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Estimation of the Transmission Risk of the 2019-nCoV and Its Implication for Public Health Interventions

2020· article· en· 1,482 citations· W3007580879 on OpenAlex· 10.3390/jcm9020462

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Opus teacher head0.661
GPT teacher head0.607
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Validation status
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Abstract

Since the emergence of the first cases in Wuhan, China, the novel coronavirus (2019-nCoV) infection has been quickly spreading out to other provinces and neighboring countries. Estimation of the basic reproduction number by means of mathematical modeling can be helpful for determining the potential and severity of an outbreak and providing critical information for identifying the type of disease interventions and intensity. A deterministic compartmental model was devised based on the clinical progression of the disease, epidemiological status of the individuals, and intervention measures. The estimations based on likelihood and model analysis show that the control reproduction number may be as high as 6.47 (95% CI 5.71-7.23). Sensitivity analyses show that interventions, such as intensive contact tracing followed by quarantine and isolation, can effectively reduce the control reproduction number and transmission risk, with the effect of travel restriction adopted by Wuhan on 2019-nCoV infection in Beijing being almost equivalent to increasing quarantine by a 100 thousand baseline value. It is essential to assess how the expensive, resource-intensive measures implemented by the Chinese authorities can contribute to the prevention and control of the 2019-nCoV infection, and how long they should be maintained. Under the most restrictive measures, the outbreak is expected to peak within two weeks (since 23 January 2020) with a significant low peak value. With travel restriction (no imported exposed individuals to Beijing), the number of infected individuals in seven days will decrease by 91.14% in Beijing, compared with the scenario of no travel restriction.

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The record

Venue
Journal of Clinical Medicine
Topic
COVID-19 epidemiological studies
Field
Mathematics
Canadian institutions
York University
Funders
Canada Excellence Research Chairs, Government of CanadaNatural Sciences and Engineering Research Council of CanadaNational Natural Science Foundation of China
Keywords
MedicineBeijingPsychological interventionQuarantineBasic reproduction numberOutbreakTransmission (telecommunications)Contact tracingEnvironmental healthEstimationIsolation (microbiology)DemographyCoronavirus disease 2019 (COVID-19)DiseaseChinaInfectious disease (medical specialty)VirologyInternal medicineGeographyBiology
Has abstract in OpenAlex
yes