Estimating the infection and case fatality ratio for coronavirus disease (COVID-19) using age-adjusted data from the outbreak on the Diamond Princess cruise ship, February 2020.

Timothy W Russell ORCID logo; Joel Hellewell ORCID logo; Christopher I Jarvis ORCID logo; Kevin van Zandvoort ORCID logo; Sam Abbott ORCID logo; Ruwan Ratnayake ORCID logo; CMMID COVID-19 working group; Stefan Flasche ORCID logo; Rosalind M Eggo ORCID logo; W John Edmunds ORCID logo; +1 more... Adam J Kucharski ORCID logo; (2020) Estimating the infection and case fatality ratio for coronavirus disease (COVID-19) using age-adjusted data from the outbreak on the Diamond Princess cruise ship, February 2020. Euro Surveill, 25 (12). ISSN 1560-7917 DOI: 10.2807/1560-7917.ES.2020.25.12.2000256
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Adjusting for delay from confirmation to death, we estimated case and infection fatality ratios (CFR, IFR) for coronavirus disease (COVID-19) on the Diamond Princess ship as 2.6% (95% confidence interval (CI): 0.89-6.7) and 1.3% (95% CI: 0.38-3.6), respectively. Comparing deaths on board with expected deaths based on naive CFR estimates from China, we estimated CFR and IFR in China to be 1.2% (95% CI: 0.3-2.7) and 0.6% (95% CI: 0.2-1.3), respectively.


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