Objective: To conduct an early estimation of the Basic Reproduction Number (BRN) induced by government interference, and to project resulting day to day number of in-patients, ICU-patients and cumulative number of deaths in a Danish setting.
Method: We used the Kermack and McKendrick model with varying basic reproduction number to estimate number infected and age stratified percentages to estimate number of in-patients, ICU-patients and cumulative number of deaths. Changes in basic reproduction number was estimated based on current in-patient numbers.
Results: The basic reproductive number in the time period of February 27th to March 18th was found to be 2.65, however, this number was reduced to 1.99 after March 18th.
Keywords: COVID-19, basic reproduction number, Danish population
In this paper, we study the psychological effect in a SIS epidemic model. The basic reproduction number is obtained. However, the disease free equilibrium is always asymptotically stable, which doesn't depends on the basic reproduction number. The system has a saddle-node bifurcation appear and displays bistable behavior, which is a new phenomenon in epidemic dynamics and different from the backward bifurcation behavior.
The World Health Organisation (WHO) has very strongly recommended testing and isolation as a strategy for controlling the ongoing COVID-19 pandemic. The goal of this paper is to quantify the effects of detection and isolation in formal models of epidemics of varying complexity. A key parameter of such models is the basic reproduction ratio. We show that an effective detection and isolation strategy leads to a reduction of the basic reproduction ratio and can even lead to this ratio becoming lower than one.
In Fall 2020, several European countries reported rapid increases in COVID-19 cases along with growing estimates of the effective reproduction rates. Such an acceleration in epidemic spread is usually attributed to time-dependent effects, e.g. human travel, seasonal behavioral changes, mutations of the pathogen etc. In this case however the acceleration occurred when counter measures such as testing and contact tracing exceeded their capacity limit. Considering Austria as an example, here we show that this dynamics can be captured by a time-independent, i.e. autonomous, compartmental model tha…
Infection can spread easily on networks with heterogeneous degree distribution. Here, we considered targeted immunization on such networks, wherein a fraction of individuals with the highest connectivity are immunized. To quantify the effect of this targeted immunization approach on population immunity, we proposed a method using the type reproduction number. Consequently, we derived a precise and simple formula that can yield the immunization threshold, which, to the best of our knowledge, is the first such result presented in the literature.
In this work we analyze the post monsoon Dengue outbreaks by analyzing the transient and long term dynamics of Dengue incidences and its environmental correlates in Ahmedabad city in western India from 2005-2012. We calculate the reproduction number $R_p$ using the growth rate of post monsoon Dengue outbreaks and biological parameters like host and vector incubation periods and vector mortality rate, and its uncertainties are estimated through Monte-Carlo simulations by sampling parameters from their respective probability distributions. Reduction in Female Aedes mosquito density required for …
In this paper, we provide a straightforward approach to defining and deriving the key epidemiological quantity, the basic reproduction number, $R_0$, for Markovian epidemics in structured populations. The methodology derived is applicable to, and demonstrated on, both $SIR$ and $SIS$ epidemics and allows for population as well as epidemic dynamics. The approach taken is to consider the epidemic process as a multitype process by identifying and classifying the different types of infectious units along with the infections from, and the transitions between, infectious units. For the household mod…
Early estimates of the transmission potential of emerging and re-emerging infections are increasingly used to inform public health authorities on the level of risk posed by outbreaks. Existing methods to estimate the reproduction number generally assume exponential growth in case incidence in the first few disease generations, before susceptible depletion sets in. In reality, outbreaks can display sub-exponential (i.e., polynomial) growth in the first few disease generations, owing to clustering in contact patterns, spatial effects, inhomogeneous mixing, reactive behavior changes, or other mec…
The expected number of secondary infections arising from each index case, referred to as the reproduction or $R$ number, is a vital summary statistic for understanding and managing epidemic diseases. There are many methods for estimating $R$; however, few explicitly model heterogeneous disease reproduction, which gives rise to superspreading within the population. We propose a parsimonious discrete-time branching process model for epidemic curves that incorporates heterogeneous individual reproduction numbers. Our Bayesian approach to inference illustrates that this heterogeneity results in le…
During the first months, the Covid-19 pandemic has required most countries to implement complex sequences of non-pharmaceutical interventions, with the aim of controlling the transmission of the virus in the population. To be able to take rapid decisions, a detailed understanding of the current situation is necessary. Estimates of time-varying, instantaneous reproduction numbers represent a way to quantify the viral transmission in real time. They are often defined through a mathematical compartmental model of the epidemic, like a stochastic SEIR model, whose parameters must be estimated from …
We develop a multi-patch and multi-group model that captures the dynamics of an infectious disease when the host is structured into an arbitrary number of groups and interacts into an arbitrary number of patches where the infection takes place. In this framework, we model host mobility that depends on its epidemiological status, by a Lagrangian approach. This framework is applied to a general SEIRS model and the basic reproduction number $\mathcal{R_0}$ is derived. The effects of heterogeneity in groups, patches and mobility patterns on $\mathcal{R_0}$ and disease prevalence are explored. Our …
In this paper we consider epidemic models of directly transmissible SIR (susceptible $\to$ infective $\to$ recovered) and SEIR (with an additional latent class) infections in fully-susceptible populations with a social structure, consisting either of households or of households and workplaces. We review most reproduction numbers defined in the literature for these models, including the basic reproduction number $R_0$ introduced in the companion paper of this, for which we provide a simpler, more elegant derivation. Extending previous work, we provide a complete overview of the inequalities amo…
In epidemiological modelings, the spectral radius of the next generation matrix evaluated at the trivial equilibrium was considered as the basic reproduction number. Also, the global stability of the trivial equilibrium point was determined by the left eigenvector associated to that next generation matrix. More recently, the fraction of susceptible individuals was also obtained from the next generation matrix. By revisiting drug sensitive and resistant tuberculosis model, the gross reproduction number and the fraction of susceptible individuals are calculated. Hence, the next generation matric…
Recent evidences show that individuals who recovered from COVID-19 can be reinfected. However, this phenomenon has rarely been studied using mathematical models. In this paper, we propose a SEIRE epidemic model to describe the spread of the epidemic with reinfection. We obtain the important thresholds $R_0$ (the basic reproduction number) and Rc (a threshold less than one). Our investigations show that when $R_0 > 1$, the system has an endemic equilibrium, which is globally asymptotically stable. When $R_c < R_0 < 1$, the epidemic system exhibits bistable dynamics. That is, the system has back…
We introduce and analyze coupled, multi-strain epidemic models designed to simulate the emergence and dissemination of mutant (e.g. drug-resistant) pathogen strains. In particular, we investigate the mathematical and biological properties of a general class of multi-strain epidemic models in which the infectious compartments of each strain are coupled together in a general manner. We derive explicit expressions for the basic reproduction number of each strain and highlight their importance in regulating the system dynamics (e.g. the potential for an epidemic outbreak) and the existence of nonn…
We present a compartmental SEIAR model of epidemic spread as a generalization of the SEIR model. We believe that the asymptomatic infectious cohort is an omitted part of the understanding of the epidemic dynamics of disease COVID-19. We introduce and derive the basic reproduction number as the weighted arithmetic mean of the basic reproduction numbers of the symptomatic and asymptomatic cohorts. Since the asymptomatic subjects people are not detected, they can spread the disease much longer, and this increases the COVID-19 $R_0$ up to around 9. We show that European epidemic outbreaks in vario…
The basic reproduction number R0 -- the number of individuals directly infected by an infectious person in an otherwise susceptible population -- is arguably the most widely used estimator of how severe an epidemic outbreak can be. This severity can be more directly measured as the fraction people infected once the outbreak is over, Ω. In traditional mathematical epidemiology and common formulations of static network epidemiology, there is a deterministic relationship between R0 and Ω. However, if one considers disease spreading on a temporal contact network -- where one knows when contacts ha…
Consider a Markovian SIR epidemic model in a homogeneous community. To this model we add a rate at which individuals are tested, and once an infectious individual tests positive it is isolated and each of their contacts are traced and tested independently with some fixed probability. If such a traced individual tests positive it is isolated, and the contact tracing is iterated. This model is analysed using large population approximations, both for the early stage of the epidemic when the "to-be-traced components" of the epidemic behaves like a branching process, and for the main stage of the e…
For a recently derived pairwise model of network epidemics with non-Markovian recovery, we prove that under some mild technical conditions on the distribution of the infectious periods, smaller variance in the recovery time leads to higher reproduction number, and consequently to a larger epidemic outbreak, when the mean infectious period is fixed. We discuss how this result is related to various stochastic orderings of the distributions of infectious periods. The results are illustrated by a number of explicit stochastic simulations, suggesting that their validity goes beyond regular networks…
One of the key indicators used in tracking the evolution of an infectious disease isthe reproduction number. This quantity is usually computed using the reportednumber of cases, but ignoring that many more individuals may be infected (e.g.asymptomatics). We propose a statistical procedure to quantify the impact of un-detected infectious cases on the determination of the effective reproduction number. Our approach is stochastic, data-driven and not relying on any compartmentalmodel. It is applied to the COVID-19 case in eight different countries and all Italianregions, showing that the effect o…
Accurate modeling of lockdown effects on SARS-CoV-2 epidemic evolution is a key issue in order e.g. to inform health-care decisions on emergency management. The compartmental and spatial models so far proposed use parametric descriptions of the contact rate, often assuming a time-invariant effect of the lockdown. In this paper we show that these assumptions may lead to erroneous evaluations on the ongoing pandemic. Thus, we develop a new class of nonparametric compartmental models able to describe how the impact of the lockdown varies in time. Exploiting regularization theory, hospitalized dat…
Reproduction numbers, like the basic reproduction number $\mathcal{R}_0$, play an important role in the analysis and application of dynamic models, including contagion models and ecological population models. One difficulty in deriving these quantities is that they must be computed on a model-by-model basis, since it is typically impractical to obtain general reproduction number expressions applicable to a family of related models, especially if these are of different dimensions. For example, this is typically the case for SIR-type infectious disease models derived using the linear chain trick…
Modeling Epidemics on Multiplex Networks: Epidemic Threshold and Basic Reproduction Number
Instituto Balseiro, Universidad Nacional de Cuyo（昆都萨国立大学巴尔塞罗研究所）；Centro Atómico Bariloche, Comisión Nacional de Energía Atómica（阿根廷国家原子能委员会巴里洛切原子中心）；Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET)（阿根廷国家科学研究委员会）；Universidad Nacional del Centro de la Provincia de Buenos Aires, Facultad de Cs. Exactas, Instituto Multidisciplinario Sobre Ecosistemas Y Desarrollo Sustentable（布宜诺斯艾利斯省中部国立大学理学院跨学科生态系统与可持续发展研究所）；Universidad Nacional del Centro de la Provincia de Buenos Aires, Facultad de Cs. Exactas, Instituto PLADEMA（布宜诺斯艾利斯省中部国立大学理学院PLADEMA研究所）
In this study, we analyze the effectiveness of measures aimed at finding and isolating infected individuals to contain epidemics like COVID-19, as the suppression induced over the effective reproduction number. We develop a mathematical model to compute the relative suppression of the effective reproduction number of an epidemic that such measures produce. This outcome is expressed as a function of a small set of parameters that describe the main features of the epidemic and summarize the effectiveness of the isolation measures. In particular, we focus on the impact when a fraction of the popu…
We study the global dynamics of a reaction-diffusion SEIR infection model with distributed delay and nonlinear incidence rate. The well-posedness of the proposed model is proved. By means of Lyapunov functionals, we show that the disease free equilibrium state is globally asymptotically stable when the basic reproduction number is less or equal than one, and that the disease endemic equilibrium is globally asymptotically stable when the basic reproduction number is greater than one. Numerical simulations are provided to illustrate the obtained theoretical results.
Herein, we provide estimations for the effective reproduction number $R_e$ for the greater metropolitan area of Athens, Greece during the first wave of the pandemic (February 26-May 15, 2020). For our calculations, we implemented, in a comparative approach, the two most widely used methods for the estimation of $R_e$, that by Wallinga and Teunis and by Cori et al. Data were retrieved from the national database of SARS-CoV-2 infections in Greece. Our analysis revealed that the expected value of Re dropped below 1 around March 15, shortly after the suspension of the operation of educational inst…
We present a simple technique to compare the development of the Covid-19 epidemic in different regions, based only on the time series of confirmed cases. Weekly new infections, taken for every day, are interpreted as infection potential of Covid-19. We derive a robust time-varying reproduction rate for the infection potential, including asymptomatic cases, which does not depend on death rate or testing intensity. It requires few assumptions and shows a more plausible time course than official reproduction rates in several countries.
A dynamical epidemic model optimized using genetic algorithm and cross validation method to overcome the overfitting problem is proposed. The cross validation procedure is applied so that available data are split into a training subset used to fit the algorithm's parameters, and a smaller subset used for validation. This process is tested on the countries of Italy, Spain, Germany and South Korea before being applied to Algeria. Interestingly, our study reveals an inverse relationship between the size of the training sample and the number of generations required in the genetic algorithm. Moreov…
Background: Northern Italy was one of the most impacted areas by COVID. It is now widely assumed that the virus was silently spreading for at least 2 weeks before the first patient was identified. During this silent phase, and in the following weeks when the hospital system was overburdened, data collection was not performed in an accurate enough way to estimate an epidemic curve. With the aim of assessing both the dynamics of the introduction of the virus and the effectiveness of containment measures introduced, we try to reconstruct the epidemic curve using all cause mortality data. Methods:…
Timely estimation of the current value for COVID-19 reproduction factor $R$ has become a key aim of efforts to inform management strategies. $R$ is an important metric used by policy-makers in setting mitigation levels and is also important for accurate modelling of epidemic progression. This brief paper introduces a method for estimating $R$ from biased case testing data. Using testing data, rather than hospitalisation or death data, provides a much earlier metric along the symptomatic progression scale. This can be hugely important when fighting the exponential nature of an epidemic. We deve…
We propose a new method to estimate the time-varying effective (or instantaneous) reproduction number of the novel coronavirus disease (COVID-19). The method is based on a discrete-time stochastic augmented compartmental model that describes the virus transmission. A two-stage estimation method, which combines the Extended Kalman Filter (EKF) to estimate the reported state variables (active and removed cases) and a low pass filter based on a rational transfer function to remove short term fluctuations of the reported cases, is used with case uncertainties that are assumed to follow a Gaussian …
The death toll for Covid-19 may be reduced by dividing the population into two classes, the vulnerable and the fit, with different lockdown regimes. Instead of one reproduction number there now are four parameters. These make it possible to quantify the effect of the social distancing measures. There is a simple stochastic model for epidemics in a two type population. Apart from the size of the population of the vulnerable and the fit, and the initial number of infected in the two classes, only the four reproduction parameters are needed to run the two type Reed-Frost model. The program is sim…
The paper deals with a modeling of the ongoing epidemic caused by Coronavirus disease 2019 (COVID-19) on the closed territory of the Republic of Croatia. Using the official public information on the number of confirmed infected, recovered and deceased individuals, the modified SEIR compartmental model is developed to describe the underlying dynamics of the epidemic. Fitted modified SEIR model provides the prediction of the disease progression in the near future, considering strict control interventions by means of social distancing and quarantine for infected and at-risk individuals introduced…
The reproduction number of deterministic models is an essential quantity to predict whether an epidemic will spread or die out. Thresholds for disease extinction contribute crucial knowledge on disease control, elimination, and mitigation of infectious diseases. Relationships between the basic reproduction numbers of two network-based ordinary differential equation vector-host models, and extinction thresholds of corresponding continuous-time Markov chain models are derived under some assumptions. Numerical simulation results for malaria and Rift Valley fever transmission on heterogeneous netw…
The 2014 Ebola virus (EBOV) outbreak in West Africa is the largest outbreak of the genus Ebolavirus to date. To better understand the spread of infection in the affected countries, it is crucial to know the number of secondary cases generated by an infected index case in the absence and presence of control measures, i.e., the basic and effective reproduction number. In this study, I describe the EBOV epidemic using an SEIR (susceptible-exposed-infectious-recovered) model and fit the model to the most recent reported data of infected cases and deaths in Guinea, Sierra Leone and Liberia. The max…
To better describe the spread of a disease, we extend a discrete time stochastic SIR-type epidemic model of Tuckwell and Williams. We assume the dependence on time of the number of daily encounters and include a parameter to represent a possible quarantine of the infectious individuals. We provide an analytic description of this Markovian model and investigate its dynamics. Both a diffusion approximation and the basic reproduction number are derived. Through several simulations, we show how the evolution of a disease is affected by the distribution of the number of daily encounters and its dep…
We propose two SIR models which incorporate sociological behavior of groups of individuals. It is these differences in behaviors which impose different infection rates on the individual susceptible populations, rather than biological differences. We compute the basic reproduction number for each model, as well as analyze the sensitivity of $R_0$ to changes in sociological parameter values.
We introduce a theoretical framework that highlights the impact of physical distancing variables such as human mobility and physical proximity on the evolution of epidemics and, crucially, on the reproduction number. In particular, in response to the coronavirus disease (CoViD-19) pandemic, countries have introduced various levels of 'lockdown' to reduce the number of new infections. Specifically we use a collisional approach to an infection-age structured model described by a renewal equation for the time homogeneous evolution of epidemics. As a result, we show how various contributions of th…
In the absence of other tools, monitoring the effects of protective measures, including social distancing and forecasting the outcome of outbreaks is of immense interest. Real-time data is noisy and very often hampered by systematic errors in reporting. Detailed epidemic models may contain a large number of empirical parameters, which cannot be determined with sufficient accuracy. In this paper, we show that the cumulative number of deaths can be regarded as a master variable, and the parameters of the epidemic such as the basic reproduction number, the size of the susceptible population, and …
We obtain conditions for eradication and permanence of infection for a nonautonomous SIQR model with time-dependent parameters, that are not assumed to be periodic. The incidence is given by functions of all compartments and the threshold conditions are given by some numbers that play the role of the basic reproduction number. We obtain simple threshold conditions in the autonomous, asymptotically autonomous and periodic settings and show that our thresholds coincide with the ones already established. Additionally, we obtain threshold conditions for the general nonautonomous model with mass-ac…
We propose a stochastic SIR model, specified as a system of stochastic differential equations, to analyse the data of the Italian COVID-19 epidemic, taking also into account the under-detection of infected and recovered individuals in the population. We find that a correct assessment of the amount of under-detection is important to obtain reliable estimates of the critical model parameters. Moreover, a single SIR model over the whole epidemic period is unable to correctly describe the behaviour of the pandemic. Then, the adaptation of the model in every time-interval between relevant governmen…
We discuss the generation of various reproduction ratios or numbers that are very useful to monitor an ongoing epidemic like Covid-19 and examine the effects of intervention measures. A detailed SEIR algorithm is described for their computation, with applications given to the current Covid-19 outbreaks in a number of countries (Argentina, Brazil, France, Italy, Mexico, Spain, UK and USA). The corresponding matlab script, complete and ready to use, is provided for free downloading.
The duration, type and structure of connections between individuals in real-world populations play a crucial role in how diseases invade and spread. Here, we incorporate the aforementioned heterogeneities into a model by considering a dual-layer static-dynamic multiplex network. The static network layer affords tunable clustering and describes an individual's permanent community structure. The dynamic network layer describes the transient connections an individual makes with members of the wider population by imposing constant edge rewiring. We follow the edge-based compartmental modelling app…
This is work in progress. We make it accessible hoping that people might find the idea useful. We propose a discrete, recursive 5-compartment model for the spread of epidemics, which we call {\em SEPIR-model}. Under mild assumptions which typically are fulfilled for the Covid-19 pandemic it can be used to reproduce the development of an epidemic from a small number of parameters closely related to the data. We demonstrate this at the development in Germany and Switzerland. It also allows model predictions assuming nearly constant reproduction numbers. Thus it might be a useful tool for sheddin…
