Zhu Yifan, Chen Ying Qing
Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, 1100 Fairview Ave. N., Seattle, WA 98109 USA.
Stat Biosci. 2021;13(1):1-17. doi: 10.1007/s12561-020-09277-0. Epub 2020 Apr 2.
Since December 2019, a disease caused by a novel strain of coronavirus (COVID-19) had infected many people and the cumulative confirmed cases have reached almost 180,000 as of 17, March 2020. The COVID-19 outbreak was believed to have emerged from a seafood market in Wuhan, a metropolis city of more than 11 million population in Hubei province, China. We introduced a statistical disease transmission model using case symptom onset data to estimate the transmissibility of the early-phase outbreak in China, and provided sensitivity analyses with various assumptions of disease natural history of the COVID-19. We fitted the transmission model to several publicly available sources of the outbreak data until 11, February 2020, and estimated lock down intervention efficacy of Wuhan city. The estimated was between 2.7 and 4.2 from plausible distribution assumptions of the incubation period and relative infectivity over the infectious period. 95% confidence interval of were also reported. Potential issues such as data quality concerns and comparison of different modelling approaches were discussed.
自2019年12月以来,一种由新型冠状病毒(COVID-19)引起的疾病感染了许多人,截至2020年3月17日,累计确诊病例已达近18万例。据信,COVID-19疫情起源于中国湖北省一个拥有1100多万人口的大都市武汉的一个海鲜市场。我们引入了一种统计疾病传播模型,利用病例症状出现数据来估计中国早期疫情的传播能力,并对COVID-19疾病自然史的各种假设进行了敏感性分析。我们将传播模型应用于截至2020年2月11日的几个公开可用的疫情数据来源,并估计了武汉市的封锁干预效果。根据潜伏期和传染期相对传染性的合理分布假设,估计值在2.7至4.2之间。还报告了估计值的95%置信区间。讨论了数据质量问题和不同建模方法比较等潜在问题。