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Basics of Developing a COVID-19 Reopening Roadmap: A Systematic Scoping Review
Mehrdad Askarian1,2, Gary Groot3, Ehsan Taherifard4
1Department of Community Medicine, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
Iranian Journal of Public Health
|March 22, 2021
Summary
Governments need clear roadmaps to ease pandemic restrictions. This study outlines essential components for reopening strategies, emphasizing dynamic health metrics for safe progression.
Area of Science:
- Public Health
- Epidemiology
- Policy Studies
Background:
- Societal and economic impacts of prolonged lockdowns necessitate the easing of pandemic restrictions.
- Governments are actively seeking evidence-based strategies for reopening activities safely.
Purpose of the Study:
- To identify fundamental elements for developing effective reopening roadmaps.
- To synthesize existing literature on strategies for lifting COVID-19 restrictions.
Main Methods:
- Systematic literature search across PubMed, Scopus, Web of Science, and Google (grey literature) from July 6-10, 2020.
- Data extraction by two independent reviewers, with discrepancies resolved by a senior author.
Main Results:
- Sixteen documents informed the roadmap components: principles, individual recommendations, health metrics, and phased strategies.
- Roadmaps typically included 3-6 phases, each at least two weeks long.
- Dynamic health metrics (preventive capacity, diagnostics, epidemiological monitoring, health system capacity) were crucial for progression and adaptation.
Conclusions:
- The literature lacks sufficient evidence to guide policymakers in lifting COVID-19 restrictions.
- Further research is recommended to develop and validate reopening strategies.
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