Abstract
As reported by the World Health Organization, a novel coronavirus (2019-nCoV) was identified as the causative virus of Wuhan pneumonia of unknown etiology by Chinese authorities on 7 January, 2020. In this study, we developed a Bats-Hosts-Reservoir-People transmission network model for simulating the potential transmission from the infection source (probable be bats) to the human infection. Since the Bats-Hosts-Reservoir network was hard to explore clearly and public concerns were focusing on the transmission from a seafood market (reservoir) to people, we simplified the model as Reservoir-People transmission network model. The basic reproduction number (R0) was calculated from the RP model to assess the transmissibility of the 2019-nCoV.
Introduction
On 31 December 2019, the World Health Organization (WHO) China Country Office was informed of cases of pneumonia of unknown etiology (unknown cause) detected in Wuhan City, Hubei Province of China, and WHO reported that a novel coronavirus (2019-nCoV) was identified as the causative virus by Chinese authorities on 7 January(1). Potential for international spread via commercial air travel had been assessed(2). Public health concerns have been paid globally on how many people had been infected actually.
In this study, we developed a Bats-Hosts-Reservoir-People (BHRP) transmission network model for simulating the potential transmission from the infection source (probable be bats) to the human infection. Since the Bats-Hosts-Reservoir network was hard to explore clearly and public concerns were focusing on the transmission from a seafood market (reservoir) to people, we simplified the model as Reservoir-People (RP) transmission network model. The basic reproduction number (R0) was calculated from the RP model to assess the transmissibility of the 2019-nCoV.
The Bats-Hosts-Reservoir-People transmission network model
We assumed that the virus transmitted among the bats population, and then transmitted to an unknown host (probably be wild animals). The hosts were hunted and sent to the seafood market which was defined as the reservoir or the virus. People exposed to the market got the risks of the infection (Figure 1).
The BHRP transmission network model was based on the following assumptions or facts:
The bats were divided into four departments: susceptible bats (SB), exposed bats (EB), infected bats (IB), and removed bats (RB). The birth rate and death rate of bats were defined as nB and mB. In this model, we set ΛB = nB × NB where NB refer to the total number of bats. The incubation period of bat infection was defined as 1/ωB and the infectious period of bat infection was defined as 1/γB. The SB will be infected through sufficient contact with IB, and the transmission rate was defined as βB.
The hosts were divided into four departments: susceptible hosts (SH), exposed hosts (EH), infected hosts (IH), and removed hosts (RH). The birth rate and death rate of hosts were defined as nH and mH. In this model, we set ΛH = nH × NH where NH refer to the total number of hosts. The incubation period of host infection was defined as 1/ωH and the infectious period of host infection was defined as 1/γH. The SH will be infected through sufficient contact with IB and IH, and the transmission rates were defined as βBH and βH, respectively.
The 2019-nCoV in reservoir (the seafood market) was denoted as W. We assumed that the retail purchases rate of the hosts in the market was a, and that the prevalence of 2019-nCoV in the purchases was IH/NH, therefore, the rate of the 2019-nCoV in W imported form the hosts was aWIH/NH where NH was the total number of hosts. We also assumed that symptomatic infected people and asymptomatic infected people could export the virus into W with the rate of μP and μ’P, although this assumption might occur in a low probability. The virus in W will subsequently leave the W compartment at a rate of εW, where 1/ε is the lifetime of the virus.
The people were divided into five departments: susceptible people (SP), exposed people (EP), symptomatic infected people (IP), asymptomatic infected people (AP), and removed people (RP) including recovered and death people. The birth rate and death rate of people were defined as nP and mP. In this model, we set ΛP = nP × NP where NP refer to the total number of people. The incubation period and latent period of human infection was defined as 1/ωP and 1/ω’ P. The infectious period of IP and AP was defined as 1/γP and 1/γ’ P. The proportion of asymptomatic infection was defined as dP. The SP will be infected through sufficient contact with W and IP, and the transmission rates were defined as βW and βP, respectively. We also assumed that the transmissibility of AP was κ times that of IP, where 0 ≤ κ ≤ 1.
The parameters of the BHRP model were shown in Table 1.
The simplified Reservoir-People transmission network model
Based on the information we known, we assumed that the 2019-nCoV might be imported to the seafood market in a short time. Therefore, we added the further assumptions as follows:
The transmission network of Bats-Host was ignored.
Based on our previous studies on simulating importation(3, 4), we set the initial value of W as following impulse function:
In the function, n, t0 and ti refer to imported volume of the 2019-nCoV to the market, start time of the simulation, and the interval of the importation.
Therefore, the BHRP model was simplified as RP model and is shown as follows:
During the outbreak period, the natural birth rate and death rate in the population was in a relative low level. However, people would commonly travel into and out from Wuhan City due to the Chinese New Year. Therefore, nP and mP refer to the rate of people traveling into Wuhan City and traveling out from Wuhan City, respectively.
The transmissibility of the 2019-nCoV based on the RP model
In this study, we used the basic reproduction number (R0) to assess the transmissibility of the 2019-nCoV. Commonly, R0 was defined as the expected number of secondary infections that result from introducing a single infected individual into an otherwise susceptible population(3). If R0 > 1, the outbreak will occur. If R0 < 1, the outbreak will go to an end.
Based on the equations of RP model, we can get the disease free equilibrium point as:
In the matrix:
By the next generation matrix approach(5), we can get the next generation matrix and R0 for the RP model:
Author contribution statements
Tianmu Chen: Methodology, Formal analysis, Writing - original draft, review & editing. Jia Rui: Methodology, Formal analysis. Zeyu Zhao: Formal analysis. Qiupeng Wang: Formal analysis. Jing-An Cui: Methodology. Ling Yin: Methodology.
Interest of Conflicts
None.
Acknowledgment
None.