Supports· strongCOV-E001
Early cases clustered around the market, including cases with no market link
- what the source states
- "We considered three categories of cases, which were all significantly closer to the Huanan market than expected: (i) all cases (median distance 4.28 km; P < 0.001), (ii) cases linked directly to the Huanan market (median distance 5.74 km; P < 0.001), and (iii) cases with no evidence of a direct link to the Huanan market (median distance 4.00 km; P < 0.001)." And, from the Discussion: "this group of cases resided significantly closer to the market than those who worked there, indicating that they had been exposed to the virus at or near the Huanan market. For market workers, the exposure risk was their place of work, not their residential locations, which were significantly farther afield than those cases not formally linked to the market."
- what we infer
- This is the observation that ascertainment bias has the hardest time explaining. If early cases were found because investigators looked around the market, the unlinked cases should not be the ones living nearest it. The comparison is significant at p = 0.029, which is a modest margin for a load-bearing result.
- limitations
- Rests on Chinese case ascertainment that has never been independently audited; the complete December 2019 line list has not been released.
- Not independently reproduced; the code and raw geospatial data have not been re-run by a third party.
- A published eLetter disputes the spatial result on distributional grounds and the authors replied identifying flaws in that critique; the exchange is unresolved.