Unraveling R0: Considerations for public health applications

B. Ridenhour, J.M. Kowalik and D.K. Shay

American Journal of Public Health, 2014, vol. 104, issue 2, e32-e41

Abstract: We assessed public health use of R0, the basic reproduction number, which estimates the speed at which a disease is capable of spreading in a population. These estimates are of great public health interest, as evidenced during the 2009 influenza A (H1N1) virus pandemic. We reviewed methods commonly used to estimate R0, examined their practical utility, and assessed how estimates of this epidemiological parameter can inform mitigation strategy decisions. In isolation, R0 is a suboptimal gauge of infectious disease dynamics across populations; other disease parameters may provide more useful information. Nonetheless, estimation of R0 for a particular population is useful for understanding transmission in the study population. Considered in the context of other epidemiologically important parameters, the value of R 0 may lie in better understanding an outbreak and in preparing a public health response.

Keywords: article; basic reproduction number; disease transmission; epidemic; epidemiology; human; influenza; Influenza virus A H1N1; pandemic; public health; statistical model; statistics; time, Basic Reproduction Number; Disease Outbreaks; Epidemiologic Methods; Humans; Influenza A Virus, H1N1 Subtype; Influenza, Human; Models, Statistical; Pandemics; Public Health; Time Factors (search for similar items in EconPapers)
Date: 2014
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Citations: View citations in EconPapers (7)

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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2013.301704_9

DOI: 10.2105/AJPH.2013.301704

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