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Estimating Unreported COVID-19 Cases with a Time-Varying SIR Regression Model

Author

Listed:
  • Zhenghong Peng

    (Department of Graphics and Digital Technology, School of Urban Design, Wuhan University, Wuhan 430072, China)

  • Siya Ao

    (Department of Graphics and Digital Technology, School of Urban Design, Wuhan University, Wuhan 430072, China)

  • Lingbo Liu

    (Department of Urban Planning, School of Urban Design, Wuhan University, Wuhan 430072, China)

  • Shuming Bao

    (China Data Institute, Ann Arbor, MI 48108, USA)

  • Tao Hu

    (Center for Geographic Analysis, Harvard University, Cambridge, MA 02138, USA)

  • Hao Wu

    (Department of Graphics and Digital Technology, School of Urban Design, Wuhan University, Wuhan 430072, China)

  • Ru Wang

    (Department of Graphics and Digital Technology, School of Urban Design, Wuhan University, Wuhan 430072, China)

Abstract

Background: Potential unreported infection might impair and mislead policymaking for COVID-19, and the contemporary spread of COVID-19 varies in different counties of the United States. It is necessary to estimate the cases that might be underestimated based on county-level data, to take better countermeasures against COVID-19. We suggested taking time-varying Susceptible-Infected-Recovered (SIR) models with unreported infection rates (UIR) to estimate factual COVID-19 cases in the United States. Methods: Both the SIR model integrated with unreported infection rates (SIRu) of fixed-time effect and SIRu with time-varying parameters (tvSIRu) were applied to estimate and compare the values of transmission rate (TR), UIR, and infection fatality rate (IFR) based on US county-level COVID-19 data. Results: Based on the US county-level COVID-19 data from 22 January (T 1 ) to 20 August (T 212 ) in 2020, SIRu was first tested and verified by Ordinary Least Squares (OLS) regression. Further regression of SIRu at the county-level showed that the average values of TR, UIR, and IFR were 0.034%, 19.5%, and 0.51% respectively. The ranges of TR, UIR, and IFR for all states ranged from 0.007–0.157 (mean = 0.048), 7.31–185.6 (mean = 38.89), and 0.04–2.22% (mean = 0.22%). Among the time-varying TR equations, the power function showed better fitness, which indicated a decline in TR decreasing from 227.58 (T 1 ) to 0.022 (T 212 ). The general equation of tvSIRu showed that both the UIR and IFR were gradually increasing, wherein, the estimated value of UIR was 9.1 (95%CI 5.7–14.0) and IFR was 0.70% (95%CI 0.52–0.95%) at T 212 . Interpretation: Despite the declining trend in TR and IFR, the UIR of COVID-19 in the United States is still on the rise, which, it was assumed would decrease with sufficient tests or improved countersues. The US medical system might be largely affected by severe cases amidst a rapid spread of COVID-19.

Suggested Citation

  • Zhenghong Peng & Siya Ao & Lingbo Liu & Shuming Bao & Tao Hu & Hao Wu & Ru Wang, 2021. "Estimating Unreported COVID-19 Cases with a Time-Varying SIR Regression Model," IJERPH, MDPI, vol. 18(3), pages 1-13, January.
  • Handle: RePEc:gam:jijerp:v:18:y:2021:i:3:p:1090-:d:487392
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    1. Paolo Contiero & Alessandro Borgini & Martina Bertoldi & Anna Abita & Giuseppe Cuffari & Paola Tomao & Maria Concetta D’Ovidio & Stefano Reale & Silvia Scibetta & Giovanna Tagliabue & Roberto Boffi & , 2022. "An Epidemiological Study to Investigate Links between Atmospheric Pollution from Farming and SARS-CoV-2 Mortality," IJERPH, MDPI, vol. 19(8), pages 1-12, April.

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