Coral Gables, March 24, 2020 – SL FINANCIAL is an actuarial consulting and advisory firm based in Miami, Florida. We offer complete actuarial solutions in both traditional (re)insurance and alternative risk financing industries.
The following is inspired from an article published on Medium.com on March 19, 2020 entitled “Coronavirus: The Hammer and the Dance”:
The article focus is to show how strong coronavirus measures (i.e. “The Hammer”), that are temporary, are necessary for leaders to buy time (until a treatment at least is developed) and avoid the collapse of the healthcare system due to big peak of infection. Key takeaway of the article is that:
This post will focus on assessing the current situation using an epidemic calculator developed by Gabriel Goh, to country in sub Saharan Africa (case study of Cameroon). The calculator implements a classical infectious disease model – SEIR (Susceptible Exposed Infected Removed). The assessment in this post along with the reader should be mindful of the following conditions and limitations:
Central scenario assessment for country Cameroon suggests that the total number of deaths could reach over 430,000 (i.e. over 1.7% of the population):
Chart 1: Exposed, Infected, Hospitalized and Deaths in Cameroon COVID-19 Central Scenario
Chart 2: Infected, Hospitalized and Deaths in Cameroon COVID-19 Central Scenario
Source: SL FINANCIAL Analysis, Epidemic Calculator, Gabriel Goh, http://gabgoh.github.io/COVID/index.html
Finally, the following table presents a comparative assessment of the SEIR model’s parameters using Gabriel Goh’s estimate for the United State:
Parameters |
United States |
Cameroon |
SL FINANCIAL Comments |
Population |
330 million |
25 million |
|
Initial infections |
246 |
180 |
Assumes 66 infected as of 3/24/20 is understated. We estimate true infected to be around 180(*) |
Basic reproduction number (R0) |
2.4 |
3.0 |
Assumed higher secondary infection due to non-application of confinements measures |
Transmission time (Tinc) |
5.20 days |
7.96 days |
Assumed higher incubation due to alternative medicine and more resistant immune systems |
Transmission time (Tinf) |
2.9 days |
2.9 days |
Assumed identical |
Fatality rate |
4.0% |
2.0% |
Assumed lower due to alternative medicine and more resistant immune systems |
Time from end of incubation to death |
21.3 days |
20 days |
Assumed slightly lower due to lower quality of healthcare |
Length of hospital stay |
10 days |
20 days |
Assumed higher due to more severe cases ending up hospitalized |
Recovery time for mild cases |
11.1 days |
15 days |
Assumed higher due to less optimal treatments |
Hospital rate |
14.0% |
5.0% |
Assumed lower due to higher case treated outside the healthcare system |
Time to hospitalization |
5 days |
2.5 days |
Assumed lower due to higher case treated outside the healthcare system |
(*) 180 = 20 (international flights per week) x 2 (2-week period leading to 3/17/20) x 150 (passengers per flight) x 1% (percentage of infected) x 3 (basic reproduction number)
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