Background To reduce the transmission of the severe acute respiratory syndrome coronavirus 2 in its first wave, European governments have implemented successive measures to encourage social distancing. However, it remained unclear how effectively measures reduced the spread of the virus. We examined how the effective-contact rate (ECR), the mean number of daily contacts for an infectious individual to transmit the virus, among European citizens evolved during this wave over the period with implemented measures, disregarding a priori information on governmental measures. Methods We developed a data-oriented approach that is based on an extended Susceptible-Exposed-Infectious-Removed (SEIR) model. Using the available data on the confirmed numbers of infections and hospitalizations, we first estimated the daily total number of infectious-, exposed- and susceptible individuals and subsequently estimated the ECR with an iterative Poisson regression model. We then compared change points in the daily ECRs to the moments of the governmental measures. Results The change points in the daily ECRs were found to align with the implementation of governmental interventions. At the end of the considered time-window, we found similar ECRs for Italy (0.29), Spain (0.24), and Germany (0.27), while the ECR in the Netherlands (0.34), Belgium (0.35) and the UK (0.37) were somewhat higher. The highest ECR was found for Sweden (0.45). Conclusions There seemed to be an immediate effect of banning events and closing schools, typically among the first measures taken by the governments. The effect of additionally closing bars and restaurants seemed limited. For most countries a somewhat delayed effect of the full lockdown was observed, and the ECR after a full lockdown was not necessarily lower than an ECR after (only) a gathering ban. Supplementary Information The online version contains supplementary material available at 10.1186/s12889-021-10257-2.
【저자키워드】 COVID-19, social distancing, Effective-contact rate, Governmental interventions, Epidemic disease modeling, 【초록키워드】 coronavirus, lockdown, Infection, Transmission, Italy, virus, Spread, Schools, Measures, Germany, implementation, hospitalizations, Spain, information, Belgium, First wave, Contact, Government, acute respiratory syndrome, supplementary material, available data, measure, Poisson regression model, SEIR, approach, European, country, event, Result, highest, examined, remained, reduced, Netherland, reduce, iterative, the mean, immediate effect, susceptible individual, 【제목키워드】 Intervention, Affect, European, spread of COVID-19,