Absent a drug or vaccine, containing epidemic outbreaks is achieved by means of social distancing, specifically mobility restrictions and lock-downs. Such measures impose a hurtful toll on the economy, and are difficult to sustain for extended periods. As an alternative, we propose here an alternating quarantine strategy, in which at every instance, half of the population remains under lock-down while the other half continues to be active, maintaining a routine of weekly succession between activity and quarantine. This regime affords a dual partition:\ half of the population interacts for only half of the time, resulting in a dramatic reduction in transmission, comparable to that achieved by a population-wide lock-down. All the while, it enables socioeconomic continuity at $50\%$ capacity. The proposed weekly alternations also address an additional challenge, with specific relevance to COVID-19. Indeed, SARS-CoV-2 exhibits a relatively long incubation period, in which individuals experience no symptoms, but may already contribute to the spread. Unable to selectively isolate these invisible spreaders, we resort to population-wide restrictions. However, under the alternating quarantine routine, if an individual was exposed during their active week, by the time they complete their quarantine they will, in most cases, begin to exhibit symptoms. Hence this strategy isolates the majority of pre-symptomatic individuals during their infectious phase, leading to a rapid decline in the viral spread, thus addressing one of the main challenges in COVID-19 mitigation.
Several recent studies have tackled the issue of optimal network immunization by providing efficient criteria to identify key nodes to be removed in order to break apart a network, thus preventing the occurrence of extensive epidemic outbreaks. Yet, although the efficiency of those criteria has been demonstrated also in empirical networks, preventive immunization is rarely applied to real-world scenarios, where the usual approach is the a posteriori attempt to contain epidemic outbreaks using quarantine measures. Here we compare the efficiency of prevention with that of quarantine in terms of …
The Covid-19 pandemic is ongoing worldwide, and the damage it has caused is unprecedented. For prevention, South Korea has adopted a local quarantine strategy rather than a global lockdown. This approach not only minimizes economic damage, but it also efficiently prevents the spread of the disease. In this work, the spread of COVID-19 under local quarantine measures is modeled using the Susceptible-Exposed-Infected-Recovered model on complex networks. In this network approach, the links connected to isolated people are disconnected and then reinstated when they are released. This link dynamics…
Contact tracing and quarantine are well established non-pharmaceutical epidemic control tools. The paper aims to clarify the impact of these measures in COVID-19 epidemic. A new deterministic model is introduced (SEIRQ: susceptible, exposed, infectious, removed, quarantined) with Q compartment capturing individuals and releasing them with delay. We obtain a simple rule defining the reproduction number $\mathcal{R}$ in terms of quarantine parameters, ratio of diagnosed cases and transmission parameters. The model is applied to the epidemic in Poland in March - April 2020, when social distancing…
The importance of a strict quarantine has been widely debated during the COVID-19 epidemic even from the purely epidemiological point of view. One argument against strict lockdown measures is that once the strict quarantine is lifted, the epidemic comes back, and so the cumulative number of infected individuals during the entire epidemic will stay the same. We consider an SIR model on a network and follow the disease dynamics, modeling the phases of quarantine by changing the node degree distribution. We show that the system reaches different steady states based on the history: the outcome of …
Due to modern transportation networks (airplanes, cruise ships, etc.) an epidemic in a given country or city may be triggered by the arrival of external infected agents. Posterior government quarantine policies are usually taken in order to control the epidemic growth. We formulate a minimal epidemic evolution model that takes into account these components. The previous and posterior evolutions to the quarantine policy are modeled in a separate way by considering different complexities parameters in each stage. Application of this model to COVID-19 data in different countries is implemented. E…
The goal of this work is to study the optimal controls for the COVID-19 epidemic in Brazil. We consider an age-structured SEIRQ model with quarantine compartment, where the controls are the quarantine entrance parameters. We then compare the optimal controls for different quarantine lengths and distribution of the total control cost by assessing their respective reductions in deaths in comparison to the same period without quarantine. The best strategy provides a calendar of when to relax the isolation measures for each age group. Finally, we analyse how a delay in the beginning of the quarant…
The COVID-19 pandemic has challenged authorities at different levels of government administration around the globe. When faced with diseases of this severity, it is useful for the authorities to have prediction tools to estimate in advance the impact on the health system and the human, material, and economic resources that will be necessary. In this paper, we construct an extended Susceptible-Exposed-Infected-Recovered model that incorporates the social structure of Mar del Plata, the $4^\circ$ most inhabited city in Argentina and head of the Municipality of General Pueyrredón. Moreover, we co…
In this work, we inspect the reliability of controlling and quelling an epidemic disease mimicked by a Susceptible-Infected-Susceptible (SIS) model defined on a complex network by means of current and implementable quarantine and isolation policies. Specifically, we consider that each individual in the network is originally linked to two types of individuals: members of the same household and acquaintances. The topology of this network evolves taking into account a probability $q$ that aims at representing the quarantine or isolation process in which the connection with acquaintances is disrup…
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…
Ever since the outbreak of the COVID-19 epidemic, various public health control strategies have been proposed and tested against the coronavirus SARS-CoV-2. We study three specific COVID-19 epidemic control models: the susceptible, exposed, infectious, recovered (SEIR) model with vaccination control; the SEIR model with shield immunity control; and the susceptible, un-quarantined infected, quarantined infected, confirmed infected (SUQC) model with quarantine control. We express the control requirement in metric temporal logic (MTL) formulas (a type of formal specification languages) which can …
Public health services are constantly searching for new ways to reduce the spread of infectious diseases, such as public vaccination of asymptomatic individuals, quarantine (isolation) and treatment of symptomatic individuals. Epidemic models have a long history of assisting in public health planning and policy making. In this paper, we introduce epidemic models including variable population size, degree-related imperfect vaccination and quarantine on scale-free networks. More specifically, the models are formulated both on the population with and without permanent natural immunity to infectio…
We study the relative importance of two key control measures for epidemic spreading: endogenous social self-distancing and exogenous imposed quarantine. We use the framework of adaptive networks, moment-closure, and ordinary differential equations (ODEs) to introduce several novel models based upon susceptible-infected-recovered (SIR) dynamics. First, we compare computationally expensive, adaptive network simulations with their corresponding computationally highly efficient ODE equivalents and find excellent agreement. Second, we discover that there exists a relatively simple critical curve in…
The goal of this work is to analyse the effects of control policies for the coronavirus (COVID-19) epidemic in Brazil. This is done by considering an age-structured SEIR model with a quarantine class and two types of controls. The first one studies the sensitivity with regard to the parameters of the basic reproductive number R0 which is calculated by the next generation method. The second one evaluates different quarantine strategies by comparing their relative total number of deaths.
This paper is based on the observation that, during Covid-19 epidemic, the choice of which individuals should be tested has an important impact on the effectiveness of selective confinement measures. This decision problem is closely related to the problem of optimal sensor selection, which is a very active research subject in control engineering. The goal of this paper is to propose a policy to smartly select the individuals to be tested. The main idea is to model the epidemics as a stochastic dynamic system and to select the individual to be tested accordingly to some optimality criteria, e.g…
The spread of infectious diseases is a major challenge in our contemporary world, especially after the recent outbreak of Coronavirus disease 2019 (COVID-19). The quarantine strategy is one of the important intervention measures to control the spread of an epidemic by greatly minimizing the likelihood of contact between infected and susceptible individuals. In this study, we analyze the impact of various stochastic disturbances on the epidemic dynamics during the quarantine period. For this purpose, we present an SIQS epidemic model that incorporates the stochastic transmission and the Lévy no…
The impact of mitigation or control measures on an epidemics can be estimated by fitting the parameters of a compartmental model to empirical data, and running the model forward with modified parameters that account for a specific measure. This approach has several drawbacks, stemming from biases or lack of availability of data and instability of parameter estimates. Here we take the opposite approach -- that we call reverse epidemiology. Given the data, we reconstruct backward in time an ensemble of networks of contacts, and we assess the impact of measures on that specific realization of the…
During pandemic events, strategies such as social distancing can be fundamental to curb viral spreading. Such actions can reduce the number of simultaneous infections and mitigate the disease spreading, which is relevant to the risk of a healthcare system collapse. Although these strategies can be suggested, their actual implementation may depend on the population perception of the disease risk. The current COVID-19 crisis, for instance, is showing that some individuals are much more prone than others to remain isolated, avoiding unnecessary contacts. With this motivation, we propose an epidem…
Based on the classical SIR model, we derive a simple modification for the dynamics of epidemics with a known incubation period of infection. The model is described by a system of integro-differential equations. Parameters of our model directly related to epidemiological data. We derive some analytical results, as well as perform numerical simulations. We use the proposed model to analyze COVID-19 epidemic data in Armenia. We propose a strategy: organize a quarantine, and then conduct extensive testing of risk groups during the quarantine, evaluating the percentage of the population among risk …
In this article we propose a compartmental model for the dynamics of Coronavirus Disease 2019 (COVID-19). We take into account the presence of asymptomatic infections and the main policies that have been adopted so far to contain the epidemic: isolation (or social distancing) of a portion of the population, quarantine for confirmed cases and testing. We model isolation by separating the population in two groups: one composed by key-workers that keep working during the pandemic and have a usual contact rate, and a second group consisting of people that are enforced/recommended to stay at home. …
We propose a mathematical model for cholera with treatment through quarantine. The model is shown to be both epidemiologically and mathematically well posed. In particular, we prove that all solutions of the model are positive and bounded; and that every solution with initial conditions in a certain meaningful set remains in that set for all time. The existence of unique disease-free and endemic equilibrium points is proved and the basic reproduction number is computed. Then, we study the local asymptotic stability of these equilibrium points. An optimal control problem is proposed and analyze…
Mobility restrictions - travel advisories, trade and travel bans, border closures and, in extreme cases, area quarantines or cordons sanitaires - are among the most widely used measures to control infectious diseases. Restrictions of this kind were important in the response to epidemics of SARS (2003), H1N1 influenza (2009), and Ebola (2014). However, they do not always work as expected. The imposition of a cordon sanitaire to control the 2014 West African Ebola outbreak, for example, is argued to have led to a higher-than-expected number of cases in the quarantined area. To determine when mob…
In this paper, we propose a new model for the dynamics of COVID-19 infections. Our approach consists of seven phenotypes: the susceptible humans, exposed humans, infectious humans, the recovered humans, the quarantine population, the recovered-exposed and deceased population. We proved first through mathematical approach the positivity, boundness and existence of a solution to considered model. We also studied the existence of the disease free equilibrium and corresp onding stability. Hence, the actual reproduction number was calculated . We analyzed the dependence of basic reproductions R_0 o…
We propose a tractable epidemic model that includes containment measures. In the absence of containment measures, the epidemics spread exponentially fast whenever the infectivity rate is positive, $λ>0$. The containment measures are modeled by considering a time-dependent modulation of the bare infectivity $λ$ leading to effective infectivity that decays in time for each infected individual, mimicking for instance the combined effect of the asymptomatic onset of the disease, testing policies and quarantine. We consider a wide range of temporal kernels for effective infectivity and we investiga…
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…
We consider an age-structured epidemic model with two basic public health interventions: (i) identifying and isolating symptomatic cases, and (ii) tracing and quarantine of the contacts of identified infectives. The dynamics of the infected population are modeled by a nonlinear infection-age-dependent partial differential equation, which is coupled with an ordinary differential equation that describes the dynamics of the susceptible population. Theoretical results about global existence and uniqueness of positive solutions are proved. We also present two practical applications of our model: (1…
We propose a dynamical model for describing the spread of epidemics. This model is an extension of the SIQR (susceptible-infected-quarantined-recovered) and SIRP (susceptible-infected-recovered-pathogen) models used earlier to describe various scenarios of epidemic spreading. As compared to the basic SIR model, our model takes into account two possible routes of contagion transmission: direct from the infected compartment to the susceptible compartment and indirect via some intermediate medium or fomites. Transmission rates are estimated in terms of average distances between the individuals in…
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…
There are multiple testing methods to ascertain an infection in an individual and they vary in their performances, cost and delay. Unfortunately, better performing tests are sometimes costlier and time consuming and can only be done for a small fraction of the population. On the other hand, greater number of individuals can be tested using a cheaper, rapid test, but may only provide less reliable results. In this work, we studied the interplay between cost and delay of the tests as well the additional advantages offered by partial and complete lockdowns. To understand the influence of differen…
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…
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…
