{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T18:00:02Z","timestamp":1782842402837,"version":"3.54.5"},"reference-count":130,"publisher":"JMIR Publications Inc.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JMIR Public Health Surveill"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>This study updates the COVID-19 pandemic surveillance in East Asia and the Pacific region that we first conducted in 2020 with 2 additional years of data for the region.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>First, we aimed to measure whether there was an expansion or contraction of the pandemic in East Asia and the Pacific region when the World Health Organization (WHO) declared the end of the COVID-19 public health emergency of international concern on May 5, 2023. Second, we used dynamic and genomic surveillance methods to describe the dynamic history of the pandemic in the region and situate the window of the WHO declaration within the broader history. Finally, we aimed to provide historical context for the course of the pandemic in East Asia and the Pacific region.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In addition to updates of traditional surveillance data and dynamic panel estimates from the original study, this study used data on sequenced SARS-CoV-2 variants from the Global Initiative on Sharing All Influenza Data to identify the appearance and duration of variants of concern. We used Nextclade nomenclature to collect clade designations from sequences and Pangolin nomenclature for lineage designations of SARS-CoV-2. Finally, we conducted a 1-sided t test to determine whether the regional weekly speed was greater than an outbreak threshold of 10. We ran the test iteratively with 6 months of data across the sample period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Several countries in East Asia and the Pacific region had COVID-19 transmission rates above an outbreak threshold at the point of the WHO declaration (Brunei, New Zealand, Australia, and South Korea). However, the regional transmission rate had remained below the outbreak threshold for 4 months. In the rolling 6-month window t test for regional outbreak status, the final P value \u2264.10 implies a rejection of the null hypothesis (at the \u03b1=.10 level) that the region as a whole was not in an outbreak for the period from November 5, 2022, to May 5, 2023. From January 2022 onward, nearly every sequenced SARS-CoV-2 specimen in the region was identified as the Omicron variant.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>While COVID-19 continued to circulate in East Asia and the Pacific region, transmission rates had fallen below outbreak status by the time of the WHO declaration. Compared to other global regions, East Asia and the Pacific region had the latest outbreaks driven by the Omicron variant. COVID-19 appears to be endemic in the region, no longer reaching the threshold for a pandemic definition. However, the late outbreaks raise uncertainty about whether the pandemic was truly over in the region at the time of the WHO declaration.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2196\/53214","type":"journal-article","created":{"date-parts":[[2025,1,12]],"date-time":"2025-01-12T02:38:07Z","timestamp":1736649487000},"page":"e53214","source":"Crossref","is-referenced-by-count":3,"title":["Updated Surveillance Metrics and History of the COVID-19 Pandemic (2020-2023) in East Asia and the Pacific Region: Longitudinal Trend Analysis"],"prefix":"10.2196","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9743-8441","authenticated-orcid":false,"given":"Alexander L","family":"Lundberg","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3404-1671","authenticated-orcid":false,"given":"Alan G","family":"Soetikno","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0440-1218","authenticated-orcid":false,"given":"Scott A","family":"Wu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7131-3691","authenticated-orcid":false,"given":"Egon","family":"Ozer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5609-3718","authenticated-orcid":false,"given":"Sarah B","family":"Welch","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6697-0160","authenticated-orcid":false,"given":"Yingxuan","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7228-6317","authenticated-orcid":false,"given":"Claudia","family":"Hawkins","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6524-1532","authenticated-orcid":false,"given":"Maryann","family":"Mason","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3936-2052","authenticated-orcid":false,"given":"Robert","family":"Murphy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7176-058X","authenticated-orcid":false,"given":"Robert 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Report20232024-04-29https:\/\/www.usnews.com\/news\/health-news\/articles\/2023-05-12\/when-does-the-covid-19-pandemic-end"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1016\/S2213-2600(23)00217-5"},{"key":"ref10","unstructured":"WHO chief declares end to COVID-19 as a global health emergencyUnited Nations2024-04-29https:\/\/news.un.org\/en\/story\/2023\/05\/1136367"},{"key":"ref11","unstructured":"Lesson 1: introduction to epidemiologyCenters for Disease Control and Prevention2024-04-29https:\/\/archive.cdc.gov\/#\/details?url=https:\/\/www.cdc.gov\/csels\/dsepd\/ss1978\/lesson1\/section11.html"},{"key":"ref12","unstructured":"Epidemic, endemic, pandemic: what are the differences?Columbia University202102192024-04-29https:\/\/www.publichealth.columbia.edu\/public-health-now\/news\/epidemic-endemic-pandemic-what-are-differences"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(22)00070-6"},{"key":"ref14","unstructured":"BrittoDDelormeJMillerBSleatDSummersHWainRPandemic to endemic: the race against timeTony Blair Institute for Global Change202109192024-04-29https:\/\/institute.global\/policy\/pandemic-endemic-race-against-time"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1007\/978-3-319-28326-5_5","author":"Gilbert, R","year":"2016","journal-title":"Public Health Intelligence"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.32481\/djph.2020.07.016"},{"key":"ref17","doi-asserted-by":"crossref","DOI":"10.1093\/oso\/9780195138276.001.0001","author":"Teutsch, SM","year":"2000","journal-title":"Principles and Practice of Public Health Surveillance 2nd 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Surveillance"},{"key":"ref31","doi-asserted-by":"publisher","DOI":"10.1016\/s0277-9536(03)00058-3"},{"key":"ref32","doi-asserted-by":"publisher","DOI":"10.2196\/25753"},{"key":"ref33","doi-asserted-by":"publisher","DOI":"10.2196\/25695"},{"key":"ref34","doi-asserted-by":"publisher","DOI":"10.2196\/25830"},{"key":"ref35","doi-asserted-by":"publisher","DOI":"10.2196\/25728"},{"key":"ref36","doi-asserted-by":"publisher","DOI":"10.2196\/24248"},{"key":"ref37","doi-asserted-by":"publisher","DOI":"10.2196\/25799"},{"key":"ref38","doi-asserted-by":"publisher","DOI":"10.2196\/24286"},{"key":"ref39","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(22)00514-1"},{"key":"ref40","doi-asserted-by":"publisher","DOI":"10.2196\/21955"},{"key":"ref41","doi-asserted-by":"publisher","DOI":"10.2196\/20924"},{"key":"ref42","doi-asserted-by":"publisher","DOI":"10.2196\/26081"},{"key":"ref43","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(23)01003-6"},{"key":"ref44","doi-asserted-by":"publisher","DOI":"10.1097\/JS9.0000000000000513"},{"key":"ref45","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(23)00314-5"},{"key":"ref46","doi-asserted-by":"publisher","DOI":"10.1016\/j.vacune.2023.05.001"},{"key":"ref47","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.p1041"},{"key":"ref48","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2023.8656"},{"key":"ref49","doi-asserted-by":"publisher","DOI":"10.1097\/gh9.0000000000000207"},{"key":"ref50","doi-asserted-by":"publisher","DOI":"10.1038\/d41586-023-01559-z"},{"key":"ref51","doi-asserted-by":"publisher","DOI":"10.1097\/MS9.0000000000000848"},{"key":"ref52","unstructured":"RitchieHMathieuERod\u00e9s-GuiraoLAppelCGavrilovDGiattinoCHasellJMacdonaldBDattaniSBeltekianDOrtiz-OspinaERoserMCoronavirus 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Health20212024-04-29https:\/\/edition.cnn.com\/2021\/07\/28\/health\/substantial-or-high-covid-19-transmission-wellness\/index.html"},{"key":"ref69","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm7030e2"},{"key":"ref70","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.pu.13.050192.000423"},{"key":"ref71","doi-asserted-by":"publisher","DOI":"10.2196\/35763"},{"key":"ref72","unstructured":"Coronavirus disease (COVID-19) dashboardWorld Health Organization2024-04-29https:\/\/covid19.who.int\/table"},{"key":"ref73","doi-asserted-by":"publisher","DOI":"10.2196\/44398"},{"key":"ref74","doi-asserted-by":"publisher","DOI":"10.2196\/53551"},{"key":"ref75","doi-asserted-by":"publisher","DOI":"10.2196\/53219"},{"key":"ref76","unstructured":"WoodruffJWarsiZCOVID rapidly spreads in China as government eases strict quarantine rulesPublic Broadcasting Service2024-04-29https:\/\/tinyurl.com\/yc3xb293"},{"key":"ref77","doi-asserted-by":"publisher","DOI":"10.1080\/20477724.2020.1850982"},{"key":"ref78","doi-asserted-by":"publisher","DOI":"10.1016\/j.scitotenv.2020.138996"},{"key":"ref79","doi-asserted-by":"publisher","DOI":"10.1080\/22221751.2021.1898291"},{"key":"ref80","doi-asserted-by":"publisher","DOI":"10.3390\/molecules26010039"},{"key":"ref81","unstructured":"JenningsRHow cultural differences help Asian countries beat COVID-19, while US strugglesVoice of America (VOA)2024-04-29https:\/\/www.insidevoa.com\/p\/5831.html"},{"key":"ref82","unstructured":"BrantRShanghai Covid: China announces largest city-wide lockdownBBC News202203272024-04-29https:\/\/www.bbc.com\/news\/world-asia-china-60893070"},{"key":"ref83","unstructured":"WooRChina's Chengdu exits full citywide Covid lockdown on ThursdayReuters202209142022-09-14https:\/\/www.reuters.com\/world\/china\/chinas-chengdu-lift-citywide-covid-lockdown-thursday-2022-09-14\/"},{"key":"ref84","unstructured":"China ends 76-day lockdown of Wuhan city, where the virus outbreak startedCNBC202004072024-04-29https:\/\/www.cnbc.com\/2020\/04\/08\/coronavirus-china-ends-lockdown-of-wuhan-city-where-outbreak-started.html"},{"key":"ref85","unstructured":"What is China's 'zero covid' policy and why did it trigger protests?The Washington Post202211092024-04-29https:\/\/www.washingtonpost.com\/world\/2022\/11\/29\/china-zero-covid-policy-protests-explained\/"},{"key":"ref86","doi-asserted-by":"publisher","DOI":"10.1038\/s41590-021-00908-2"},{"key":"ref87","unstructured":"QinAChienACCovid? What Covid? Taiwan thrives as a bubble of normalityThe Washington Post202108232024-04-29https:\/\/www.nytimes.com\/2021\/03\/13\/world\/asia\/taiwan-covid.html"},{"key":"ref88","unstructured":"FrostNBattling delta, New Zealand abandons its zero-covid ambitionsThe NewYork Times202110042024-04-29https:\/\/www.nytimes.com\/2021\/10\/04\/world\/australia\/new-zealand-covid-zero.html"},{"key":"ref89","unstructured":"GanNHow Vietnam managed to keep its coronavirus death toll at zeroCNN World202005302024-04-29https:\/\/edition.cnn.com\/2020\/05\/29\/asia\/coronavirus-vietnam-intl-hnk\/index.html"},{"key":"ref90","unstructured":"WilloughbyEAn ideal public health model? Vietnam\u2019s state-led, preventative, low-cost response to COVID-19Brookings202106292024-04-29https:\/\/www.brookings.edu\/blog\/order-from-chaos\/2021\/06\/29\/an-ideal-public-health-model-vietnams-state-led-preventative-low-cost-response-to-covid-19\/"},{"key":"ref91","unstructured":"Indonesia: weak public health response to COVID-19Human Rights Watch202101132024-04-29https:\/\/www.hrw.org\/news\/2021\/01\/13\/indonesia-weak-public-health-response-covid-19"},{"key":"ref92","unstructured":"SullivanMThe Philippines becomes coronavirus hot spot in Southeast AsiaNational Public Radio202010082024-04-29https:\/\/www.npr.org\/2020\/08\/10\/900279722\/the-philippines-becomes-coronavirus-hot-spot-in-southeast-asia"},{"key":"ref93","unstructured":"Philippines now has worst COVID-19 outbreak in Southeast AsiaThe Japan Times202008072024-04-29https:\/\/www.japantimes.co.jp\/news\/2020\/08\/07\/asia-pacific\/philippines-coronavirus-southeast-asia\/"},{"key":"ref94","doi-asserted-by":"publisher","DOI":"10.5365\/wpsar.2020.11.1.014"},{"key":"ref95","doi-asserted-by":"publisher","DOI":"10.1016\/j.lanwpc.2021.100160"},{"key":"ref96","unstructured":"RyallJMany Pacific Island nations have kept Covid at bayDeutsche Welle202005192024-04-29https:\/\/www.dw.com\/en\/zero-cases-how-pacific-islands-kept-coronavirus-at-bay\/a-53495263"},{"key":"ref97","unstructured":"Addressing COVID-19's impacts and structural crisis in the PacificThe Food and Agriculture Organization202005062024-04-29https:\/\/www.fao.org\/newsroom\/detail\/Addressing-COVID-19-s-impacts-and-structural-crisis-in-the-Pacific\/en"},{"key":"ref98","unstructured":"McClureHSurviving the pandemic: COVID-19 in the Pacific and health securityDevelopment Bulletin2024-04-29https:\/\/pacificsecurity.net\/wp-content\/uploads\/2021\/10\/DB82_Part17.pdf"},{"key":"ref99","unstructured":"The Solomon Islands reports its first coronavirus case, a student returning from the PhilippinesSBS News202010042024-04-30https:\/\/www.sbs.com.au\/news\/article\/the-solomon-islands-reports-its-first-coronavirus-case-a-student-returning-from-the-philippines\/x20eytmn1"},{"key":"ref100","unstructured":"RisingDSolomon Islands' 1st virus outbreak causes growing concernThe Associated Press202202172024-04-29https:\/\/apnews.com\/article\/coronavirus-pandemic-health-solomon-islands-honiara-30d3df8cb0f809c9e3e5a0cc5c6f886f"},{"key":"ref101","unstructured":"McCurryJJapan urges \u2018highest level of vigilance\u2019 as Omicron subvariant drives record Covid surgeThe Gurdian202207222024-04-29https:\/\/www.theguardian.com\/world\/2022\/jul\/22\/japan-urges-highest-level-of-vigilance-as-omicron-subvariant-drives-record-covid-surge"},{"key":"ref102","unstructured":"SuhartonoMBeechHThai protesters are back, and angrier, as government fumbles on CovidThe NewYork Times202109052024-04-29https:\/\/www.nytimes.com\/2021\/09\/05\/world\/asia\/thailand-protesters-covid.html"},{"key":"ref103","unstructured":"Malaysia: hundreds take to the streets in anti-government protestAl Jazeera Media Network202107212024-04-29https:\/\/www.aljazeera.com\/news\/2021\/7\/31\/hundreds-take-to-streets-in-anti-government-protest-in-malaysia"},{"key":"ref104","unstructured":"Philippines: president Duterte gives \u201cshoot to kill\u201d order amid pandemic responseAmnesty International202004022024-04-29https:\/\/www.amnesty.org\/en\/latest\/news\/2020\/04\/philippines-president-duterte-shoot-to-kill-order-pandemic\/"},{"key":"ref105","unstructured":"LoBOttHThe Philippines has the worst coronavirus outbreak in Southeast Asia, and critics warn the government could use it to crack down on dissentCBS News202008072024-04-29https:\/\/www.cbsnews.com\/news\/covid-19-philippines-worst-coronavirus-outbreak-in-southeast-asia-crackdown-on-dissent\/"},{"key":"ref106","unstructured":"BranswellHSenior WHO official faults China for undercounting Covid deathsSTAT News202306042024-04-29https:\/\/www.statnews.com\/2023\/01\/04\/who-official-faults-china-undercounting-covid-deaths\/"},{"key":"ref107","unstructured":"China might be underreporting its COVID-related death tollEuronews202212212024-04-29https:\/\/www.euronews.com\/2022\/12\/21\/china-might-be-underreporting-its-covid-related-death-toll-experts"},{"key":"ref108","unstructured":"Anti-mandate protesters converge on New Zealand parliamentVOA News202208232024-04-29https:\/\/www.voanews.com\/a\/anti-mandate-protesters-converge-on-new-zealand-parliament-\/6712836.html"},{"key":"ref109","unstructured":"GDP growth (annual %) - East Asia and PacificWorld Bank Group2024-04-29https:\/\/data.worldbank.org\/indicator\/NY.GDP.MKTP.KD.ZG?locations=Z4"},{"key":"ref110","unstructured":"Policy responses to COVID-19International Monetary Fund2024-04-29https:\/\/www.imf.org\/en\/Topics\/imf-and-covid19\/Policy-Responses-to-COVID-19#C"},{"key":"ref111","unstructured":"CorumJZimmerCHow the Sinovac vaccine worksThe NewYork Times202105072024-04-29https:\/\/www.nytimes.com\/interactive\/2020\/health\/sinovac-covid-19-vaccine.html"},{"key":"ref112","unstructured":"The Sinovac-CoronaVac COVID-19 vaccine: what you need to knowWorld Health Organization202206102024-04-29https:\/\/www.who.int\/news-room\/feature-stories\/detail\/the-sinovac-covid-19-vaccine-what-you-need-to-know#:~:text=The%20vaccine%20is%20safe%20and,COVID%2D19%20in%20the%20past"},{"key":"ref113","unstructured":"LyudmilaKVaccination with CoronaVac launched in Ukraine on April 13 \u2013 Health ministerUNIAN202104132024-04-29https:\/\/www.unian.info\/society\/covid-19-vaccination-with-coronavac-launched-in-ukraine-on-april-13-health-minister-11386060.html"},{"key":"ref114","unstructured":"MirandaNAChile receives 2 million-dose first delivery of Sinovac COVID-19 vaccineReuters202101282024-04-29https:\/\/www.reuters.com\/business\/healthcare-pharmaceuticals\/chile-receives-2-million-dose-first-delivery-sinovac-covid-19-vaccine-2021-01-28\/"},{"key":"ref115","unstructured":"ManoASim\u00f5esEChinese vaccine draws demand across Latin America, say Brazilian officialsReuters202012102024-04-29https:\/\/www.reuters.com\/article\/business\/healthcare-pharmaceuticals\/chinese-vaccine-draws-demand-across-latin-america-say-brazilian-officials-idUSKBN28K1IJ\/"},{"key":"ref116","unstructured":"NguyenAThailand finally kicks off COVID vaccinations: 5 things to knowNIKKEI Asia202103012024-04-29https:\/\/asia.nikkei.com\/Spotlight\/Coronavirus\/COVID-vaccines\/Thailand-finally-kicks-off-COVID-vaccinations-5-things-to-know"},{"key":"ref117","unstructured":"Indonesia starts mass COVID vaccinations over vast territoryThe Associated Press202101132024-04-29https:\/\/apnews.com\/article\/asia-pacific-indonesia-coronavirus-pandemic-joko-widodo-3ff30c85dc6943e2a06db470a9d04931"},{"key":"ref118","unstructured":"Brazil health ministry says plans to order 30 million more Coronavac dosesReuters202102192024-04-29https:\/\/www.reuters.com\/article\/business\/healthcare-pharmaceuticals\/brazil-health-ministry-says-plans-to-order-30-million-more-coronavac-doses-idUSKBN2AJ1D3\/"},{"key":"ref119","unstructured":"TakenakaKJapan begins COVID-19 vaccination in 'first major step' to halt pandemicReuters202102162024-04-29https:\/\/www.reuters.com\/article\/world\/japan-begins-covid-19-vaccination-in-first-major-step-to-halt-pandemic-idUSKBN2AH00O\/"},{"key":"ref120","unstructured":"ChaSS.Korea to secure more mRNA vaccines for COVID-19 booster shotReuters202106292024-04-29https:\/\/www.reuters.com\/world\/asia-pacific\/skorea-secure-more-mrna-vaccines-covid-19-booster-shot-2021-06-29\/"},{"key":"ref121","unstructured":"LeeICTaiwan begins COVID-19 vaccinationsTaipei Times202103232024-04-24https:\/\/www.taipeitimes.com\/News\/front\/archives\/2021\/03\/23\/2003754315"},{"key":"ref122","unstructured":"Taiwan clears AstraZeneca vaccine, shots might start on MondayAl Jazeera202103182024-04-29https:\/\/www.aljazeera.com\/news\/2021\/3\/18\/taiwan-clears-astrazeneca-vaccine-shots-might-start-on-monday"},{"key":"ref123","unstructured":"Travelers rush to enter China as it eases pandemic border restrictionsPBS News202301082024-04-29https:\/\/www.pbs.org\/newshour\/world\/travelers-rush-to-enter-china-as-it-eases-pandemic-border-restrictions"},{"key":"ref124","unstructured":"Coronavirus (COVID-19) measures by the governmentJapan National Tourism Organization202305092024-04-29https:\/\/www.japan.travel\/en\/practical-coronavirus-information\/government-measures\/"},{"key":"ref125","unstructured":"COVID-19 and the borderGovernment of Australia202303112024-04-29https:\/\/www.homeaffairs.gov.au\/portfolio-functions\/travel-and-crossing-the-border\/covid-19-and-the-border"},{"key":"ref126","unstructured":"You want to travel to New ZealandNew Zealand Customs2024-04-29https:\/\/covid19.govt.nz\/international-travel\/#:~:text=Travellers%20and%20crew%20do%20not,still%20require%20proof%20of%20vaccination"},{"key":"ref127","unstructured":"COVID-19 travel informationMinistry of Foreign Affairs Singapore2024-04-29https:\/\/www.mfa.gov.sg\/Consular-Services\/Singapore-Citizens\/COVID-19-Information"},{"key":"ref128","unstructured":"SteinRAs the pandemic ebbs, an influential COVID tracker shuts downKERA News202302102024-04-29https:\/\/www.keranews.org\/2023-02-10\/as-the-pandemic-ebbs-an-influential-covid-tracker-shuts-down"},{"key":"ref129","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm7132a1"},{"key":"ref130","doi-asserted-by":"publisher","DOI":"10.1017\/dmp.2022.281"}],"container-title":["JMIR Public Health and 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