估计法国的SARS-CoV-2负担
Henrik Salje1,2,3, Cécile Tran Kiem1,4, Noémie Lefrancq1
1Mathematical Modelling of Infectious Diseases Unit, Institut Pasteur, UMR2000, CNRS, Paris, France.
概括
法国
科学领域:
- 流行病学
- 公共卫生
- 传染病模型
背景情况:
- 严重急性呼吸系统综合征冠状病毒2 (SARS-CoV-2) 流行病严重影响了法国,导致2020年3月17日的国家封锁.
- 了解流行病的影响和人口免疫力对于公共卫生战略至关重要.
研究的目的:
- 估计封锁措施对法国SARS-CoV-2传播的影响.
- 评估人口免疫水平及其对未来感染浪潮的影响.
主要方法:
- 使用数学模型应用于国家住院和死亡率数据.
- 估计的关键流行病学参数,包括年龄组和性别的住院率和病例死亡率.
- 计算出因封锁而导致的生殖数量减少 (R0).
主要成果:
- 由于封锁,生殖率从2.90降至0.67,减少了77%.
- 预计在2020年5月11日之前,法国人口中有5.3%的人口 (210万至60万) 感染.
- 在所有年龄组中发现男性住院率和死亡率高于女性.
- 报告的病例死亡率为0. 5% (0. 3- 0. 9%),与年龄相关的显著增加,从< 20年的0. 001%增加到≥ 80年的8. 3%.
结论:
- 如果控制措施完全取消,到2020年5月实现的人口免疫力不足以防止SARS-CoV-2的潜在第二波疫情.
- 封锁措施在显著减少病毒传播方面是有效的.
- 年龄和性别是影响SARS-CoV-2感染严重结果的关键因素.
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