An Interactive Web-Based Dashboard to Track COVID-19 in Real Time

In December, 2019, a local outbreak of pneumonia of initially unknown cause was detected in Wuhan (Hubei, China), and was quickly determined to be caused by a novel coronavirus,1WHOWHO statement regarding cluster of pneumonia cases in Wuhan, China.https://www.who.int/china/news/detail/09-01-2020-who-statement-regarding-cluster-of-pneumonia-cases-in-wuhan-chinaDate: Jan 9, 2020Date accessed: February 11, 2020Google Scholar namely severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The outbreak has since spread to every province of mainland China as well as 27 other countries and regions, with more than 70 000 confirmed cases as of Feb 17, 2020.2WHOCoronavirus disease 2019 (COVID-19) situation reports.https://www.who.int/emergencies/diseases/novel-coronavirus-2019/situation-reportsDate accessed: February 17, 2020Google Scholar In response to this ongoing public health emergency, we developed an online interactive dashboard, hosted by the Center for Systems Science and Engineering (CSSE) at Johns Hopkins University, Baltimore, MD, USA, to visualise and track reported cases of coronavirus disease 2019 (COVID-19) in real time. The dashboard, first shared publicly on Jan 22, illustrates the location and number of confirmed COVID-19 cases, deaths, and recoveries for all affected countries. It was developed to provide researchers, public health authorities, and the general public with a user-friendly tool to track the outbreak as it unfolds. All data collected and displayed are made freely available, initially through Google Sheets and now through a GitHub repository, along with the feature layers of the dashboard, which are now included in the Esri Living Atlas. The dashboard reports cases at the province level in China; at the city level in the USA, Australia, and Canada; and at the country level otherwise. During Jan 22–31, all data collection and processing were done manually, and updates were typically done twice a day, morning and night (US Eastern Time). As the outbreak evolved, the manual reporting process became unsustainable; therefore, on Feb 1, we adopted a semi-automated living data stream strategy. Our primary data source is DXY, an online platform run by members of the Chinese medical community, which aggregates local media and government reports to provide cumulative totals of COVID-19 cases in near real time at the province level in China and at the country level otherwise. Every 15 min, the cumulative case counts are updated from DXY for all provinces in China and for other affected countries and regions. For countries and regions outside mainland China (including Hong Kong, Macau, and Taiwan), we found DXY cumulative case counts to frequently lag behind other sources; we therefore manually update these case numbers throughout the day when new cases are identified. To identify new cases, we monitor various Twitter feeds, online news services, and direct communication sent through the dashboard. Before manually updating the dashboard, we confirm the case numbers with regional and local health departments, including the respective centres for disease control and prevention (CDC) of China, Taiwan, and Europe, the Hong Kong Department of Health, the Macau Government, and WHO, as well as city-level and state-level health authorities. For city-level case reports in the USA, Australia, and Canada, which we began reporting on Feb 1, we rely on the US CDC, the government of Canada, the Australian Government Department of Health, and various state or territory health authorities. All manual updates (for countries and regions outside mainland China) are coordinated by a team at Johns Hopkins University. The case data reported on the dashboard aligns with the daily Chinese CDC3Chinese Center for Disease Control and PreventionTracking the epidemic.http://weekly.chinacdc.cn/news/TrackingtheEpidemic.htmDate accessed: February 11, 2020Google Scholar and WHO situation reports2WHOCoronavirus disease 2019 (COVID-19) situation reports.https://www.who.int/emergencies/diseases/novel-coronavirus-2019/situation-reportsDate accessed: February 17, 2020Google Scholar for within and outside of mainland China, respectively (figure). Furthermore, the dashboard is particularly effective at capturing the timing of the first reported case of COVID-19 in new countries or regions (appendix). With the exception of Australia, Hong Kong, and Italy, the CSSE at Johns Hopkins University has reported newly infected countries ahead of WHO, with Hong Kong and Italy reported within hours of the corresponding WHO situation report. Given the popularity and impact of the dashboard to date, we plan to continue hosting and managing the tool throughout the entirety of the COVID-19 outbreak and to build out its capabilities to establish a standing tool to monitor and report on future outbreaks. We believe our efforts are crucial to help inform modelling efforts and control measures during the earliest stages of the outbreak. This online publication has been corrected. The corrected version first appeared at thelancet.com/infection on June 12, 2020 This online publication has been corrected. The corrected version first appeared at thelancet.com/infection on June 12, 2020 We declare no competing interests. We are grateful for the technical support from the Esri Living Atlas team and the Johns Hopkins University Applied Physics Lab. Download .pdf (.29 MB) Help with pdf files Supplementary appendix Correction to Lancet Infect Dis 2020; 20: 533–34Dong E, Du H, Gardner L. An interactive web-based dashboard to track COVID-19 in real time. Lancet Infect Dis 2020; 20: 533–34—In this Correspondence, on the y-axis of the graph in figure A, "500" has been corrected to "5000". This correction has been made to the online version as of June 12, 2020. Full-Text PDF SeroTracker: a global SARS-CoV-2 seroprevalence dashboardAs the initial phase of the COVID-19 pandemic passes its peak in many countries, serological studies are becoming increasingly important in guiding public health responses. Antibody testing is crucial for monitoring the evolution of the pandemic, providing a more complete picture of the total number of people infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) than molecular diagnostic testing alone.1 All individuals with SARS-CoV-2-specific antibodies have been exposed to the virus, so antibody testing can highlight differences in past exposure between regions, demographic groups, and occupations. Full-Text PDF Mental health services in Italy during the COVID-19 outbreakAs of March 24, 2020, 63 927 confirmed cases and 6077 deaths due to coronavirus disease 2019 (COVID-19) make Italy one of the most severely affected countries of what has been defined a global pandemic by WHO.1 In Lombardy, the epicentre of the outbreak in Italy, large metropolitan hospitals in cities like Milan and Bergamo are struggling to contain an exponential growth of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) case presentations requiring hospitalisation. Full-Text PDF An eventful 20 yearsThis issue marks 20 years of publication of The Lancet Infectious Diseases. In the issue, we publish two Reviews that reflect themes from the journal's first year of publication. The first paper published (in the April, 2001, preview issue) was a Review of the history of hand hygiene by Didier Pittet and John M Boyce. In this issue, Pittet and colleagues (with Nasim Lotfinejad as first author) return to this life-saving topic in infection control with a Review of 20 years of progress in promotion of hand hygiene. Full-Text PDF