SARS-CoV-2 incidence monitoring and statistical estimation of the basic and time-varying reproduction number at the early onset of the pandemic in 45 sub-Saharan African countries

Abstract The world battled to defeat a novel coronavirus 2019 (SARS-CoV-2 or COVID-19), a respiratory illness that is transmitted from person to person through contacts with droplets from infected persons. Despite efforts to disseminate preventable messages and adoption of mitigation strategies by g...

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Main Authors: Michael Safo Oduro, Seth Arhin-Donkor, Louis Asiedu, Damazo T. Kadengye, Samuel Iddi
Format: Article
Language:English
Published: BMC 2024-02-01
Series:BMC Public Health
Subjects:
Online Access:https://doi.org/10.1186/s12889-024-18184-8
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author Michael Safo Oduro
Seth Arhin-Donkor
Louis Asiedu
Damazo T. Kadengye
Samuel Iddi
author_facet Michael Safo Oduro
Seth Arhin-Donkor
Louis Asiedu
Damazo T. Kadengye
Samuel Iddi
author_sort Michael Safo Oduro
collection DOAJ
description Abstract The world battled to defeat a novel coronavirus 2019 (SARS-CoV-2 or COVID-19), a respiratory illness that is transmitted from person to person through contacts with droplets from infected persons. Despite efforts to disseminate preventable messages and adoption of mitigation strategies by governments and the World Health Organization (WHO), transmission spread globally. An accurate assessment of the transmissibility of the coronavirus remained a public health priority for many countries across the world to fight this pandemic, especially at the early onset. In this paper, we estimated the transmission potential of COVID-19 across 45 countries in sub-Saharan Africa using three approaches, namely, $$R_{0}$$ R 0 based on (i) an exponential growth model (ii) maximum likelihood (ML) estimation and (iii) a time-varying basic reproduction number at the early onset of the pandemic. Using data from March 14, 2020, to May 10, 2020, sub-Saharan African countries were still grappling with COVID-19 at that point in the pandemic. The region’s basic reproduction number ( $$R_{0}$$ R 0 ) was 1.89 (95% CI: 1.767 to 2.026) using the growth model and 1.513 (95% CI: 1.491 to 1.535) with the maximum likelihood method, indicating that, on average, infected individuals transmitted the virus to less than two secondary persons. Several countries, including Sudan ( $$R_{0}$$ R 0 : 2.03), Ghana ( $$R_{0}$$ R 0 : 1.87), and Somalia ( $$R_{0}$$ R 0 : 1.85), exhibited high transmission rates. These findings highlighted the need for continued vigilance and the implementation of effective control measures to combat the pandemic in the region. It is anticipated that the findings in this study would not only function as a historical record of reproduction numbers during the COVID-19 pandemic in African countries, but can serve as a blueprint for addressing future pandemics of a similar nature.
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spelling doaj.art-3514c26f2fae4c56b8d2f7b703c55b8a2024-03-05T20:39:00ZengBMCBMC Public Health1471-24582024-02-0124111410.1186/s12889-024-18184-8SARS-CoV-2 incidence monitoring and statistical estimation of the basic and time-varying reproduction number at the early onset of the pandemic in 45 sub-Saharan African countriesMichael Safo Oduro0Seth Arhin-Donkor1Louis Asiedu2Damazo T. Kadengye3Samuel Iddi4Pfizer Research & Development, PSSM Data Sciences, Pfizer, IncMarket Finance Analysis - Sr - Prd - Regional, Humana Inc.Department of Statistics and Actuarial Sciences, University of GhanaData Synergy and Evaluation, African Population and Health Research CenterDepartment of Statistics and Actuarial Sciences, University of GhanaAbstract The world battled to defeat a novel coronavirus 2019 (SARS-CoV-2 or COVID-19), a respiratory illness that is transmitted from person to person through contacts with droplets from infected persons. Despite efforts to disseminate preventable messages and adoption of mitigation strategies by governments and the World Health Organization (WHO), transmission spread globally. An accurate assessment of the transmissibility of the coronavirus remained a public health priority for many countries across the world to fight this pandemic, especially at the early onset. In this paper, we estimated the transmission potential of COVID-19 across 45 countries in sub-Saharan Africa using three approaches, namely, $$R_{0}$$ R 0 based on (i) an exponential growth model (ii) maximum likelihood (ML) estimation and (iii) a time-varying basic reproduction number at the early onset of the pandemic. Using data from March 14, 2020, to May 10, 2020, sub-Saharan African countries were still grappling with COVID-19 at that point in the pandemic. The region’s basic reproduction number ( $$R_{0}$$ R 0 ) was 1.89 (95% CI: 1.767 to 2.026) using the growth model and 1.513 (95% CI: 1.491 to 1.535) with the maximum likelihood method, indicating that, on average, infected individuals transmitted the virus to less than two secondary persons. Several countries, including Sudan ( $$R_{0}$$ R 0 : 2.03), Ghana ( $$R_{0}$$ R 0 : 1.87), and Somalia ( $$R_{0}$$ R 0 : 1.85), exhibited high transmission rates. These findings highlighted the need for continued vigilance and the implementation of effective control measures to combat the pandemic in the region. It is anticipated that the findings in this study would not only function as a historical record of reproduction numbers during the COVID-19 pandemic in African countries, but can serve as a blueprint for addressing future pandemics of a similar nature.https://doi.org/10.1186/s12889-024-18184-8COVID-19, Infectious disease, Basic reproduction number, Sub-Saharan AfricaTransmission
spellingShingle Michael Safo Oduro
Seth Arhin-Donkor
Louis Asiedu
Damazo T. Kadengye
Samuel Iddi
SARS-CoV-2 incidence monitoring and statistical estimation of the basic and time-varying reproduction number at the early onset of the pandemic in 45 sub-Saharan African countries
BMC Public Health
COVID-19, Infectious disease, Basic reproduction number, Sub-Saharan Africa
Transmission
title SARS-CoV-2 incidence monitoring and statistical estimation of the basic and time-varying reproduction number at the early onset of the pandemic in 45 sub-Saharan African countries
title_full SARS-CoV-2 incidence monitoring and statistical estimation of the basic and time-varying reproduction number at the early onset of the pandemic in 45 sub-Saharan African countries
title_fullStr SARS-CoV-2 incidence monitoring and statistical estimation of the basic and time-varying reproduction number at the early onset of the pandemic in 45 sub-Saharan African countries
title_full_unstemmed SARS-CoV-2 incidence monitoring and statistical estimation of the basic and time-varying reproduction number at the early onset of the pandemic in 45 sub-Saharan African countries
title_short SARS-CoV-2 incidence monitoring and statistical estimation of the basic and time-varying reproduction number at the early onset of the pandemic in 45 sub-Saharan African countries
title_sort sars cov 2 incidence monitoring and statistical estimation of the basic and time varying reproduction number at the early onset of the pandemic in 45 sub saharan african countries
topic COVID-19, Infectious disease, Basic reproduction number, Sub-Saharan Africa
Transmission
url https://doi.org/10.1186/s12889-024-18184-8
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