Undetected infectives in the Covid-19 pandemic.

Autor: Melis M; AART (Association for the Advancement of Research on Transplantation), Cagliari, Italy. Electronic address: maurizio.melis@gmail.com., Littera R; Complex Structure of Medical Genetics, R. Binaghi Hospital, ASSL Cagliari, ATS Sardegna, Italy. Electronic address: roby.litter@gmail.com.
Jazyk: angličtina
Zdroj: International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases [Int J Infect Dis] 2021 Mar; Vol. 104, pp. 262-268. Date of Electronic Publication: 2021 Jan 09.
DOI: 10.1016/j.ijid.2021.01.010
Abstrakt: Objectives: Epidemiological investigations and mathematical models have revealed that the rapid diffusion of Covid-19 can mostly be attributed to undetected infective individuals who continue to circulate and spread the disease: finding their number would be of great importance in the control of the epidemic.
Methods: The dynamics of an infection can be described by the SIR model, which divides the population into susceptible (S), infective I, and removed R subjects. In particular, we exploited the Kermack-McKendrick epidemic model, which can be applied when the population is much larger than the fraction of infected subjects.
Results: We proved that the fraction of undetected infectives, compared to the total number of infected subjects, is given by 1-1R 0 , where R 0 is the basic reproduction number. The mean value R 0 =2.102.09-2.11 for the Covid-19 epidemic in three Italian regions yielded a percentage of undetected infectives of 52.4% (52.2%-52.6%) compared to the total number of infectives.
Conclusions: Our results, straightforwardly obtained from the SIR model, highlight the role of undetected carriers in the transmission and spread of the SARS-CoV-2 infection. Such evidence strongly recommends careful monitoring of the infective population and ongoing adjustment of preventive measures for disease control until a vaccine becomes available for most of the population.
(Copyright © 2021 The Authors. Published by Elsevier Ltd.. All rights reserved.)
Databáze: MEDLINE