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10.1038/s41598-021-89127-1

http://scihub22266oqcxt.onion/10.1038/s41598-021-89127-1
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33963259!8105357!33963259
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suck abstract from ncbi


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pmid33963259      Sci+Rep 2021 ; 11 (1): 9748
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  • Incorporating false negative tests in epidemiological models for SARS-CoV-2 transmission and reconciling with seroprevalence estimates #MMPMID33963259
  • Bhattacharyya R; Kundu R; Bhaduri R; Ray D; Beesley LJ; Salvatore M; Mukherjee B
  • Sci Rep 2021[May]; 11 (1): 9748 PMID33963259show ga
  • Susceptible-Exposed-Infected-Removed (SEIR)-type epidemiologic models, modeling unascertained infections latently, can predict unreported cases and deaths assuming perfect testing. We apply a method we developed to account for the high false negative rates of diagnostic RT-PCR tests for detecting an active SARS-CoV-2 infection in a classic SEIR model. The number of unascertained cases and false negatives being unobservable in a real study, population-based serosurveys can help validate model projections. Applying our method to training data from Delhi, India, during March 15-June 30, 2020, we estimate the underreporting factor for cases at 34-53 (deaths: 8-13) on July 10, 2020, largely consistent with the findings of the first round of serosurveys for Delhi (done during June 27-July 10, 2020) with an estimated 22.86% IgG antibody prevalence, yielding estimated underreporting factors of 30-42 for cases. Together, these imply approximately 96-98% cases in Delhi remained unreported (July 10, 2020). Updated calculations using training data during March 15-December 31, 2020 yield estimated underreporting factor for cases at 13-22 (deaths: 3-7) on January 23, 2021, which are again consistent with the latest (fifth) round of serosurveys for Delhi (done during January 15-23, 2021) with an estimated 56.13% IgG antibody prevalence, yielding an estimated range for the underreporting factor for cases at 17-21. Together, these updated estimates imply approximately 92-96% cases in Delhi remained unreported (January 23, 2021). Such model-based estimates, updated with latest data, provide a viable alternative to repeated resource-intensive serosurveys for tracking unreported cases and deaths and gauging the true extent of the pandemic.
  • |Adolescent[MESH]
  • |Adult[MESH]
  • |Antibodies, Viral/immunology[MESH]
  • |COVID-19 Testing[MESH]
  • |COVID-19/*diagnosis/*epidemiology/immunology/transmission[MESH]
  • |Child[MESH]
  • |Child, Preschool[MESH]
  • |False Negative Reactions[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Immunoglobulin G/immunology[MESH]
  • |India/epidemiology[MESH]
  • |Male[MESH]
  • |SARS-CoV-2/immunology/*isolation & purification[MESH]
  • |Seroepidemiologic Studies[MESH]


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