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[Preprint]. 2021 Feb 16:2020.11.06.20227330. Originally published 2020 Nov 10. [Version 2] doi: 10.1101/2020.11.06.20227330

Delays, masks, the elderly, and schools: first COVID-19 wave in the Czech Republic

Jan Smycka, Rene Levinsky, Eva Hromadkova, Michal Soltes, Josef Slerka, Vit Tucek, Jan Trnka, Martin Smid, Milan Zajicek, Tomas Diviak, Roman Neruda, Petra Vidnerova, Ludek Berec
PMCID: PMC7668747  PMID: 33200137

Abstract

Running across the globe for more than a year, the COVID-19 pandemic keeps demonstrating its strength. Despite a lot of understanding, uncertainty regarding the efficiency of interventions still persists. We developed an age-structured epidemic model parameterized with sociological data for the Czech Republic and found that (1) delaying the spring 2020 lockdown by four days produced twice as many confirmed cases by the end of the lockdown period, (2) personal protective measures such as face masks appear more effective than just a reduction of social contacts, (3) only sheltering the elderly is by no means effective, and (4) leaving schools open is a risky strategy. Despite the onset of vaccination, an evidence-based choice and timing of non-pharmaceutical interventions still remains the most important weapon against the COVID-19 pandemic.

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