Our society is built on a complex web of interdependencies whose effects become manifest during extraordinary events such as the COVID-19 pandemic, with shocks in one system propagating to the others to an exceptional extent. We analyzed more than 100 millions Twitter messages posted worldwide in 64 languages during the epidemic emergency due to SARS-CoV-2 and classified the reliability of news diffused. We found that waves of unreliable and low-quality information anticipate the epidemic ones, exposing entire countries to irrational social behavior and serious threats for public health. When the epidemics hit the same area, reliable information is quickly inoculated, like antibodies, and the system shifts focus towards certified informational sources. Contrary to mainstream beliefs, we show that human response to falsehood exhibits early-warning signals that might be mitigated with adequate communication strategies.
A Comparative Analysis of the COVID-19 Infodemic in English and Chinese: Insights from Social Media Textual Data
College of Economics and Management, Beijing University of Technology(北京工业大学经济与管理学院);Guilin University of Electronic Technology(桂林电子科技大学);LAAS-CNRS, Université de Toulouse, CNRS(法国国家科学研究中心图卢兹大学LAAS实验室)
How information consumption affects behaviour is an open and widely debated research question. A popular hypothesis states that the so-called infodemic has a substantial impact on orienting individual decisions. A competing hypothesis stresses that exposure to vast amounts of even contradictory information has little effect on personal choices. The COVID-19 pandemic offered an opportunity to investigate this relationship, analysing the interplay between COVID-19 related information circulation and the propensity of users to get vaccinated. We analyse the vaccine infodemics on Twitter and Faceb…
We address the diffusion of information about the COVID-19 with a massive data analysis on Twitter, Instagram, YouTube, Reddit and Gab. We analyze engagement and interest in the COVID-19 topic and provide a differential assessment on the evolution of the discourse on a global scale for each platform and their users. We fit information spreading with epidemic models characterizing the basic reproduction numbers $R_0$ for each social media platform. Moreover, we characterize information spreading from questionable sources, finding different volumes of misinformation in each platform. However, in…
Many governments have managed to control their COVID-19 outbreak with a simple message: keep the effective '$R$ number' $R<1$ to prevent widespread contagion and flatten the curve. This raises the question whether a similar policy could control dangerous online 'infodemics' of information, misinformation and disinformation. Here we show, using multi-platform data from the COVID-19 infodemic, that its online spreading instead encompasses a different dynamical regime where communities and users within and across independent platforms, sporadically form temporary active links on similar timescale…
Information is key during a crisis such as the one produced by the current COVID-19 pandemic as it greatly shapes people opinion, behavior and their psychology. Infodemic of misinformation is an important secondary crisis associated to the pandemic. Infodemics can amplify the real negative consequences of the pandemic in different dimensions: social, economic and even sanitary. For instance, infodemics can lead to hatred between population groups that fragment the society influencing its response or result in negative habits that help the pandemic propagate. On the contrary, reliable and trust…
In response to the COVID-19 pandemic, National governments have applied lockdown restrictions to reduce the infection rate. We perform a massive analysis on near real-time Italian data provided by Facebook to investigate how lockdown strategies affect economic conditions of individuals and local governments. We model the change in mobility as an exogenous shock similar to a natural disaster. We identify two ways through which mobility restrictions affect Italian citizens. First, we find that the impact of lockdown is stronger in municipalities with higher fiscal capacity. Second, we find a seg…
The coronavirus disease 2019 (COVID-19) pandemic has quickly become a global public health crisis unseen in recent years. It is known that the structure of the human contact network plays an important role in the spread of transmissible diseases. In this work, we study a structure aware model of COVID-19 CGEM. This model becomes similar to the classical compartment-based models in epidemiology if we assume the contact network is a Erdos-Renyi (ER) graph, i.e. everyone comes into contact with everyone else with the same probability. In contrast, CGEM is more expressive and allows for plugging i…
Research on infodemics, i.e., the rapid spread of (mis)information related to a hazardous event, such as the COVID-19 pandemic, requires the integration of a multiplicity of scientific disciplines. The dynamics emerging from infodemics have the potential to generate complex behavioral patterns. In order to react appropriately, it is of ultimate importance for the fields of Business and Economics to understand the dynamics emerging from it. In the short run, dynamics might lead to an adaptation in household spending or to a shift in buying behavior towards online providers. In the long run, cha…
Initially emerged in the Chinese city Wuhan and subsequently spread almost worldwide causing a pandemic, the SARS-CoV-2 virus follows reasonably well the SIR (Susceptible-Infectious-Recovered) epidemic model on contact networks in the Chinese case. In this paper, we investigate the prediction accuracy of the SIR model on networks also for Italy. Specifically, the Italian regions are a metapopulation represented by network nodes and the network links are the interactions between those regions. Then, we modify the network-based SIR model in order to take into account the different lockdown measu…
COVID-19 epidemics in Japan and Tokyo were analyzed by a fundamental equation of the dynamic phase transition. As a result, the epidemic was found to be in good agreement with the random nucleation and linear growth model suggesting that the epidemic between March 13, 2020 and May 22, 2020 was simply rate-limited by the three constant-parameters: the initial susceptible, domain growth rate, and nucleation decay constant. This model provides a good predictor of the epidemic because it consists of one equation and the initial specific plot is linear.
A configuration model for epidemic spread, based on a scale-free network, is introduced. We obtain the analytical solutions describing both unstable and stable dynamics of the epidemic spreading, and demonstrate how these regimes can interchange during the epidemic. We apply the model to the COVID-19 case and demonstrate the predictive features of our model.
We study Susceptible-Exposed-Asymptomatic-Infectious-Recovered (SEAIR) epidemic spreading model of COVID-19. It captures two important characteristics of the infectiousness of COVID-19: delayed start and its appearance before onset of symptoms, or even with total absence of them. The model is theoretically analyzed in continuous-time compartmental version and discrete-time version on random regular graphs and complex networks. We show analytically that there are relationships between the epidemic thresholds and the equations for the susceptible populations at the endemic equilibrium in all thr…
In this paper, we investigate the distributed link removal strategy for networked meta-population epidemics. In particular, a deterministic networked susceptible-infected-recovered (SIR) model is considered to describe the epidemic evolving process. In order to curb the spread of epidemics, we present the spectrum-based optimization problem involving the Perron-Frobenius eigenvalue of the matrix constructed by the network topology and transition rates. A modified distributed link removal strategy is developed such that it can be applied to the SIR model with heterogeneous transition rates on w…
Coronavirus outbreak is one of the most challenging pandemics for the entire human population of the planet Earth. Techniques such as the isolation of infected persons and maintaining social distancing are the only preventive measures against the epidemic COVID-19. The actual estimation of the number of infected persons with limited data is an indeterminate problem faced by data scientists. There are a large number of techniques in the existing literature, including reproduction number, the case fatality rate, etc., for predicting the duration of an epidemic and infectious population. This pap…
We analyze an epidemic model on a network consisting of susceptible-infected-recovered equations at the nodes coupled by diffusion using a graph Laplacian. We introduce an epidemic criterion and examine different vaccination/containment strategies: we prove that it is most effective to vaccinate a node of highest degree. The model is also useful to evaluate deconfinement scenarios and prevent a so-called second wave. The model has few parameters enabling fitting to the data and the essential ingredient of importation of infected; these features are particularly important for the current COVID-…
Compartmental models are widely adopted to describe and predict the spreading of infectious diseases. The unknown parameters of such models need to be estimated from the data. Furthermore, when some of the model variables are not empirically accessible, as in the case of asymptomatic carriers of COVID-19, they have to be obtained as an outcome of the model. Here, we introduce a framework to quantify how the uncertainty in the data impacts the determination of the parameters and the evolution of the unmeasured variables of a given model. We illustrate how the method is able to characterize diff…
We study the perception of COVID-2019 epidemic in Polish society using quantitative analysis of its digital footprints on the Internet (on Twitter, Google, YouTube, Wikipedia and electronic media represented by Event Registry) from January 2020 to 12.03.2020 (before and after official introduction to Poland on 04.03.2020). To this end we utilize data mining, social network analysis, natural language processing techniques. Each examined internet platform was analyzed for representativeness and composition of the target group. We identified three temporal major cluster of the interest before dis…
The emergence of SARS-CoV-2 and the coronavirus infectious disease (COVID-19) has become a pandemic. Social (physical) distancing is a key non-pharmacologic control measure to reduce the transmission rate of SARS-COV-2, but high-level adherence is needed. Using daily travel distance and stay-at-home time derived from large-scale anonymous mobile phone location data provided by Descartes Labs and SafeGraph, we quantify the degree to which social distancing mandates have been followed in the U.S. and its effect on growth of COVID-19 cases. The correlation between the COVID-19 growth rate and tra…
Mexico, like the rest of the world, is currently facing the The COVID-19 pandemic. Given the size of its territory, the efforts to contain the disease have involved both national and regional measures. For this work, the curves of daily new cases of each municipality reported by the federal government were compared. We found that 114 municipalities form a large network of statistically dependent epidemic phenomena. Based on the network's modular structure, these 114 municipalities can be split into four distinct communities of coordinated epidemic phenomena. These clusters are not limited by g…
While COVID-19 is rapidly propagating around the globe, the need for providing real-time forecasts of the epidemics pushes fits of dynamical and statistical models to available data beyond their capabilities. Here we focus on statistical predictions of COVID-19 infections performed by fitting asymptotic distributions to actual data. By taking as a case-study the epidemic evolution of total COVID-19 infections in Chinese provinces and Italian regions, we find that predictions are characterized by large uncertainties at the early stages of the epidemic growth. Those uncertainties significantly r…
In this study, we analyze the effectiveness of measures aimed at finding and isolating infected individuals to contain epidemics like COVID-19, as the suppression induced over the effective reproduction number. We develop a mathematical model to compute the relative suppression of the effective reproduction number of an epidemic that such measures produce. This outcome is expressed as a function of a small set of parameters that describe the main features of the epidemic and summarize the effectiveness of the isolation measures. In particular, we focus on the impact when a fraction of the popu…
In a given country, the cumulative death toll of the first wave of the COVID-19 epidemic follows a sigmoid curve as a function of time. In most cases, the curve is well described by the Gompertz function, which is characterized by two essential parameters, the initial growth rate and the decay rate as the first epidemic wave subsides. These parameters are determined by socioeconomic factors and the countermeasures to halt the epidemic. The Gompertz model implies that the total death toll depends exponentially, and hence very sensitively, on the ratio between these rates. The remarkably differe…
In December 2019, COVID-19 were detected in Wuhan City, Hubei Province of China. SARS-CoV-2 rapidly spread to the whole Chinese mainland with the people during the Chinese Spring Festival Travel Rush. As of 19 February 2020, 74576 confirmed cases of COVID-19 had been reported in Chinese Mainland. What kind of cities have more confirmed cases, and is there any relationship between GDP and confirmed cases? In this study, we explored the relationship between the confirmed cases of COVID-19 and GDP at the prefectural-level, found a positive correlation between them. This finding warns high GDP are…
While large scale mobility data has become a popular tool to monitor the mobility patterns during the COVID-19 pandemic, the impacts of non-compulsory measures in Tokyo, Japan on human mobility patterns has been under-studied. Here, we analyze the temporal changes in human mobility behavior, social contact rates, and their correlations with the transmissibility of COVID-19, using mobility data collected from more than 200K anonymized mobile phone users in Tokyo. The analysis concludes that by April 15th (1 week into state of emergency), human mobility behavior decreased by around 50%, resultin…
We portray the evolution of the Covid-19 epidemic during the crisis of March-April 2020 in the Paris area, by analyzing the medical emergency calls received by the EMS of the four central departments of this area (Centre 15 of SAMU 75, 92, 93 and 94). Our study reveals strong dissimilarities between these departments. We show that the logarithm of each epidemic observable can be approximated by a piecewise linear function of time. This allows us to distinguish the different phases of the epidemic, and to identify the delay between sanitary measures and their influence on the load of EMS. This …
While understanding of periodic recurrent waves of Covid-19 epidemics would aid to combat the pandemics, quantitative analysis of data over a two years period from the outbreak, is lacking. The complexity of Covid-19 recurrent waves is related with the concurrent role of i) the containment measures enforced to mitigate the epidemics spreading ii) the rate of viral gene mutations, and iii) the variable immune response of the host implemented by vaccination. This work focuses on the effect of massive vaccination and gene variants on the recurrent waves in a representative case of countries enfor…
Calibration of a SIR (Susceptibles-Infected-Recovered) model with official international data for the COVID-19 pandemics provides a good example of the difficulties inherent the solution of inverse problems. Inverse modeling is set up in a framework of discrete inverse problems, which explicitly considers the role and the relevance of data. Together with a physical vision of the model, the present work addresses numerically the issue of parameters calibration in SIR models, it discusses the uncertainties in the data provided by international authorities, how they influence the reliability of c…
On the base of logic discrete equations system mathematical modeling of COVID-19 epidemic spread was carried out in the world and in the countries with the largest number of infected people such as the USA, Brasil, Russia and India in the first half of 2020. It was shown that for the countries with strong restrictive measures the spread of COVID-19 fit on a single wave with small capacity as for a number of countries with violation of restrictive measures the spread of the epidemic fit on a waves superposition. For countries with large population mixing, the spread of the epidemic today also f…
In this paper we develop a predictive model for the spread of COVID-19 infection at a provincial (i.e. EU NUTS-3) level in Italy by using official data from the Italian Ministry of Health integrated with data extracted from daily official press conferences of regional authorities and from local newspaper websites. This integration is mainly concerned with COVID-19 cause specific death data which are not available at NUTS-3 level from open official data data channels. An adjusted time-dependent SIRD model is used to predict the behavior of the epidemic, specifically the number of susceptible, i…
The ongoing Coronavirus Disease 2019 (COVID-19) pandemic threatens the health of humans and causes great economic losses. Predictive modelling and forecasting the epidemic trends are essential for developing countermeasures to mitigate this pandemic. We develop a network model, where each node represents an individual and the edges represent contacts between individuals where the infection can spread. The individuals are classified based on the number of contacts they have each day (their node degrees) and their infection status. The transmission network model was respectively fitted to the re…
The Dynamical Survival Analysis (DSA) is a framework for modeling epidemics based on mean field dynamics applied to individual (agent) level history of infection and recovery. Recently, DSA has been shown to be an effective tool in analyzing complex non-Markovian epidemic processes that are otherwise difficult to handle using standard methods. One of the advantages of DSA is its representation of typical epidemic data in a simple although not explicit form that involves solutions of certain differential equations. In this work we describe how a complex non-Markovian DSA model may be applied to…
COVID-19 will be a continuous threat to human population despite having a few vaccines at hand until we reach the endemic state through natural herd immunity and total immunization through universal vaccination. However, the vaccine acts as a practical tool for reducing the massive public health problem and the emerging economic consequences that the continuing COVID -19 epidemic is causing worldwide, while the vaccine efficacy wanes. In this work, we propose and analyze an epidemic model of Susceptible-Exposed-Infected-Recovered-Vaccinated (SEIRV) population taking into account the rate of va…
We demonstrate that the epidemic renormalisation group approach to pandemics provides an effective and simple way to investigate the dynamics of disease transmission and spreading across different regions of the world. The framework also allows for reliable projections on the impact of travel limitations and social distancing measures on global epidemic spread. We test and calibrate it on reported cases while unveiling the mechanism that governs the delay in the relative peaks of newly infected cases among different regions of the globe. We discover that social distancing measures are more eff…
We propose an SEIR-type meta-population model to simulate and monitor the Covid-19 epidemic evolution. The basic model consists of seven compartments, namely susceptible (S), exposed (E), three infective classes, recovered (R), and deceased (D). We define these compartments for n age and gender groups in m different spatial locations. So, the resulting model has, for each age group, gender, and place, all epidemiological classes. The mixing between them is accomplished by means of time-dependent infection rate matrices. The model is calibrated with the curve of daily new infections in New York…
We investigate patterns of COVID-19 mortality across 20 Italian regions and their association with mobility, positivity, and socio-demographic, infrastructural and environmental covariates. Notwithstanding limitations in accuracy and resolution of the data available from public sources, we pinpoint significant trends exploiting information in curves and shapes with Functional Data Analysis techniques. These depict two starkly different epidemics; an "exponential" one unfolding in Lombardia and the worst hit areas of the north, and a milder, "flat(tened)" one in the rest of the country -- inclu…
We develop a minimalist compartmental model to study the impact of mobility restrictions in Italy during the Covid-19 outbreak. We show that an early lockdown shifts the epidemic in time, while that beyond a critical value of the lockdown strength, the epidemic tend to restart after lifting the restrictions. As a consequence, specific mitigation strategies must be introduced. We characterize the relative importance of different broad strategies by accounting for two fundamental sources of heterogeneity, i.e. geography and demography. First, we consider Italian regions as separate administrativ…
We give some numerical observations on the total number of infected by the SARS-CoV-2 in Italy. The analysis is based on a tanh formula involving two parameters. A polynomial correlation between the parameters gives an upper bound for the time of the peak of new infected. A numerical indicator of the temporal variability of the upper bound is introduced. The result and the possibility to extend the analysis to other countries are discussed in the conclusions.
A pandemic caused by a new coronavirus has spread worldwide, affecting Argentina. We implement an SEIR model to analyze the disease evolution in Buenos Aires and neighbouring cities. The model parameters are calibrated using the number of casualties officially reported. Since infinite solutions honour the data, we show different cases. In all of them the reproduction ratio $R_0$ decreases after early lockdown, but then raises, probably due to an increase in contagion in highly populated slums. Therefore it is mandatory to reverse this growing trend in $R_0$ by applying control strategies to av…
This paper deals with the problem of estimating variables in nonlinear models for the spread of disease and its application to the COVID-19 epidemic. First unconstrained methods are revisited and they are shown to correspond to the application of a linear filter followed by a nonlinear estimate of the effective reproduction number after a change-of-coordinates. Unconstrained methods often fail to keep the estimated variables within their physical range and can lead to unreliable estimates that require aggressively smoothing the raw data. In order to overcome these shortcomings a constrained es…
We consider the control of the COVID-19 pandemic through a standard SIR compartmental model. This control is induced by the aggregation of individuals' decisions to limit their social interactions: when the epidemic is ongoing, an individual can diminish his/her contact rate in order to avoid getting infected, but this effort comes at a social cost. If each individual lowers his/her contact rate, the epidemic vanishes faster, but the effort cost may be high. A Mean Field Nash equilibrium at the population level is formed, resulting in a lower effective transmission rate of the virus. We prove …
Objective: The novel coronavirus COVID-19 outbreak rapidly evolved into pandemic. Global research efforts focus on this topic and with the collaboration of the scientific journals publication industry produced more than 16,000 related published articles in PubMed within five months from the onset of the outbreak. Herein, a comparison of the COVID-19 citations in PubMed and Web of Science was performed with SARS-CoV, MERS-CoV, Ebola, Zika, avian and swine influenza epidemics. Methods: The citations were searched and collected using the disease terms and the date of publication restriction. The …
A novel yet simple extension of the symmetric logistic distribution is proposed by introducing a skewness parameter. It is shown how the three parameters of the ensuing skew logistic distribution may be estimated using maximum likelihood. The skew logistic distribution is then extended to the skew bi-logistic distribution to allow the modelling of multiple waves in epidemic time series data. The proposed skew-logistic model is validated on COVID-19 data from the UK, and is evaluated for goodness-of-fit against the logistic and normal distributions using the recently formulated empirical surviv…
In the wake of the 2020 COVID-19 epidemic, much work has been performed on the development of mathematical models for the simulation of the epidemic, and of disease models generally. Most works follow the susceptible-infected-removed (SIR) compartmental framework, modeling the epidemic with a system of ordinary differential equations. Alternative formulations using a partial differential equation (PDE) to incorporate both spatial and temporal resolution have also been introduced, with their numerical results showing potentially powerful descriptive and predictive capacity. In the present work,…
It is well recognized that population heterogeneity plays an important role in the spread of epidemics. While individual variations in social activity are often assumed to be persistent, i.e. constant in time, here we discuss the consequences of dynamic heterogeneity. By integrating the stochastic dynamics of social activity into traditional epidemiological models we demonstrate the emergence of a new long timescale governing the epidemic in broad agreement with empirical data. Our model captures multiple features of real-life epidemics such as COVID-19, including prolonged plateaus and multip…
Over a year after the start of the COVID-19 epidemics, we are still facing the virus and it is hard to correctly predict its future spread over weeks to come, as well as the impacts of potential political interventions. Current epidemic models mainly fall in two approaches: compartmental models, divide the population in epidemiological classes and rely on the mathematical resolution of differential equations to give a macroscopic view of the epidemical dynamics, allowing to evaluate its spread a posteriori; agent-based models are computer models that give a microscopic view of the situation, s…
Instituto Federal do Norte de Minas Gerais (IFNMG)(北米纳斯吉拉斯联邦学院);Federal University of Minas Gerais(米纳斯吉拉斯联邦大学);Universidade Federal de Minas Gerais(米纳斯吉拉斯联邦大学);Universidade Federal de Ouro Preto(奥罗普雷托联邦大学)
The COVID-19 pandemic due to the SARS-CoV-2 coronavirus has directly impacted the public health and economy worldwide. To overcome this problem, countries have adopted different policies and non-pharmaceutical interventions for controlling the spread of the virus. This paper proposes the COVID-ABS, a new SEIR (Susceptible-Exposed-Infected-Recovered) agent-based model that aims to simulate the pandemic dynamics using a society of agents emulating people, business and government. Seven different scenarios of social distancing interventions were analyzed, with varying epidemiological and economic…
The reproductive number R_0 (and its value after initial disease emergence R) has long been used to predict the likelihood of pathogen invasion, to gauge the potential severity of an epidemic, and to set policy around interventions. However, often ignored complexities have generated confusion around use of the metric. This is particularly apparent with the emergent pandemic virus SARS-CoV-2, the causative agent of COVID-19. We address some of these misconceptions, namely, how R changes over time, varies over space, and relates to epidemic size by referencing the mathematical definition of R an…
The 2019 Novel Corona virus infection (COVID 19) is an ongoing public health emergency of international focus. Significant gaps persist in our knowledge of COVID 19 epidemiology, transmission dynamics, investigation tools and management, despite (or possibly because of) the fact that the outbreak is an unprecedented global threat. On the positive side, enough is currently known about the epidemic process to permit the construction of mathematical predictive models. In our work, we adapt a traditional SEIR epidemic model to the specific dynamic compartments and epidemic parameters of COVID 19, …
Norden E. Huang, Fangli Qiao and Ka Kit Tung presented a data-driven model for the COVID-19 epidemic in which the relevant functions depend on a set of seven parameters obtained from a statistical analysis of the available data. These parameters are not independent, they are linked through a set of relations the authors call Main Results which are validated by a statistical analysis of the data. The parameters in questions and the relations between them are not always explicitated by the authors. By given them here their (simple) mathematical formulations all the relevant functions describing …
We propose a novel data-driven framework for assessing the a-priori epidemic risk of a geographical area and for identifying high-risk areas within a country. Our risk index is evaluated as a function of three different components: the hazard of the disease, the exposure of the area and the vulnerability of its inhabitants. As an application, we discuss the case of COVID-19 outbreak in Italy. We characterize each of the twenty Italian regions by using available historical data on air pollution, human mobility, winter temperature, housing concentration, health care density, population size and …
The Covid-19 pandemic is ongoing worldwide, and the damage it has caused is unprecedented. For prevention, South Korea has adopted a local quarantine strategy rather than a global lockdown. This approach not only minimizes economic damage, but it also efficiently prevents the spread of the disease. In this work, the spread of COVID-19 under local quarantine measures is modeled using the Susceptible-Exposed-Infected-Recovered model on complex networks. In this network approach, the links connected to isolated people are disconnected and then reinstated when they are released. This link dynamics…
In 2020, the COVID-19 pandemic spreads all over the world. In order to alleviate the spread of the epidemic, various blockade policies have been implemented in many areas. In order to formulate a better epidemic prevention policy for urban energy consumption of the commercial tourism cities, this paper first analyses the energy characteristics of Macao during the epidemic period from two aspects, based on the energy consumption data of Macao. On this basis, the power consumption characteristics of commercial tourism cities during the epidemic were analyzed. Then, this paper provides analysis o…
The COVID-19 pandemic started in Wuhan, China, and caused the worldwide spread of the RNA virus SARS-CoV-2, the causative agent of COVID-19. Because of its mutational rate, wide geographical distribution, and host response variance this coronavirus is currently evolving into an array of strains with increasing genetic diversity. Most variants apparently have neutral effects for disease spread and symptoms severity. However, in the viral Spike protein, which is responsible for host cell attachment and invasion, an emergent variant, containing the amino acid substitution D to G in position 614 (…
Bayesian analysis of publicly available time series of cases and fatalities in different geographical regions of India during April 2020 is reported. It is found that the initial apparent rapid growthin infections could be partly due to confounding factors such as initial rapid ramp-up of disease surveillance. A brief discussion is given of the fallacies which arise if this possibility is neglected. The growth after April 10 is consistent with a time independent but region dependent exponential. From this, R0 is extracted using both known cases and fatalities. The two estimates are seen to agr…