First month of the epidemic caused by COVID-19 in Italy: current status and real-time outbreak development forecast

DOI: https://doi.org/10.21203/rs.3.rs-20456/v1

Abstract

Background: The first outbreaks of COVID-19 in Italy occurred during the second half of February 2020 in some areas in the North of the country. Due to the high contagiousness of the infection, further spread by asymptomatic people, Italy has become in a few weeks the country with the greatest number of infected people in the World. The large number of severe cases among infected people in Italy led to the hospitalization of thousands of patients, with a heavy burden on the National Health Service. 

Methods: We analyzed data provided daily by Italian Authorities for the period from 24 February 2020 to 30 March 2020. Considering such information, we developed a forecast model in real-time, based on the cumulative logistic distribution. We then produced an estimate of the overall number of potentially infected individuals and epidemic duration at a national and Regional level, for the most affected Regions. 

Results: We reported the daily distribution of performed swabs and confirmed cases, and the cumulative distribution of confirmed cases, of patients quarantined at home (43.0%), hospitalized in non-intensive care (27.3%), recovered or discharged (14.4%), deceased (11.4%), and hospitalized in intensive care (3.9%). The forecast model estimated a number of infected persons for Italy of 130,000 about, and a duration of the epidemic greater than 2 months. 

Conclusions: Once month after the first outbreaks there seems to be the first signs of a decrease in the number of infections, showing that we could be now facing the descending phase of the epidemic. The forecast obtained thanks to our model could be used by decision-makers to implement coordinative and collaborative efforts in order to control the epidemic.

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