The epidemiology of the COVID-19 pandemic in the small, low-resource country of Timor-Leste, January 2020 - June 2022

被引:4
作者
Niha, Maria A., V [1 ,2 ]
Draper, Anthony D. K. [3 ,4 ,5 ]
Viegas, Odete da Silva [1 ]
de Araujo, Rui M. [6 ]
Joao, Josefina C. [1 ]
da Silva, Endang [8 ]
Barreto, Ismail [2 ]
Sarmento, Nevio [4 ]
Oakley, Tessa [4 ]
Machado, Filipe de Neri [1 ]
Fancourt, Nicholas S. S. [4 ]
Marr, Ian [4 ]
Fernandes, Liliana N. dos Santos [1 ]
Martins, Noemia [1 ]
Arkell, Paul [4 ]
Tilman, Ari J. P. [8 ]
Dingle, Benjamin [4 ]
Freitas, Carlito C. [1 ]
Bhowmick, Partha S. [2 ]
Sheridan, Sarah [9 ]
Howden, Benjamin P. [10 ,11 ]
Yan, Jennifer [4 ,7 ]
Francis, Joshua R. [4 ,7 ]
Martins, Nelson [4 ]
机构
[1] Minist Hlth, Caicoli, Timor-Leste
[2] WHO, Timor Leste Off, Caicoli, Timor-Leste
[3] Northern Terr Govt Dept Hlth, Ctr Dis Control, Top End Hlth Serv, Publ Hlth Unit, Darwin, NT, Australia
[4] Charles Darwin Univ, Menzies Sch Hlth Res, Darwin, NT, Australia
[5] Australian Natl Univ, Natl Ctr Epidemiol & Populat Hlth, Canberra, Australia
[6] Timor Leste Govt, Ctr Integrado Gestao Crise, Dili, Timor-Leste
[7] Northern Terr Dept Hlth, Paediat Dept, Royal Darwin Hosp, Darwin, Australia
[8] Lab Nacl Saude, Bidau, Timor-Leste
[9] Childrens Hosp Westmead, Natl Ctr Immunisat Res & Surveillance, Westmead, Australia
[10] Austin Hlth, Dept Infect Dis, Heidelberg, Vic, Australia
[11] Univ Melbourne, Dept Microbiol & Immunol, Doherty Appl Microbial Genom, Melbourne, Vic, Australia
来源
COMMUNICABLE DISEASES INTELLIGENCE | 2023年 / 47卷
关键词
Coronavirus disease 2019; COVID-19; surveillance; Timor-Leste; low-resource setting; contact tracing;
D O I
10.33321/cdi.2023.47.1
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Timor-Leste, a small, mountainous half-island nation which shares a land border with Indonesia and which is 550 km from Australia, has a population of 1.3 million and achieved independence for the second time in 2002. It is one of the poorest nations in Asia. In response to the global coronavirus disease 2019 (COVID-19) pandemic, the Timor-Leste Ministry of Health undertook surveillance and contact tracing activities on all notified COVID-19 cases. Between 1 January 2020 and 30 June 2022, there were 22,957 cases of COVID-19 notified which occurred in three waves, the first which was delayed until April 2021 (community transmission of B.1.466.2 variant following major flood-ing), followed by waves in August 2021 (B.1.617.2 Delta variant transmission) and February 2022 (B.1.1.529 Omicron variant transmission). There were 753 people hospitalised due to COVID-19 and 133 deaths. Of the 133 deaths, 122 (92%) were considered not fully vaccinated (< 2 COVID-19 vaccines) and none had received boosters. Timor-Leste implemented measures to control COVID-19, including: rapid closure of international borders; isolation of cases; quarantining of international arrivals and close contacts; restrictions on internal travel; social and physical distancing; and, finally, a country-wide vaccination program. The health system's capacity was never exceeded.
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