The Epidemiology, Transmissions and Risk Factors of SARS-CoV-2

Abstract

The outbreak of a novel coronavirus (SARS-CoV-2) and associated COVID-19 disease in late December 2019 has led to a global pandemic, spreading very quickly and causing a more than 500,000 deaths in less than six monhs of the ourbreak. The incidence differs by country and depends on many agents, such as population density, demography, the amount of testing people and reporting, and actions of mitigation strategies, provisions of sanitary and education of the society. In this article, we presented the current studies about the epidemiology of COVID-19, including the transmission routes of the SARS-CoV-2, the incubation period, the reproduction number (R0), the case fatality risks (CFR), comorbidities and measures prevention against COVID-19. We searched the articles in the main database (PubMed/Medline, Elsevier Science Direct, Scopus, Isi Web of Science, Embase, Exerpta Medica, UptoDate, Lilacs, Novel Coronavirus Resource Directory from Elsevier), in the high-impact international scientific Journals (Scimago Journal and Country Rank - SJR - and Journal Citation Reports - JCR), such as The Lancet, Science, Nature, The New England Journal of Medicine, Physiological Reviews, Journal of the American Medical Association, Plos One, Journal of Clinical Investigation, and in the data from Center for Disease Control (CDC), National Institutes of Health (NIH), National Institute of Allergy and Infectious Diseases (NIAID) and World Health Organization (WHO). We prior selected meta-analysis, systematic reviews, article reviews and original articles in this order. We reviewed 235 articles and used 131 from March to June 2020, using the terms coronavirus, SARS-CoV-2, novel coronavirus, Wuhan coronavirus, severe acute respiratory syndrome, 2019-nCoV, 2019 novel coronavirus, n-CoV-2, covid, n-Sars-2, COVID-19, corona virus, coronaviruses, epodemiology of COVID-19, risk factors, viral spreading, transmissions, routes, animals incubation, period, RO, CFR, comorbidities, prevention, with the tools MeSH (Medical Subject Headings), AND, OR, and characters [,“,; /., to ensure the best review topics. We concluded that the epidemiological data is very important to know the transmission risks rate, purpose public political policies of mitigating the disease, protect the vulnerable population. Also, it is important reconsider the legislation about wild animals, the potential intermediate host(s) of various viruses, as well as the conditions of live for animals for human comsuption to prevent future outbreaks.