There is increasing evidence that one of the most difficult problems in trying to control the ongoing COVID-19 epidemic is the presence of a large cohort of asymptomatic infectives. We develop a SIR-type model taking into account the presence of asymptomatic, or however undetected, infective, and the substantially long time these spend being infective and not isolated. We discuss how a SIR-based prediction of the epidemic course based on early data but not taking into account the presence of a large set of asymptomatic infectives would give wrong estimate of very relevant quantities such as the need of hospital beds, the time to the epidemic peak, and the number of people which are left untouched by the first wave and thus in danger in case of a second epidemic wave. In the second part of the note, we apply our model to the COVID-19 epidemics in Italy. We obtain a good agreement with epidemiological data; according to the best fit of epidemiological data in terms of this model, only 10\% of infectives in Italy is symptomatic.
We discuss how the presence of a large set of asymptomatic infectives changes our estimate of the COVID-19 basic reproduction number, also known as $R_0$.
An epidemic model with births and deaths is considered on a two dimensional LxL lattice. Each individual can have global infective contacts according to the standard SIR model rules or local infective contacts with its nearest neighbors. We propose a deterministic approach to this model and verified that there is a good agreement with the stochastic simulations for different situations of the disease transmission and parameters corresponding to pertussis and rubella in the prevaccine era.
Epidemiological models with constant parameters may not capture satisfactory infection patterns in the presence of pharmaceutical and non-pharmaceutical mitigation measures during a pandemic, since infectiousness is a function of time. In this paper, an Epidemiology-Informed Neural Network algorithm is introduced to learn the time-varying transmission rate for the COVID-19 pandemic in the presence of various mitigation scenarios. There are asymptomatic infectives, mostly unreported, and the proposed algorithm learns the proportion of the total infective individuals that are asymptomatic infect…
We study an epidemic propagation between $M$ population centra. The novelty of the model is in analyzing the migration of host (remaining in the same centre) and guest (migrated to another centre) populations separately. Even in the simplest case $M=2$, this modification is justified because it gives a more realistic description of migration processes. This becomes evident in a purely migration model with vanishing epidemic parameters. It is important to account for a certain number of guest susceptible present in non-host cenrta because these susceptible may be infected and return to the host…
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…
In this work we performed a numerical study of an epidemic model that mimics the endemic state of whooping cough in the pre-vaccine era. We considered a stochastic SIR model on dynamical networks that involve local and global contacts among individuals and analyzed the influence of the network properties on the characterization of the quasi-stationary state. We computed probability density functions (PDF) for infected fraction of individuals and found that they are well fitted by gamma functions, excepted the tails of the distributions that are q-exponentials. We also computed the fluctuation …
In this work, some new exact and approximate analytical solutions are obtained for the SIR epidemic model, which is formulated in terms of dimensionless variables and parameters. The susceptibles population (S) is in this way explicitly related to the infectives population (I) using the Lambert W function (both the principal and the secondary branches). A simple and accurate relation for the fraction of the population that does not catch the disease is also obtained. The explicit time dependences of the susceptibles, infectives and removed populations, as well as that of the epidemic curve are…
The current outbreak is known as Coronavirus Disease or COVID-19 caused by the virus SAR-COV-2 which continues to wreak havoc across the globe. The World Health Organization (WHO) has declared the outbreak a Public Health Emergency of International Concern. In Pakistan, the spread of the virus is on the rise with the number of infected people and causalities rapidly increasing. In the absence of proper vaccination and treatment, to reduce the number of infections and casualties, the only option so far is to educate people regarding preventive measures and to enforce countrywide lock-down. Any …
Different countries -- and sometimes different regions within the same countries -- have adopted different strategies in trying to contain the ongoing COVID-19 epidemic; these mix in variable parts social confinement, early detection and contact tracing. In this paper we discuss the different effects of these ingredients on the epidemic dynamics; the discussion is conducted with the help of two simple models, i.e. the classical SIR model and the recently introduced variant (A-SIR, arXiv:2003.08720) which takes into account the presence of a large set of asymptomatic infectives.
The effect of spatial correlations on the spread of infectious diseases was investigated using a stochastic SIR (Susceptible-Infective-Recovered) model on complex networks. It was found that in addition to the reduction of the effective transmission rate, through the screening of infectives, spatial correlations may have another major effect through the enhancement of stochastic fluctuations. As a consequence large populations will have to become even larger to 'average out' significant differences from the solution of deterministic models. Furthermore, time series of the (unforced) model prov…
We develop a Bayesian inference framework to quantify uncertainties in epidemiological models. We use SEIJR and SIJR models involving populations of susceptible, exposed, infective, diagnosed, dead and recovered individuals to infer from covid-19 data rate constants, as well as their variations in response to lockdown measures. To account for confinement, we distinguish two susceptible populations at different risk: confined and unconfined. We show that transmission and recovery rates within them vary in response to facts. A key unknown to predict the evolution of the epidemic is the fraction …
The COVID-19 pandemic has posed significant challenges in modeling its complex epidemic transmissions, infection and contagion, which are very different from known epidemics. The challenges in quantifying COVID-19 complexities include effectively modeling its process and data uncertainties. The uncertainties are embedded in implicit and high-proportional undocumented infections, asymptomatic contagion, social reinforcement of infections, and various quality issues in the reported data. These uncertainties become even more apparent in the first two months of the COVID-19 pandemic, when the rele…
To model the evolution of diseases with extended latency periods and the presence of asymptomatic patients like COVID-19, we define a simple discrete time stochastic SIR-type epidemic model. We include both latent periods as well as the presence of quarantine areas, to capture the evolutionary dynamics of such diseases.
Threshold theorem is probably the most important development of mathematical epidemic modelling. Unfortunately, some models may not behave according to the threshold. In this paper, we will focus on the final outcome of SIR model with demography. The behaviour of the model approached by deteministic and stochastic models will be introduced, mainly using simulations. Furthermore, we will also investigate the dynamic of susceptibles in population in absence of infective. We have successfully showed that both deterministic and stochastic models performed similar results when $R_0 \leq 1$. That is…
A model for epidemics on an adaptive network is considered. Nodes follow an SIRS (susceptible-infective-recovered-susceptible) pattern. Connections are rewired to break links from non-infected nodes to infected nodes and are reformed to connect to other non-infected nodes, as the nodes that are not infected try to avoid the infection. Monte Carlo simulation and numerical solution of a mean field model are employed. The introduction of rewiring affects both the network structure and the epidemic dynamics. Degree distributions are altered, and the average distance from a node to the nearest infe…
The celebrated Kermack-McKendric model of epidemics studies the transmission of a disease in a population where each individual is initially susceptible (S), may become infective (I) and then removed or recovered (R) and plays no further epidemiological role. This ODE model arises as the limiting case of a network model where each individual has an equal chance of infecting every other. More recent work gives explicit consideration to the network of social interaction and attendant probability of transmission for each interacting pair. The state of such a network is an assignment of the values…
This paper considers a stochastic SIR (susceptible$\to$infective$\to$removed) epidemic model in which individuals may make infectious contacts in two ways, both within `households' (which for ease of exposition are assumed to have equal size) and along the edges of a random graph describing additional social contacts. Heuristically-motivated branching process approximations are described, which lead to a threshold parameter for the model and methods for calculating the probability of a major outbreak, given few initial infectives, and the expected proportion of the population who are ultimatel…
It is the main purpose of this paper to introduce a graph-valued stochastic process in order to model the spread of a communicable infectious disease. The major novelty of the SIR model we promote lies in the fact that the social network on which the epidemics is taking place is not specified in advance but evolves through time, accounting for the temporal evolution of the interactions involving infective individuals. Without assuming the existence of a fixed underlying network model, the stochastic process introduced describes, in a flexible and realistic manner, epidemic spread in non-unifor…
The presence of a large number of infected individuals with few or no symptoms is an important epidemiological difficulty and the main mathematical feature of COVID-19. The A-SIR model, i.e. a SIR (Susceptible-Infected-Removed) model with a compartment for infected individuals with no symptoms or few symptoms was proposed by Giuseppe Gaeta, arXiv:2003.08720 [q-bio.PE] (2020). In this paper we investigate a slightly generalized version of the same model and propose a scheme for fitting the parameters of the model to real data using the time series only of the deceased individuals. The scheme is…
The spread of an epidemic process is considered in the context of a spatial SIR stochastic model that includes a parameter $0\le p\le 1$ that assigns weights $p$ and $1- p$ to global and local infective contacts respectively. The model was previously studied by other authors in different contexts. In this work we characterized the behavior of the system around the threshold for epidemic spreading. We first used a deterministic approximation of the stochastic model and checked the existence of a threshold value of $p$ for exponential epidemic spread. An analytical expression, which defines a fu…
This paper is concerned with the analysis of vaccination strategies in a stochastic SIR (susceptible $\to$ infected $\to$ removed) model for the spread of an epidemic amongst a population of individuals with a random network of social contacts that is also partitioned into households. Under various vaccine action models, we consider both household-based vaccination schemes, in which the way in which individuals are chosen for vaccination depends on the size of the households in which they reside, and acquaintance vaccination, which targets individuals of high degree in the social network. For …
We propose a simple SIR model in order to investigate the impact of various confinement strategies on a most virulent epidemic. Our approach is motivated by the current COVID-19 pandemic. The main hypothesis is the existence of two populations of susceptible persons, one which obeys confinement and for which the infection rate does not exceed 1, and a population which, being non confined for various imperatives, can be substantially more infective. The model, initially formulated as a differential system, is discretised following a specific procedure, the discrete system serving as an integrat…
The rapidly spreading Covid-19 that affected almost all countries, was first reported at the end of 2019. As a consequence of its highly infectious nature, countries all over the world have imposed extremely strict measures to control its spread. Since the earliest stages of this major pandemic, academics have done a huge amount of research in order to understand the disease, develop medication, vaccines and tests, and model its spread. Among these studies, a great deal of effort has been invested in the estimation of epidemic parameters in the early stage, for the countries affected by Covid-…
The detection and management of diseases become quite complicated when pathogens contain asymptomatic phenotypes amongst their ranks, as evident during the recent COVID-19 pandemic. Spreading of diseases has been studied extensively under the paradigm of Susceptible - Infected - Recovered - Deceased (SIRD) dynamics. Various game-theoretic approaches have also addressed disease spread, many of which consider S, I, R, and D as strategies rather than as states. Remarkably, most studies from the above approaches do not account for the distinction between the symptomatic or asymptomatic aspect of t…
We consider a model due to Piero Poletti and collaborators that adds spontaneous human behavioral change to the standard SIR epidemic model. In its simplest form, the Poletti model adds one differential equation, motivated by evolutionary game theory, to the SIR model. The new equation describes the evolution of a variable $x$ that represents the fraction of the population using normal behavior. The remaining fraction $1-x$ uses altered behavior such as staying home, social isolation, mask wearing, etc. Normal behavior offers a higher payoff when the number of infectives is low; altered behavi…
In this paper, we conduct mathematical and numerical analyses to address the following crucial questions for COVID-19: (Q1) Is it possible to contain COVID-19? (Q2) When will be the peak and the end of the epidemic? (Q3) How do the asymptomatic infections affect the spread of disease? (Q4) What is the ratio of the population that needs to be infected to achieve herd immunity? (Q5) How effective are the social distancing approaches? (Q6) What is the ratio of the population infected in the long run? For (Q1) and (Q2), we propose a time-dependent susceptible-infected-recovered (SIR) model that tr…
IMT School for Advanced Studies Lucca（卢cca高等研究院）；TREE-TOWER S.R.L.（TREE-TOWER有限责任公司）
Computational models for the simulation of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) epidemic evolution would be extremely useful to support authorities in designing healthcare policies and lockdown measures to contain its impact on public health and economy. In Italy, the devised forecasts have been mostly based on a pure data-driven approach, by fitting and extrapolating open data on the epidemic evolution collected by the Italian Civil Protection Center. In this respect, SIR epidemiological models, which start from the description of the nonlinear interactions between…
Motivated by the need for novel robust approaches to modelling the Covid-19 epidemic, this paper treats a population of $N$ individuals as an inhomogeneous random social network (IRSN). The nodes of the network represent different types of individuals and the edges represent significant social relationships. An epidemic is pictured as a contagion process that changes daily, triggered on day $0$ by a seed infection introduced into the population. Individuals' social behaviour and health status are assumed to be random, with probability distributions that vary with their type. First a formulatio…
The SIR evolutionary model predicts too sharp a decrease of the fractions of people infected with COVID-19 in France after the start of the national lockdown, compared to what is observed. I fit the daily hospital data: arrivals in regular and critical care units, releases and deaths, using extended SEIR models. These involve ratios of evolutionary timescales to branching fractions, assumed uniform throughout a country, and the basic reproduction number, $R_0$, before and during the national lockdown, for each region of France. The joint-region Bayesian analysis allows precise evaluations of t…
Susceptible-Invective-Recovered (SIR) mathematical models are in high demand due to the COVID-19 pandemic. They are used in their standard formulation, or through the many variants, trying to fit and hopefully predict the number of new cases for the next days or weeks, in any place, city, or country. Such is key knowledge for the authorities to prepare for the health systems demand or to apply restrictions to slow down the infectives curve. Even when the model can be easily solved ---by the use of specialized software or by programming the numerical solution of the differential equations that …
At the time of writing, the ongoing COVID-19 pandemic, caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), had already resulted in more than thirty-two million cases infected and more than one million deaths worldwide. Given the fact that the pandemic is still threatening health and safety, it is in the urgency to understand the COVID-19 contagion process and know how it might be controlled. With this motivation in mind, in this paper, we consider a version of a stochastic discrete-time Susceptible-Infected-Recovered-Death~(SIRD)-based epidemiological model with two uncerta…
The special epistemic characteristics of the COVID-19, such as the long incubation period and the infection through asymptomatic cases, put severe challenge to the containment of its outbreak. By the end of March 2020, China has successfully controlled the within-spreading of COVID-19 at a high cost of locking down most of its major cities, including the epicenter, Wuhan. Since the low accuracy of outbreak data before the mid of Feb. 2020 forms a major technical concern on those studies based on statistic inference from the early outbreak. We apply the supervised learning techniques to identif…
Approaching epidemiological dynamics of COVID-19 with physics-informed neural networks
Frankfurt Institute for Advanced Studies（法兰克福高等研究院）；Xidian-FIAS International Joint Research Center（西安电子科技大学-法兰克福高等研究院国际联合研究中心）；Institut für Theoretische Physik, Goethe Universität Frankfurt（法兰克福大学理论物理研究所）；GSI Helmholtzzentrum für Schwerionenforschung GmbH（GSI亥姆霍兹重离子研究中心）；Xidian University（西安电子科技大学）
本文提出将嵌入 SIR 模型的物理信息神经网络（PINN）用于传染病动力学建模，通过在合成数据和德国 COVID-19 数据上的实验证明其能准确识别和预测疫情传播趋势，展示了机器学习与仓室模型结合研究流行病的高潜力。
The global COVID-19 pandemic (SARS-CoV-2 virus) is the defining health crisis of our century. Due to the absence of vaccines and drugs that can help to fight it, the world solution to control the spread has been to consider public social distance measures that avoids the saturation of the health system. In this context, we investigate a Model Predictive Control (MPC) framework to determine the time and duration of social distancing policies. We use Brazilian data in the period from March to May of 2020. The available data regarding the number of infected individuals and deaths suffers from sub…
In an earlier paper we proposed a recursive model for epidemics; in the present paper we generalize this model to include the asymptomatic or unrecorded symptomatic people, which we call {\em dark people} (dark sector). We call this the SEPAR$_d$-model. A delay differential equation version of the model is added; it allows a better comparison to other models. We carry this out by a comparison with the classical SIR model and indicate why we believe that the SEPAR$_d$ model may work better for Covid-19 than other approaches. In the second part of the paper we explain how to deal with the data p…
