Ojal J
Brand SPC
Were V
Okiro EA
Kombe IK
Mburu C
Aziza R
Ogero M
Agweyu A
Warimwe GM
Uyoga S
Adetifa IMO
Scott JAG
Otieno E
Ochola-Oyier LI
Agoti CN
Kasera K
Amoth P
Mwangangi M
Aman R
Ng'ang'a W
Tsofa B
Bejon P
Barasa E
Keeling MJ
Nokes DJ
Wellcome Open Res. 2022;6127
Policymakers in Africa need robust estimates of the current and future spread of SARS-CoV-2. We used national surveillance PCR test, serological survey and mobility data to develop and fit a county-specific transmission model for Kenya up to the end of September 2020, which encompasses the first wave of SARS-CoV-2 transmission in the country. We estimate that the first wave of the SARS-CoV-2 pandemic peaked before the end of July 2020 in the major urban counties, with 30-50% of residents infected. Our analysis suggests, first, that the reported low COVID-19 disease burden in Kenya cannot be explained solely by limited spread of the virus, and second, that a 30-50% attack rate was not sufficient to avoid a further wave of transmission.