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The outbreak pattern of the SARS cases in Asia
Authors:Zhibin?Zhang  author-information"  >  author-information__contact u-icon-before"  >  mailto:zhangzb@ioz.ac.cn"   title="  zhangzb@ioz.ac.cn"   itemprop="  email"   data-track="  click"   data-track-action="  Email author"   data-track-label="  "  >Email author,Chengfa?Sheng,Zufei?Ma,Dianmo?Li
Affiliation:ZHANG Zhibin,SHENG Chengfa,MA Zufei & LI Dianmo Institute of Zoology,Chinese Academy of Sciences,Beijing 100080,China
Abstract:The severe acute respiratory syndrome (SARS) caused tremendous damage to many Asia countries, espe- cially China. The transmission process and outbreak pattern of SARS is still not well understood. This study aims to find a simple model to describe the outbreak pattern of SARS cases by using SARS case data commonly released by governments. The outbreak pattern of cumulative SARS cases is expected to be a logistic type because the infection will be slowed down due to the increasing control effort by people and/or due to depletion of susceptible individuals. The increase rate of SARS cases is expected to decrease with the cumulative SARS cases, as described by the traditional logistical model, which is widely used in population dynamic studies. The in- stantaneous rate of increases were significantly and nega- tively correlated with the cumulative SARS cases in mainland of China (including Beijing, Hebei, Tianjin, Shanxi, the Autonomous Region of Inner Mongolia) and Singapore. The basic reproduction number R0 in Asia ranged from 2.0 to 5.6 (except for Taiwan, China). The R0 of Hebei and Tian- jin were much higher than that of Singapore, Hongkong, Beijing, Shanxi, Inner Mongolia, indicating SARS virus might have originated differently or new mutations occurred during transmission. We demonstrated that the outbreaks of SARS in many regions of Asia were well described by the logistic model, and the control measures implemented by governments are effective. The maximum instantaneous rate of increase, basic reproductive number, and maximum cu- mulative SARS cases were also calculated by using the logis- tic model.
Keywords:severe acute respiratory syndrome (SARS)  outbreak  epidemiology  logistic model.
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