The Impact of Strict Public Health Measures on COVID-19 Transmission in Developing Countries: The Case of Kuwait

Background: Many countries have succeeded in curbing the initial outbreak of COVID-19 by imposing strict public health control measures. However, little is known about the effectiveness of such control measures in curbing the outbreak in developing countries. In this study, we seek to assess the imp...

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Autores principales: Abdullah A. Al-Shammari, Hamad Ali, Barrak Alahmad, Faisal H. Al-Refaei, Salman Al-Sabah, Mohammad H. Jamal, Abdullah Alshukry, Qais Al-Duwairi, Fahd Al-Mulla
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Publicado: Frontiers Media S.A. 2021
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Acceso en línea:https://doaj.org/article/a217df5a6b434ecd8a1fa54a08399d66
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spelling oai:doaj.org-article:a217df5a6b434ecd8a1fa54a08399d662021-11-22T05:23:07ZThe Impact of Strict Public Health Measures on COVID-19 Transmission in Developing Countries: The Case of Kuwait2296-256510.3389/fpubh.2021.757419https://doaj.org/article/a217df5a6b434ecd8a1fa54a08399d662021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fpubh.2021.757419/fullhttps://doaj.org/toc/2296-2565Background: Many countries have succeeded in curbing the initial outbreak of COVID-19 by imposing strict public health control measures. However, little is known about the effectiveness of such control measures in curbing the outbreak in developing countries. In this study, we seek to assess the impact of various outbreak control measures in Kuwait to gain more insight into the outbreak progression and the associated healthcare burden.Methods: We use a SEIR mathematical model to simulate the first wave of the epidemic outbreak of COVID-19 in Kuwait with additional testing and hospitalization compartments. We calibrate our model by using a NBD observational framework for confirmed case and death counts. We simulate trajectories of model forecasts and assess the effectiveness of public health interventions by using maximum likelihood to estimate both the basic and effective reproduction numbers.Results: Our results indicate that the early strict control measures had the effect of delaying the intensity of the outbreak but were unsuccessful in reducing the effective reproduction number below 1. Forecasted model trajectories suggest a need to expand the healthcare system capacity to cope with the associated epidemic burden of such ineffectiveness.Conclusion: Strict public health interventions may not always lead to the same desired outcomes, particularly when population and demographic factors are not accounted for as in the case in some developing countries. Real-time dynamic modeling can provide an early assessment of the impact of such control measures as well as a forecasting tool to support outbreak surveillance and the associated healthcare expansion planning.Abdullah A. Al-ShammariAbdullah A. Al-ShammariHamad AliHamad AliBarrak AlahmadFaisal H. Al-RefaeiSalman Al-SabahSalman Al-SabahMohammad H. JamalMohammad H. JamalAbdullah AlshukryQais Al-DuwairiFahd Al-MullaFrontiers Media S.A.articleCOVID-19public healthmathematical modelingforecastinghealthcare demandepidemic outbreakPublic aspects of medicineRA1-1270ENFrontiers in Public Health, Vol 9 (2021)
institution DOAJ
collection DOAJ
language EN
topic COVID-19
public health
mathematical modeling
forecasting
healthcare demand
epidemic outbreak
Public aspects of medicine
RA1-1270
spellingShingle COVID-19
public health
mathematical modeling
forecasting
healthcare demand
epidemic outbreak
Public aspects of medicine
RA1-1270
Abdullah A. Al-Shammari
Abdullah A. Al-Shammari
Hamad Ali
Hamad Ali
Barrak Alahmad
Faisal H. Al-Refaei
Salman Al-Sabah
Salman Al-Sabah
Mohammad H. Jamal
Mohammad H. Jamal
Abdullah Alshukry
Qais Al-Duwairi
Fahd Al-Mulla
The Impact of Strict Public Health Measures on COVID-19 Transmission in Developing Countries: The Case of Kuwait
description Background: Many countries have succeeded in curbing the initial outbreak of COVID-19 by imposing strict public health control measures. However, little is known about the effectiveness of such control measures in curbing the outbreak in developing countries. In this study, we seek to assess the impact of various outbreak control measures in Kuwait to gain more insight into the outbreak progression and the associated healthcare burden.Methods: We use a SEIR mathematical model to simulate the first wave of the epidemic outbreak of COVID-19 in Kuwait with additional testing and hospitalization compartments. We calibrate our model by using a NBD observational framework for confirmed case and death counts. We simulate trajectories of model forecasts and assess the effectiveness of public health interventions by using maximum likelihood to estimate both the basic and effective reproduction numbers.Results: Our results indicate that the early strict control measures had the effect of delaying the intensity of the outbreak but were unsuccessful in reducing the effective reproduction number below 1. Forecasted model trajectories suggest a need to expand the healthcare system capacity to cope with the associated epidemic burden of such ineffectiveness.Conclusion: Strict public health interventions may not always lead to the same desired outcomes, particularly when population and demographic factors are not accounted for as in the case in some developing countries. Real-time dynamic modeling can provide an early assessment of the impact of such control measures as well as a forecasting tool to support outbreak surveillance and the associated healthcare expansion planning.
format article
author Abdullah A. Al-Shammari
Abdullah A. Al-Shammari
Hamad Ali
Hamad Ali
Barrak Alahmad
Faisal H. Al-Refaei
Salman Al-Sabah
Salman Al-Sabah
Mohammad H. Jamal
Mohammad H. Jamal
Abdullah Alshukry
Qais Al-Duwairi
Fahd Al-Mulla
author_facet Abdullah A. Al-Shammari
Abdullah A. Al-Shammari
Hamad Ali
Hamad Ali
Barrak Alahmad
Faisal H. Al-Refaei
Salman Al-Sabah
Salman Al-Sabah
Mohammad H. Jamal
Mohammad H. Jamal
Abdullah Alshukry
Qais Al-Duwairi
Fahd Al-Mulla
author_sort Abdullah A. Al-Shammari
title The Impact of Strict Public Health Measures on COVID-19 Transmission in Developing Countries: The Case of Kuwait
title_short The Impact of Strict Public Health Measures on COVID-19 Transmission in Developing Countries: The Case of Kuwait
title_full The Impact of Strict Public Health Measures on COVID-19 Transmission in Developing Countries: The Case of Kuwait
title_fullStr The Impact of Strict Public Health Measures on COVID-19 Transmission in Developing Countries: The Case of Kuwait
title_full_unstemmed The Impact of Strict Public Health Measures on COVID-19 Transmission in Developing Countries: The Case of Kuwait
title_sort impact of strict public health measures on covid-19 transmission in developing countries: the case of kuwait
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/a217df5a6b434ecd8a1fa54a08399d66
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