Estimating the number of infections and the impact of nonpharmaceutical interventions on COVID-19 in 11 European countries

Author(s)
Flaxman, S., Mishra, S., Gandy, A. et al.
Pages
35pp
Date published
30 Mar 2020
Publisher
Imperial College COVID-19 Response Team
Type
Research, reports and studies
Keywords
Assessment & Analysis, Epidemics & pandemics, Health

Following the emergence of a novel coronavirus (SARS-CoV-2) and its spread outside of China, Europe is now experiencing large epidemics. In response, many European countries have implemented unprecedented non-pharmaceutical interventions including case isolation, the closure of schools and universities, banning of mass gatherings and/or public events, and most recently, widescale social distancing including local and national lockdowns. In this report, we use a semi-mechanistic Bayesian hierarchical model to attempt to infer the impact of these interventions across 11 European countries.

Our methods assume that changes in the reproductive number – a measure of transmission - are an immediate response to these interventions being implemented rather than broader gradual changes in behaviour. Our model estimates these changes by calculating backwards from the deaths observed over time to estimate transmission that occurred several weeks prior, allowing for the time lag between infection and death.