Estimates of global SARS-CoV-2 infection exposure, infection morbidity, and infection mortality rates in 2020

<p dir="ltr">We aimed to estimate, albeit crudely and provisionally, national, regional, and global proportions of respective populations that have been infected with SARS-CoV-2 in the first year after the introduction of this virus into human circulation, and to assess infection mor...

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Main Author: Houssein H. Ayoub (9262512) (author)
Other Authors: Ghina R. Mumtaz (9262518) (author), Shaheen Seedat (9262515) (author), Monia Makhoul (9262521) (author), Hiam Chemaitelly (439114) (author), Laith J. Abu-Raddad (9262524) (author)
Published: 2021
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author Houssein H. Ayoub (9262512)
author2 Ghina R. Mumtaz (9262518)
Shaheen Seedat (9262515)
Monia Makhoul (9262521)
Hiam Chemaitelly (439114)
Laith J. Abu-Raddad (9262524)
author2_role author
author
author
author
author
author_facet Houssein H. Ayoub (9262512)
Ghina R. Mumtaz (9262518)
Shaheen Seedat (9262515)
Monia Makhoul (9262521)
Hiam Chemaitelly (439114)
Laith J. Abu-Raddad (9262524)
author_role author
dc.creator.none.fl_str_mv Houssein H. Ayoub (9262512)
Ghina R. Mumtaz (9262518)
Shaheen Seedat (9262515)
Monia Makhoul (9262521)
Hiam Chemaitelly (439114)
Laith J. Abu-Raddad (9262524)
dc.date.none.fl_str_mv 2021-11-23T00:00:00Z
dc.identifier.none.fl_str_mv 10.1016/j.gloepi.2021.100068
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/Estimates_of_global_SARS-CoV-2_infection_exposure_infection_morbidity_and_infection_mortality_rates_in_2020/24314296
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biomedical and clinical sciences
Cardiovascular medicine and haematology
Health sciences
Epidemiology
Human society
Demography
SARS-CoV-2
COVID
Coronavirus
Epidemiology
Severity
Fatality
Exposure
Prevalence
dc.title.none.fl_str_mv Estimates of global SARS-CoV-2 infection exposure, infection morbidity, and infection mortality rates in 2020
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <p dir="ltr">We aimed to estimate, albeit crudely and provisionally, national, regional, and global proportions of respective populations that have been infected with SARS-CoV-2 in the first year after the introduction of this virus into human circulation, and to assess infection morbidity and mortality rates, factoring both documented and undocumented infections. The estimates were generated by applying mathematical models to 159 countries and territories. The percentage of the world's population that has been infected as of 31 December 2020 was estimated at 12.56% (95% CI: 11.17–14.05%). It was lowest in the Western Pacific Region at 0.66% (95% CI: 0.59–0.75%) and highest in the Americas at 41.92% (95% CI: 37.95–46.09%). The global infection fatality rate was 10.73 (95% CI: 10.21–11.29) per 10,000 infections. Globally per 1000 infections, the infection acute-care bed hospitalization rate was 19.22 (95% CI: 18.73–19.51), the infection ICU bed hospitalization rate was 4.14 (95% CI: 4.10–4.18). If left unchecked with no vaccination and no other public health interventions, and assuming circulation of only wild-type variants and no variants of concern, the pandemic would eventually cause 8.18 million deaths (95% CI: 7.30–9.18), 163.67 million acute-care hospitalizations (95% CI: 148.12–179.51), and 33.01 million ICU hospitalizations (95% CI: 30.52–35.70), by the time the herd immunity threshold is reached at 60–70% infection exposure. The global population remained far below the herd immunity threshold by end of 2020. Global epidemiology reveals immense regional variation in infection exposure and morbidity and mortality rates.</p><h2>Other Information</h2><p dir="ltr">Published in: Global Epidemiology<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1016/j.gloepi.2021.100068" target="_blank">https://dx.doi.org/10.1016/j.gloepi.2021.100068</a></p>
eu_rights_str_mv openAccess
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identifier_str_mv 10.1016/j.gloepi.2021.100068
network_acronym_str Manara2
network_name_str Manara2
oai_identifier_str oai:figshare.com:article/24314296
publishDate 2021
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spelling Estimates of global SARS-CoV-2 infection exposure, infection morbidity, and infection mortality rates in 2020Houssein H. Ayoub (9262512)Ghina R. Mumtaz (9262518)Shaheen Seedat (9262515)Monia Makhoul (9262521)Hiam Chemaitelly (439114)Laith J. Abu-Raddad (9262524)Biomedical and clinical sciencesCardiovascular medicine and haematologyHealth sciencesEpidemiologyHuman societyDemographySARS-CoV-2COVIDCoronavirusEpidemiologySeverityFatalityExposurePrevalence<p dir="ltr">We aimed to estimate, albeit crudely and provisionally, national, regional, and global proportions of respective populations that have been infected with SARS-CoV-2 in the first year after the introduction of this virus into human circulation, and to assess infection morbidity and mortality rates, factoring both documented and undocumented infections. The estimates were generated by applying mathematical models to 159 countries and territories. The percentage of the world's population that has been infected as of 31 December 2020 was estimated at 12.56% (95% CI: 11.17–14.05%). It was lowest in the Western Pacific Region at 0.66% (95% CI: 0.59–0.75%) and highest in the Americas at 41.92% (95% CI: 37.95–46.09%). The global infection fatality rate was 10.73 (95% CI: 10.21–11.29) per 10,000 infections. Globally per 1000 infections, the infection acute-care bed hospitalization rate was 19.22 (95% CI: 18.73–19.51), the infection ICU bed hospitalization rate was 4.14 (95% CI: 4.10–4.18). If left unchecked with no vaccination and no other public health interventions, and assuming circulation of only wild-type variants and no variants of concern, the pandemic would eventually cause 8.18 million deaths (95% CI: 7.30–9.18), 163.67 million acute-care hospitalizations (95% CI: 148.12–179.51), and 33.01 million ICU hospitalizations (95% CI: 30.52–35.70), by the time the herd immunity threshold is reached at 60–70% infection exposure. The global population remained far below the herd immunity threshold by end of 2020. Global epidemiology reveals immense regional variation in infection exposure and morbidity and mortality rates.</p><h2>Other Information</h2><p dir="ltr">Published in: Global Epidemiology<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1016/j.gloepi.2021.100068" target="_blank">https://dx.doi.org/10.1016/j.gloepi.2021.100068</a></p>2021-11-23T00:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1016/j.gloepi.2021.100068https://figshare.com/articles/journal_contribution/Estimates_of_global_SARS-CoV-2_infection_exposure_infection_morbidity_and_infection_mortality_rates_in_2020/24314296CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/243142962021-11-23T00:00:00Z
spellingShingle Estimates of global SARS-CoV-2 infection exposure, infection morbidity, and infection mortality rates in 2020
Houssein H. Ayoub (9262512)
Biomedical and clinical sciences
Cardiovascular medicine and haematology
Health sciences
Epidemiology
Human society
Demography
SARS-CoV-2
COVID
Coronavirus
Epidemiology
Severity
Fatality
Exposure
Prevalence
status_str publishedVersion
title Estimates of global SARS-CoV-2 infection exposure, infection morbidity, and infection mortality rates in 2020
title_full Estimates of global SARS-CoV-2 infection exposure, infection morbidity, and infection mortality rates in 2020
title_fullStr Estimates of global SARS-CoV-2 infection exposure, infection morbidity, and infection mortality rates in 2020
title_full_unstemmed Estimates of global SARS-CoV-2 infection exposure, infection morbidity, and infection mortality rates in 2020
title_short Estimates of global SARS-CoV-2 infection exposure, infection morbidity, and infection mortality rates in 2020
title_sort Estimates of global SARS-CoV-2 infection exposure, infection morbidity, and infection mortality rates in 2020
topic Biomedical and clinical sciences
Cardiovascular medicine and haematology
Health sciences
Epidemiology
Human society
Demography
SARS-CoV-2
COVID
Coronavirus
Epidemiology
Severity
Fatality
Exposure
Prevalence