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Outbreak dynamics of COVID-19 in China and the United States
Mathias Peirlinck.
Francisco Sahli Costabal.
Kevin Linka.
Ellen Kuhl.
Acceso Abierto
Atribución-NoComercial-SinDerivadas
10.1101/2020.04.06.20055863
On March 11, 2020, the World Health Organization declared the coronavirus disease 2019, COVID-19, a global pandemic. In an unprecedented collective effort, massive amounts of data are now being collected worldwide to estimate the immediate and long-term impact of this pandemic on the health system and the global economy. However, the precise timeline of the disease, its transmissibility, and the effect of mitigation strategies remain incompletely understood. Here we integrate a global network model with a local epidemic SEIR model to quantify the outbreak dynamics of COVID-19 in China and the United States. For the outbreak in China, in n=30 provinces, we found a latent period of 2.56+/-0.72 days, a contact period of 1.47+/-0.32 days, and an infectious period of 17.82+/-2.95 days. We assume that the latent and infectious periods are disease-specific and the contact period is behavior-specific and can vary between different communities, states, or countries. For the early stages of the outbreak in the United States, in n=50 states, we adopted the latent and infectious periods from China, and found a contact period of 3.38+/-0.69 days. With no additional mitigation strategies, our epidemic network model predicts a basic reproduction number of 5.3+/-0.95 and a nationwide peak of the outbreak on May 10, 2020 with 3 million infections across the United States. Our results demonstrate how mathematical modeling can help estimate outbreak dynamics and provide decision guidelines for mitigating the COVID-19 pandemic. We anticipate that our model will become a valuable tool to estimate the potential of vaccination and quantify the effect of relaxing political measures including total lock down, shelter in place, and travel restrictions for low-risk subgroups of the population or for the population as a whole.
www.medrxiv.org
2020
Artículo
https://www.medrxiv.org/content/10.1101/2020.04.06.20055863v2.full.pdf
Inglés
VIRUS RESPIRATORIOS
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