Despite the progress in medical data collection the actual burden of SARS-CoV-2 remains unknown due to severe under-ascertainment of cases. The use of reported deaths has been pointed out as a more reliable source of information, likely less prone to under-reporting. Given that daily deaths occur from past infections weighted by their probability of death, one may infer the true number of infections accounting for their age distribution, using the data on reported deaths. We adopt this framework and assume that the dynamics generating the total number of infections can be described by a continuous time transmission model expressed through a system of non-linear ordinary differential equations where the transmission rate is modelled as a diffusion process allowing to reveal both the effect of control strategies and the changes in individuals behavior. We study the case of 6 European countries and estimate the time-varying reproduction number($R_t$) as well as the true cumulative number of infected individuals using Stan. As we estimate the true number of infections we offer a more accurate estimate of $R_t$. We also provide an estimate of the daily reporting ratio and discuss the effects of changes in mobility and testing on the inferred quantities.
翻译:尽管在医疗数据收集方面取得了进展,但由于病例严重缺乏确定性,SARS-CoV-2的实际负担仍然不为人所知。报告死亡的使用被指出为一个比较可靠的信息来源,很可能不那么容易报告不足。鉴于过去感染的每日死亡是按其死亡概率加权的,因此可以推断出其年龄分布的感染的真正数目。我们采用这一框架,并假定产生感染总数的各种动态可以通过通过非线性普通差异方程式系统表示的连续时间传播模式来描述。在这种模式下,传播率以传播过程为模型,能够揭示控制战略的影响和个人行为的变化。我们研究了6个欧洲国家的情况,估计了使用斯坦的受感染者的时间变化的繁殖数(R$t$)和真实的累积数。我们估计感染人数时,我们提供了更准确的R$t$的估计数。我们还提供了每日报告比率估计数,并讨论了流动变化和测试对推断数量的影响。我们研究了对受感染人数的估计。