In this paper, we propose a dynamical model to describe the transmission of COVID-19, which is spreading in China and many other countries. To avoid a larger outbreak in the worldwide, Chinese government carried out a series of strong strategies to prevent the situation from deteriorating. Home quarantine is the most important one to prevent the spread of COVID-19. In order to estimate the effect of population quarantine, we divide the population into seven categories for simulation. Based on a Least-Squares procedure and officially published data, the estimation of parameters for the proposed model is given. Numerical simulations show that the proposed model can describe the transmission of COVID-19 accurately, the corresponding prediction of the trend of the disease is given. The home quarantine strategy plays an important role in controlling the disease spread and speeding up the decline of COVID-19. The control reproduction number of most provinces in China are analyzed and discussed adequately. We should pay attention to that, though the epidemic is in decline in China, the disease still has high risk of human-to-human transmission continuously. Once the control strategy is removed, COVID-19 may become a normal epidemic disease just like flu. Further control for the disease is still necessary, we focus on the relationship between the spread rate of the virus and the meteorological conditions. A comprehensive meteorological index is introduced to represent the impact of meteorological factors on both high and low migration groups. As the progress on the new vaccine, we design detail vaccination strategies for COVID-19 in different control phases and show the effectiveness of efficient vaccination. Once the vaccine comes into use, the numerical simulation provide a promptly prospective research.
A novel coronavirus disease (COVID-19) is sweeping the world and has taken away thousands of lives. As the current epicenter, the United States has the largest number of confirmed and death cases of COVID-19. Meteorological factors have been found associated with many respiratory diseases in the past studies. In order to understand that how and during which period of time do the meteorological factors have the strongest association with the transmission and fatality of COVID-19, we analyze the correlation between each meteorological factor during different time periods within the incubation wi…
The virus SARS-COV-2 caused disease COVID-19 has been declared a pandemic by WHO. Currently, over 210 countries and territories have been affected. Careful, well-designed drugs and vaccine for the total elimination of this virus seem to be the need of the hour. In this context, the invivo mathematical modelling studies can be extremely helpful in understanding the efficacy of the drug interventions. These studies can also help understand the role of the crucial inflammatory mediators and the behaviour of immune response towards this novel coronavirus. Motivated by these facts, in this paper, w…
Control Intervention Strategies for Within-Host, Between-Host and their Efficacy in the Treatment, Spread of COVID-19 : A Multi Scale Modeling Approach
Non-pharmaceutical interventions(NPIs) play an important role in the early stage control of COVID-19 pandemic. Vaccination is considered to be the inevitable course to stop the spread of SARS-CoV-2. Based on the mechanism, a SVEIR COVID-19 model with vaccination and NPIs is proposed. By means of the basic reproduction number $R_{0}$, it is shown that the disease-free equilibrium is globally attractive if $\mathscr{R}_{0}<1$, and COVID-19 is uniform persistence if $\mathscr{R}_{0}>1$. Taking Indian dates for example in the numerical simulation, we find that our dynamical results fits well with …
The current COVID-19 pandemic is having detrimental consequences worldwide. The pandemic started to develop strongly by the end of January and beginning of February 2020, first in China with subsequent rapid spread to other countries with new epicenters of the outbreaks concentrated mainly within the 30-50 degrees North latitudinal band (e.g., South Korea, Japan, Iran, Italy, Spain). Simultaneously, an unusual persistent anticyclonic situation prevailing at latitudes around 40 degrees North was observed on global scale, in line with an anomalously strong positive phase of the Arctic Oscillatio…
The outbreak of corona virus disease 2019 (COVID-19), caused by the virus severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has already created emergency situations in almost every country of the world. The disease spreads all over the world within a very short period of time after its first identification in Wuhan, China in December, 2019. In India, the outbreaks starts on $2^{nd}$ March, 2020 and after that the cases are increasing exponentially. Very high population density, the unavailability of specific medicines or vaccines, insufficient evidences regarding the transmission me…
When the Covid-19 pandemic enters dangerous new phase, whether and when to take aggressive public health interventions to slow down the spread of COVID-19. To develop the artificial intelligence (AI) inspired methods for real-time forecasting and evaluating intervention strategies to curb the spread of Covid-19 in the World. A modified auto-encoder for modeling the transmission dynamics of the epidemics is developed and applied to the surveillance data of cumulative and new Covid-19 cases and deaths from WHO, as of March 16, 2020. The average errors of 5-step forecasting were 2.5%. The total p…
As COVID-19 is rapidly spreading across the globe, short-term modeling forecasts provide time-critical information for decisions on containment and mitigation strategies. A main challenge for short-term forecasts is the assessment of key epidemiological parameters and how they change when first interventions show an effect. By combining an established epidemiological model with Bayesian inference, we analyze the time dependence of the effective growth rate of new infections. Focusing on the COVID-19 spread in Germany, we detect change points in the effective growth rate that correlate well wit…
Even though laboratory and epidemiological studies have demonstrated the effects of ambient temperature on the transmission and survival of coronaviruses, not much has been done on the effects of weather on the spread of COVID-19. This study investigates the effects of temperature, humidity, precipitation, wind speed and the specific government policy intervention of partial lockdown on the new cases of COVID-19 infection in Ghana. Daily data on confirmed cases of COVID-19 from March 13, 2020 to April 21, 2020 were obtained from the official website of Our World in Data (OWID) dedicated to COV…
We analyze changes in the reproduction number, R, of COVID-19 in response to public health interventions. Our results indicate that public health measures undertaken in China reduced R from 1.5 in January to 0.4 in mid-March 2020. They also suggest, however, the limitations of isolation, quarantine, and large-scale attempts to limit travel. While the world-wide reproduction number briefly dropped below 1 as China implemented extensive public health measures, the introduction of the virus to other nations swiftly led to an increasing world-wide average value of R. In Italy, the nation hardest-h…
Early assessments of the spreading rate of COVID-19 were subject to significant uncertainty, as expected with limited data and difficulties in case ascertainment, but more reliable inferences can now be made. Here, we estimate from European data that COVID-19 cases are expected to double initially every three days, until social distancing interventions slow this growth, and that the impact of such measures is typically only seen nine days - i.e. three doubling times - after their implementation. We argue that such temporal patterns are more critical than precise estimates of the basic reproduc…
Bareilly College（巴雷利学院）；CSIR-Central Electronics Engineering Research Institute（CSIR-中央电子工程研究所）；Jawaharlal Nehru University（贾瓦哈拉尔·尼赫鲁大学）
To combat the coronavirus disease 2019 (COVID-19) pandemic, the world has vaccination, plasma therapy, herd immunity, and epidemiological interventions as few possible options. The COVID-19 vaccine development is underway and it may take a significant amount of time to develop the vaccine and after development, it will take time to vaccinate the entire population, and plasma therapy has some limitations. Herd immunity can be a plausible option to fight COVID-19 for small countries. But for a country with huge population like India, herd immunity is not a plausible option, because to acquire he…
We present an empirical algorithm to forecast the evolution of the number of COVID-19 symptomatic patients in the early stages of the pandemic spread and after strict social distancing interventions. The algorithm is based on a low dimensional model for the variation of the exponential growth rate that decreases after the implementation of strict social distancing measures. From the observable data given by the number of tested positive, our model estimates the number of infected hindcast introducing in the model formulation the incubation time. We also use the model to follow the number of in…
Given multiple new COVID-19 variants are continuously emerging, non-pharmaceutical interventions are still primary control strategies to curb the further spread of coronavirus. However, implementing strict interventions over extended periods of time is inevitably hurting the economy. With an aim to solve this multi-objective decision-making problem, we investigate the underlying associations between policies, mobility patterns, and virus transmission. We further evaluate the relative performance of existing COVID-19 control measures and explore potential optimal strategies that can strike the …
Zhang et al. (2020) used linear regression to quantify the effect of lockdowns on the number of cases of COVID-19. We show using differential equations from the susceptible-exposed-infected-recovered (SEIR) model and with an example from another location not previously considered that the Zhang et al. analysis should not be considered sound evidence that mask mandates are sufficient to control or the primary factor controlling the spread of COVID-19.
During the COVID-19 pandemic, the scientific community developed predictive models to evaluate potential governmental interventions. However, the analysis of the effects these interventions had is less advanced. Here, we propose a data-driven framework to assess these effects retrospectively. We use a regularized regression to find a parsimonious model that fits the data with the least changes in the Rt parameter. Then, we postulate each jump in Rt as the effect of an intervention. Following the do-operator prescriptions, we simulate the counterfactual case by forcing Rt to stay at the pre-jum…
Objectives. Public health officials need tools to assist with anticipating the healthcare resources required to confront the SARS-COV-2 pandemic. We built a modeling tool to aid practicing public health officials with estimating healthcare demand from the pandemic in their jurisdictions and to evaluate the potential impacts of population-wide social-distancing interventions. Methods. The tool uses a SEIR compartmental model to project the local spread of the pandemic. Users input case counts, healthcare resources, and select intervention strategies to evaluate. Outputs include the number of in…
We demonstrate an approach to replicate and forecast the spread of the SARS-CoV-2 (COVID-19) pandemic using the toolkit of probabilistic programming languages (PPLs). Our goal is to study the impact of various modeling assumptions and motivate policy interventions enacted to limit the spread of infectious diseases. Using existing compartmental models we show how to use inference in PPLs to obtain posterior estimates for disease parameters. We improve popular existing models to reflect practical considerations such as the under-reporting of the true number of COVID-19 cases and motivate the nee…
The pandemic of COVID-19 has caused severe public health consequences around the world. Many interventions of COVID-19 have been implemented. It is of great public health and societal importance to evaluate the effects of interventions in the pandemic of COVID-19. In this paper, with help of synthetic control method, regression discontinuity and a Susceptible-Infected and infectious without isolation-Hospitalized in isolation-Removed (SIHR) model, we evaluate the horizontal and longitudinal effects of stringent interventions implemented in Wenzhou, a representative urban city of China, where s…
This paper introduces a dynamic panel SIR (DP-SIR) model to investigate the impact of non-pharmaceutical interventions (NPIs) on the COVID-19 transmission dynamics with panel data from 9 countries across the globe. By constructing scenarios with different combinations of NPIs, our empirical findings suggest that countries may avoid the lockdown policy with imposing school closure, mask wearing and centralized quarantine to reach similar outcomes on controlling the COVID-19 infection. Our results also suggest that, as of April 4th, 2020, certain countries such as the U.S. and Singapore may requ…
Since December 2019, A novel coronavirus (2019-nCoV) has been breaking out in China, which can cause respiratory diseases and severe pneumonia. Mathematical and empirical models relying on the epidemic situation scale for forecasting disease outbreaks have received increasing attention. Given its successful application in the evaluation of infectious diseases scale, we propose a Susceptible-Undiagnosed-Infected-Removed (SUIR) model to offer the effective prediction, prevention, and control of infectious diseases. Our model is a modified susceptible-infected-recovered (SIR) model that injects u…
We present a compartmental meta-population model for the spread of Covid-19 in India. Our model simulates populations at a district or state level using an epidemiological model that is appropriate to Covid-19. Different districts are connected by a transportation matrix developed using available census data. We introduce uncertainties in the testing rates into the model that takes into account the disparate responses of the different states to the epidemic and also factors in the state of the public healthcare system. Our model allows us to generate qualitative projections of Covid-19 spread …
We highlight the usefulness of city-scale agent-based simulators in studying various non-pharmaceutical interventions to manage an evolving pandemic. We ground our studies in the context of the COVID-19 pandemic and demonstrate the power of the simulator via several exploratory case studies in two metropolises, Bengaluru and Mumbai. Such tools become common-place in any city administration's tool kit in our march towards digital health.
Few African countries have reported COVID-19 case numbers above $1\,000$ as of April 18, 2020, with South Africa reporting $3\,034$ cases being hit hardest in Sub-Saharan Africa. Several African countries, especially South Africa, have already taken strong non-pharmaceutical interventions that include physical distancing, restricted economic, educational and leisure activities and reduced human mobility options. The required strengths and overall effectiveness of such interventions, however, are debated because of simultaneous but opposing interests in most African countries: strongly limited …
Contagious respiratory diseases, such as COVID-19, depend on sufficiently prolonged exposures for the successful transmission of the underlying pathogen. It is important for organizations to evaluate the efficacy of interventions aiming at mitigating viral transmission among their personnel. We have developed a operational risk assessment simulation framework that couples a spatial agent-based model of movement with a SIR epidemiological model to assess the relative risks of different intervention strategies. By applying our model on MIT's STATA building, we assess the impacts of three possibl…
The pandemic caused by the novel Coronavirus SARS-CoV2 has been responsible for life threatening health complications, and extreme pressure on healthcare systems. While preventive and definite curative medical interventions are yet to arrive, Non-Pharmaceutical Interventions (NPIs) like physical isolation, quarantine and drastic social measures imposed by governing agencies are effective in arresting the spread of infections in a population. In densely populated countries like India, lockdown interventions are partially effective due to social and administrative complexities. Using detailed de…
The COVID-19 pandemic has proved to be one of the most disruptive public health emergencies in recent memory. Among non-pharmaceutical interventions, social distancing and lockdown measures are some of the most common tools employed by governments around the world to combat the disease. While mathematical models of COVID-19 are ubiquitous, few have leveraged network theory in a general way to explain the mechanics of social distancing. In this paper, we build on existing network models for heterogeneous, clustered networks with random link activation/deletion dynamics to put forth realistic me…
The ongoing COVID-19 pandemic has overwhelmingly demonstrated the need to accurately evaluate the effects of implementing new or altering existing nonpharmaceutical interventions. Since these interventions applied at the societal level cannot be evaluated through traditional experimental means, public health officials and other decision makers must rely on statistical and mathematical epidemiological models. Nonpharmaceutical interventions are typically focused on contacts between members of a population, and yet most epidemiological models rely on homogeneous mixing which has repeatedly been …
National responses to the Covid-19 pandemic varied markedly across countries, from business-as-usual to complete shutdowns. Policies aimed at disrupting the viral transmission cycle and preventing the healthcare system from being overwhelmed, simultaneously exact an economic toll. We developed a intervention policy model that comprised the relative human, economic and healthcare costs of non-pharmaceutical epidemic intervention and arrived at the optimal strategy using the neuroevolution algorithm. The proposed model finds the minimum required reduction in contact rates to maintain the burden …
An epidemiological compartmental model was used to simulate social distancing strategies to contain the COVID-19 pandemic and prevent a second wave in Sao Paulo, Brazil. Optimization using genetic algorithm was used to determine the optimal solutions. Our results suggest the best-case strategy for Sao Paulo is to maintain or increase the current magnitude of social distancing for at least 60 more days and increase the current levels of personal protection behaviors by a minimum of 10% (e.g., wearing facemasks, proper hand hygiene and avoid agglomeration). Followed by a long-term oscillatory le…
As of November 2020, the number of COVID-19 cases is increasing rapidly in many countries. In Europe, the virus spread slowed considerably in the late spring due to strict lockdown, but a second wave of the pandemic grew throughout the fall. In this study, we first reconstruct the time evolution of the effective reproduction numbers ${\cal R}(t)$ for each country by integrating the equations of the classic SIR model. We cluster countries based on the estimated ${\cal R}(t)$ through a suitable time series dissimilarity. The result suggests that simple dynamical mechanisms determine how countrie…
Epidemic models play a key role in understanding and responding to the emerging COVID-19 pandemic. Widely used compartmental models are static and are of limited use to evaluate intervention strategies with the emerging pandemic. Applying the technology of data assimilation, we propose a Bayesian updating approach for estimating epidemiological parameters using observable information for the purpose of assessing the impacts of different intervention strategies. We adopt a concise renewal model and propose new parameters by disentangling the reduction of instantaneous reproduction number Rt int…
Countries around the world implement nonpharmaceutical interventions (NPIs) to mitigate the spread of COVID-19. Design of efficient NPIs requires identification of the structure of the disease transmission network. We here identify the key parameters of the COVID-19 transmission network for time periods before, during, and after the application of strict NPIs for the first wave of COVID-19 infections in Germany combining Bayesian parameter inference with an agent-based epidemiological model. We assume a Watts-Strogatz small-world network which allows to distinguish contacts within clustered cl…
In this study, we present a new epidemiological model, with contamination from confirmed and unreported. We also compute equilibria and study their stability without intervention strategies. Optimal control theory has proven to be a successful tool in understanding ways to curtail the spread of infectious diseases by devising the optimal disease intervention strategies. We investigate the impact of distancing, case finding, and case holding controls while at the same time, we minimize the number of infected and dead individuals. The method consists of minimizing the cost functional related to …
At the end of 2020, policy responses to the SARS-CoV-2 outbreak have been shaken by the emergence of virus variants. The emergence of these more contagious, more severe, or even vaccine-resistant strains have challenged worldwide policy interventions. Anticipating the emergence of these mutations to plan ahead adequate policies, and understanding how human behaviors may affect the evolution of viruses by coevolution, are key challenges. In this article, we propose coevolution with genetic algorithms (GAs) as a credible approach to model this relationship, highlighting its implications, potenti…
Within a short period of time, COVID-19 grew into a world-wide pandemic. Transmission by pre-symptomatic and asymptomatic viral carriers rendered intervention and containment of the disease extremely challenging. Based on reported infection case studies, we construct an epidemiological model that focuses on transmission around the symptom onset. The model is calibrated against incubation period and pairwise transmission statistics during the initial outbreaks of the pandemic outside Wuhan with minimal non-pharmaceutical interventions. Mathematical treatment of the model yields explicit express…
We consider here an extended SIR model, including several features of the recent COVID-19 outbreak: in particular the infected and recovered individuals can either be detected (+) or undetected (-) and we also integrate an intensive care unit (ICU) capacity. Our model enables a tractable quantitative analysis of the optimal policy for the control of the epidemic dynamics using both lockdown and detection intervention levers. With parametric specification based on literature on COVID-19, we investigate the sensitivities of various quantities on the optimal strategies, taking into account the su…
Non-pharmaceutical interventions have been critical in the fight against the COVID-19 pandemic. However, these sanitary measures have been partially lifted due to socioeconomic factors causing a worrisome rebound of the epidemic in several countries. In this work, we assess the effectiveness of the mitigation implemented to constrain the spread of SARS-CoV-2 in the Mexican territory during 2020. We also investigate to what extent the initial deployment of the vaccine will help to mitigate the pandemic and reduce the need for social distancing and other mobility restrictions. Our modeling appro…
Background: The impact of individual non-pharmaceutical interventions (NPI) such as state-wide stay-at-home orders, school closures and gathering size limitations, on the COVID-19 epidemic is unknown. Understanding the impact that above listed NPI have on disease transmission is critical for policy makers, particularly as case counts increase again in some areas. Methods: Using a Bayesian framework, we reconstructed the incidence and time-varying reproductive number (Rt) curves to investigate the relationship between Rt, individual mobility as measured by Google Community Mobility Reports, and…
A reasonable prediction of infectious diseases transmission process under different disease control strategies is an important reference point for policy makers. Here we established a dynamic transmission model via Python and realized comprehensive regulation of disease control measures. We classified government interventions into three categories and introduced three parameters as descriptions for the key points in disease control, these being intraregional growth rate, interregional communication rate, and detection rate of infectors. Our simulation predicts the infection by COVID-19 in the …
Disease spread is a complex phenomenon requiring an interdisciplinary approach. Covid-19 exhibited a global spatial spread in a very short time frame resulting in a global pandemic. Data of web search effort in Greece on Covid-19 as a topic for one year on a weekly temporal scale were analyzed using governmental intervention measures such a s school closures, movement restrictions, national and international travelling restrictions, stay at home requirements, mask requirements, financial support measures, and epidemiological variables such as new cases and new deaths as potential explanatory c…
University of Oxford（牛津大学）；University of Bristol（布里斯托大学）；Harvard University（哈佛大学）；Imperial College London（伦敦帝国学院）
To what extent are effectiveness estimates of nonpharmaceutical interventions (NPIs) against COVID-19 influenced by the assumptions our models make? To answer this question, we investigate 2 state-of-the-art NPI effectiveness models and propose 6 variants that make different structural assumptions. In particular, we investigate how well NPI effectiveness estimates generalise to unseen countries, and their sensitivity to unobserved factors. Models that account for noise in disease transmission compare favourably. We further evaluate how robust estimates are to different choices of epidemiologic…
Estimating the population-level effects of non-pharmaceutical interventions when transmission rates of COVID-19 vary by orders of magnitude from one contact to another
A great issue of discussion of an infectious disease is its basic reproduction number R0, which provides an estimation of the contagiousness of the disease. When R0 > 1, the disease spread will potentially lead to an outbreak, such that of the ongoing COVID-19 pandemics. During the evolution of an outbreak, various non-pharmaceutical interventions are employed, the impact of which is frequently assessed by the reduction that they introduce to the effective reproduction number Rt; reduction below 1 is an indication of eventual dying out of the disease spread. Motivated by the fact that R0 essen…
The Susceptible-Exposed-Infected-Recovered (SEIR) epidemiological model is one of the standard models of disease spreading. Here we analyse an extended SEIR model that accounts for asymptomatic carriers, believed to play an important role in COVID-19 transmission. For this model we derive a number of analytic results for important quantities such as the peak number of infections, the time taken to reach the peak and the size of the final affected population. We also propose an accurate way of specifying initial conditions for the numerics (from insufficient data) using the fact that the early …
A novel Coronavirus pandemic emerged in December of 2019, causing devastating public health impact across the world. In the absence of a safe and effective vaccine or antiviral, strategies for mitigating the burden of the pandemic are focused on non-pharmaceutical interventions, such as social-distancing, contact-tracing, quarantine, isolation and the use of face-masks in public. We develop a new mathematical model for assessing the population-level impact of these mitigation strategies. Simulations of the model, using data relevant to COVID-19 transmission in New York state and the entire US,…
Aims: Nonpharmaceutical interventions against the spread of SARS-CoV-2 in Germany included the cancellation of mass events (from March 8), closures of schools and child day care facilities (from March 16) as well as a "lockdown" (from March 23). This study attempts to assess the effectiveness of these interventions in terms of revealing their impact on infections over time. Methods: Dates of infections were estimated from official German case data by incorporating the incubation period and an empirical reporting delay. Exponential growth models for infections and reproduction numbers were esti…
Following the emergence of a novel coronavirus (SARS-CoV-2) and its spread outside of China, Europe has experienced large epidemics. In response, many European countries have implemented unprecedented non-pharmaceutical interventions including case isolation, the closure of schools and universities, banning of mass gatherings and/or public events, and most recently, wide-scale social distancing including local and national lockdowns. In this technical update, we extend a semi-mechanistic Bayesian hierarchical model that infers the impact of these interventions and estimates the number of infec…
Household size can explain 40% of the variance in cumulative COVID-19 incidence across Europe
Max Planck Institute for Dynamics and Self-Organization（马克斯·普朗克动力学与自组织研究所）；Wroclaw University of Science and Technology（弗罗茨瓦夫科技大学）；Institute of Sociology, University of Wroclaw（弗罗茨瓦夫大学社会学研究所）；Interdisciplinary Centre for Mathematical and Computational Modelling, University of Warsaw（华沙大学跨学科数学与计算建模中心）；University of Göttingen（哥廷根大学）；Trier University（特里尔大学）
We develop a novel hybrid epidemiological model and a specific methodology for its calibration to distinguish and assess the impact of mobility restrictions (given by Apple's mobility trends data) from other complementary non-pharmaceutical interventions (NPIs) used to control the spread of COVID-19. Using the calibrated model, we estimate that mobility restrictions contribute to 47 % (US States) and 47 % (worldwide) of the overall suppression of the disease transmission rate using data up to 13/08/2020. The forecast capacity of our model was evaluated doing four-weeks ahead predictions. Using…
During an infectious disease outbreak, biases in the data and complexities of the underlying dynamics pose significant challenges in mathematically modelling the outbreak and designing policy. Motivated by the ongoing response to COVID-19, we provide a toolkit of statistical and mathematical models beyond the simple SIR-type differential equation models for analysing the early stages of an outbreak and assessing interventions. In particular, we focus on parameter estimation in the presence of known biases in the data, and the effect of non-pharmaceutical interventions in enclosed subpopulation…
Non-pharmaceutical interventions (NPIs) such as quarantine, self-isolation, social distancing, and virus-contact tracing can greatly reduce the spread of the virus during a pandemic. In the wave of the COVID-19 pandemic, many countries have implemented various NPIs for infection control and mitigation. However, the stringency of the NPIs and the resulting impact among different countries remain unclear due to the lack of quantitative factors. In this study we took a further step to incorporate the effect of the NPIs into the pandemic dynamics model using the concept of policy intensity factor …
This paper provides a mathematical model to show that the incorrect estimation of r, the fraction of asymptomatic COVID-19 carriers in the general population, can account for much of the world's failure to contain the pandemic in its early phases. The SE(A+O)R model with infectives separated into asymptomatic and ordinary carriers, supplemented by a model of the data generation process, is calibrated to standard datasets for several countries. It is shown that certain fundamental parameters, notably r, are unidentifiable with this data. A number of potential types of policy intervention are an…
The number of confirmed cases of COVID-19 is often used as a proxy for the actual number of ground truth COVID-19 infected cases in both public discourse and policy making. However, the number of confirmed cases depends on the testing policy, and it is important to understand how the number of positive cases obtained using different testing policies reveals the unknown ground truth. We develop an agent-based simulation framework in Python that can simulate various testing policies as well as interventions such as lockdown based on them. The interaction between the agents can take into account …
The reproductive number R_0 (and its value after initial disease emergence R) has long been used to predict the likelihood of pathogen invasion, to gauge the potential severity of an epidemic, and to set policy around interventions. However, often ignored complexities have generated confusion around use of the metric. This is particularly apparent with the emergent pandemic virus SARS-CoV-2, the causative agent of COVID-19. We address some of these misconceptions, namely, how R changes over time, varies over space, and relates to epidemic size by referencing the mathematical definition of R an…
We present modeling of the COVID-19 epidemic in Illinois, USA, capturing the implementation of a Stay-at-Home order and scenarios for its eventual release. We use a non-Markovian age-of-infection model that is capable of handling long and variable time delays without changing its model topology. Bayesian estimation of model parameters is carried out using Markov Chain Monte Carlo (MCMC) methods. This framework allows us to treat all available input information, including both the previously published parameters of the epidemic and available local data, in a uniform manner. To accurately model …
