SARS-CoV-2 incidence monitoring and statistical estimation of the basic and time-varying reproduction number at the early onset of the pandemic in 45 sub-Saharan African countries.

COVID-19, Infectious disease, Basic reproduction number, Sub-Saharan Africa Transmission

Journal

BMC public health
ISSN: 1471-2458
Titre abrégé: BMC Public Health
Pays: England
ID NLM: 100968562

Informations de publication

Date de publication:
26 Feb 2024
Historique:
received: 05 11 2023
accepted: 22 02 2024
medline: 27 2 2024
pubmed: 27 2 2024
entrez: 26 2 2024
Statut: epublish

Résumé

The world battled to defeat a novel coronavirus 2019 (SARS-CoV-2 or COVID-19), a respiratory illness that is transmitted from person to person through contacts with droplets from infected persons. Despite efforts to disseminate preventable messages and adoption of mitigation strategies by governments and the World Health Organization (WHO), transmission spread globally. An accurate assessment of the transmissibility of the coronavirus remained a public health priority for many countries across the world to fight this pandemic, especially at the early onset. In this paper, we estimated the transmission potential of COVID-19 across 45 countries in sub-Saharan Africa using three approaches, namely, [Formula: see text] based on (i) an exponential growth model (ii) maximum likelihood (ML) estimation and (iii) a time-varying basic reproduction number at the early onset of the pandemic. Using data from March 14, 2020, to May 10, 2020, sub-Saharan African countries were still grappling with COVID-19 at that point in the pandemic. The region's basic reproduction number ([Formula: see text]) was 1.89 (95% CI: 1.767 to 2.026) using the growth model and 1.513 (95% CI: 1.491 to 1.535) with the maximum likelihood method, indicating that, on average, infected individuals transmitted the virus to less than two secondary persons. Several countries, including Sudan ([Formula: see text]: 2.03), Ghana ([Formula: see text]: 1.87), and Somalia ([Formula: see text]: 1.85), exhibited high transmission rates. These findings highlighted the need for continued vigilance and the implementation of effective control measures to combat the pandemic in the region. It is anticipated that the findings in this study would not only function as a historical record of reproduction numbers during the COVID-19 pandemic in African countries, but can serve as a blueprint for addressing future pandemics of a similar nature.

Identifiants

pubmed: 38409118
doi: 10.1186/s12889-024-18184-8
pii: 10.1186/s12889-024-18184-8
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

612

Informations de copyright

© 2024. The Author(s).

Références

Anjorin AA. The coronavirus disease 2019 (COVID-19) pandemic: a review and an update on cases in Africa. Asian Pac J Trop Med. 2020;13(5):199–203.
doi: 10.4103/1995-7645.281612
Organization WH. COVID-19 Public Health Emergency of International Concern (PHEIC) Global research and innovation forum. 2023. https://www.who.int/publications/m/item/covid-19-public-health-emergency-of-international-concern-(pheic)-global-research-and-innovation-forum . Accessed 15 Mar 2020.
Organization WH. WHO Coronavirus (COVID-19) Dashboard. 2023. https://covid19.who.int/?mapFilter=cases . Accessed 4 Oct 2023.
Mehtar S, Preiser W, Lakhe NA, Bousso A, TamFum JJM, Kallay O, et al. Limiting the spread of COVID-19 in Africa: one size mitigation strategies do not fit all countries. Lancet Glob Health. 2020;8(7):e881–3.
doi: 10.1016/S2214-109X(20)30212-6 pubmed: 32530422 pmcid: 7195296
Nkengasong JN, Mankoula W. Looming threat of COVID-19 infection in Africa: act collectively, and fast. Lancet. 2020;395(10227):841–2.
doi: 10.1016/S0140-6736(20)30464-5 pubmed: 32113508 pmcid: 7124371
Ma J. Estimating epidemic exponential growth rate and basic reproduction number. Infect Dis Model. 2020;5:129–41.
pubmed: 31956741 pmcid: 6962332
Zhang S, Diao M, Yu W, Pei L, Lin Z, Chen D. Estimation of the reproductive number of novel coronavirus (COVID-19) and the probable outbreak size on the Diamond Princess cruise ship: A data-driven analysis. Int J Infect Dis. 2020;93:201–4.
doi: 10.1016/j.ijid.2020.02.033 pubmed: 32097725 pmcid: 7110591
Van den Driessche P. Reproduction numbers of infectious disease models. Infect Dis Model. 2017;2(3):288–303.
pubmed: 29928743 pmcid: 6002118
Linka K, Peirlinck M, Kuhl E. The reproduction number of COVID-19 and its correlation with public health interventions. Comput Mech. 2020;66:1035–50.
doi: 10.1007/s00466-020-01880-8 pubmed: 32836597 pmcid: 7385940
Chowdhury R, Heng K, Shawon MSR, Goh G, Okonofua D, Ochoa-Rosales C, et al. Dynamic interventions to control COVID-19 pandemic: a multivariate prediction modelling study comparing 16 worldwide countries. Eur J Epidemiol. 2020;35:389–99.
doi: 10.1007/s10654-020-00649-w pubmed: 32430840 pmcid: 7237242
Hens N, Shkedy Z, Aerts M, Faes C, Van Damme P, Beutels P. Modeling infectious disease parameters based on serological and social contact data: a modern statistical perspective, vol. 63. Springer Science & Business Media; 2012.
Alimohamadi Y, Taghdir M, Sepandi M. Estimate of the basic reproduction number for COVID-19: a systematic review and meta-analysis. J Prev Med Public Health. 2020;53(3):151.
doi: 10.3961/jpmph.20.076 pubmed: 32498136 pmcid: 7280807
Liu Y, Gayle AA, Wilder-Smith A, Rocklöv J. The reproductive number of COVID-19 is higher compared to SARS coronavirus. J Travel Med. 2020.
Zhao S, Musa SS, Lin Q, Ran J, Yang G, Wang W, et al. Estimating the unreported number of novel coronavirus (2019-nCoV) cases in China in the first half of January 2020: a data-driven modelling analysis of the early outbreak. J Clin Med. 2020;9(2):388.
doi: 10.3390/jcm9020388 pubmed: 32024089 pmcid: 7074332
Shim E, Tariq A, Choi W, Lee Y, Chowell G. Transmission potential and severity of COVID-19 in South Korea. Int J Infect Dis. 2020;93:339–44.
doi: 10.1016/j.ijid.2020.03.031 pubmed: 32198088 pmcid: 7118661
Dong E, Du H, Gardner L. An interactive web-based dashboard to track COVID-19 in real time. Lancet Infect Dis. 2020;20(5):533–4.
doi: 10.1016/S1473-3099(20)30120-1 pubmed: 32087114 pmcid: 7159018
Nishiura H. Correcting the actual reproduction number: a simple method to estimate R 0 from early epidemic growth data. Int J Environ Res Public Health. 2010;7(1):291–302.
doi: 10.3390/ijerph7010291 pubmed: 20195446 pmcid: 2819789
Wallinga J, Lipsitch M. How generation intervals shape the relationship between growth rates and reproductive numbers. Proc R Soc B Biol Sci. 2007;274(1609):599–604.
doi: 10.1098/rspb.2006.3754
Forsberg White L, Pagano M. A likelihood-based method for real-time estimation of the serial interval and reproductive number of an epidemic. Stat Med. 2008;27(16):2999–3016.
doi: 10.1002/sim.3136 pubmed: 18058829 pmcid: 3951165
Cori A, Ferguson NM, Fraser C, Cauchemez S. A new framework and software to estimate time-varying reproduction numbers during epidemics. Am J Epidemiol. 2013;178(9):1505–12.
doi: 10.1093/aje/kwt133 pubmed: 24043437
Fraser C, Cummings DA, Klinkenberg D, Burke DS, Ferguson NM. Influenza transmission in households during the 1918 pandemic. Am J Epidemiol. 2011;174(5):505–14.
doi: 10.1093/aje/kwr122 pubmed: 21749971 pmcid: 3695637
Li Q, Guan X, Wu P, Wang X, Zhou L, Tong Y, et al. Early transmission dynamics in Wuhan, China, of novel coronavirus-infected pneumonia. N Engl J Med. 2020;382(13):1199–207.
doi: 10.1056/NEJMoa2001316 pubmed: 31995857 pmcid: 7121484
Han Q, Bragazzi N, Asgary A, Orbinski J, Wu J, Kong JD. Estimation of epidemiological parameters and ascertainment rate from early transmission of COVID-19 across Africa. R Soc Open Sci. 2023;10(9):230316.
doi: 10.1098/rsos.230316 pubmed: 37736525 pmcid: 10509578
Oshinubi K, Rachdi M, Demongeot J. Analysis of reproduction number R0 of COVID-19 using current health expenditure as gross domestic product percentage (CHE/GDP) across countries. In: Healthcare, vol. 9. MDPI; 2021. p. 1247.
Demongeot J, Oshinubi K, Rachdi M, Seligmann H, Thuderoz F, Waku J. Estimation of daily reproduction numbers during the COVID-19 outbreak. Computation. 2021;9(10):109.
doi: 10.3390/computation9100109
Ofori SK, Schwind JS, Sullivan KL, Cowling BJ, Chowell G, Fung ICH. Transmission dynamics of COVID-19 in Ghana and the impact of public health interventions. Am J Trop Med Hyg. 2022;107(1):175.
doi: 10.4269/ajtmh.21-0718 pubmed: 35605636 pmcid: 9294683
Youdom SW, Tonnang HE, Choukem SP. Modelling and projections of the COVID-19 epidemic and the potential impact of social distancing in Cameroon. J Public Health Afr. 2021;12(2).
Adekunle AI, Adegboye O, Gayawan E, McBryde E. Is Nigeria really on top of COVID-19? Message from effective reproduction number. Epidemiol Infect. 2020;148:e166.
doi: 10.1017/S0950268820001740 pubmed: 32753078
Jacobs ED, Okeke MI. A critical evaluation of Nigeria’s response to the first wave of COVID-19. Bull National Res Cent. 2022;46(1):44.

Auteurs

Michael Safo Oduro (MS)

Pfizer Research & Development, PSSM Data Sciences, Pfizer, Inc, Groton, CT, USA. michaelsafooduro@gmail.com.
Department of Applied Statistics and Research Methods, University of Northern Colorado, Greeley, Colorado, USA. michaelsafooduro@gmail.com.

Seth Arhin-Donkor (S)

Market Finance Analysis - Sr - Prd - Regional, Humana Inc., Louisville, Kentucky, USA.

Louis Asiedu (L)

Department of Statistics and Actuarial Sciences, University of Ghana, Accra, Ghana.

Damazo T Kadengye (DT)

Data Synergy and Evaluation, African Population and Health Research Center, Manga Close, Nairobi, Kenya.
Department of Economics and Statistics, Kabale University, Kabale, Uganda.

Samuel Iddi (S)

Department of Statistics and Actuarial Sciences, University of Ghana, Accra, Ghana.
Data Synergy and Evaluation, African Population and Health Research Center, Manga Close, Nairobi, Kenya.

Classifications MeSH