Data Science Institute, I-BioStat, Universiteit Hasselt, Belgium.
Centre for Health Economics Research and Modelling of Infectious Diseases (CHERMID), Vaccine & Infectious Disease Institute (VAXINFECTIO), University of Antwerp, Belgium.
Eur Heart J Acute Cardiovasc Care. 2020 Apr;9(3):204-208. doi: 10.1177/2048872620924922. Epub 2020 Apr 30.
COVID-19 has developed into a pandemic, hitting hard on our communities. As the pandemic continues to bring health and economic hardship, keeping mortality as low as possible will be the highest priority for individuals; hence governments must put in place measures to ameliorate the inevitable economic downturn. The course of an epidemic may be defined by a series of key factors. In the early stages of a new infectious disease outbreak, it is crucial to understand the transmission dynamics of the infection. The basic reproduction number (), which defines the mean number of secondary cases generated by one primary case when the population is largely susceptible to infection ('totally naïve'), determines the overall number of people who are likely to be infected, or, more precisely, the area under the epidemic curve. Estimation of changes in transmission over time can provide insights into the epidemiological situation and identify whether outbreak control measures are having a measurable effect. For > 1, the number infected tends to increase, and for < 1, transmission dies out. Non-pharmaceutical strategies to handle the epidemic are sketched and based on current knowledge, the current situation is sketched and scenarios for the near future discussed.
新冠疫情已经发展成为一场大流行,给我们的社区带来了沉重打击。随着疫情继续给健康和经济带来困难,尽可能降低死亡率将成为个人的首要任务;因此,政府必须采取措施缓解不可避免的经济衰退。疫情的进程可以由一系列关键因素来定义。在新发传染病爆发的早期阶段,了解感染的传播动态至关重要。基本繁殖数()定义了当人群对感染具有高度易感性(“完全无经验”)时,一个初始病例产生的二次病例的平均数量,它决定了可能感染的人数,或者更准确地说,是流行病曲线下的面积。对随时间变化的传播的估计可以提供对流行病学情况的深入了解,并确定疫情控制措施是否正在产生可衡量的效果。对于 > 1,感染人数趋于增加,而对于 < 1,传播则会消失。概述了处理疫情的非药物策略,并根据当前的知识,概述了当前的情况,并讨论了近期的情况。