2020 Preprint
Using predicted imports of 2019-nCoV cases to determine locations that may not be identifying all imported cases
Abstract: Cases from the ongoing outbreak of atypical pneumonia caused by the 2019 novel coronavirus (2019-nCoV) exported from mainland China can lead to self-sustained outbreaks in other populations.
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Cited by 85 publications
(84 citation statements)
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“…Therefore our estimates should be viewed as a lower bound on the number of imported infections, given possible mild and asymptomatic infections. Even given this, we estimate that Indonesiawhich has reported 0 cases to date-would be expected to have more cases than this, in line with estimates from Lipsitch et al 6 . In addition, in places that have identified some cases-such as Thailand, Japan, South Korea, Taiwan and Hong Kong, the US and Malaysia-we estimate that the imported number of cases from Wuhan is even higher than those reported.…”
Section: Discussionsupporting
confidence: 89%
“…Therefore our estimates should be viewed as a lower bound on the number of imported infections, given possible mild and asymptomatic infections. Even given this, we estimate that Indonesiawhich has reported 0 cases to date-would be expected to have more cases than this, in line with estimates from Lipsitch et al 6 . In addition, in places that have identified some cases-such as Thailand, Japan, South Korea, Taiwan and Hong Kong, the US and Malaysia-we estimate that the imported number of cases from Wuhan is even higher than those reported.…”
Section: Discussionsupporting
confidence: 89%
“…14 Several recent reports also highlighted the difficulty to detect Covid-19 cases: about two thirds of the cases exported from mainland China remained undetected worldwide, 24 and the detection capacity varied from 11% in low surveillance countries to 40% in high surveillance countries. 25,26 Consistent with these studies, our analyses and extensive simulations also indicated an ascertainment rate of 14%-41% in Wuhan ( Table S2 ). Increasing evidence also suggested that the asymptomatic and presymptomatic cases can be infectious to the susceptible population, 17-19 imposing a substantial challenge to the epidemic control.…”
Section: Discussionsupporting
confidence: 86%
“…This allows monitoring of the ongoing situation in China, which may yet see a second wave of the epidemic. Our estimate of the true epidemic curve is supported by other studies (7, 8, 21), and projected case numbers would change with any change in this estimate. Even if the true number of cases in China is 10 or 100 times that reported, only a fraction of the entire population of China has been infected, which leaves a possibility of a subsequent wave of the epidemic.…”
Section: Discussionsupporting
confidence: 81%
