Table 2 Observed number of secondary cases by reported severity level for COVID-19 in China, and the estimated distribution of severity levels of natural infections based on secondary cases.

From: Using secondary cases to characterize the severity of an emerging or re-emerging infection

 

Asymptomatic

Mild

Moderate

Severe or critical

Total

Estimated distribution of severity levels of natural infections

Luo et al. (Guangzhou, China)

Number of secondary cases

8

18

84

11

121

Estimated distribution of severity level

0.07 (0.03, 0.12)

0.15 (0.09, 0.22)

0.69 (0.6, 0.77)

0.09 (0.05, 0.15)

 

Hu et al. (Hunan, China)

Number of secondary cases

104

153

174

40

471

Estimated distribution of severity level

0.22 (0.18, 0.26)

0.32 (0.28, 0.37)

0.37 (0.33, 0.41)

0.09 (0.06, 0.11)

 

Estimated numbers of total index cases before and after correcting for case ascertainment bias

Guangzhou, China from Jan 13 to Mar 6, 2020, severity information available for 68/244 (28%) of index cases (based on Luo et al.)

Observed number

1

5

42

20

68

Estimated number before correcting bias

4 (1, 14)

18 (8, 34)

149 (125, 172)

71 (51, 95)

244

Estimated number after correcting bias

51 (19, 131)

115 (51, 265)

535 (270, 1108)

71 (51, 95)

830 (421, 1539)

Proportion of missed index cases

0.93 (0.59, 0.99)

0.85 (0.54, 0.95)

0.72 (0.41, 0.88)

0 (0, 0)

0.67 (0.42, 0.84)

Wuhan, China from Dec 2, 2019 to Apr 18, 2020, severity information available for 29578/38563 (77%) of index cases (based on Li et al.)

Observed number

567

14928

8416

5667

29578

Estimated number before correcting bias

739 (711, 769)

19463 (19360, 19570)

10972 (10878, 11065)

7388 (7303, 7474)

38563

Estimated number after correcting biasa

19236 (13486, 27854)

28275 (20055, 40448)

31996 (23059, 45905)

7388 (7303, 7474)

88349 (65545, 119106)

Proportion of missed index cases

0.96 (0.94, 0.97)

0.31 (0.03, 0.52)

0.66 (0.52, 0.76)

0 (0, 0)

0.55 (0.41, 0.68)

  1. Observed number of index cases by reported severity level for COVID-19 in China, and the estimated numbers of total index cases before and after correcting for case ascertainment bias, assuming all severe/critical cases were detected.
  2. aThe distribution of severity distribution was estimated based on data from Hu et al.