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

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, f...

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Main Author: Houssein H., Ayoub (author)
Other Authors: Mumtaz, Ghina R. (author), Seedat, Shaheen (author), Makhoul, Monia (author), Chemaitelly, Hiam (author), Abu-Raddad, Laith J. (author)
Format: article
Published: 2021
Subjects:
Online Access:http://dx.doi.org/10.1016/j.gloepi.2021.100068
https://www.sciencedirect.com/science/article/pii/S2590113321000225
http://hdl.handle.net/10576/46361
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author Houssein H., Ayoub
author2 Mumtaz, Ghina R.
Seedat, Shaheen
Makhoul, Monia
Chemaitelly, Hiam
Abu-Raddad, Laith J.
author2_role author
author
author
author
author
author_facet Houssein H., Ayoub
Mumtaz, Ghina R.
Seedat, Shaheen
Makhoul, Monia
Chemaitelly, Hiam
Abu-Raddad, Laith J.
author_role author
dc.creator.none.fl_str_mv Houssein H., Ayoub
Mumtaz, Ghina R.
Seedat, Shaheen
Makhoul, Monia
Chemaitelly, Hiam
Abu-Raddad, Laith J.
dc.date.none.fl_str_mv 2021-11-23
2023-07-27T07:08:49Z
dc.format.none.fl_str_mv application/pdf
dc.identifier.none.fl_str_mv http://dx.doi.org/10.1016/j.gloepi.2021.100068
Ayoub, H. H., Mumtaz, G. R., Seedat, S., Makhoul, M., Chemaitelly, H., & Abu-Raddad, L. J. (2021). Estimates of global SARS-CoV-2 infection exposure, infection morbidity, and infection mortality rates in 2020. Global Epidemiology, 3, 100068.
https://www.sciencedirect.com/science/article/pii/S2590113321000225
http://hdl.handle.net/10576/46361
3
2590-1133
dc.language.none.fl_str_mv en
dc.publisher.none.fl_str_mv Elsevier
dc.rights.none.fl_str_mv http://creativecommons.org/licenses/by/4.0/
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv 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 Article
info:eu-repo/semantics/publishedVersion
info:eu-repo/semantics/article
description 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.
eu_rights_str_mv openAccess
format article
id qu_d018528440c2372596fe2bb43fc39978
identifier_str_mv Ayoub, H. H., Mumtaz, G. R., Seedat, S., Makhoul, M., Chemaitelly, H., & Abu-Raddad, L. J. (2021). Estimates of global SARS-CoV-2 infection exposure, infection morbidity, and infection mortality rates in 2020. Global Epidemiology, 3, 100068.
3
2590-1133
language_invalid_str_mv en
network_acronym_str qu
network_name_str Qatar University repository
oai_identifier_str oai:qspace.qu.edu.qa:10576/46361
publishDate 2021
publisher.none.fl_str_mv Elsevier
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rights_invalid_str_mv http://creativecommons.org/licenses/by/4.0/
spelling Estimates of global SARS-CoV-2 infection exposure, infection morbidity, and infection mortality rates in 2020Houssein H., AyoubMumtaz, Ghina R.Seedat, ShaheenMakhoul, MoniaChemaitelly, HiamAbu-Raddad, Laith J.SARS-CoV-2COVIDCoronavirusEpidemiologySeverityFatalityExposurePrevalenceWe 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.- Biostatistics, Epidemiology, and Biomathematics Research Core at Weill Cornell Medicine-Qatar - 12S-0216-190094, 9-040-3-008. - UK Research and Innovation - ES/P010873/1. - Qatar National Research Fund - Qatar National Library provided fund for open access.Elsevier2023-07-27T07:08:49Z2021-11-23Articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://dx.doi.org/10.1016/j.gloepi.2021.100068Ayoub, H. H., Mumtaz, G. R., Seedat, S., Makhoul, M., Chemaitelly, H., & Abu-Raddad, L. J. (2021). Estimates of global SARS-CoV-2 infection exposure, infection morbidity, and infection mortality rates in 2020. Global Epidemiology, 3, 100068.https://www.sciencedirect.com/science/article/pii/S2590113321000225http://hdl.handle.net/10576/4636132590-1133enhttp://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:qspace.qu.edu.qa:10576/463612024-07-23T13:54:02Z
spellingShingle Estimates of global SARS-CoV-2 infection exposure, infection morbidity, and infection mortality rates in 2020
Houssein H., Ayoub
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 SARS-CoV-2
COVID
Coronavirus
Epidemiology
Severity
Fatality
Exposure
Prevalence
url http://dx.doi.org/10.1016/j.gloepi.2021.100068
https://www.sciencedirect.com/science/article/pii/S2590113321000225
http://hdl.handle.net/10576/46361