Studying the spatiotemporal distribution of SARS-CoV-2 infections among healthcare workers (HCWs) can aid in protecting them from exposure. Existing studies related to HCW infections have emphasized infection rates and protective measures. However, the spatiotemporal patterns and related external environmental factors of HCW infections remain unclear. To fill this gap, an open-source dataset of HCW diagnoses was provided, and the spatiotemporal distributions of SARS-CoV-2 infections among HCWs in Wuhan, China were explored. A geographical detector technique was then used to investigate the impacts of hospital level, type, distance from the infection source, and other external indicators of HCW infections. The results showed that the number of daily HCW infections over time in Wuhan followed a log-normal distribution, with and its mean observed on January 23, 2020 and a standard deviation of 10.8 days. The implementation of high-impact measures, such as the lockdown of the city, may have increased the probability of HCW infections in the short term, especially for HCWs in the outer ring of Wuhan. The infection of HCWs Wuhan exhibited clear spatial heterogeneity. The number of HCW infections was higher in the central city and lower in the outer city. Moreover, HCW infections displayed significant spatial autocorrelation and dependence. Factors analyses revealed that hospital level and type had an even greater impact on HCW infections; third-class and general hospitals closer to infection sources were correlated with especially high risks of infection. These findings can aid national epidemic prevention and control departments to understand the spatiotemporal distributions of viral transmission resulting in HCW infections, as well as external influencing factors, which can facilitate the protection of HCWs in China.
Studying the spatiotemporal differences in coronavirus disease (COVID-19) between social groups such as healthcare workers (HCWs) and patients can aid in formulating epidemic containment policies. Most previous studies of the spatiotemporal characteristics of COVID-19 were conducted in a single group and did not explore the differences between groups. To fill this research gap, this study assessed the spatiotemporal characteristics and differences among patients and HCWs infection in Wuhan, Hubei (excluding Wuhan), and China (excluding Hubei). The temporal difference was greater in Wuhan than …
Background: Wuhan, China was the epicenter of COVID-19 pandemic. The goal of current study is to understand the infection transmission dynamics before intervention measures were taken. Methods: Data and key events were searched through pubmed and internet. Epidemiological data were calculated using data extracted from a variety of data sources. Results: We established a timeline showing by January 1, 2020, Chinese authorities had been presented convincing evidence of human-to-human transmission; however, it was not until January 20, 2020 that this information was shared with the public. Our st…
There were 27 novel coronavirus pneumonia cases found in Wuhan, China in December 2019, named as 2019-nCoV temporarily and COVID-19 formally by WHO on 11 February, 2020. In December 2019 and January 2020, COVID-19 has spread in large scale among the population, which brought terrible disaster to the life and property of the Chinese people. In this paper, we will first analyze the feature and pattern of the virus transmission, and discuss the key impact factors and uncontrollable factors of epidemic transmission based on public data. Then the virus transmission can be modelled and used for the …
We estimate the reduction in transmission of SARS-CoV-2 achievable by surveillance testing of a susceptible population at different frequencies, comparing the cases of both the original Wuhan strain and the Delta variant. We estimate the viral dynamics using viral copy number at first detection combined with considerations arising from aerosol transmission. We take into account the recent findings that infected vaccinated adults may have live viral loads at the same level as infected unvaccinated adults. Our estimates suggest that twice weekly testing, which was adequate for the original strai…
An investigation on the correlation between the strong alcoholic drinking and SARS-Cov-2 uninfection rate is carried out. The investigation is done through a simple survey in China based on the social media software Weixin and the survey mini program Wenjuanxin, during 15:00 Jan.1, 2023 to 12:35 Jan.3, 2023. From the $211$ survey questionnaires collected, we find a significant positive correlation between the frequent (no less than three times a week) strong liquor (higher than $40\%$ alcoholic content in volume) drinking and the higher SARS-Cov-2 uninfection rate ($38.6\%$ compared to the val…
Originating in Wuhan, the novel coronavirus, severe acute respiratory syndrome 2 (SARS-CoV-2), has astonished health-care systems across globe due to its rapid and simultaneous spread to the neighboring and distantly located countries. To gain the systems level understanding of the role of global transmission routes in the COVID-19 spread, in this study, we have developed the first, empirical, global, index-case transmission network of SARS-CoV-2 termed as C19-TraNet. We manually curated the travel history of country wise index-cases using government press releases, their official social media…
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 (…
The goal of this study is to establish a general framework for predicting the so-called critical Turning Period in an infectious disease epidemic such as the COVID-19 outbreak in China early this year. This framework enabled a timely prediction of the turning period when applied to Wuhan COVID-19 epidemic and informed the relevant authority for taking appropriate and timely actions to control the epidemic. It is expected to provide insightful information on turning period for the world's current battle against the COVID-19 pandemic. The underlying mathematical model in our framework is the ind…
Viral transmission pathways have profound implications for public safety; it is thus imperative to establish a complete understanding of viable infectious avenues. Mounting evidence suggests SARS-CoV-2 can be transmitted via the air; however, this has not yet been demonstrated. Here we quantitatively analyze virion accumulation by accounting for aerosolized virion emission and destabilization. Reported superspreading events analyzed within this framework point towards aerosol mediated transmission of SARS-CoV-2. Virion exposure calculated for these events is found to trace out a single value, …
Since the onset of the COVID-19 outbreak in Wuhan, China, numerous forecasting models have been proposed to project the trajectory of coronavirus infection cases. We propose a new discrete-time Markov chain transition matrix model that directly incorporates stochastic behavior and for which parameter estimation is straightforward from available data. Using such data from China's Hubei province (for which Wuhan is the provincial capital city), the model is shown to be flexible, robust, and accurate. As a result, it has been adopted by the first Shanghai assistance medical team in Wuhan's Jinyin…
In this work we propose the design principles of a stochastic graph-based model for the simulation of SARS-CoV-2 transmission. The proposed approach incorporates three sub-models, namely, the spatial model, the mobility model, and the propagation model, in order to develop a realistic environment for the study of the properties exhibited by the spread of SARS-CoV-2. The spatial model converts images of real cities taken from Google Maps into undirected weighted graphs that capture the spatial arrangement of the streets utilized next for the mobility of individuals. The mobility model implement…
This article contains a series of analyses done for the SARS-CoV-2 outbreak in Rio Grande do Sul (RS) in the south of Brazil. These analyses are focused on the high-incidence cities such as the state capital Porto Alegre and at the state level. We provide methodological details and estimates for the effective reproduction number $R_t$, a joint analysis of the mobility data together with the estimated $R_t$ as well as ICU simulations and ICU LoS (length of stay) estimation for hospitalizations in Porto Alegre/RS.
We describe some properties of the evolution of the COVID-19 pandemic that reveal its behavior as a complex system. The propagation mechanism shows a Poincare section with fractal dimension 1 <D <2. The present period of apparent recovery shows a relaxation with non-extensive statistical properties.
Several European countries have suspended the inoculation of the AstraZeneca vaccine out of suspicion of causing deep vein thrombosis. In this letter we report some Fermi estimates performed using a stochastic model aimed at making a risk-benefit analysis of the interruption of the delivery of the AstraZeneca vaccine in France and Italy. Our results clearly show that excess deaths due to the interruption of the vaccination campaign injections largely overrun those due to thrombosis even in worst case scenarios of frequency and gravity of the vaccine side effects.
The novel coronavirus SARS-CoV-2 has rapidly emerged as a significant threat to global public health, in particular because -- as is not uncommon with novel pathogens -- there is no effective pharmaceutical treatment or prophylaxis to the viral syndrome it causes. In the absence of such specific treatment modalities, the mainstay of public health response rests on non-pharmaceutical interventions (NPIs), such as social distancing. This paper contributes to the understanding of social distancing against SARS-CoV-2 by quantitatively analysing the statistical dynamics of disease propagation as a …
Currently, many countries are considering the introduction of tracing software on mobile smartphones with the main purpose to inform and alarm the mobile app user. Here, we demonstrate that, in addition to alarming and informing, mobile tracing can detect nearly all users that are infected by SARS-CoV-2. Our algorithm BETIS (Bayesian Estimation for Tracing Infection States) makes use of self-reports of the user's health status. Then, BETIS guarantees that almost all SARS-CoV-2 infections of the group of users can be detected. Furthermore, BETIS estimates the virus prevalence in the whole popul…
This paper shows that the generalized logistic distribution model is derived from the well-known compartment model, consisting of susceptible, infected and recovered compartments, abbreviated as the SIR model, under certain conditions. In the SIR model, there are uncertainties in predicting the final values for the number of infected population and the infectious parameter. However, by utilizing the information obtained from the generalized logistic distribution model, we can perform the SIR numerical computation more stably and more accurately. Applications to severe acute respiratory syndrom…
