High Contagiousness and Rapid Spread of Severe Acute Respiratory Syndrome Coronavirus 2.
Identifieur interne : 000593 ( 2020/Analysis ); précédent : 000592; suivant : 000594High Contagiousness and Rapid Spread of Severe Acute Respiratory Syndrome Coronavirus 2.
Auteurs : Steven Sanche ; Yen Ting Lin ; Chonggang Xu ; Ethan Romero-Severson ; Nick Hengartner ; Ruian KeSource :
- Emerging infectious diseases [ 1080-6059 ] ; 2020.
Abstract
Severe acute respiratory syndrome coronavirus 2 is the causative agent of the 2019 novel coronavirus disease pandemic. Initial estimates of the early dynamics of the outbreak in Wuhan, China, suggested a doubling time of the number of infected persons of 6-7 days and a basic reproductive number (R0) of 2.2-2.7. We collected extensive individual case reports across China and estimated key epidemiologic parameters, including the incubation period. We then designed 2 mathematical modeling approaches to infer the outbreak dynamics in Wuhan by using high-resolution domestic travel and infection data. Results show that the doubling time early in the epidemic in Wuhan was 2.3-3.3 days. Assuming a serial interval of 6-9 days, we calculated a median R0 value of 5.7 (95% CI 3.8-8.9). We further show that active surveillance, contact tracing, quarantine, and early strong social distancing efforts are needed to stop transmission of the virus.
DOI: 10.3201/eid2607.200282
PubMed: 32255761
Affiliations:
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<front><div type="abstract" xml:lang="en">Severe acute respiratory syndrome coronavirus 2 is the causative agent of the 2019 novel coronavirus disease pandemic. Initial estimates of the early dynamics of the outbreak in Wuhan, China, suggested a doubling time of the number of infected persons of 6-7 days and a basic reproductive number (R<sub>0</sub>
) of 2.2-2.7. We collected extensive individual case reports across China and estimated key epidemiologic parameters, including the incubation period. We then designed 2 mathematical modeling approaches to infer the outbreak dynamics in Wuhan by using high-resolution domestic travel and infection data. Results show that the doubling time early in the epidemic in Wuhan was 2.3-3.3 days. Assuming a serial interval of 6-9 days, we calculated a median R<sub>0</sub>
value of 5.7 (95% CI 3.8-8.9). We further show that active surveillance, contact tracing, quarantine, and early strong social distancing efforts are needed to stop transmission of the virus.</div>
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