The COVID-19 outbreak in Sichuan, China: Epidemiology and impact of interventions.
The COVID-19 outbreak in Sichuan, China: Epidemiology and impact of interventions.
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DOI:
10.1371/journal.pcbi.1008467
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发表时间:
2020-12
影响因子:
4.3
通讯作者:
Ajelli M
中科院分区:
文献类型:
--
作者:
Liu QH;Bento AI;Yang K;Zhang H;Yang X;Merler S;Vespignani A;Lv J;Yu H;Zhang W;Zhou T;Ajelli M
In January 2020, a COVID-19 outbreak was detected in Sichuan Province of China. Six weeks later, the outbreak was successfully contained. The aim of this work is to characterize the epidemiology of the Sichuan outbreak and estimate the impact of interventions in limiting SARS-CoV-2 transmission. We analyzed patient records for all laboratory-confirmed cases reported in the province for the period of January 21 to March 16, 2020. To estimate the basic and daily reproduction numbers, we used a Bayesian framework. In addition, we estimated the number of cases averted by the implemented control strategies. The outbreak resulted in 539 confirmed cases, lasted less than two months, and no further local transmission was detected after February 27. The median age of local cases was 8 years older than that of imported cases. We estimated R0 at 2.4 (95% CI: 1.6–3.7). The epidemic was self-sustained for about 3 weeks before going below the epidemic threshold 3 days after the declaration of a public health emergency by Sichuan authorities. Our findings indicate that, were the control measures be adopted four weeks later, the epidemic could have lasted 49 days longer (95% CI: 31–68 days), causing 9,216 more cases (95% CI: 1,317–25,545). Since its emergence in Wuhan, SARS-CoV-2 rapidly started its spread across China. On January 21, 2020 the first COVID-19 case was detected in the Sichuan Province of China and led to an outbreak of local transmission. Less than two months later, the outbreak was over with the last reported case on March 4, 2020. In this study, we analyzed patient records for all laboratory-confirmed cases reported in Sichuan to provide an epidemiological characterization of the outbreak, to estimate SARS-CoV-2 transmission potential, and to assess the impact of the adopted interventions. We estimated that, during the initial exponential growth phase of the outbreak, each COVID-19 case has generated a mean of 2.4 secondary cases (95% CI: 1.6–3.7). Moreover, we estimated that, were the Sichuan strict containment measures implemented four weeks later, the outbreak would have caused 9,216 more cases (95% CI: 1,317–25,545). Our findings suggest the key role of a quick response to COVID-19 outbreaks and the importance of an adequate surveillance and monitoring system.
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影响因子:
158.5
作者:
Li, Qun;Guan, Xuhua;Feng, Zijian
通讯作者:
Feng, Zijian
DOI:
10.1056/nejmoa1411100
发表时间:
2014-10-16
期刊:
The New England journal of medicine
影响因子:
--
作者:
WHO Ebola Response Team;Aylward B;Barboza P;Bawo L;Bertherat E;Bilivogui P;Blake I;Brennan R;Briand S;Chakauya JM;Chitala K;Conteh RM;Cori A;Croisier A;Dangou JM;Diallo B;Donnelly CA;Dye C;Eckmanns T;Ferguson NM;Formenty P;Fuhrer C;Fukuda K;Garske T;Gasasira A;Gbanyan S;Graaff P;Heleze E;Jambai A;Jombart T;Kasolo F;Kadiobo AM;Keita S;Kertesz D;Koné M;Lane C;Markoff J;Massaquoi M;Mills H;Mulba JM;Musa E;Myhre J;Nasidi A;Nilles E;Nouvellet P;Nshimirimana D;Nuttall I;Nyenswah T;Olu O;Pendergast S;Perea W;Polonsky J;Riley S;Ronveaux O;Sakoba K;Santhana Gopala Krishnan R;Senga M;Shuaib F;Van Kerkhove MD;Vaz R;Wijekoon Kannangarage N;Yoti Z
通讯作者:
Yoti Z
DOI:
10.3138/jammi-2020-0030
发表时间:
2020-12-01
期刊:
Journal of the Association of Medical Microbiology and Infectious Disease Canada = Journal officiel de l'Association pour la microbiologie medicale et l'infectiologie Canada
影响因子:
--
作者:
Byambasuren, Oyungerel;Cardona, Magnolia;Glasziou, Paul
通讯作者:
Glasziou, Paul
影响因子:
56.3
作者:
Badr, Hamada S.;Du, Hongru;Gardner, Lauren M.
通讯作者:
Gardner, Lauren M.
影响因子:
56.9
作者:
Chinazzi, Matteo;Davis, Jessica T.;Vespignani, Alessandro
通讯作者:
Vespignani, Alessandro