Lifting the Lockdown: What Are the Options for Low and Middle-Income Countries?

10 Pages Posted: 12 Jun 2020

See all articles by Rajiv Chowdhury

Rajiv Chowdhury

University of Cambridge - Department of Public Health and Primary Care

Shammi Luhar

University of Cambridge - Department of Public Health and Primary Care

Nusrat Khan

University of Cambridge - Department of Public Health and Primary Care

Sohel Reza Choudhury

National Heart Foundation and Research Institute

Imran Matin

BRAC Institute for Global Development

Oscar H. Franco

Erasmus University Rotterdam (EUR) - Department of Epidemiology

Date Written: June 11, 2020

Abstract

To limit the social, economic and psychological damage caused by strict social distancing interventions, many low and middle-income countries (LMICs) are seeking to ease restrictions. However, it is unknown what a ‘safe reopening’ entails in LMICs given suboptimal diagnostic and surveillance capabilities. Here we discuss three community-based public health measures (sustained mitigation, zonal lockdown and dynamic rolling lockdowns) which seek to adequately balance the public health and economic priorities. Each of these options have limitations and prerequisites that may be context-specific and should be considered before implementation, including implementation and maintenance costs, social and economic costs, context-specific epidemic growth and the existing health resources.

Keywords: COVID-19, exit-strategies, low and middle-income countries

Suggested Citation

Chowdhury, Rajiv and Luhar, Shammi and Khan, Nusrat and Choudhury, Sohel Reza and Matin, Imran and Franco, Oscar H., Lifting the Lockdown: What Are the Options for Low and Middle-Income Countries? (June 11, 2020). Available at SSRN: https://ssrn.com/abstract=3625605 or http://dx.doi.org/10.2139/ssrn.3625605

Rajiv Chowdhury

University of Cambridge - Department of Public Health and Primary Care ( email )

Cambridge
United Kingdom

Shammi Luhar (Contact Author)

University of Cambridge - Department of Public Health and Primary Care ( email )

Cambridge
United Kingdom

Nusrat Khan

University of Cambridge - Department of Public Health and Primary Care ( email )

Cambridge
United Kingdom

Sohel Reza Choudhury

National Heart Foundation and Research Institute ( email )

Dhaka
Bangladesh

Imran Matin

BRAC Institute for Global Development ( email )

Dhaka
Bangladesh

Oscar H. Franco

Erasmus University Rotterdam (EUR) - Department of Epidemiology ( email )

Rotterdam
Netherlands

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