Assessing the spread of the novel Coronavirus in the absence of mass testing
File(s)IJCP-05-20-0427.R2_Proof_hi.pdf (1.53 MB)
Accepted version
Author(s)
Miles, David
Type
Journal Article
Abstract
Background: Assessing why the spread of the COVID 19 virus slowed down
in many countries in March through to May of 2020 is of great significance.
The relative role of restrictions on behaviour (”lockdowns”) and of a natural
slowing for other reasons is difficult to asses when mass testing was not widely
done. This paper assesses the evolution of the spread of the COVID 19 virus
over this period when there was not data on test results for a large, random
sample of the population.
Method: We estimate a version of the SIR model applied to data on the
numbers who were tested positive in several countries over the period when
the virus spread very fast and then its spread slowed sharply. Up to the
end of April 2020 test data came from non random samples of populations
who were overwhelmingly those who displayed symptoms. Using data from
a period when the criteria used for testing (which was that people had clear
symptoms) was relatively consistent is important in drawing out the message
from test results. We use this data to assess two things: how large might
be the group of those infected who were not recorded; how effective were
lockdown measures in slowing the spread of the infection.
Results: We find that to match data on daily new cases of the virus, the
estimated model favours high values for the number of people infected but
not recorded.
Conclusions: Our findings suggest that the infection may have spread far
enough in many countries by April 2020 to have been a significant factor
behind the fall in measured new cases. Government restrictions on behaviour
- lockdowns - were only one factor behind slowing in the spread of the virus.
in many countries in March through to May of 2020 is of great significance.
The relative role of restrictions on behaviour (”lockdowns”) and of a natural
slowing for other reasons is difficult to asses when mass testing was not widely
done. This paper assesses the evolution of the spread of the COVID 19 virus
over this period when there was not data on test results for a large, random
sample of the population.
Method: We estimate a version of the SIR model applied to data on the
numbers who were tested positive in several countries over the period when
the virus spread very fast and then its spread slowed sharply. Up to the
end of April 2020 test data came from non random samples of populations
who were overwhelmingly those who displayed symptoms. Using data from
a period when the criteria used for testing (which was that people had clear
symptoms) was relatively consistent is important in drawing out the message
from test results. We use this data to assess two things: how large might
be the group of those infected who were not recorded; how effective were
lockdown measures in slowing the spread of the infection.
Results: We find that to match data on daily new cases of the virus, the
estimated model favours high values for the number of people infected but
not recorded.
Conclusions: Our findings suggest that the infection may have spread far
enough in many countries by April 2020 to have been a significant factor
behind the fall in measured new cases. Government restrictions on behaviour
- lockdowns - were only one factor behind slowing in the spread of the virus.
Date Issued
2020-05-11
Date Acceptance
2020-11-12
Citation
International Journal of Clinical Practice, 2020, 75 (4)
ISSN
1368-5031
Publisher
Wiley
Journal / Book Title
International Journal of Clinical Practice
Volume
75
Issue
4
Copyright Statement
© 2020 John Wiley & Sons Ltd
Subjects
General Clinical Medicine
1103 Clinical Sciences
1117 Public Health and Health Services
1701 Psychology
Publication Status
Published
Date Publish Online
2020-11-30