2021
DOI: 10.1016/j.ijid.2020.11.206
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Transmission dynamics of the COVID-19 epidemic in India and modeling optimal lockdown exit strategies

Abstract: India imposed one of the world's strictest population-wide lockdowns on March 25, 2020 for COVID-19. We estimated epidemiological parameters, evaluated the effect of control measures on the epidemic in India, and explored strategies to exit lockdown.We obtained patient-level data to estimate the delay from onset to confirmation and the asymptomatic proportion. We estimated the basic and time-varying reproduction number (R 0 and R t ) after adjusting for imported cases and delay to confirmation using incidence … Show more

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Cited by 52 publications
(43 citation statements)
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“…This study finds preliminary R 0 of Bangladesh was 2.02 (1.33–3.28,95% CI). Our results are similar to previously reported R 0 in China [ 17 , 27 ] and neighboring country India [ 28 ]. After a week of nation-wide lockdown, R t decreased substantially from early April 2020 in Bangladesh, which corroborates with those of [ 29 , 30 ].…”
Section: Discussionsupporting
confidence: 93%
“…This study finds preliminary R 0 of Bangladesh was 2.02 (1.33–3.28,95% CI). Our results are similar to previously reported R 0 in China [ 17 , 27 ] and neighboring country India [ 28 ]. After a week of nation-wide lockdown, R t decreased substantially from early April 2020 in Bangladesh, which corroborates with those of [ 29 , 30 ].…”
Section: Discussionsupporting
confidence: 93%
“…At the same time, there have been multiple adaptation of health care systems to the current pandemic, which require time to implement and roll out, and the strict control measures implemented in Sabah, and adoption of low-risk quarantine centers, has allowed significant slack to be cut on tertiary hospitals so that they can rightfully focus on unwell Covid-19 patients. The model also demonstrates that if MCOs are relaxed overly prematurely, what happens is that reproductive numbers and growth factors can climb prematurely ( Ferguson et al., 2020 ; Gupta et al., 2021 ; Leung & Wu, 2020 ).…”
Section: Discussionmentioning
confidence: 98%
“…Hong Kong had successfully limited its number of confirmed cases during the early stages of the pandemic 36 , but has since then seen several resurgences 37 . Although India responded rapidly by imposing a strict lockdown, it is now one of the worst-affected countries in Asia, and has the second highest number of infections worldwide 38 . The third dataset contains the offspring distribution for 795 cases in Rwanda (personal communication), which had a cumulative number of COVID-19 cases of 6.4 per 10,000 population on December 31, 2020.…”
Section: Methodsmentioning
confidence: 99%