1 Introduction

This paper contains estimates for the effective reproduction number \(R_{t,m}\) over time \(t\) in various nations and other regions \(m\) of United Kingdom. This is done using the methodology as described in [1]. These have been implemented in R using EpiEstim package [2] which is what is used here. The methodology and assumptions are described in more detail here.

This paper and it’s results should be updated roughly daily and is available online.

2 Updates

As this paper is updated over time this section will summarise significant changes. The code producing this paper is tracked using Git. The Git commit hash for this project at the time of generating this paper was f375c64277b7e5fd535c882031ceca88dc14db31.

The following updates have been made:

  • On 27 May 2021 methodology was updated to use up to date cases but an allowance for late reporting was added.
  • Further on 28 May 2021 plots and maps were updated to consistently not plot reproduction number estimates where the 95% confidence interval associated with that estimate is wider than 1.
  • A further update on 29 May 2021 was made. All plots and maps were updated to consistently not plot reproduction number estimates where the 95% confidence interval associated with that estimate is wider than 1.
  • On 9 January 2022 improvements to allowance for late reproted data was made.

3 Data

3.1 Source

Data is obtained [3]. This contains the daily cases, hospital admissions and deaths for United Kingdom by various geographies. Here the data is accessed by specimen date, admission date and date of death.

All data prior to 1 March 2020 are removed.

3.2 Allowance for late reporting

Based on a history of the data collected patterns of late reporting are developed. A maximum delay in reporting of 21 days is assumed and the last 28 days of reporting data is used to estimate the late reported cases, admissions and deaths.

4 Methodology

The methodology is described in detail here.

5 Results by Nation

5.1 Cases

Below a 7-day moving average of daily case count on a log scale by nation is plotted:

Daily Cases by Nation (7-day moving average)

Daily Cases by Nation (7-day moving average)

Daily Cases by Nation for Last 30-days (7-day moving average)

Daily Cases by Nation for Last 30-days (7-day moving average)

5.2 Admissions

Below we plot cumulative hospital admissions on a log scale.

Daily Admissions by Nation (7-day moving average)

Daily Admissions by Nation (7-day moving average)

Daily Admissions by Nation for Last 30-days (7-day moving average)

Daily Admissions by Nation for Last 30-days (7-day moving average)

5.3 Deaths

Below a 14-day moving average of daily deaths by nation on a log scale is plotted:

Daily Deaths by Nation (14-day moving average)

Daily Deaths by Nation (14-day moving average)

Daily Deaths by Nation for Last 60-days (14-day moving average)

Daily Deaths by Nation for Last 60-days (14-day moving average)

5.4 Current Reproduction Number Estimates by Nation

Below current (last weekly) reproduction number estimates are tabulated by nation.

Estimated Effective Reproduction Number by Nation
Nation Estimate Type Daily Count (Last Week) Week Ending Reproduction Number [95% Confidence Interval]
England cases 8,712 2022-12-21 1.50 [1.39 - 1.60]
England admissions 1,528 2022-12-19 1.72 [1.57 - 1.87]
England deaths 132 2022-12-19 1.28 [1.17 - 1.39]
Northern Ireland cases 260 2022-05-19 0.93 [0.88 - 0.97]
Northern Ireland admissions 23 2022-12-15 1.63 [1.35 - 1.93]
Northern Ireland deaths 1 2022-05-19 0.99 [0.45 - 1.74]
Scotland cases 623 2022-12-18 1.63 [1.50 - 1.76]
Scotland admissions 53 2022-09-11 0.89 [0.81 - 0.99]
Scotland deaths 2 2022-06-01 0.44 [0.25 - 0.69]
Wales cases 229 2022-12-21 1.43 [1.28 - 1.60]
Wales admissions 20 2022-12-20 1.45 [1.21 - 1.72]
Wales deaths 3 2022-12-21 1.31 [0.85 - 1.89]
Estimated Effective Reproduction Number by Nation

Estimated Effective Reproduction Number by Nation

5.5 Maps of Effective Reproduction Number

Below we plot the current effective reproduction number on maps with boundaries provided by [4]. Data where the confidence interval for the reproduction number is wider than 1 are excluded (shown as missing on the map).

5.5.1 Cases

5.5.2 Admissions

5.5.3 Deaths

5.6 Graphs over Time

Below we plot results for each nation.

5.6.1 England

5.6.2 Northern Ireland

5.6.3 Scotland

5.6.4 Wales

6 Results by Region

6.1 Cases

Below we daily case count is plotted on a log scale by region:

Daily Cases by Region (7-day moving average)

Daily Cases by Region (7-day moving average)

Daily Cases by Region for Last 30-days (7-day moving average)

Daily Cases by Region for Last 30-days (7-day moving average)

6.2 Deaths

Below a 14-day moving average of daily deaths by region is plotted on a log scale:

Daily Deaths by Region (14-day moving average)

Daily Deaths by Region (14-day moving average)

Daily Deaths by Region for Last 60-days (14-day moving average)

Daily Deaths by Region for Last 60-days (14-day moving average)

6.3 Current Reproduction Number Estimates by Region

Below current (last weekly) reproduction number estimates are tabulated by region.

Estimated Effective Reproduction Number by Region
Region Estimate Type Daily Count (Last Week) Week Ending Reproduction Number [95% Confidence Interval]
Northern Ireland cases 260 2022-05-19 0.93 [0.88 - 0.97]
Northern Ireland deaths 1 2022-05-19 0.99 [0.45 - 1.74]
Scotland cases 623 2022-12-18 1.63 [1.50 - 1.76]
Scotland deaths 2 2022-06-01 0.44 [0.25 - 0.69]
Wales cases 229 2022-12-21 1.43 [1.28 - 1.60]
Wales deaths 3 2022-12-21 1.31 [0.85 - 1.89]
North East cases 324 2022-12-21 1.51 [1.39 - 1.63]
North East deaths 6 2022-12-19 1.23 [0.87 - 1.65]
North West cases 943 2022-12-21 1.40 [1.31 - 1.49]
North West deaths 19 2022-12-19 1.51 [1.23 - 1.82]
Yorkshire and The Humber cases 667 2022-12-21 1.51 [1.39 - 1.62]
Yorkshire and The Humber deaths 12 2022-12-19 1.40 [1.11 - 1.73]
East Midlands cases 752 2022-12-21 1.48 [1.36 - 1.59]
East Midlands deaths 13 2022-12-19 1.40 [1.11 - 1.72]
West Midlands cases 830 2022-12-21 1.45 [1.35 - 1.54]
West Midlands deaths 13 2022-12-19 1.24 [1.00 - 1.51]
East of England cases 1,048 2022-12-21 1.61 [1.47 - 1.75]
East of England deaths 13 2022-12-19 1.47 [1.17 - 1.81]
London cases 940 2022-12-21 1.43 [1.33 - 1.52]
London deaths 12 2022-12-19 1.28 [1.02 - 1.57]
South East cases 1,716 2022-12-21 1.53 [1.42 - 1.66]
South East deaths 19 2022-12-19 1.19 [0.98 - 1.41]
South West cases 1,415 2022-12-21 1.60 [1.45 - 1.74]
South West deaths 16 2022-12-19 1.20 [0.97 - 1.45]
Estimated Effective Reproduction Number by Region

Estimated Effective Reproduction Number by Region

6.4 Maps of Effective Reproduction Number

Below we plot the current effective reproduction number on maps with boundaries provided by [5]. Data where the confidence interval for the reproduction number is wider than 1 are excluded (shown as missing on the map).

6.4.1 Cases

6.4.2 Deaths

6.5 Graphs over Time

Below we plot results for each nation.

6.5.1 Northern Ireland

6.5.2 Scotland

6.5.3 Wales

6.5.4 North East

6.5.5 North West

6.5.6 Yorkshire and The Humber

6.5.7 East Midlands

6.5.8 West Midlands

6.5.9 East of England

6.5.10 London

6.5.11 South East

6.5.12 South West

7 Results by NHS Region

7.1 Admissions

Daily Admissions by NHS Region (7-day moving average)

Daily Admissions by NHS Region (7-day moving average)

Daily Admissions by NHS Region for Last 30-days (7-day moving average)

Daily Admissions by NHS Region for Last 30-days (7-day moving average)

7.2 Current reproduction number estimates by Region

Below current (last weekly) reproduction number estimates are tabulated.

Estimated Effective Reproduction Number by Region
Region Estimate Type Daily Count (Last Week) Week Ending Reproduction Number [95% Confidence Interval]
Northern Ireland admissions 23 2022-12-15 1.63 [1.35 - 1.93]
Scotland admissions 53 2022-09-11 0.89 [0.81 - 0.99]
Wales admissions 20 2022-12-20 1.45 [1.21 - 1.72]
North West admissions 177 2022-12-19 1.62 [1.46 - 1.78]
East of England admissions 171 2022-12-19 1.70 [1.54 - 1.86]
London admissions 179 2022-12-19 1.57 [1.42 - 1.72]
South East admissions 258 2022-12-19 1.85 [1.65 - 2.04]
South West admissions 214 2022-12-19 1.88 [1.69 - 2.07]
Midlands admissions 284 2022-12-19 1.71 [1.53 - 1.89]
North East and Yorkshire admissions 246 2022-12-19 1.72 [1.53 - 1.92]
Estimated Effective Reproduction Number by Region

Estimated Effective Reproduction Number by Region

7.3 Maps of Effective Reproduction Number

Below we plot the current effective reproduction number on maps with boundaries provided by [6]. Data where the confidence interval for the reproduction number is wider than 1 are excluded (shown as missing on the map).

7.4 Graphs over Time

Below we plot results for each nation.

7.4.1 London

7.4.2 South East

7.4.3 South West

7.4.4 East of England

7.4.5 Midlands

7.4.6 North East and Yorkshire

7.4.7 North West

8 Results by Upper Tier Local Authority

8.1 Highest reproduction number as estimated using cases

Below we plot Upper Tier Local Authorities with the highest reproduction numbers:

Estimated Effective Reproduction Number by Upper Tier Local Authority
Nation Upper Tier Local Authority Estimate Type Daily Count (Last Week) Week Ending Reproduction Number [95% Confidence Interval]
Scotland East Ayrshire cases 20 2022-12-18 2.06 [1.59 - 2.57]
England Suffolk cases 159 2022-12-21 1.95 [1.70 - 2.19]
England Hartlepool cases 11 2022-12-21 1.94 [1.49 - 2.46]
England Slough cases 16 2022-12-21 1.87 [1.50 - 2.27]
England Wakefield cases 55 2022-12-21 1.87 [1.59 - 2.15]
England Bournemouth, Christchurch and Poole cases 95 2022-12-21 1.83 [1.56 - 2.14]
Scotland South Ayrshire cases 12 2022-12-18 1.83 [1.41 - 2.34]
England Cornwall and Isles of Scilly cases 137 2022-12-21 1.83 [1.60 - 2.09]
Scotland Falkirk cases 17 2022-12-18 1.83 [1.50 - 2.19]
Scotland South Lanarkshire cases 39 2022-12-18 1.79 [1.51 - 2.09]
England Southend-on-Sea cases 33 2022-12-21 1.79 [1.52 - 2.07]
England Rotherham cases 28 2022-12-21 1.78 [1.48 - 2.10]
England Norfolk cases 155 2022-12-21 1.78 [1.55 - 1.99]
England Salford cases 36 2022-12-21 1.77 [1.49 - 2.07]
England Thurrock cases 15 2022-12-21 1.77 [1.40 - 2.17]
England Torbay cases 37 2022-12-21 1.76 [1.50 - 2.04]
England Wandsworth cases 38 2022-12-21 1.75 [1.47 - 2.07]
Scotland Dundee City cases 12 2022-12-18 1.74 [1.35 - 2.21]
Scotland Perth and Kinross cases 13 2022-12-18 1.74 [1.39 - 2.13]
Scotland Argyll and Bute cases 11 2022-12-18 1.73 [1.35 - 2.16]
Scotland Dumfries and Galloway cases 15 2022-12-18 1.73 [1.40 - 2.10]
Scotland Highland cases 18 2022-12-18 1.72 [1.39 - 2.07]
England Middlesbrough cases 12 2022-12-21 1.71 [1.36 - 2.09]
England Plymouth cases 96 2022-12-21 1.71 [1.51 - 1.91]
England Bracknell Forest cases 24 2022-12-21 1.70 [1.40 - 2.02]

8.2 Risk Quadrants

The plots below show weekly cases (or deaths) on the X-axis and the reproduction number on the Y-axis. By dividing this into 4 quadrants we can identify upper tier local authorities with high cases and high reproduction numbers, or high cases and low reproduction numbers etc.

Values where the reproduction number exceeds 3 are plotted at 3.

8.2.1 Cases

Risk Quadrants - Cases

8.2.2 Deaths

Risk Quadrants - Deaths

8.3 Map of Effective Reproduction Number (Cases)

Below we plot the current effective reproduction number estimated from case data on maps with boundaries provided by [7]. Data where the confidence interval for the reproduction number is wider than 1 are excluded (shown as missing on the map).

9 Detailed Results

Detailed output are saved to a comma-separated value file. The file can be found here.

10 Discussion

Limitation of this method to estimate the reproduction number are noted in [1]

  • It’s sensitive to changes in transmissibility, changes in contact patterns, depletion of the susceptible population and control measures.
  • It relies on an assumed generation interval assumptions.
  • The size of the time window can affect the volatility of results.
  • Results are time lagged with regards to true infection, more so in the case of the use of deaths.
  • It’s sensitive to changes in case (or death) detection.
  • The generation interval may change over time.

Further to the above the estimates are made under assumption that the cases and deaths are reported consistently over time. For cases this means that testing needs to be at similar levels and reported with similar lag. Should these change rapidly over an interval of a few weeks the above estimates of the effective reproduction numbers would be biased. For example a rapid expansion of testing over the last 3 weeks would results in overestimating recent effective reproduction numbers. Similarly any changes in reporting (over time and underreporting) of deaths would also bias estimates of the reproduction number estimated using deaths. It may well be that some catch-up in reported deaths is exaggerating the estimates for October.

Estimates for the reproduction number are plotted in time period in which the relevant measure is recorded. Though in reality the infections giving rise to those estimates would have occurred roughly between a week to 4 weeks earlier depending on whether it was cases or deaths. These figures have not been shifted back.

Despite these limitation we believe the ease of calculation of this method and the ability to use multiple sources makes it useful as a monitoring tool.

11 Author

This report was prepared by Louis Rossouw. Please get in contact with Louis Rossouw if you have comments or wish to receive this regularly.

Louis Rossouw
Head of Research & Analytics
Gen Re | Life/Health Canada, South Africa, Australia, NZ, UK & Ireland
Email: LRossouw@GenRe.com Mobile: +27 71 355 2550

The views in this document represents that of the author and may not represent those of Gen Re. Also note that given the significant uncertainty involved with the parameters, data and methodology care should be taken with these numbers and any use of these numbers.

12 Digital boundaries

Office for National Statistics licensed under the Open Government Licence v.3.0

Contains OS data © Crown copyright and database right 2020

References

[1]
A. Cori, N. M. Ferguson, C. Fraser, and S. Cauchemez, “A new framework and software to estimate time-varying reproduction numbers during epidemics,” American Journal of Epidemiology, vol. 178, no. 9, pp. 1505–1512, Sep. 2013, doi: 10.1093/aje/kwt133.
[2]
A. Cori, EpiEstim: A package to estimate time varying reproduction numbers from epidemic curves. 2013.
[3]
Office for National Statistics, “Official UK Coronavirus Dashboard.” https://coronavirus.data.gov.uk, 2020.
[4]
Office for National Statistics, “Countries (December 2019) Boundaries UK BUC.” https://geoportal.statistics.gov.uk/search?collection=Dataset, Oct-2017.
[5]
Office for National Statistics, NUTS Level 1 (January 2018) Ultra Generalised Clipped Boundaries in the United Kingdom.” https://geoportal.statistics.gov.uk/datasets/nuts-level-1-january-2018-ultra-generalised-clipped-boundaries-in-the-united-kingdom, Jul-2017.
[6]
Office for National Statistics, NHS England Regions (April 2020) Boundaries EN BUC.” https://geoportal.statistics.gov.uk/search?collection=Dataset, May-2020.
[7]
Office for National Statistics, “Counties and Unitary Authorities (December 2019) Boundaries UK BUC.” https://geoportal.statistics.gov.uk/datasets/counties-and-unitary-authorities-december-2019-boundaries-uk-buc, Mar-2020.