Abstract

In Germany, local health departments are responsible for surveillance of the current pandemic situation. One of their major tasks is to monitor infected persons. For instance, the direct contacts of infectious persons at group meetings have to be traced and potentially quarantined. Such quarantine requirements may be revoked, when all contact persons obtain a negative polymerase chain reaction (PCR) test result. However, contact tracing and testing is time-consuming, costly and not always feasible. In this work, we present a statistical model for the probability that no transmission of COVID-19 occurred given an arbitrary number of negative test results among contact persons. Hereby, the time-dependent sensitivity and specificity of the PCR test are taken into account. We employ a parametric Bayesian model which combines an adaptable Beta-Binomial prior and two likelihood components in a novel fashion. This is illustrated for group events in German school classes. The first evaluation on a real-world dataset showed that our approach can support important quarantine decisions with the goal to achieve a better balance between necessary containment of the pandemic and preservation of social and economic life. Future work will focus on further refinement and evaluation of quarantine decisions based on our statistical model.

Highlights

  • We introduced a statistical model for estimating the risk of an early group quarantine cancellation

  • A day specific sensitivity and a specificity of 100% of the polymerase chain reaction (PCR)-test were considered for the likelihood distribution

  • The whole model can be specified for any group event in any country

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Summary

Introduction

Many countries legislated strict lock-downs in order to decrease infections numbers. When the infection numbers have reached an acceptable low level, more liberal rules applied, such as social distancing and limits on larger gatherings. Many countries have issued regulations requiring infected persons to be isolated and contact persons to be quarantined. The RKI reports on a regular basis about the COVID-19 situation in Germany; see, for example, Reference [2]. Based on those reported numbers, the RKI recommends an implementation, adaption, or cancellation of procedural rules for political decision-makers in Germany

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