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Understanding and responding to COVID-19 in Wales: protocol for a privacy-protecting data platform for enhanced epidemiology and evaluation of interventions.


ABSTRACT: INTRODUCTION:The emergence of the novel respiratory SARS-CoV-2 and subsequent COVID-19 pandemic have required rapid assimilation of population-level data to understand and control the spread of infection in the general and vulnerable populations. Rapid analyses are needed to inform policy development and target interventions to at-risk groups to prevent serious health outcomes. We aim to provide an accessible research platform to determine demographic, socioeconomic and clinical risk factors for infection, morbidity and mortality of COVID-19, to measure the impact of COVID-19 on healthcare utilisation and long-term health, and to enable the evaluation of natural experiments of policy interventions. METHODS AND ANALYSIS:Two privacy-protecting population-level cohorts have been created and derived from multisourced demographic and healthcare data. The C20 cohort consists of 3.2?million people in Wales on the 1 January 2020 with follow-up until 31 May 2020. The complete cohort dataset will be updated monthly with some individual datasets available daily. The C16 cohort consists of 3?million people in Wales on the 1 January 2016 with follow-up to 31 December 2019. C16 is designed as a counterfactual cohort to provide contextual comparative population data on disease, health service utilisation and mortality. Study outcomes will: (a) characterise the epidemiology of COVID-19, (b) assess socioeconomic and demographic influences on infection and outcomes, (c) measure the impact of COVID-19 on short -term and longer-term population outcomes and (d) undertake studies on the transmission and spatial spread of infection. ETHICS AND DISSEMINATION:The Secure Anonymised Information Linkage-independent Information Governance Review Panel has approved this study. The study findings will be presented to policy groups, public meetings, national and international conferences, and published in peer-reviewed journals.

SUBMITTER: Lyons J 

PROVIDER: S-EPMC7580065 | biostudies-literature | 2020 Oct

REPOSITORIES: biostudies-literature

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Understanding and responding to COVID-19 in Wales: protocol for a privacy-protecting data platform for enhanced epidemiology and evaluation of interventions.

Lyons Jane J   Akbari Ashley A   Torabi Fatemeh F   Davies Gareth I GI   North Laura L   Griffiths Rowena R   Bailey Rowena R   Hollinghurst Joseph J   Fry Richard R   Turner Samantha L SL   Thompson Daniel D   Rafferty James J   Mizen Amy A   Orton Chris C   Thompson Simon S   Au-Yeung Lee L   Cross Lynsey L   Gravenor Mike B MB   Brophy Sinead S   Lucini Biagio B   John Ann A   Szakmany Tamas T   Davies Jan J   Davies Chris C   Thomas Daniel Rh DR   Williams Christopher C   Emmerson Chris C   Cottrell Simon S   Connor Thomas R TR   Taylor Chris C   Pugh Richard J RJ   Diggle Peter P   John Gareth G   Scourfield Simon S   Hunt Joe J   Cunningham Anne M AM   Helliwell Kathryn K   Lyons Ronan R  

BMJ open 20201021 10


<h4>Introduction</h4>The emergence of the novel respiratory SARS-CoV-2 and subsequent COVID-19 pandemic have required rapid assimilation of population-level data to understand and control the spread of infection in the general and vulnerable populations. Rapid analyses are needed to inform policy development and target interventions to at-risk groups to prevent serious health outcomes. We aim to provide an accessible research platform to determine demographic, socioeconomic and clinical risk fac  ...[more]

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