Background: Non-Pharmaceutical Interventions (NPIs) are community mitigation strategies, aimed at reducing the spread of illnesses like the coronavirus pandemic, without relying on pharmaceutical drug treatments. This study aims to evaluate the effectiveness of different NPIs across sixteen states of Germany, for a time period of 21 months of the pandemic.
Methods: We used a Bayesian hierarchical approach that combines different sub-models and merges information from complementary sources, to estimate the true and unknown number of infections. In this framework, we used data on reported cases, hospitalizations, intensive care unit occupancy, and deaths to estimate the effect of NPIs.The list of NPIs includes: âcontact restriction (up to 5 people)â, âstrict contact restrictionâ, âcurfewâ, âevents permitted up to 100 peopleâ, âmask requirement in shopping mallsâ, ârestaurant closureâ, ârestaurants permitted only with testâ, âschool closureâ and âgeneral behavioral changesâ.
Results: We found a considerable reduction in the instantaneous reproduction number by âgeneral behavioral changesâ, âstrict contact restrictionâ, ârestaurants permitted only with testâ, âcontact restriction (up to 5 people)â, ârestaurant closureâ and âcurfewâ. No association with school closures could be found.
Conclusions: This study suggests that some public health measures, including general behavioral changes, strict contact restrictions, and restaurants permitted only with tests are associated with containing the Covid-19 pandemic. Future research is needed to better understand the effectiveness of NPIs in the context of Covid-19 vaccination.