What the reproductive number R₀ can and cannot tell us about COVID-19 dynamics

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Publication:2054863

DOI10.1016/J.TPB.2020.12.003zbMATH Open1478.92224arXiv2006.14676OpenAlexW3119166037WikidataQ104799890 ScholiaQ104799890MaRDI QIDQ2054863FDOQ2054863


Authors: Clara L. Shaw, David A. Kennedy Edit this on Wikidata


Publication date: 3 December 2021

Published in: Theoretical Population Biology (Search for Journal in Brave)

Abstract: The reproductive number R_0 (and its value after initial disease emergence R) has long been used to predict the likelihood of pathogen invasion, to gauge the potential severity of an epidemic, and to set policy around interventions. However, often ignored complexities have generated confusion around use of the metric. This is particularly apparent with the emergent pandemic virus SARS-CoV-2, the causative agent of COVID-19. We address some of these misconceptions, namely, how R changes over time, varies over space, and relates to epidemic size by referencing the mathematical definition of R and examples from the current pandemic. We hope that a better appreciation of the uses, nuances, and limitations of R facilitates a better understanding of epidemic spread, epidemic severity, and the effects of interventions in the context of SARS-CoV-2.


Full work available at URL: https://arxiv.org/abs/2006.14676




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