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贵州省 COVID-19 的流行病学特征。

Epidemiologic Characteristics of COVID-19 in Guizhou Province, China.

机构信息

Guizhou Center for Disease Control and Prevention, Guizhou, China.

出版信息

J Infect Dev Ctries. 2021 Mar 31;15(3):389-397. doi: 10.3855/jidc.12818.

DOI:10.3855/jidc.12818
PMID:33839714
Abstract

INTRODUCTION

At the end of 2019, the COVID-19 broke out, and spread to Guizhou province in January of 2020.

METHODOLOGY

To acquire the epidemiologic characteristics of COVID-19 in Guizhou province, we collected data from 169 laboratory-confirmed COVID-19 related cases. We described the demographic characteristics of the cases and estimated the incubation period, serial interval and the effective reproduction number. We also presented two representative case studies in Guizhou province: Case Study 1 was an example of the asymptomatic carrier; while Case Study 2 was an example of a large and complex infection chain that involved four different regions, spanning three provinces and eight families.

RESULTS

Two peaks in the incidence distribution associated with COVID-19 in Guizhou province were related to the 6.04 days (95% CI: 5.00 - 7.10) of incubation period and 6.14±2.21 days of serial interval. We also discussed the effectiveness of the control measures based on the instantaneous effective reproduction number that was a constantly declining curve.

CONCLUSIONS

As of February 2, 2020, the estimated effective reproduction number was below 1, and no new cases were reported since February 26. These showed that Guizhou Province had achieved significant progress in preventing the spread of the epidemic. The medical isolation of close contacts was consequential. Meanwhile, the asymptomatic carriers and the super-spreaders must be isolated in time, who would cause a widespread infection.

摘要

引言

2019 年底,COVID-19 爆发,并于 2020 年 1 月传播到贵州省。

方法

为了获取贵州省 COVID-19 的流行病学特征,我们收集了 169 例实验室确诊的 COVID-19 相关病例的数据。我们描述了病例的人口统计学特征,并估计了潜伏期、序列间隔和有效繁殖数。我们还展示了贵州省的两个代表性病例研究:案例研究 1 是无症状携带者的一个例子;而案例研究 2 是一个涉及四个不同地区、跨越三个省份和八个家庭的大型和复杂感染链的例子。

结果

贵州省 COVID-19 发病率分布的两个高峰与 6.04 天(95%置信区间:5.00-7.10)的潜伏期和 6.14±2.21 天的序列间隔有关。我们还根据瞬时有效繁殖数讨论了控制措施的有效性,该数呈不断下降的曲线。

结论

截至 2020 年 2 月 2 日,估计的有效繁殖数低于 1,自 2 月 26 日以来没有报告新病例。这表明贵州省在阻止疫情传播方面取得了重大进展。密切接触者的医学隔离是至关重要的。同时,必须及时隔离无症状携带者和超级传播者,否则他们会导致广泛的感染。

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