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Post implementation quarantine recommendations that support preparedness: A systematic review and quarantine

Matiu Bush1, Catherine M Bennett2, Ana Hutchinson3

  • 1Deakin University, School of Health and Social Development, Geelong, Australia; Deakin University, Centre for Innovation in Infectious Disease and Immunology Research (CIIDIR), Geelong, Australia.

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|March 12, 2024
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Summary
This summary is machine-generated.

This review synthesizes 156 quarantine recommendations from 51 articles, creating a framework for effective pandemic preparedness and resilience activities. It offers insights for revising national pandemic plans and developing quarantine exercises.

Keywords:
Infection controlPandemic preparednessPublic healthQuarantine

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Area of Science:

  • Public Health
  • Health Systems Management
  • Infectious Disease Control

Background:

  • COVID-19 highlighted the need for diverse quarantine strategies (voluntary/mandatory, home/hotel/facility).
  • Lessons learned from COVID-19 quarantine are crucial for revising national pandemic plans.
  • World Health Organization's Preparedness and Resilience for Emerging Threats (PRET) activities emphasize incorporating quarantine insights.

Purpose of the Study:

  • To amalgamate post-implementation quarantine recommendations from a whole-of-system perspective.
  • To develop a comprehensive framework for quarantine system capabilities.
  • To support governments in enhancing pandemic preparedness and resilience.

Main Methods:

  • Systematic review utilizing MEDLINE, Embase, CINAHL, APA, and PsycINFO databases.
  • No date restriction applied to capture recommendations across all pandemics.
  • Recommendations were synthesized and inductively grouped into 15 quarantine capability categories, then consolidated into strategic, structural, and operational domains.

Main Results:

  • Screened 449 articles, including 51 for analysis, extracting 156 recommendations.
  • Identified 15 quarantine capability categories: governance, preparation, infection prevention and control, ventilation, compliance, data, information and technology, safety-quality-risk, communication, healthcare model, home quarantine, hotel quarantine, facility quarantine, workforce, and resident considerations.
  • Consolidated categories into strategic, structural, and operational domains for a whole-of-system view.

Conclusions:

  • A quarantine implementation capability framework offers deep insights into essential system capabilities.
  • The framework supports governments in PRET activities, including pandemic plan revision.
  • Facilitates the development of effective quarantine preparedness exercises and strengthens public health infrastructure.