Comparison of strategies for daily surveillance of international travellers quarantined in Vanuatu, October-December 2020
- PMID: 36276173
- PMCID: PMC9583297
- DOI: 10.5365/wpsar.2022.13.2.918
Comparison of strategies for daily surveillance of international travellers quarantined in Vanuatu, October-December 2020
Abstract
Objective: To prevent importation of coronavirus disease 2019 (COVID-19) to Vanuatu, since March 2020, all travellers to the country have been required to complete a 14-day quarantine in a government-designated facility. A short message service (SMS, or "text message") system was developed to collect information on symptoms of COVID-19 among travellers in quarantine. A trial within a cohort study was conducted among travellers arriving to Vanuatu by air from 27 October to 7 December 2020 to assess SMS acceptability, efficiency and utility and whether SMS-based health monitoring was as effective as in-person monitoring in identifying people with COVID-19 symptoms.
Methods: Control group participants received standard monitoring (daily in-person visits) and participants in the intervention group received a daily SMS text requesting a response coded for symptom development. Differences between the two groups were determined using χ2 tests.
Results: Of the 495 eligible travellers, 423 participated; 170 were allocated to the control group and 253 to the intervention group. At least one return SMS text was received from 50% (107/212) of participants who were confirmed to have received an SMS text. Less than 2% (4/253) of the intervention group and 0% of the control group reported symptoms.
Discussion: The SMS intervention had a high level of acceptability. SMS is a useful tool to monitor symptom development among people in quarantine and for broader public health programmes that require follow up.
(c) 2022 The authors; licensee World Health Organization.
References
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- Coronavirus disease. 2019 (COVID-19): Vanuatu situation report 3–23 March 2020. Port Vila: Vanuatu Ministry of Health; 2020. Available from: https://covid19.gov.vu/images/Situation-reports/Situation_Report_3.pdf, accessed 31 May 2021.
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- Pintye J, Rogers Z, Kinuthia J, Mugwanya KK, Abuna F, Lagat H, et al. Two-way short message service (SMS) communication may increase pre-exposure prophylaxis continuation and adherence among pregnant and postpartum women in Kenya. Glob Health Sci Pract. 2020. March 31;8(1):55–67. 10.9745/GHSP-D-19-00347 - DOI - PMC - PubMed
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