Hindustan Times (Chandigarh)

Lockdown logic and science behind it

CURBS IN PLACE The main objective of any lockdown or social distancing mechanism is a reduction in the rate of infection

- Jamie Mullick

NEWDELHI: As India goes under a lockdown with new coronaviru­s cases becoming a steady stream, it’s important to assess the role that lockdowns and strict social distancing can play in controllin­g the outbreak.

The objective of any lockdown or social distancing mechanism is the reduction in the rate of infection. Health experts say that social distancing is the best way to prevent hundreds of thousands of cases appearing in batches, overwhelmi­ng a country’s health care system.

When unchecked, the overwhelmi­ng nature of Covid-19 was seen in the initial outbreak of the disease in China’s Hubei province through January and February, in Italy through the end of February and early March, and New York state most recently. In all three cases, government­s eventually resorted to lockdowns with varied levels of success.

What is the science behind lockdowns? very abrupt rise of cases as seen in both China and the US before any lockdowns were placed.

Given an estimated R0 of 2.4, researcher­s at Imperial College London predicted 81% of the population would be infected over the course of the epidemic. The biggest issue was that most of these cases occurred at the same time, causing a spike in the epidemic curve, overburden­ing health care systems.

2: LOCATION-WISE LOCKDOWN

In this case, a region with a high number of cases is locked down -as in China’s Hubei .

In a study titled ‘The effect of travel restrictio­ns on the spread of the 2019 novel coronaviru­s (COVID-19) outbreak’ published in the journal Science by a group of American, Italian and Chinese researcher­s on March 6, scientists found that travel restrictio­ns in Wuhan slowed the spread. While the model output showed no noticeable difference­s in the epidemic in Wuhan, it showed a delay of about three days for other locations in China.

This strategy focuses on slowing down, not necessaril­y suppressin­g the epidemic. This flattens the curve slightly, buying time to strengthen health care facilities. It also means a reduction in peak health care demand, freeing up hospital beds and protecting those most at risk.

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