al. Closure of schools during an influenza pandemic. Lancet Infect Dis. 2009;9:47381. DOIPubMed
  29. Bootsma  MC, Ferguson  NM. The effect of public health measures on the 1918 influenza pandemic in U.S. cities. Proc Natl Acad Sci U S A. 2007;104:758893. DOIPubMed
  30. Cowling  BJ, Lau  MS, Ho  LM, Chuang  SK, Tsang  T, Liu  SH, et al. The effective reproduction number of pandemic influenza: prospective estimation. Epidemiology. 2010;21:8426. DOIPubMed
  31. Wu  JT, Cowling  BJ, Lau  EH, Ip  DK, Ho  LM, Tsang  T, et al. School closure and mitigation of pandemic (H1N1) 2009, Hong Kong. Emerg Infect Dis. 2010;16:53841. DOIPubMed
  32. Kawano  S, Kakehashi  M. Substantial impact of school closure on the transmission dynamics during the pandemic flu H1N1–2009 in Oita, Japan. PLoS One. 2015;10:e0144839. DOIPubMed
  33. Sato  T, Akita  T, Tanaka  J. Evaluation of strategies for control and prevention of pandemic influenza (H1N1pdm) in Japanese children attending school in a rural town. Simulation using mathematical models. Nihon Koshu Eisei Zasshi. 2013;60:20411.PubMed
  34. Chen  T, Huang  Y, Liu  R, Xie  Z, Chen  S, Hu  G. Evaluating the effects of common control measures for influenza A (H1N1) outbreak at school in China: A modeling study. PLoS One. 2017;12:e0177672. DOIPubMed
  35. Chen  T, Zhao  B, Liu  R, Zhang  X, Xie  Z, Chen  S. Simulation of key interventions for seasonal influenza outbreak control at school in Changsha, China. J Int Med Res. 2020;48:300060518764268. DOIPubMed
  36. Cauchemez  S, Bhattarai  A, Marchbanks  TL, Fagan  RP, Ostroff  S, Ferguson  NM, et al.; Pennsylvania H1N1 working group. Role of social networks in shaping disease transmission during a community outbreak of 2009 H1N1 pandemic influenza. Proc Natl Acad Sci U S A. 2011;108:282530. DOIPubMed
  37. Luca  G, Kerckhove  KV, Coletti  P, Poletto  C, Bossuyt  N, Hens  N, et al. The impact of regular school closure on seasonal influenza epidemics: a data-driven spatial transmission model for Belgium. BMC Infect Dis. 2018;18:29. DOIPubMed
  38. Te Beest  DE, Birrell  PJ, Wallinga  J, De Angelis  D, van Boven  M. Joint modelling of serological and hospitalization data reveals that high levels of pre-existing immunity and school holidays shaped the influenza A pandemic of 2009 in the Netherlands. J R Soc Interface. 2015;12:20141244. DOIPubMed
  39. Birrell  PJ, Ketsetzis  G, Gay  NJ, Cooper  BS, Presanis  AM, Harris  RJ, et al. Bayesian modeling to unmask and predict influenza A/H1N1pdm dynamics in London. Proc Natl Acad Sci U S A. 2011;108:1823843. DOIPubMed
  40. Chowell  G, Towers  S, Viboud  C, Fuentes  R, Sotomayor  V. Rates of influenza-like illness and winter school breaks, Chile, 2004-2010. Emerg Infect Dis. 2014;20:12037. DOIPubMed
  41. Chu  Y, Wu  Z, Ji  J, Sun  J, Sun  X, Qin  G, et al. Effects of school breaks on influenza-like illness incidence in a temperate Chinese region: an ecological study from 2008 to 2015. BMJ Open. 2017;7:e013159. DOIPubMed
  42. Germann  TC, Gao  H, Gambhir  M, Plummer  A, Biggerstaff  M, Reed  C, et al. School dismissal as a pandemic influenza response: When, where and for how long? Epidemics. 2019;28:100348. DOIPubMed
  43. Reich  NG, Brooks  LC, Fox  SJ, Kandula  S, McGowan  CJ, Moore  E, et al. A collaborative multiyear, multimodel assessment of seasonal influenza forecasting in the United States. Proc Natl Acad Sci U S A. 2019;116:314654. DOIPubMed
  44. Asfaw  A, Rosa  R, Pana-Cryan  R. Potential economic benefits of paid sick leave in reducing absenteeism related to the spread of influenza-like illness. J Occup Environ Med. 2017;59:8229. DOIPubMed
  45. Piper  K, Youk  A, James  AE III, Kumar  S. Paid sick days and stay-at-home behavior for influenza. PLoS One. 2017;12:e0170698. DOIPubMed
  46. Zhai  Y, Santibanez  TA, Kahn  KE, Black  CL, de Perio  MA. Paid sick leave benefits, influenza vaccination, and taking sick days due to influenza-like illness among U.S. workers. Vaccine. 2018;36:731623. DOIPubMed
  47. Ahmed  F, Kim  S, Nowalk  MP, King  JP, VanWormer  JJ, Gaglani  M, et al. Paid leave and access to telework as work attendance determinants during acute respiratory illness, United States, 2017–2018. Emerg Infect Dis. 2020;26:26. DOIPubMed
  48. Hatchett  RJ, Mecher  CE, Lipsitch  M. Public health interventions and epidemic intensity during the 1918 influenza pandemic. Proc Natl Acad Sci U S A. 2007;104:75827. DOIPubMed
  49. Staff  M, Torres  MI. An influenza outbreak among pilgrims sleeping at a school without purpose built overnight accommodation facilities. Commun Dis Intell Q Rep. 2011;35:105.PubMed
  50. Leung  NH, Xu  C, Ip  DK, Cowling  BJ. The fraction of influenza virus infections that are asymptomatic: a systematic review and meta-analysis. Epidemiology. 2015;26:86272. DOIPubMed

Main Article

1These first authors contributed equally to this article.

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Page updated: April 16, 2020
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The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
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