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Analysis of COVID-19 transmission in Shanxi Province with discrete time imported cases
Ming-Tao Li1, Gui-Quan Sun2,3, Juan Zhang3
1School of Mathematics, Taiyuan University of Technology, Taiyuan, 030024, China.
Insights
Advancing Wuhan
Area of Science:
- Epidemiology
- Mathematical Modeling
- Public Health
Background:
- COVID-19 outbreak began in December 2019, rapidly spreading across China.
- Shanxi Province reported 133 confirmed cases, primarily imported from Hubei Province.
- The drivers of COVID-19 transmission in Shanxi remained unclear, necessitating urgent investigation.
Purpose of the Study:
- To develop and apply a SEIQR difference-equation model for COVID-19 transmission analysis.
- To assess the impact of imported cases and lockdown timing on disease spread in Shanxi Province.
- To provide insights into COVID-19 risk analysis and control strategies.
Main Methods:
- Developed a SEIQR (Susceptible, Exposed, Infectious, Quarantine, Recovered) difference-equation model.
- Incorporated discrete-time imported cases into the epidemiological model.
- Analyzed the effects of lockdown timing on the projected number of COVID-19 cases.
Main Results:
- Earlier lockdown in Wuhan correlated with fewer infectious cases.
- Advancing the city lockdown by two days could halve the number of cases (67, 95% CI: 66-68).
- Delaying the lockdown by two days could increase cases to approximately 196 (95% CI: 193-199).
Conclusions:
- The SEIQR model effectively analyzes COVID-19 transmission dynamics, including imported cases.
- Lockdown timing is a critical factor in mitigating the scale of COVID-19 outbreaks.
- The model is applicable to other Chinese provinces and countries experiencing initial imported cases.
Abstract:
Since December 2019, an outbreak of a novel coronavirus pneumonia (WHO named COVID-19) swept across China. In Shanxi Province, the cumulative confirmed cases finally reached 133 since the first confirmed case appeared on January 22, 2020, and most of which were imported cases from Hubei Province. Reasons for this ongoing surge in Shanxi province, both imported and autochthonous infected cases, are currently unclear and demand urgent investigation. In this paper, we developed a SEIQR difference-equation model of COVID-19 that took into account the transmission with discrete time imported cases, to perform assessment and risk analysis. Our findings suggest that if the lock-down date in Wuhan is earlier, the infectious cases are fewer. Moreover, we reveal the effects of city lock-down date on the final scale of cases: if the date is advanced two days, the cases may decrease one half (67, 95% CI: 66-68); if the date is delayed for two days, the cases may reach about 196 (95% CI: 193-199). Our investigation model could be potentially helpful to study the transmission of COVID-19, in other provinces of China except Hubei. Especially, the method may also be used in countries with the first confirmed case is imported.
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