Attitudes towards booster, testing and isolation, and their impact on COVID-19 response in winter 2022/2023 in France, Belgium, and Italy: a cross-sectional survey and modeling study

International audience ; Background. European countries are focusing on testing, isolation, and boosting strategies to counter the 2022/2023 winter surge due to SARS-CoV-2 Omicron subvariants. However, widespread pandemic fatigue and limited compliance potentially undermine mitigation efforts. Methods. To establish a baseline for interventions, we ran a multicountry survey to assess respondents' willingness to receive booster vaccination and comply with testing and isolation mandates. Integrating survey and estimated immunity data in a branching process epidemic spreading model, we evaluated t... Mehr ...

Verfasser: de Meijere, Giulia
Valdano, Eugenio
Castellano, Claudio
Debin, Marion
Kengne- Kuetche, Charly
Turbelin, Clément
Noël, Harold
Weitz, Joshua, S
Paolotti, Daniela
Hermans, Lisa
Hens, Niel
Colizza, Vittoria
Dokumenttyp: Artikel
Erscheinungsdatum: 2023
Verlag/Hrsg.: HAL CCSD
Schlagwörter: SARS-CoV-2 public health Omicron adherence isolation booster / SARS-CoV-2 / public health / Omicron / adherence / isolation / booster / [SDV]Life Sciences [q-bio] / [INFO.INFO-MO]Computer Science [cs]/Modeling and Simulation / [SDV.MHEP.MI]Life Sciences [q-bio]/Human health and pathology/Infectious diseases / [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie
Sprache: Englisch
Permalink: https://search.fid-benelux.de/Record/base-28966363
Datenquelle: BASE; Originalkatalog
Powered By: BASE
Link(s) : https://hal.science/hal-04088876

International audience ; Background. European countries are focusing on testing, isolation, and boosting strategies to counter the 2022/2023 winter surge due to SARS-CoV-2 Omicron subvariants. However, widespread pandemic fatigue and limited compliance potentially undermine mitigation efforts. Methods. To establish a baseline for interventions, we ran a multicountry survey to assess respondents' willingness to receive booster vaccination and comply with testing and isolation mandates. Integrating survey and estimated immunity data in a branching process epidemic spreading model, we evaluated the effectiveness and costs of current protocols in France, Belgium, and Italy to manage the winter wave. Findings. The vast majority of survey participants (N=4,594) was willing to adhere to testing (>91%) and rapid isolation (>88%) across the three countries. Pronounced differences emerged in the declared senior adherence to booster vaccination (73% in France, 94% in Belgium, 86% in Italy). Epidemic model results estimate that testing and isolation protocols would confer significant benefit in reducing transmission (17-24%) with declared adherence. Achieving a mitigating level similar to the French protocol, the Belgian protocol would require 30% fewer tests and avoid the long isolation periods of the Italian protocol (average of 6 days vs. 11). A cost barrier to test would significantly decrease adherence in France and Belgium, undermining protocols' effectiveness. Interpretation. Simpler mandates for isolation may increase awareness and actual compliance, reducing testing costs, without compromising mitigation. High booster vaccination uptake remains key for the control of the winter wave. Funding.