How relevant is the basic reproductive number computed during the coronavirus disease 2019 (COVID-19) pandemic, especially during lockdowns?
[...]in (b), the fourth secondary infection in (a), say, \({y_{24}}\) by primary infected \({y_2}\) becomes a primary infected that generates 3 secondary infections out of which only 2 were traced and diagnosed. [...]the mean number of secondary infections during (\({t_i}\), \({t_i+4}\)) is given by...
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Veröffentlicht in: | Infection control and hospital epidemiology 2022-01, Vol.43 (1), p.125-127 |
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Sprache: | eng |
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Zusammenfassung: | [...]in (b), the fourth secondary infection in (a), say, \({y_{24}}\) by primary infected \({y_2}\) becomes a primary infected that generates 3 secondary infections out of which only 2 were traced and diagnosed. [...]the mean number of secondary infections during (\({t_i}\), \({t_i+4}\)) is given by(2)\(\root 4 \of {\mathop \prod \limits_{k = 0}^3 \left( {1\, { + \, \gamma_{i + k}}\% } \right)}.\) Similarly, the trend in eq. Even if the testing numbers and testing patterns are constant over a period, the proportion of underreported cases may not be constant. [...]the estimation of \({R_0}\) is likely to be highly variable in any given situation. When the ratios \({Y_{i + k + 1}}{\rm{\;}}/{Y_{i + k}}\) for \(k = 0, 1, \ldots n\) are considered, then the geometric mean of these growth rates would be(4)\[\root n \of {\mathop \prod \limits_{k = 0}^n {{{Y_{i + k + 1}}} \over {{Y_{i + k}}} = \root n \of {{{Y_{i + n + 1}}} \over {{Y_i}}}.\] However, \[{\widehat R_0}\] or \[{\widehat R_t}\], (the estimated basic and time-varying reproductive numbers at the start or ongoing through an epidemic, respectively) may not be at all close to \({R_0}\) or \({R_t}\) even if the \({Y_i}\) values are generated from a mathematical model for a period \(i > 0\) that uses data on susceptible, exposed, infected, and recovered in which the underlying epidemiological processes are time varying. |
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ISSN: | 0899-823X 1559-6834 |
DOI: | 10.1017/ice.2020.1376 |