The time scale of asymptomatic transmission affects estimates of epidemic potential in the COVID-19 outbreak
Sang Woo Park, Daniel M Cornforth, Jonathan Dushoff, Joshua S Weitz
doi: https://doi.org/10.1101/2020.03.09.20033514
Abstract
We assess the impact of asymptomatic transmission on epidemic potential of novel respiratory pathogens (like COVID-19) -- as measured both by the basic reproduction number (i.e., the expected number of secondary cases generated by an average primary case in a fully susceptible population) and the fraction of new secondary cases attributable to asymptomatic individuals. We show that the impact of asymptomatic transmission depends on generation intervals (i.e., time between when an individual is infected and when that individual infects another person). If the generation-interval distribution of asymptomatic transmission differs from that of symptomatic transmission, then estimates of the basic reproduction number which do not explicitly account for asymptomatic cases may be systematically biased.
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