Infection rates from Covid-19 in Great Britain by geographical units: a model-based estimation from mortality data

This study estimates cumulative infection rates from Covid-19 in Great Britain by geographical units and investigates spatial patterns in infection rates. We propose a model-based approach to calculate cumulative infection rates from data on observed and expected deaths from Covid-19. Our analysis of mortality data shows that between 5 and 6% of people in Great Britain were infected by Covid-19 by the last third of April 2020. It is unlikely that the infection rate was lower than 3% or higher than 12%. Secondly, England had higher infection rates than Scotland and Wales, although the differences between countries were not large. Thirdly, we observed a substantial variation in virus infection rates in Great Britain by geographical units. Estimated infection rates were highest in the capital city of London where more than 10% of the population might have been infected and also in other major urban regions, while the lowest were in small towns and rural areas. Finally, spatial regression analysis showed that the virus infection rates increased with the increasing population density of the area and the level of deprivation. The results suggest that people from lower socioeconomic groups in urban areas (including those with minority backgrounds) were most affected by the spread of coronavirus in March and April.