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The impact of opening dedicated clinics on disease transmission during an influenza pandemic

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  • Pengyi Shi
  • Jia Yan
  • Pinar Keskinocak
  • Andi L Shane
  • Julie L Swann

Abstract

Dedicated clinics can be established in an influenza pandemic to isolate people and potentially reduce opportunities for influenza transmission. However, their operation requires resources and their existence may attract the worried-well. In this study, we quantify the impact of opening dedicated influenza clinics during a pandemic based on an agent-based simulation model across a time-varying social network of households, workplaces, schools, community locations, and health facilities in the state of Georgia. We calculate performance measures, including peak prevalence and total attack rate, while accounting for clinic operations, including timing and location. We find that opening clinics can reduce disease spread and hospitalizations even when visited by the worried-well, open for limited weeks, or open in limited locations, and especially when the clinics are in operation during times of highest prevalence. Specifically, peak prevalence, total attack rate, and hospitalization reduced 0.07–0.32%, 0.40–1.51%, 0.02–0.09%, respectively, by operating clinics for the pandemic duration.

Suggested Citation

  • Pengyi Shi & Jia Yan & Pinar Keskinocak & Andi L Shane & Julie L Swann, 2020. "The impact of opening dedicated clinics on disease transmission during an influenza pandemic," PLOS ONE, Public Library of Science, vol. 15(8), pages 1-22, August.
    • Handle: RePEc:plo:pone00:0236455
    DOI: 10.1371/journal.pone.0236455
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    References listed on IDEAS

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    2. Dionne M. Aleman & Theodorus G. Wibisono & Brian Schwartz, 2011. "A Nonhomogeneous Agent-Based Simulation Approach to Modeling the Spread of Disease in a Pandemic Outbreak," Interfaces, INFORMS, vol. 41(3), pages 301-315, June.
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