Evidence map›Paper›PMID 38345850›Full record

ArticleJMIR public health and surveillance2024

Estimating the Epidemic Size of Superspreading Coronavirus Outbreaks in Real Time: Quantitative Study.

Kitty Y Lau, Jian Kang, Minah Park, Gabriel Leung, Joseph T Wu, Kathy Leung

Open access · goldAbstract read
In one paragraph

Article in JMIR public health and surveillance, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.2field-weighted citation impact, top 28% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Mechanisms of bacterial host-to-host transmission.Microbiology and molecular biology reviews : MMBR · 2025
    Review
  2. Deep insight into cytokine storm: from pathogenesis to treatment.Signal transduction and targeted therapy · 2025
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 3 countries.

Kitty Y LauLaboratory of Data Discovery for Health Limited (D24H), Hong Kong Science Park, China (Hong Kong).ORCID 0000-0002-1627-7472
Jian KangWHO Collaborating Centre for Infectious Disease Epidemiology and Control, School of Public Health, Li Ka Shing Faculty of Medicine, The University of Hong Kong, China (Hong Kong).ORCID 0000-0002-4646-7154
Minah ParkDepartment of Health Convergence, Ewha Womans University, Seoul, Republic of Korea.ORCID 0000-0002-1606-061X
Gabriel LeungLaboratory of Data Discovery for Health Limited (D24H), Hong Kong Science Park, China (Hong Kong).ORCID 0000-0002-2503-6283
Joseph T WuLaboratory of Data Discovery for Health Limited (D24H), Hong Kong Science Park, China (Hong Kong).ORCID 0000-0002-3155-5987
Kathy LeungLaboratory of Data Discovery for Health Limited (D24H), Hong Kong Science Park, China (Hong Kong).ORCID 0000-0003-4777-388X
University of Hong Kong · HKUniversity of Hong Kong - Shenzhen Hospital · CNEwha Womans University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNovel coronaviruses have emerged and caused major epidemics and pandemics in the past 2 decades, including SARS-CoV-1, MERS-CoV, and SARS-CoV-2, which led to the current COVID-19 pandemic. These coronaviruses are marked by their potential to produce disproportionally large transmission clusters from superspreading events (SSEs). As prompt action is crucial to contain and mitigate SSEs, real-time epidemic size estimation could characterize the transmission heterogeneity and inform timely implementation of control measures.

objectiveThis study aimed to estimate the epidemic size of SSEs to inform effective surveillance and rapid mitigation responses.

methodsWe developed a statistical framework based on back-calculation to estimate the epidemic size of ongoing coronavirus SSEs. We first validated the framework in simulated scenarios with the epidemiological characteristics of SARS, MERS, and COVID-19 SSEs. As case studies, we retrospectively applied the framework to the Amoy Gardens SARS outbreak in Hong Kong in 2003, a series of nosocomial MERS outbreaks in South Korea in 2015, and 2 COVID-19 outbreaks originating from restaurants in Hong Kong in 2020.

resultsThe accuracy and precision of the estimation of epidemic size of SSEs improved with longer observation time; larger SSE size; and more accurate prior information about the epidemiological characteristics, such as the distribution of the incubation period and the distribution of the onset-to-confirmation delay. By retrospectively applying the framework, we found that the 95% credible interval of the estimates contained the true epidemic size after 37% of cases were reported in the Amoy Garden SARS SSE in Hong Kong, 41% to 62% of cases were observed in the 3 nosocomial MERS SSEs in South Korea, and 76% to 86% of cases were confirmed in the 2 COVID-19 SSEs in Hong Kong.

conclusionsOur framework can be readily integrated into coronavirus surveillance systems to enhance situation awareness of ongoing SSEs.

Indexed as

COVID-19Cross InfectionDisease OutbreaksHumansPandemicsRetrospective StudiesSARS-CoV-2coronaviruscoronavirus disease 2019COVID-19epidemic sizeMERSMiddle East respiratory syndromeSARSsevere acute respiratory syndromeSSEsuperspreading event

Identifiers

PMID38345850
PMCPMC10863650
OpenAlexW4390713092

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.