Journal Home Online First Current Issue Archive For Authors Journal Information 中文版

Frontiers of Medicine >> 2020, Volume 14, Issue 5 doi: 10.1007/s11684-020-0787-4

Estimation of reproduction numbers of COVID-19 in typical countries and epidemic trends under different prevention and control scenarios

. School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China;.. Department of Environmental and Occupational Health, School of Public Health, China Medical University, Shenyang 110122, China;.. Department of Cancer Prevention, Shanghai Cancer Center, Fudan University; Department of Oncology, Shanghai Medical College, Fudan University, Shanghai 200025, China;.. Research Laboratory of Clinical Virology, National Research Center for Translational Medicine (Shanghai), Ruijin Hospital and Ruijin Hospital North Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China

Received: 2020-04-06 Accepted: 2020-05-27 Available online: 2020-05-27

Next Previous

Abstract

The coronavirus disease 2019 (COVID-19) has become a life-threatening pandemic. The epidemic trends in different countries vary considerably due to different policy-making and resources mobilization. We calculated basic reproduction number (R ) and the time-varying estimate of the effective reproductive number (R ) of COVID-19 by using the maximum likelihood method and the sequential Bayesian method, respectively. European and North American countries possessed higher R and unsteady R fluctuations, whereas some heavily affected Asian countries showed relatively low R and declining R now. The numbers of patients in Africa and Latin America are still low, but the potential risk of huge outbreaks cannot be ignored. Three scenarios were then simulated, generating distinct outcomes by using SEIR (susceptible, exposed, infectious, and removed) model. First, evidence-based prompt responses yield lower transmission rate followed by decreasing R . Second, implementation of effective control policies at a relatively late stage, in spite of huge casualties at early phase, can still achieve containment and mitigation. Third, wisely taking advantage of the time-window for developing countries in Africa and Latin America to adopt adequate measures can save more people’s life. Our mathematical modeling provides evidence for international communities to develop sound design of containment and mitigation policies for COVID-19.

Related Research