Reconciling early-outbreak estimates of the basic reproductive number and its uncertainty: framework and applications to the novel coronavirus (SARS-CoV-2) outbreak

J R Soc Interface. 2020 Jul;17(168):20200144. doi: 10.1098/rsif.2020.0144. Epub 2020 Jul 22.

Abstract

A novel coronavirus (SARS-CoV-2) emerged as a global threat in December 2019. As the epidemic progresses, disease modellers continue to focus on estimating the basic reproductive number [Formula: see text]-the average number of secondary cases caused by a primary case in an otherwise susceptible population. The modelling approaches and resulting estimates of [Formula: see text] during the beginning of the outbreak vary widely, despite relying on similar data sources. Here, we present a statistical framework for comparing and combining different estimates of [Formula: see text] across a wide range of models by decomposing the basic reproductive number into three key quantities: the exponential growth rate, the mean generation interval and the generation-interval dispersion. We apply our framework to early estimates of [Formula: see text] for the SARS-CoV-2 outbreak, showing that many [Formula: see text] estimates are overly confident. Our results emphasize the importance of propagating uncertainties in all components of [Formula: see text], including the shape of the generation-interval distribution, in efforts to estimate [Formula: see text] at the outset of an epidemic.

Keywords: Bayesian multilevel model; COVID-19; SARS-CoV-2; basic reproductive number; generation interval; novel coronavirus.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Basic Reproduction Number* / statistics & numerical data
  • Bayes Theorem
  • Betacoronavirus*
  • COVID-19
  • China / epidemiology
  • Coronavirus Infections / epidemiology*
  • Coronavirus Infections / transmission*
  • Disease Outbreaks* / statistics & numerical data
  • Epidemics / statistics & numerical data
  • Humans
  • Markov Chains
  • Models, Biological*
  • Monte Carlo Method
  • Pandemics
  • Pneumonia, Viral / epidemiology*
  • Pneumonia, Viral / transmission*
  • Probability
  • SARS-CoV-2
  • Uncertainty

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