High Contagiousness and Rapid Spread of Severe Acute Respiratory Syndrome Coronavirus 2
Open accessPublished version of a preprint
Abstract
Abstract The novel coronavirus (2019-nCoV) is a recently emerged human pathogen that has spread widely since January 2020. Initially, the basic reproductive number, R 0 , was estimated to be 2.2 to 2.7. Here we provide a new estimate of this quantity. We collected extensive individual case reports and estimated key epidemiology parameters, including the incubation period. Integrating these estimates and high-resolution real-time human travel and infection data with mathematical models, we estimated that the number of infected individuals during early epidemic double every 2.4 days, and the R 0 value is likely to be between 4.7 and 6.6. We further show that quarantine and contact tracing of symptomatic individuals alone may not be effective and early, strong control measures are needed to stop transmission of the virus. One-sentence summary By collecting and analyzing spatiotemporal data, we estimated the transmission potential for 2019-nCoV.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
A novel COVID-19 vaccine will need to be accepted by at least 55% of the population to provide herd immunity, with estimates reaching as high as 85% depending on country and infection rate.
“It is estimated that a novel COVID-19 vaccine will need to be accepted by at least 55% of the population to provide herd immunity, with estimates reaching as high as 85% depending on country and infection rate 15,16 .”
From Measuring the impact of COVID-19 vaccine misinformation on vaccination intent in the UK and USA (2021) · cites this paper as [16]
In Results, “Implications for Intervention Strategies” (page not provided), the paper gives herd-immunity thresholds of 55% at R₀ = 2.2 and 82% at R₀ = 5.7. It does not give an 85% estimate or equate the proportion accepting a vaccine with the proportion becoming immune; it also does not establish country-specific thresholds. (LLM, conf=0.90)
Experimental — accuracy not yet measuredIn both countries, as of September 2020, fewer people would 'definitely' take a COVID-19 vaccine than is likely required for herd immunity.
“Here we show that in both countries-as of September 2020-fewer people would 'definitely' take a vaccine than is likely required for herd immunity”
From Measuring the impact of COVID-19 vaccine misinformation on vaccination intent in the UK and USA (2021) · cites this paper as [16]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Clinical characteristics of coronavirus disease 2019 in China
Guan, W.-J., Ni, Z.-Y., Hu, Y., Liang, W.-H., Ou, C.-Q., He, J.-X., Liu, L., Shan, H., Lei, C.-L., Hui, D. S. C., et al. (2020) · New England Journal of Medicine · doi:10.1056/nejmoa2002032 · Cited by 30,246 · see citing works
Zhou, F., Yu, T., Du, R., Fan, G., Liu, Y., Liu, Z., Xiang, J., Wang, Y., Song, B., Gu, X., et al. (2020) · The Lancet · doi:10.1016/s0140-6736(20)30566-3 · Cited by 27,263 · see citing works
Early transmission dynamics in Wuhan, China, of novel coronavirus-infected pneumonia
Li, Q., Guan, X., Wu, P., Wang, X., Zhou, L., Tong, Y., Ren, R., Leung, K. S. M., Lau, E. H. Y., Wong, J. Y., et al. (2020) · New England Journal of Medicine · doi:10.1056/nejmoa2001316 · Cited by 16,575 · see citing works
Cryo-EM structure of the 2019-nCoV spike in the prefusion conformation
Wrapp, D., Wang, N., Corbett, K. S., Goldsmith, J. A., Hsieh, C.-L., Abiona, O., Graham, B. S., & McLellan, J. S. (2020) · Science · doi:10.1126/science.abb2507 · Cited by 8,897 · see citing works
Chan, J., Yuan, S.-F., Kok, K.-H., To, K., Chu, H., Yang, J., Xing, F., Liu, J.-L., Yip, C., Poon, R., et al. (2020) · The Lancet · doi:10.1016/s0140-6736(20)30154-9 · Cited by 8,450 · see citing works
Infectious Diseases of Humans: Dynamics and Control
(1992) · Annals of Internal Medicine · doi:10.7326/0003-4819-117-2-174_4 · Cited by 7,818 · see citing works
Lauer, S. A., Grantz, K. H., Bi, Q., Jones, F. K., Zheng, Q., Meredith, H. R., Azman, A. S., Reich, N. G., & Lessler, J. (2020) · Annals of Internal Medicine · doi:10.7326/m20-0504 · Cited by 5,970 · see citing works
Wu, J. T., Leung, K., & Leung, G. M. (2020) · The Lancet · doi:10.1016/s0140-6736(20)30260-9 · Cited by 4,389 · see citing works
Transmission of 2019-nCoV Infection from an Asymptomatic Contact in Germany
Rothe, C., Schunk, M., Sothmann, P., Bretzel, G., Froeschl, G., Wallrauch, C., Zimmer, T., Thiel, V., Jänke, C., Guggemos, W., et al. (2020) · New England Journal of Medicine · doi:10.1056/nejmc2001468 · Cited by 4,143 · see citing works
CDC Weekly, C., & The Novel Coronavirus Pneumonia Emergency Response Epidemiology Team (2020) · China CDC Weekly · doi:10.46234/ccdcw2020.032 · Cited by 2,889 · see citing works
Superspreading and the effect of individual variation on disease emergence
Lloyd-Smith, J. O., Schreiber, S. J., Kopp, P. E., & Getz, W. M. (2005) · Nature · doi:10.1038/nature04153 · Cited by 2,514 · see citing works
Transmission Dynamics and Control of Severe Acute Respiratory Syndrome
Lipsitch, M., Cohen, T., Cooper, B. S., Robins, J. M., Ma, S., James, L., Gopalakrishna, G., Chew, S. K., Tan, C. C., Samore, M. H., et al. (2003) · Science · doi:10.1126/science.1086616 · Cited by 1,467 · see citing works
Riou, J., & Althaus, C. L. (2020) · Eurosurveillance · doi:10.2807/1560-7917.es.2020.25.4.2000058 · Cited by 1,317 · see citing works
Pathways to zoonotic spillover
Plowright, R. K., Parrish, C. R., McCallum, H. I., Hudson, P. J., Ko, A. I., Graham, A. L., & Lloyd‐Smith, J. O. (2017) · Nature Reviews Microbiology · doi:10.1038/nrmicro.2017.45 · Cited by 1,244 · see citing works
Factors that make an infectious disease outbreak controllable
Fraser, C., Riley, S., Anderson, R. M., & Ferguson, N. M. (2004) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.0307506101 · Cited by 1,144 · see citing works
Donnelly, C. A., Ghani, A. C., Leung, G. M., Hedley, A. J., Fraser, C., Riley, S., Abu-Raddad, L. J., Ho, L.-M., Thach, T.-Q., Chau, P., et al. (2003) · The Lancet · doi:10.1016/s0140-6736(03)13410-1 · Cited by 940 · see citing works
The effect of public health measures on the 1918 influenza pandemic in U.S. cities
Bootsma, M. C. J., & Ferguson, N. M. (2007) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.0611071104 · Cited by 798 · see citing works
Epidemic Dynamics at the Human-Animal Interface
Lloyd‐Smith, J. O., George, D. B., Pepin, K. M., Pitzer, V. E., Pulliam, J. R. C., Dobson, A. P., Hudson, P. J., & Grenfell, B. T. (2009) · Science · doi:10.1126/science.1177345 · Cited by 688 · see citing works
Appropriate Models for the Management of Infectious Diseases
Wearing, H. J., Rohani, P., & Keeling, M. J. (2005) · PLoS Medicine · doi:10.1371/journal.pmed.0020174 · Cited by 538 · see citing works
Risk for Transportation of Coronavirus Disease from Wuhan to Other Cities in China
Du, Z., Wang, L., Cauchemez, S., Xu, X.-K., Wang, X., Cowling, B. J., & Ancel, L. W. (2020) · Emerging infectious diseases · doi:10.3201/eid2605.200146 · Cited by 382 · see citing works
Report 2: Estimating the potential total number of novel Coronavirus cases in Wuhan City, China
Imai, N., Dorigatti, I., Cori, A., Donnelly, C. A., Riley, S., & Ferguson, N. M. (2020) · Spiral (Imperial College London) · doi:10.25561/77150 · Cited by 184 · see citing works
Lloyd, A. L. (2001) · Proceedings of the Royal Society B Biological Sciences · doi:10.1098/rspb.2000.1572 · Cited by 140 · see citing works
Pitzer, V. E., Chitwood, M. H., Havumaki, J., Menzies, N. A., Perniciaro, S., Warren, J. L., Weinberger, D. M., & Cohen, T. (2021) · American Journal of Epidemiology · doi:10.1093/aje/kwab089 · Cited by 86 · see citing works
Ke, R., Sanche, S., Romero-Severson, E. O., & Hengartner, N. (2020) · medRxiv · doi:10.1101/2020.04.04.20050427 · Cited by 53 · see citing works
Self-citationChilds, M. L., Kain, M. P., Harris, M., Kirk, D., Couper, L., Nova, N., Delwel, I., Ritchie, J., Becker, A. D., & Mordecai, E. A. (2021) · Proceedings of the Royal Society B Biological Sciences · doi:10.1098/rspb.2021.0811 · Cited by 53 · see citing works
Morcuende, M., Guglielminotti, J. R., & Landau, R. (2020) · Anesthesia & Analgesia · doi:10.1213/ane.0000000000005056 · Cited by 23 · see citing works
Perioperative Anaesthetic Management of Confirmed or Suspected COVID-19 Patients
Erbabacan, E., Özdilek, A., Beyoğlu, Ç. A., & Altındaş, F. (2020) · Türk anesteziyoloji ve reanimasyon derneği dergisi · doi:10.5152/tjar.2020.654 · Cited by 9 · see citing works
Noise Is Not Error: Detecting Parametric Heterogeneity Between Epidemiologic Time Series
Romero-Severson, E. O., Ribeiro, R. M., & Castro, M. (2018) · Frontiers in Microbiology · doi:10.3389/fmicb.2018.01529 · Cited by 6 · see citing works
Self-citation
Flagged first, then by citations
Cited by
Sorted by citations
Cell entry mechanisms of SARS-CoV-2
Shang, J., Wan, Y., Luo, C., Ye, G., Geng, Q., Auerbach, A., & Li, F. (2020) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.2003138117 · Cited by 3,142 · see citing works
Measuring the impact of COVID-19 vaccine misinformation on vaccination intent in the UK and USA
Loomba, S., de Figueiredo, A., Piatek, S. J., de Graaf, K., & Larson, H. J. (2021) · Nature Human Behaviour · doi:10.1038/s41562-021-01056-1 · Cited by 1,800 · see citing works
Zhang, Y., Zeng, G., Pan, H., Li, C., Hu, Y., Chu, K., Han, W., Chen, Z., Tang, R., Yin, W., et al. (2021) · The Lancet Infectious Diseases · doi:10.1016/s1473-3099(20)30843-4 · Cited by 1,504 · see citing works
Immunological considerations for COVID-19 vaccine strategies
Jeyanathan, M., Afkhami, S., Smaill, F., Miller, M. S., Lichty, B. D., & Xing, Z. (2020) · Nature Reviews Immunology · doi:10.1038/s41577-020-00434-6 · Cited by 1,015 · see citing works
Immunological characteristics govern the transition of COVID-19 to endemicity
Lavine, J. S., Bjornstad, O. N., & Antia, R. (2021) · Science · doi:10.1126/science.abe6522 · Cited by 416 · see citing works
Palamenghi, L., Barello, S., Boccia, S., & Graffigna, G. (2020) · European Journal of Epidemiology · doi:10.1007/s10654-020-00675-8 · Cited by 483 · see citing works
The benefits and costs of using social distancing to flatten the curve for COVID-19
Thunström, L., Newbold, S. C., Finnoff, D., Ashworth, M., & Shogren, J. F. (2020) · Journal of Benefit-Cost Analysis · doi:10.1017/bca.2020.12 · Cited by 439 · see citing works
Effective public health measures to mitigate the spread of COVID-19: a systematic review
Ayouni, I., Maatoug, J., Dhouib, W., Zammit, N., Fredj, S. B., Ghammam, R., & Ghannem, H. (2021) · BMC Public Health · doi:10.1186/s12889-021-11111-1 · Cited by 418 · see citing works
Prevalence of Depression, Anxiety, and Stress during COVID-19 Pandemic
Lakhan, R., Agrawal, A., & Sharma, M. (2020) · Journal of Neurosciences in Rural Practice · doi:10.1055/s-0040-1716442 · Cited by 421 · see citing works
Causal impact of masks, policies, behavior on early COVID-19 pandemic in the U.S
Chernozhukov, V., Kasahara, H., & Schrimpf, P. (2021) · Journal of Econometrics · doi:10.1016/j.jeconom.2020.09.003 · Cited by 403 · see citing works
Prevalence of comorbidities among individuals with COVID-19: A rapid review of current literature
Bajgain, K. T., Badal, S., Bajgain, B. B., & Santana, M. J. (2021) · American Journal of Infection Control · doi:10.1016/j.ajic.2020.06.213 · Cited by 328 · see citing works
Billah, M. A., Miah, M. M., & Khan, M. N. (2020) · PLOS ONE · doi:10.1371/journal.pone.0242128 · Cited by 260 · see citing works
Zhao, M., Liao, L., Xiao, W., Yu, X., Wang, H., Wang, Q., Lin, Y. L., Kilinc-Balci, F. S., Price, A., Chu, L., et al. (2020) · Nano Letters · doi:10.1021/acs.nanolett.0c02211 · Cited by 266 · see citing works
Self-citationNelson, B. W., Pettitt, A., Flannery, J. E., & Allen, N. B. (2020) · PLOS ONE · doi:10.1371/journal.pone.0241990 · Cited by 175 · see citing works
COVID-19 diagnosis by routine blood tests using machine learning
Kukar, M., Gunčar, G., Vovko, T., Podnar, S., Černelč, P., Brvar, M., Zalaznik, M., Notar, M., Moškon, S., & Notar, M. (2021) · Scientific Reports · doi:10.1038/s41598-021-90265-9 · Cited by 179 · see citing works
Singh, S., McNab, C., Olson, R. M., Bristol, N., Nolan, C., Bergstrøm, E., Bartos, M., Mabuchi, S., Panjabi, R., Karan, A., et al. (2021) · The Lancet · doi:10.1016/s0140-6736(21)01897-3 · Cited by 141 · see citing works
APASL Covid-19 Task Force, Lau, G., & Sharma, M. (2020) · Hepatology International · doi:10.1007/s12072-020-10054-w · Cited by 88 · see citing works
The Importance of Advancing Severe Acute Respiratory Syndrome Coronavirus 2 Vaccines in Children
Kao, C. M., Orenstein, W. A., & Anderson, E. J. (2021) · Clinical Infectious Diseases · doi:10.1093/cid/ciaa712 · Cited by 56 · see citing works
McAndrew, S., & Allington, D. (2020) · doi:10.31234/osf.io/j7srx · Cited by 19 · see citing works
- Authors
- Sanche, S., Lin, Y. T., Xu, C., Romero-Severson, E., Hengartner, N., & Ke, R.
- Affiliations
- Los Alamos National Laboratory (US)
- Corresponding author
- Ke, Ruian
- Venue
- Emerging Infectious Diseases
- Published
- 2020-07
- Volume
- 26
- Issue
- 7
- Pages
- 1470-1477
- ISSN
- 1080-6040 (ISSN-L)
- 1080-6059
- PMC
- PMC7323562
- OpenAlex
- W3014712943
- Cited by
- 1,619
- References
- 29
- Citations by year
- 2026: 13 · 2025: 25 · 2024: 58 · 2023: 119 · 2022: 231 · 2021: 529 · 2020: 642
- FWCI
- 60.69
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- cc-by
- Locations
- Emerging infectious diseases (publishedVersion, cc-by)
- medRxiv (acceptedVersion)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- OSTI OAI (U.S. Department of Energy Office of Scientific and Technical Information) (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- U.S. Department of Energy (#89233218CNA000001)
- Defense Advanced Research Projects Agency (HR0011938513)
- National Nuclear Security Administration (89233218C-NA000001)
- Advanced Research Projects Agency
- National Institute of Allergy and Infectious Diseases (R01AI135946)
- Laboratory Directed Research and Development
- Los Alamos National Laboratory (89233218CNA 000001)
- Topics
- Physical Sciences › Mathematics › Modeling and Simulation › COVID-19 epidemiological studies
- Health Sciences › Medicine › Infectious Diseases › SARS-CoV-2 and COVID-19 Research
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Mathematical and Theoretical Epidemiology and Ecology Models
- Keywords
- SARS-CoV-2, COVID-19 pandemic, basic reproduction number, doubling time, incubation period, serial interval, outbreak dynamics, Wuhan, transmission dynamics, contact tracing, quarantine, social distancing, epidemic modeling
- MeSH terms
- Betacoronavirus, COVID-19, SARS-CoV-2, China, Disease Outbreaks, Humans, Models, Theoretical, Pneumonia, Viral, Travel, Coronavirus Infections, Basic Reproduction Number, Pandemics
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review