Independent Researcher, Liverpool, United Kingdom.
Front Public Health. 2020 May 29;8:256. doi: 10.3389/fpubh.2020.00256. eCollection 2020.
The first reported UK case of COVID-19 occurred on 30 January 2020. A lockdown from 24 March was partially relaxed on 10 May. One model to forecast disease spread depends on clinical parameters and transmission rates. Output includes the basic reproduction number and the log growth rate in the exponential phase. Office for National Statistics data on deaths in England and Wales is used to estimate . A likelihood for the transmission parameters is defined from a gaussian density for using the mean and standard error of the estimate. Parameter samples from the Metropolis-Hastings algorithm lead to an estimate and credible interval for and forecasts for cases and deaths. The UK initial log growth rate is = 0.254 with s.e. 0.004. = 6.94 with 95% CI (6.52, 7.39). In a 12 week lockdown from 24 March with transmission parameters reduced throughout to 5% of their previous values, peaks of around 90,000 severely and 25,000 critically ill patients, and 44,000 cumulative deaths are expected by 16 June. With transmission rising from 5% in mid-April to reach 30%, 50,000 deaths and 475,000 active cases are expected in mid-June. Had such a lockdown begun on 17 March, around 30,000 (28,000, 32,000) fewer cumulative deaths would be expected by 9 June. The estimate is compatible with some international estimates but over twice the value quoted by the UK government. An earlier lockdown could have saved many thousands of lives.
首例英国 COVID-19 病例于 2020 年 1 月 30 日报告。3 月 24 日开始实施封锁,5 月 10 日部分放松。一种预测疾病传播的模型依赖于临床参数和传播率。输出包括基本繁殖数 和指数增长阶段的对数增长率 。使用英格兰和威尔士的国家统计局死亡数据来估计 。使用估计的平均值和标准误差,从高斯密度定义传输参数的可能性。来自 metropolis-hastings 算法的参数样本导致 和预测病例和死亡的估计值和置信区间。英国的初始对数增长率为 = 0.254,标准误差为 0.004。 = 6.94,95%置信区间为(6.52,7.39)。在 3 月 24 日开始的为期 12 周的封锁中,整个传播参数降低到之前值的 5%,预计到 6 月 16 日,严重和危急患者将达到约 90000 人,44000 人死亡。4 月中旬,从 5%的传播率上升到 30%,预计到 6 月中旬将有 50000 人死亡,500000 例活跃病例。如果封锁在 3 月 17 日开始,到 6 月 9 日,预计累计死亡人数将减少约 30000 人(28000 人,32000 人)。 的估计值与一些国际估计值相符,但是英国政府公布值的两倍多。更早的封锁可以挽救成千上万的生命。