Department of Surgical Oncology,Sir Run Run Shaw Hospital,Zhejiang University School of Medicine,Hangzhou 310016,China.
Zhejiang Da Xue Xue Bao Yi Xue Ban. 2021 Feb 25;50(1):61-67. doi: 10.3724/zdxbyxb-2021-0021.
This study aimed to quantitatively assess the effectiveness of the Wuhan lockdown measure on controlling the spread of coronavirus diesase 2019 (COVID-19). : Firstly,estimate the daily new infection rate in Wuhan before January 23,2020 when the city went into lockdown by consulting the data of Wuhan population mobility and the number of cases imported from Wuhan in 217 cities of Mainland China. Then estimate what the daily new infection rate would have been in Wuhan from January 24 to January 30th if the lockdown measure had been delayed for 7 days,assuming that the daily new infection in Wuhan after January 23 increased in a high,moderate and low trend respectively (using exponential, linear and logarithm growth models). Based on that,calculate the number of infection cases imported from Wuhan during this period. Finally,predict the possible impact of 7-day delayed lockdown in Wuhan on the epidemic situation in China using the susceptible-exposed-infectious-removed (SEIR) model. : The daily new infection rate in Wuhan was estimated to be 0.021%,0.026%,0.029%,0.033% and 0.070% respectively from January 19 to January 23. And there were at least 20 066 infection cases in Wuhan by January 23,2020. If Wuhan lockdown measure had been delayed for 7 days,the daily new infection rate on January 30 would have been 0.335% in the exponential growth model,0.129% in the linear growth model,and 0.070% in the logarithm growth model. Correspondingly,there would have been 32 075,24 819 and 20 334 infection cases travelling from Wuhan to other areas of Mainland China,and the number of cumulative confirmed cases as of March 19 in Mainland China would have been 3.3-3.9 times of the officially reported number. Conclusions: Timely taking city-level lockdown measure in Wuhan in the early stage of COVID-19 outbreak is essential in containing the spread of the disease in China.
这项研究旨在定量评估武汉封城措施对控制 2019 年冠状病毒病(COVID-19)传播的效果。首先,通过咨询中国大陆 217 个城市的武汉人口流动数据和武汉输入病例数量,估算 2020 年 1 月 23 日武汉封城前的每日新增感染率。然后,假设武汉 1 月 23 日后的每日新增感染率分别呈高、中、低增长趋势,估算如果封城措施推迟 7 天,武汉的每日新增感染率将是多少(使用指数、线性和对数增长模型)。基于此,计算这期间从武汉输入的感染病例数。最后,使用易感-暴露-感染-清除(SEIR)模型预测武汉封城推迟 7 天对中国疫情可能产生的影响。
武汉的每日新增感染率从 1 月 19 日至 1 月 23 日分别估计为 0.021%、0.026%、0.029%、0.033%和 0.070%。到 2020 年 1 月 23 日,武汉至少有 20066 例感染病例。如果武汉封城措施推迟 7 天,在指数增长模型中,1 月 30 日的每日新增感染率将为 0.335%,在线性增长模型中为 0.129%,在对数增长模型中为 0.070%。相应地,将有 32075 例、24819 例和 20334 例感染病例从武汉传播到中国大陆其他地区,截至 3 月 19 日,中国大陆累计确诊病例数将是官方报告数的 3.3-3.9 倍。结论:在 COVID-19 疫情早期及时采取武汉市级封锁措施,对于控制中国疾病的传播至关重要。