The short infectious period of COVID-19 indicates the efficiency of fast switching periodic protocols
Abstract The Covid-19 disease pandemic is showing the importance of an accurate quantification of transmissibility in order to design and tune public health responses. Transmissibility is usually quantified in terms of the reproduction number Rt, the average number of secondary cases caused by an infected individual. Here we show the central role also played by w(z), the distribution of generation times z, namely the time between successive infections in a transmission chain. We obtain an accurate estimate of w(z) by means of a novel method which allows us to simultaneously obtain its evaluation together with the measure of Rt, over the course of an epidemic, and the number of exogenous infected cases. We use one year of data from COVID-19 officially reported cases in the 21 Italian regions, since the first confirmed case on February 2020. We find that w(z) is a distribution very peaked around its average value z ≃ 6 days with a standard deviation σ smaller than one day. This estimate of σ is much smaller than previous ones obtained by means of contact tracing from the distribution of serial intervals. We perform extended numerical simulations to demonstrate that, because of the small value of σ, post-lockdown mitigation policies such as fast periodic switching and/or alternating quarantine can be extremely efficient.