Frontiers in Physics ( IF 1.9 ) Pub Date : 2020-12-31 , DOI: 10.3389/fphy.2020.622485 Mirjam E. Kretzschmar , Ganna Rozhnova , Michiel van Boven
SARS-CoV-2 has established itself in all parts of the world, and many countries have implemented social distancing as a measure to prevent overburdening of health care systems. Here we evaluate whether and under which conditions containment of SARS-CoV-2 is possible by isolation and contact tracing in settings with various levels of social distancing. To this end we use a branching process model in which every person generates novel infections according to a probability distribution that is affected by the incubation period distribution, distribution of the latent period, and infectivity. The model distinguishes between household and non-household contacts. Social distancing may affect the numbers of the two types of contacts differently, for example while work and school contacts are reduced, household contacts may remain unchanged. The model allows for an explicit calculation of the basic and effective reproduction numbers, and of exponential growth rates and doubling times. Our findings indicate that if the proportion of asymptomatic infections in the model is larger than 30%, contact tracing and isolation cannot achieve containment for a basic reproduction number
中文翻译:
隔离和接触者追踪可以使社会隔离人群的COVID-19遏制规模缩小
SARS-CoV-2已在世界各地确立了自己的地位,许多国家已将社会隔离作为一种措施,以防止卫生保健系统负担过重。在这里,我们评估在各种社会距离的环境中,通过隔离和接触者追踪,是否可能以及在何种情况下可以遏制SARS-CoV-2。为此,我们使用分支过程模型,其中每个人都根据受潜伏期分布,潜伏期分布和传染性影响的概率分布来产生新型感染。该模型区分家庭和非家庭接触。社会距离可能会影响这两种类型的联系人的数量,例如,在减少工作和学校联系的同时,家庭联系人可能保持不变。该模型允许显式计算基本和有效繁殖数量,以及指数增长率和倍增时间。我们的发现表明,如果模型中无症状感染的比例大于30%,则接触者的追踪和隔离无法达到基本繁殖数的遏制