中国COVID-19流行病学模型

Shanshan Wu, P. Sun, Ruiling Li, Yanli Wang, Lifang Jiang, J. Deng
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引用次数: 1

摘要

背景。由SARS-CoV-2引起的2019冠状病毒病(COVID-19)疫情首先在中国湖北省武汉市爆发,随后在全球迅速蔓延。目标。本研究旨在用精确的数学模型剖析疫情在中国的传播和终结。方法。2020年1月20日至7月8日,从中国国家卫生官网获取各项数据。中国的研究参与者被分为三组,即湖北(含武汉)、全国(不含湖北)和河南。计算COVID-19的基本繁殖数(R0)、有效繁殖数(Rt)、性别和年龄比,用SIR模型绘制疫情的预测曲线或峰值时间和结束时间的拟合曲线。这些预测曲线与实际的散点图进行了比较。结果。湖北组拟合曲线呈抛物线型,在2020年2月18日达到高峰,确诊病例51673例,感染者逐渐减少,5月后呈下降趋势。疫情早期最高记录R0为6.13,呈s型曲线逐渐下降,5月初趋近于零。与湖北组相似,全国无湖北组拟合曲线也呈抛物线型,2月10日达到9145例的峰值。它的R0起初高达2.35,但在4月初降至零。河南组疫情也在2020年2月10日达到高峰,4月初结束。结论。新冠肺炎疫情在中国的发展呈抛物线型。该模型为如何制定流行病控制战略提供了见解。
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Epidemiological Model for COVID-19 in China
Background. The epidemic of coronavirus disease 2019 (COVID-19) caused by the SARS-CoV-2 first broke out in Wuhan, Hubei Province in China, and then spread quickly worldwide. Objective. This study aimed to dissect the spread and end of the epidemic in China with a precise mathematical model. Methods. Various data were obtained from the official websites of the Chinese National Health from January 20 to July 8, 2020. The Chinese study participants were divided into three groups, namely, Hubei (including Wuhan), nationwide without Hubei, and Henan. The basic reproduction number (R0), effective reproduction number (Rt), and gender and age ratio of COVID-19 were calculated, and the epidemic’s predicted curves or fitting curves with peak time and end time were plotted with SIR model. These predicted curves were compared with actual scatter plots. Results. The fitting curve of the Hubei group showed a parabola with a peak on February 18, 2020, with 51,673 cases and the gradual decrease of infected patients, which culminates with a downhill after May 2020. During early outbreak, the highest recorded R0 was 6.13, which declined gradually forming a S-type curve, and it approached zero in early May. Similar to Hubei group, the fitting curve of the nationwide without Hubei group also showed a parabola, recording a peak of 9145 cases on February 10, 2020. At first, its R0 was as high as 2.35 but declined to zero in early April. The epidemic in the Henan group also reached its peak on February 10, 2020, and ended in early April as well. Conclusion. The epidemic development of COVID-19 in China followed the shape of parabolic curves. This model provides insights into how to strategize for epidemic control.
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