Abstract

At the end of 2019, the COVID-19 broke out, and spread to Guizhou province in January of 2020. To acquire the epidemiologic characteristics of COVID-19 in Guizhou province, we collected data from 169 laboratory-confirmed COVID-19 related cases. We described the demographic characteristics of the cases and estimated the incubation period, serial interval and the effective reproduction number. We also presented two representative case studies in Guizhou province: Case Study 1 was an example of the asymptomatic carrier; while Case Study 2 was an example of a large and complex infection chain that involved four different regions, spanning three provinces and eight families. Two peaks in the incidence distribution associated with COVID-19 in Guizhou province were related to the 6.04 days (95% CI: 5.00 - 7.10) of incubation period and 6.14±2.21 days of serial interval. We also discussed the effectiveness of the control measures based on the instantaneous effective reproduction number that was a constantly declining curve. As of February 2, 2020, the estimated effective reproduction number was below 1, and no new cases were reported since February 26. These showed that Guizhou Province had achieved significant progress in preventing the spread of the epidemic. The medical isolation of close contacts was consequential. Meanwhile, the asymptomatic carriers and the super-spreaders must be isolated in time, who would cause a widespread infection.

Highlights

  • At the end of 2019, the COVID-19 broke out, and spread to Guizhou province in January of 2020

  • In this study, considering that most cases were imported from other locations and the impact of control measures during the epidemic, we analyzed the data of the 169 laboratory-confirmed cases (23 cases without symptoms included) in Guizhou province to demonstrate the epidemiologic characteristics of COVID-19

  • Of the total 80,651 cases that were confirmed throughout China, 146 cases were in Guizhou province. (B) Geographic distribution and statistics in Guizhou province as of March 8

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Summary

Introduction

At the end of 2019, the COVID-19 broke out, and spread to Guizhou province in January of 2020. Conclusions: As of February 2, 2020, the estimated effective reproduction number was below 1, and no new cases were reported since February 26 These showed that Guizhou Province had achieved significant progress in preventing the spread of the epidemic. Before the confirmation of the first case, Guizhou CDC identified and screened suspected COVID-19 cases by “pneumonia of unknown etiology” surveillance mechanism [3] It was developed after SARS in 2003, to monitor cases with pneumonia in case they were infected by any novel pathogen. In this study, considering that most cases were imported from other locations and the impact of control measures during the epidemic, we analyzed the data of the 169 laboratory-confirmed cases (23 cases without symptoms included) in Guizhou province to demonstrate the epidemiologic characteristics of COVID-19. We described two representative case studies in Guizhou province: Case Study 1 refers to 6 cases of infection in 3 families by index cases with no symptoms; Case Study 2 is an example of a large and complex infection chain that involves 4 different regions spanning 3 provinces and 8 families

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