<?xml version="1.0"?>
<Articles JournalTitle="Journal of Biostatistics and Epidemiology">
  <Article>
    <Journal>
      <PublisherName>Tehran University of Medical Sciences</PublisherName>
      <JournalTitle>Journal of Biostatistics and Epidemiology</JournalTitle>
      <Issn>2383-4196</Issn>
      <Volume>7</Volume>
      <Issue>3</Issue>
      <PubDate PubStatus="epublish">
        <Year>2021</Year>
        <Month>10</Month>
        <Day>23</Day>
      </PubDate>
    </Journal>
    <title locale="en_US">How to Reduce Misinterpretation of Quantitative Infection Risk by Assessment Parameters  Associated with the COVID-19 Pandemic</title>
    <FirstPage>310</FirstPage>
    <LastPage>320</LastPage>
    <AuthorList>
      <Author>
        <FirstName>J&#xFC;rgen</FirstName>
        <LastName>Rassow</LastName>
        <affiliation locale="en_US">Institute for Medical Radiation Physics, University Hospital Essen of the University of Duisburg-Essen, Germany.</affiliation>
      </Author>
    </AuthorList>
    <History>
      <PubDate PubStatus="received">
        <Year>2021</Year>
        <Month>06</Month>
        <Day>01</Day>
      </PubDate>
      <PubDate PubStatus="accepted">
        <Year>2021</Year>
        <Month>08</Month>
        <Day>14</Day>
      </PubDate>
    </History>
    <abstract locale="en_US">Introduction: The quantitative information on the risk of infection in the COVID-19 pandemic is calculated&#xA0;currently exclusively on the base of new infections per day, which only contribute 6.60%&#xB1;1.34% to the 100%&#xA0;contagious acute infections and are, therefore, not proportional to the risk of infection. All methods and results&#xA0;presented here are shown for data in Germany, but can be transferred to any other region worldwide.&#xA0;
&#xD;

Methods: More precise parameters as are used at present, are based on acute infections: stress index with&#xA0;information about the distance to the stress limit of the health system, the density of the sources of infection&#xA0;and the change in acute infections during the last 5 days are suggested here.&#xA0;
&#xD;

Results: The comparison of the results of the current and the new assessment parameters shows that large&#xA0;daily fluctuations in new infections of up to &#xB1;22% lead to unnecessary uncertainties. The new assessment&#xA0;parameters are correspondingly more precise. The 7-days incidence warning thresholds introduced by German&#xA0;law in November 2020 and April 2021 are defined on the base of new infections. As a result, the real infection&#xA0;risks can be incorrectly assessed due to the large fluctuations of the 7-days incidence values up to &#xB1;23%, so&#xA0;that legal conflicts can arise if legally prescribed protective measures are objectively unjustified or introduced&#xA0;too late.&#xA0;
&#xD;

Conclusion: By moving from new infections to acute infections as a base for calculation, infection risks can&#xA0;be described more precisely and even unjustified, expensive protective measures can be avoided.&#xA0;</abstract>
    <web_url>https://jbe.tums.ac.ir/index.php/jbe/article/view/570</web_url>
  </Article>
</Articles>
