Abstract

This study evaluated a special form of lockdown that was applied in Jordan: one day of lockdown every week, which was applied on consecutive weekend days (i.e., Friday in Jordan, for 24 hours). We tried to assess the impact of this form of lockdown on the daily number of positive coronavirus disease 2019 (COVID-19) cases, using interrupted time series analysis. We included the period of March 5 to April 17, 2021, as the period affected by the Friday lockdown, which was applied to seven consecutive Fridays with a total of 168 hours. We used R version 4.0.5 (R Foundation for Statistical Computing, Vienna, Austria) for our analysis. We used Poisson model regression analysis, where the number of positive cases was used as the outcome variable, while the total number of tests, time, and lockdown were used as the predictor variables. We further performed quasi-Poisson regression analysis to confirm the first model. On Poisson model regression analysis, it was found that there was an evidence of an increase in the number of positive COVID-19 cases following the intervention of Friday lockdown, with a p value of <0.001 (relative risk, 1.569; 95% confidence interval, 1.549-1.590). On using quasi-Poisson regression, similar results were found with a wider confidence interval. We concluded that a single weekend day lockdown led to an increase in the number of daily cases of COVID-19. Therefore, we recommend authorities to adhere to evidence-based measures or to the WHO recommendations in the dealing with this pandemic.

Highlights

  • Coronavirus disease 2019 (COVID-19) was first reported in Wuhan, China, on December 12, 2019, and since countries have imposed several restrictive measures to limit the spread of the infection [1]

  • We used Poisson model regression analysis, where the number of positive cases was used as the outcome variable, while the total number of tests, time, and lockdown were used as the predictor variables

  • On Poisson model regression analysis, it was found that there was an evidence of an increase in the number of positive COVID19 cases following the intervention of Friday lockdown, with a p value of

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Summary

Introduction

Coronavirus disease 2019 (COVID-19) was first reported in Wuhan, China, on December 12, 2019, and since countries have imposed several restrictive measures to limit the spread of the infection [1]. Other countries modified the complete lockdown to restrict movement during certain times or applied it on certain activities One such modification is a curfew after 6 pm, which was adopted in France, and a recent study found that this led to the opposite effect, that is, an increase in the number of COVID-19 cases instead of controlling the disease [3]. The reason behind this opposite effect of such partial lockdowns might have been the overcrowding of people in a shorter period of time in more confined places [4]. Another form of partial lockdown that had never been studied was imposed in Jordan, which was a single-day lockdown on Fridays

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