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Semergen ; 47(3): 181-188, 2021 Apr.
Article in Spanish | MEDLINE | ID: mdl-33812795

ABSTRACT

AIM: To evaluate the social distance effect on the daily frequency of possible SARS-CoV-2 cases in Primary Care, in relation to the predictive model Kermack-McKendrick. METHODS: Longitudinal retrospective study in 2 rural populations of Aragon (13,579h). A time series evaluation with a t-Student analysis was carry on, during the first 70 days of the pandemic. A simple Kermack-McKendrick predictive model was compared with the possible COVID-19 cases. Complementary ANOVA analysis to assess the before-after number of daily cases, follow-up days and days from symptoms onset to first contact with Primary Health Care. RESULTS: Three hundred and fifty-nine cases were detected (53.4% women; 70.7% under 60). Primary Care followed 95.3% of cases. The number of cases during the first social distancing strategies was higher in comparison with the model (P=.004, P=.006 and P=.004) with a media of decreases of 6.7 possible cases by series. In relation to the lockdown period the model and cases are close (P=.608 and P=.093), with an average decrease of 1.8 cases per series. During post-containment, the number of cases per day (P<.001) and days of follow-up (P<.001) increased. CONCLUSIONS: Social distancing and containment measures were effective in reducing the number of possible COVID-19 cases in rural areas. Primary Care followed most of the cases.


Subject(s)
COVID-19/prevention & control , Physical Distancing , Rural Health/statistics & numerical data , Adolescent , Adult , Aged , Aged, 80 and over , COVID-19/epidemiology , COVID-19/transmission , Female , Follow-Up Studies , Humans , Longitudinal Studies , Male , Middle Aged , Primary Health Care , Retrospective Studies , Spain/epidemiology , Young Adult
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