scholarly journals LOCKDOWN AS A PANDEMIC MITIGATING POLICY INTERVENTION IN INDIA

Author(s):  
Subhayan Mandal ◽  
Manoj Kumar ◽  
Debasish Sarkar

AbstractWe use publicly available timeline data on the Covid-19 outbreak for nine indian states to calculate the important quantifier of the outbreak, the sought after Rt or the time varying reproduction number of the outbreak. This quantity can be measured in in several ways, e.g. by application of Stochastic compartmentalised SIR (DCM) model, Poissonian likelihood based (ML) model & the exponential growth rate (EGR) model. The third one is known as the effective reproduction number of an outbreak. Here we use, mostly, the second one. It is known as the instantaneous reproduction number for an outbreak. This number can faithfully tell us the success of lockdown measures inside indian states, as containment policy for the spread of Covid-19 viral disease. This can also, indirectly yield notional value of the generation time inteval in different states. In doing this work we employ, pan India serial interval of the outbreak estimated directly from data from January 30th to April 19th, 2020. Simultaneously, in conjunction with the serial interval data, our result is derived from incidences data between March 14th, 2020 to June 1st, 2020, for the said states. We find the lockdown had marked positive effect on the nature of time dependent reproduction number in most of the Indian states, barring a couple. The possible reason for such failures have been investigated.

Author(s):  
Chong You ◽  
Yuhao Deng ◽  
Wenjie Hu ◽  
Jiarui Sun ◽  
Qiushi Lin ◽  
...  

BackgroundThe 2019-nCoV outbreak in Wuhan, China has attracted world-wide attention. As of February 11, 2020, a total of 44730 cases of novel coronavirus-infected pneumonia associated with COVID-19 were confirmed by the National Health Commission of China.MethodsThree approaches, namely Poisson likelihood-based method (ML), exponential growth rate-based method (EGR) and stochastic Susceptible-Infected-Removed dynamic model-based method (SIR), were implemented to estimate the basic and controlled reproduction numbers.ResultsA total of 71 chains of transmission together with dates of symptoms onset and 67 dates of infections were identified among 5405 confirmed cases outside Hubei as reported by February 2, 2020. Based on this information, we find the serial interval having an average of 4.41 days with a standard deviation of 3.17 days and the infectious period having an average of 10.91 days with a standard deviation of 3.95 days.ConclusionsThe controlled reproduction number is declining. It is lower than one in most regions of China, but is still larger than one in Hubei Province. Sustained efforts are needed to further reduce the Rc to below one in order to end the current epidemic.


2021 ◽  
Vol 21 (2) ◽  
pp. e00517-e00517
Author(s):  
Ebrahim Rahimi ◽  
Seyed Saeed Hashemi Nazari ◽  
Yaser Mokhayeri ◽  
Asaad Sharhani ◽  
Rasool Mohammadi

Background: The basic reproduction number (R0) is an important concept in infectious disease epidemiology and the most important parameter to determine the transmissibility of a pathogen. This study aimed to estimate the nine-month trend of time-varying R of COVID-19 epidemic using the serial interval (SI) and Markov Chain Monte Carlo in Lorestan, west of Iran. Study design: Descriptive study. Methods: This study was conducted based on a cross-sectional method. The SI distribution was extracted from data and log-normal, Weibull, and Gamma models were fitted. The estimation of time-varying R0, a likelihood-based model was applied, which uses pairs of cases to estimate relative likelihood. Results: In this study, Rt was estimated for SI 7-day and 14-day time-lapses from 27 February-14 November 2020. To check the robustness of the R0 estimations, sensitivity analysis was performed using different SI distributions to estimate the reproduction number in 7-day and 14-day time-lapses. The R0 ranged from 0.56 to 4.97 and 0.76 to 2.47 for 7-day and 14-day time-lapses. The doubling time was estimated to be 75.51 days (95% CI: 70.41, 81.41). Conclusions: Low R0 of COVID-19 in some periods in Lorestan, west of Iran, could be an indication of preventive interventions, namely quarantine and isolation. To control the spread of the disease, the reproduction number should be reduced by decreasing the transmission and contact rates and shortening the infectious period.


2022 ◽  
Author(s):  
Solym Mawaki MANOU-ABI ◽  
Yousri SLAOUI ◽  
Julien BALICCHI

We study in this work some statistical methods to estimate the parameters resulting from the use of an age-structured contact mathematical epidemic model in order to analyze the evolution of the epidemic curve of Covid-19 in the French overseas department Mayotte from march 13, 2020 to february 26,2021. Using several statistic methods based on time dependent method, maximum likelihood, mixture method, we fit the probability distribution which underlines the serial interval distribution and we give an adapted version of the generation time distribution from Package R0. The best-fit model of the serial interval was given by a mixture of Weibull distribution. Furthermore this estimation allows to obtain the evolution of the time varying effective reproduction number and hence the temporal transmission rates. Finally based on others known estimates parameters we incorporate the estimated parameters in the model in order to give an approximation of the epidemic curve in Mayotte under the conditions of the model. We also discuss the limit of our study and the conclusion concerned a probable impact of non pharmacological interventions of the Covid-19 in Mayotte such us the re-infection cases and the introduction of the variants which probably affect the estimates.


2020 ◽  
Author(s):  
Sang Woo Park ◽  
Kaiyuan Sun ◽  
David Champredon ◽  
Michael Li ◽  
Benjamin M. Bolker ◽  
...  

AbstractGeneration intervals and serial intervals are critical quantities for characterizing outbreak dynamics. Generation intervals characterize the time between infection and transmission, while serial intervals characterize the time between the onset of symptoms in a chain of transmission. They are often used interchangeably, leading to misunderstanding of how these intervals link the epidemic growth rate r and the reproduction number ℛ. Generation intervals provide a mechanistic link between r and ℛ but are harder to measure via contact tracing. While serial intervals are easier to measure from contact tracing, recent studies suggest that the two intervals give different estimates of ℛ from r. We present a general framework for characterizing epidemiological delays based on cohorts (i.e., a group of individuals that share the same event time, such as symptom onset) and show that forward-looking serial intervals, which correctly link ℛ with r, are not the same as “intrinsic” serial intervals, but instead change with r. We provide a heuristic method for addressing potential biases that can arise from not accounting for changes in serial intervals across cohorts and apply the method to estimating ℛ for the COVID-19 outbreak in China using serial-interval data — our analysis shows that using incorrectly defined serial intervals can severely bias estimates. This study demonstrates the importance of early epidemiological investigation through contact tracing and provides a rationale for reassessing generation intervals, serial intervals, and ℛ estimates, for COVID-19.Significance StatementThe generation- and serial-interval distributions are key, but different, quantities in outbreak analyses. Recent theoretical studies suggest that two distributions give different estimates of the reproduction number ℛ from the exponential growth rate r; however, both intervals, by definition, describe disease transmission at the individual level. Here, we show that the serial-interval distribution, defined from the correct reference time and cohort, gives the same estimate of ℛ as the generation-interval distribution. We then apply our framework to serial-interval data from the COVID-19 outbreak in China. While our study supports the use of serial-interval distributions in estimating ℛ, it also reveals necessary changes to the current understanding and applications of serial-interval distribution.


2020 ◽  
Author(s):  
Manisha Mandal ◽  
Shyamapada Mandal

AbstractThe spread of COVID-19 epidemic in some highly-impacted Indian states displayed a characteristic sub-exponential growth projected up to 3 May 2020, as a consequence of lockdown strategies, in addition to improvement of reproduction number (R), serial interval, and daily growth rate, but not case fatality rate (CFR). The effect of COVID-19 containment was more prominent in second phase of lockdown with declining R, which was still >1, suggesting the requirement of sustained interventions for effective containment of COVID-19 pandemic in Indian context.


Author(s):  
Menghui Li ◽  
Kai Liu ◽  
Yukun Song ◽  
Ming Wang ◽  
Jinshan Wu

AbstractBackgroundsThe emerging virus, COVID-19, has caused a massive out-break worldwide. Based on the publicly available contact-tracing data, we identified 337 transmission chains from 10 provinces in China and estimated the serial interval (SI) and generation interval (GI) of COVID-19 in China.MethodsInspired by possibly different values of the time-varying reproduction number for the imported cases and the local cases in China, we divided all transmission events into three subsets: imported (the zeroth generation) infecting 1st-generation locals, 1st-generation locals infecting 2nd-generation locals, and others transmissions among 2+ generations. The corresponding SI (GI) is respec-tively denoted as , and . A Bayesian approach with doubly interval-censored likelihood is employed to fit the lognormal, gamma, and Weibull distribution function of the SI and GI using the identified 337 transmission chains.FindingsIt is found that the estimated , and , thus overall both SI and GI decrease when generation increases.


2020 ◽  
Vol 36 ◽  
pp. 100715 ◽  
Author(s):  
F. Najafi ◽  
N. Izadi ◽  
S.-S. Hashemi-Nazari ◽  
F. Khosravi-Shadmani ◽  
R. Nikbakht ◽  
...  

2020 ◽  
Vol 10 (4-s) ◽  
pp. 31-33
Author(s):  
Manisha Mandal ◽  
Shyamapada Mandal

Introduction: India is experiencing the global COVID-19 pandemic caused with the infection of SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2). To explore the early epidemic course and the effectiveness of lockdowns on COVID-19 pandemic in some worst-affected Indian states. Methods: Using publicly available real data and model-based prediction, the growth rate, case fatality rate, serial interval, and time-varying reproduction number (R) of COVID-19 were estimated, before and after lockdown implementation in India. Results: The spread of COVID-19 epidemic in some highly-impacted Indian states displayed a characteristic sub-exponential growth projected up to 3 May 2020, as a consequence of lockdown strategies, in addition to improvement of reproduction number (R), serial interval, and daily growth rate, but not case fatality rate (CFR). The effect of COVID-19 containment was more prominent in second phase of lockdown with declining R, which was still >1. Conclusion: The current findings suggest the requirement of sustained interventions for effective containment of COVID-19 pandemic in Indian context. Keywords: COVID-19, SARS-CoV-2, Indian states, epidemiological parameters, lockdown effect.


2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Qing Cheng ◽  
Zeyi Liu ◽  
Guangquan Cheng ◽  
Jincai Huang

AbstractBeginning on December 31, 2019, the large-scale novel coronavirus disease 2019 (COVID-19) emerged in China. Tracking and analysing the heterogeneity and effectiveness of cities’ prevention and control of the COVID-19 epidemic is essential to design and adjust epidemic prevention and control measures. The number of newly confirmed cases in 25 of China’s most-affected cities for the COVID-19 epidemic from January 11 to February 10 was collected. The heterogeneity and effectiveness of these 25 cities’ prevention and control measures for COVID-19 were analysed by using an estimated time-varying reproduction number method and a serial correlation method. The results showed that the effective reproduction number (R) in 25 cities showed a downward trend overall, but there was a significant difference in the R change trends among cities, indicating that there was heterogeneity in the spread and control of COVID-19 in cities. Moreover, the COVID-19 control in 21 of 25 cities was effective, and the risk of infection decreased because their R had dropped below 1 by February 10, 2020. In contrast, the cities of Wuhan, Tianmen, Ezhou and Enshi still had difficulty effectively controlling the COVID-19 epidemic in a short period of time because their R was greater than 1.


BMC Medicine ◽  
2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Sahamoddin Khailaie ◽  
Tanmay Mitra ◽  
Arnab Bandyopadhyay ◽  
Marta Schips ◽  
Pietro Mascheroni ◽  
...  

Abstract Background SARS-CoV-2 has induced a worldwide pandemic and subsequent non-pharmaceutical interventions (NPIs) to control the spread of the virus. As in many countries, the SARS-CoV-2 pandemic in Germany has led to a consecutive roll-out of different NPIs. As these NPIs have (largely unknown) adverse effects, targeting them precisely and monitoring their effectiveness are essential. We developed a compartmental infection dynamics model with specific features of SARS-CoV-2 that allows daily estimation of a time-varying reproduction number and published this information openly since the beginning of April 2020. Here, we present the transmission dynamics in Germany over time to understand the effect of NPIs and allow adaptive forecasts of the epidemic progression. Methods We used a data-driven estimation of the evolution of the reproduction number for viral spreading in Germany as well as in all its federal states using our model. Using parameter estimates from literature and, alternatively, with parameters derived from a fit to the initial phase of COVID-19 spread in different regions of Italy, the model was optimized to fit data from the Robert Koch Institute. Results The time-varying reproduction number (Rt) in Germany decreased to <1 in early April 2020, 2–3 weeks after the implementation of NPIs. Partial release of NPIs both nationally and on federal state level correlated with moderate increases in Rt until August 2020. Implications of state-specific Rt on other states and on national level are characterized. Retrospective evaluation of the model shows excellent agreement with the data and usage of inpatient facilities well within the healthcare limit. While short-term predictions may work for a few weeks, long-term projections are complicated by unpredictable structural changes. Conclusions The estimated fraction of immunized population by August 2020 warns of a renewed outbreak upon release of measures. A low detection rate prolongs the delay reaching a low case incidence number upon release, showing the importance of an effective testing-quarantine strategy. We show that real-time monitoring of transmission dynamics is important to evaluate the extent of the outbreak, short-term projections for the burden on the healthcare system, and their response to policy changes.


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