The Dynamic Effective Reproductive Number of COVID-19 during the Epidemic in Iran.

Amin Doosti-Irani, Saiedeh Haji-Maghsoudi, Aliakbar Haghdoost, Sana Eybpoosh, Ehsan Mostafavi, Manoochehr Karami, Hossein Mahjub
Author Information
  1. Amin Doosti-Irani: Department of Epidemiology, School of Public Health, Hamadan University of Medical Sciences, Research Center for Health Sciences, Hamadan Iran.
  2. Saiedeh Haji-Maghsoudi: Department of Epidemiology and Biostatistics, School of Public Health, Kerman University of Medical Sciences, Kerman, Iran.
  3. Aliakbar Haghdoost: Department of Epidemiology and Biostatistics, School of Public Health, HIV/STI Surveillance Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.
  4. Sana Eybpoosh: Research Centre for Emerging and Reemerging Infectious Diseases, Pasteur Institute of Iran, Tehran, Iran.
  5. Ehsan Mostafavi: Research Centre for Emerging and Reemerging Infectious Diseases, Pasteur Institute of Iran, Tehran, Iran.
  6. Manoochehr Karami: Department of Epidemiology, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
  7. Hossein Mahjub: Department of Biostatistics, School of Public Health, Research Center for Health Sciences, Hamadan University of Medical Sciences, Hamadan, Iran.

Abstract

Background: We aimed to determine the generation time, the best model for estimating reproduction number (R), and to estimate the basic reproduction number (R) and effective reproduction number (R) for COVID-19 in Iran.
Methods: We used the daily incidence cases of COVID-19, hospitalized due to a probable diagnosis of COVID-19 from 19 February 2020 to 17 November 2020 in Iran. Four models, including maximum likelihood (ML), exponential growth (EG), time-dependent (TD), sequential Bayesian (SB) were evaluated. The weekly reproduction number with a 95% confidence interval (CI) was calculated.
Results: TD model shows the best fit compared to other models for estimating reproduction number in Iran. The R in Iran in the first week of the epidemic, leading up to 21 February 2020 was 7.19, 95% CI: 5.56, 9.00. The lowest value for the R was equal to 0.77 between 3 to 10 March 2020 and 4 to 11 December 2020. From 11 June 2020 up to13 August 2020, the R was more than one but after then to 24 September 2021 was less than one.
Conclusion: TD model was the best fit for estimating the R in Iran. The worst situation of the epidemic in Iran was related to the weeks leading up to 26 February 2020 and 28 October 2020, and better status was related to the weeks leading up to 10 March 2020 and 11 December 2020.

Keywords

References

  1. Int J Infect Dis. 2020 Apr;93:201-204 [PMID: 32097725]
  2. Am J Epidemiol. 2004 Sep 15;160(6):509-16 [PMID: 15353409]
  3. Science. 2021 Apr 9;372(6538): [PMID: 33658326]
  4. J Travel Med. 2020 Mar 13;27(2): [PMID: 32052846]
  5. Zhonghua Liu Xing Bing Xue Za Zhi. 2020 Apr 10;41(4):476-479 [PMID: 32125128]
  6. Sci Total Environ. 2021 Jan 10;751:141663 [PMID: 32866831]
  7. New Microbes New Infect. 2020 Jul;36:100715 [PMID: 32566233]
  8. Int J Hyg Environ Health. 2020 Jul;228:113555 [PMID: 32460229]
  9. Glob Epidemiol. 2020 Nov;2:100035 [PMID: 33015615]
  10. Int J Infect Dis. 2020 Apr;93:284-286 [PMID: 32145466]
  11. Influenza Other Respir Viruses. 2009 Nov;3(6):267-76 [PMID: 19903209]
  12. BMC Med Inform Decis Mak. 2012 Dec 18;12:147 [PMID: 23249562]
  13. J Res Health Sci. 2020 Oct 04;20(3):e00491 [PMID: 33169723]
  14. J Med Virol. 2021 Feb;93(2):820-830 [PMID: 32691881]

Word Cloud

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