COVID-19 spreading patterns in family clusters reveal gender roles in China (preprint)

Unfolding different gender roles is preceding the efforts to reduce gender inequality. This paper analyzes COVID-19 family clusters outside Hubei Province in mainland China during the 2020 outbreak, revealing significant differences in spreading patterns across gender and family roles. Results show that men are more likely to be the imported cases of a family cluster, and women are more likely to be infected within the family. This finding provides new supportive evidence of the men as breadwinner and women as homemaker (MBWH) gender roles in China. Further analyses reveal that the MBWH pattern is stronger in eastern than in western China, stronger for younger than for elder people. This paper offers not only valuable references for formulating gender-differentiated epidemic prevention policies but also an exemplification for studying group differences in similar scenarios.

Quantifying human mixing patterns in Chinese provinces outside Hubei after the 2020 lockdown was lifted (preprint)

Contact patterns play a key role in the spread of respiratory infectious diseases in human populations. During the COVID-19 pandemic the regular contact patterns of the population has been disrupted due to social distancing both imposed by the authorities and individual choices. Here we present the results of a contact survey conducted in Chinese provinces outside Hubei in March 2020, right after lockdowns were lifted. We then leveraged the estimated mixing patterns to calibrate a model of SARS-CoV-2 transmission, which was used to estimate different metrics of COVID-19 burden by age. Study participants reported 2.3 contacts per day (IQR: 1.0-3.0) and the mean per-contact duration was 7.0 hours (IQR: 1.0-10.0). No significant differences were observed between provinces, the number of recorded contacts did not show a clear-cut trend by age, and most of the recorded contacts occurred with family members (about 78%). Our findings suggest that, despite the lockdown was no longer in place at the time of the survey, people were still heavily limiting their contacts as compared to the pre-pandemic situation. Moreover, the obtained modeling results highlight the importance of considering age-contact patterns to estimate COVID-19 burden.

Preliminary prediction of the basic reproduction number of the Wuhan novel coronavirus 2019-nCoV (preprint)

Objectives.--To estimate the basic reproduction number of the Wuhan novel coronavirus (2019-nCoV). Methods.--Based on the susceptible-exposed-infected-removed (SEIR) compartment model and the assumption that the infectious cases with symptoms occurred before January 25, 2020 are resulted from free propagation without intervention, we estimate the basic reproduction number of 2019-nCoV according to the reported confirmed cases and suspected cases, as well as the theoretical estimated number of infected cases by other research teams, together with some epidemiological determinants learned from the severe acute respiratory syndrome. Results The basic reproduction number falls between 2.8 to 3.3 by using the real-time reports on the number of 2019-nCoV infected cases from People's Daily in China, and falls between 3.2 and 3.9 on the basis of the predicted number of infected cases from colleagues. Conclusions.--The early transmission ability of 2019-nCoV is closed to or slightly higher than SARS. It is a controllable disease with moderate-high transmissibility. Timely and effective control measures are needed to suppress the further transmissions. Notes Added.--Using a newly reported epidemiological determinants for early 2019-nCoV, the estimated basic reproduction number is in the range [2.2,3.0].