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Super-spreading events initiated the exponential growth phase of COVID-19 with ℛ0 higher than initially estimated
Royal Society Open Science ( IF 3.5 ) Pub Date : 2020-09-23 , DOI: 10.1098/rsos.200786
Marek Kochańczyk 1 , Frederic Grabowski 2 , Tomasz Lipniacki 1
Affiliation  

The basic reproduction number R0 of the coronavirus disease 2019 has been estimated to range between 2 and 4. Here, we used an SEIR model that properly accounts for the distribution of the latent period and, based on empirical estimates of the doubling time in the near-exponential phases of epidemic progression in China, Italy, Spain, France, UK, Germany, Switzerland and New York State, we estimated that R0 lies in the range 4.7–11.4. We explained this discrepancy by performing stochastic simulations of model dynamics in a population with a small proportion of super-spreaders. The simulations revealed two-phase dynamics, in which an initial phase of relatively slow epidemic progression diverts to a faster phase upon appearance of infectious super-spreaders. Early estimates obtained for this initial phase may suggest lower R0.

更新日期:2020-09-23
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