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Estimate the number of actual COVID-19 positive people in India as of today.

Assume Indian Geography and use a bottom up approach. You may consider the factors as per your choice but it would be great if you could estimate on the basis of number of social interactions, temporal factors, duration of developing symptoms, since the first case detected on January 30th and also the number of inbound travellers. You may use the facts of the case from external sources such as confirmed cases as of today in India are at 3000.
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Approach:

1. Identify the no. of international travellers entering India every day

2. Identify the total no. of infected people out of this population

3. Identify the average contacts made by an infected person in a day and newly infected people because of this person

4. Identify the total infected people because of the new arrivals, new contacts made and disease tranmission rate before lockdown and social distancing happened

5. Identify the total infected people by April 27th (after social distancing)

6. Identify the total no. of positive cases by April 27th (Would be lesser since symtoms start appearing after 14 days)

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1. Identify the no. of international travellers entering India every day

There are 30 international airports in India with 7 major ones including Delhi, Mumbai, Chennai, Kochi, Bangalore, Hyderabad, Kolkata. 
Delhi Airport receives around 800-2200 international passengers during lean and peak hours every day which makes amounts to a total of 30000 (~1200*24 hours) international passengers everyday. 
So, total no. of international passengers entering India everyday could be estimated at 1 lakh per day.
(Delhi - 30K, Mumbai - 20K, Chennai - 15K, Kochi - 10K, Bangalore - 8 K, Hyderabad - 6 K, Kolkata - 5 K and so on..)

2. Identify the total no. of infected people out of this population

Assuming the infected ratio to be 1% (taking into consideration the worldwide disease spread % which is not very high), the total no. of positive cases on the first day = 1000 people

3. Identify the average contacts made by an infected person in a day and newly infected people because of this person

Depending on the lifestyle of the person, contacts made by a person can vary from 5 to 50 people on an average with median standing at 10 people. 
Assuming the disease transmission rate to be 1% (As the no. of positive cases doubles every 10th day), new people getting infected by one infected person everyday would be .1 people on an average

4. Identify the total infected people because of the new arrivals, new contacts made and disease tranmission rate before lockdown and social distancing happened

Day 1 - C =  1000 positive cases - X1
Day 2 - X1 + X1*.1 + W2 = X1*1.1 + C = 1000*1.1 + 1000 = 2100 positive cases - X2
Day 3 - X2 + X2*.1 + W3 = X2*1.1 + C = 2100*1.1 + 1000 = 3310 positive cases - X3
and so on...
So total no. of infected people by March 20th (Before social distancing and lockdown happened) would be 1163909 ~ 11 Lakh infected people

5. Identify the total infected people by April 27th

Assuming that after the lockdown and social distancing the transmission rate reduced to .01% from .1% and since international travel was stopped, there were no new cases coming from international travel.
So, total no. of infected people by April 27th (37 days) would be 1522635 ~ 15 lakh infected people

6. Identify the total no. of positive cases by April 27th

Total no. of positive cases by April 27th would be the total no. of infected people by April 13th (since it takes 14 days before any symptoms appear)
so total no. of positive cases by April 27th would be 1324636 ~ 13 lakh positive cases

So, total no. of positive cases in India by April 27th would be 13 lakh.  
 

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Assumptions: There is no real way to find the actual initial no. of affected cases, as lots of cases may not be reported. Hence, I’m estimating on the basis of people probably affected then drilling down further to see the total estimated cases-

 

Equation: No. of people in India * contact rate * % of people contracting through contact.

 Where,

  • Contact rate = Avg no. of people who’d probably be affected through contact  (% of people who’ll be in contact/ person)
  • % of people contracting though contact= Not all people who are in contact with covid-19 positive will contract the disease, hence this metric measures the probability of actual disease contraction

 Total population of India= 1.3B

 Inorder to calculate contact rate, defining Population by where they live-

Without social distancing:

Population lives in

% of population

Population

Contact Rate

Disease Contraction rate

Infected population

Total affected population

Highly populous cities

10%

130M

Very high (1 person infects 200 people)

i.e: 650,000 infected people will infect 130M

40%

=40%*650,000 = 260K infected

260K + (infected potential affecting regular population =52M, who inturn have 40% contraction rate)

i.e 21.49M

Tier 2 cities

20%

260M

Very High (1 person infects 150 people)

i.e 1.73M infected people will infect 260M)

40%

=40% *1.73M= 692K infected

692K + (infected potential affecting regular population =103M, who intur have 40% contract rate)

i.e 41.89M

Tier 3 cities

30%

390M

High (1 person infects 100 people)

i.e: 3.9M infected people will infect 390M

30%

=30%*3.9M = 1.17M

1.17M +

(infected potential affecting regular population= 117M, who in turn have 30% contract rate)= 36.27MM (1.17+35.1)

 

Villages

40%

420M

Medium ( 1 person infects 20 people)

i.e: 21M infected people will affect 420M

70%

=70%*21M= 14.7M

294M (who in turn have 70% contract rate)+ 14.7M = 205.8+14.7= 220.5M

 Thus, total infected due to not following social distancing could be 320.15MM people.

However, due to rigorous social distancing measures taken by India, my assumption is that only 20 % of the actual population calculated may be affected= 0.2*320.15MM ~64MM people.

 

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Assuming 3000 people have been affected till date, and a  further assumption that only 50% people who have the disease have been tested so far, actual cases comes to 6000 then for calculating more potential cases

 Hypothesis : No. of infected people in India * contact rate * % of people contracting through contact = Total potentially affected people

Segregating on the basis of population density :

Densely populated – 30% = 1800

Quarantined : 50% affects 4 person directly = 3600

Not Quarantined : 50% affects 15person directly = 11,500

 

Moderate populated : 45% = 2700

Quarantined : 50% affects 2  person directly = 2700

Not Quarantined : 50% affects 9 person directly = 1350x9 = 13500-1350 = 11,150

 

Less Populated: 25% = 1500

Quarantined : 50% affects 2 person directly = 1500

Not Quarantined : 50% affects 5 person directly = 3750

 

Final count = 6000 + 3750+11150+2700+11500+3600 = 38,700

 

 

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As of 21st April, around 18000 positive cases when there are about 600 tests/million. That's about 3%

Now this is assuming no community transmission. Once that is established and more tests are conducted that number maybe around 10%

Now splitting 1 billion Indians in North (30%), West (30%), South (25%) and East (15%).

Keeping in mind the population density and education levels, I am assuming the following percentages will be affected in the regions:

North 20%

West 20%

South 10%

East 10%

Thus total number of patients is 1B*(0.3*0.20 + 0.3*0.20 + 0.25*0.10 + 0.15*0.10) = 160 million
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Not sure if dividing by zones added value and why south and east were given less weight. A better way could have been based on Tier 1-4 cities. With major impact coming to tier 1 and 2. Also, include factors such as cities with have direct borders with countries like china. For example Sikkim etc.
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