The coronavirus pandemic has rapidly evolved into an unprecedented crisis. The susceptible-infectious-removed (SIR) model and its variants have been used for modeling the pandemic. However, time-independent parameters in the classical models may not capture the dynamic transmission and removal processes, governed by virus containment strategies taken at various phases of the epidemic. Moreover, very few models account for possible inaccuracies of the reported cases. We propose a Poisson model with time-dependent transmission and removal rates to account for possible random errors in reporting and estimate a time-dependent disease reproduction number, which may be used to assess the effectiveness of virus control strategies. We apply our method to study the pandemic in several severely impacted countries, and analyze and forecast the evolving spread of the coronavirus. We have developed an interactive web application to facilitate readers' use of our method.
We propose a forecasting method for predicting epidemiological health series on a two-week horizon at the regional and interregional resolution. The approach is based on model order reduction of parametric compartmental models, and is designed to accommodate small amount of sanitary data. The efficiency of the method is shown in the case of the prediction of the number of infected and removed people during the two pandemic waves of COVID-19 in France, which have taken place approximately between February and November 2020. Numerical results illustrate the promising potential of the approach.
This paper extends the canonical model of epidemiology, SIRD model, to allow for time varying parameters for real-time measurement of the stance of the COVID-19 pandemic. Time variation in model parameters is captured using the generalized autoregressive score modelling structure designed for the typically daily count data related to pandemic. The resulting specification permits a flexible yet parsimonious model structure with a very low computational cost. This is especially crucial at the onset of the pandemic when the data is scarce and the uncertainty is abundant. Full sample results show …
The unprecedented coronavirus disease 2019 (COVID-19) pandemic is still a worldwide threat to human life since its invasion into the daily lives of the public in the first several months of 2020. Predicting the size of confirmed cases is important for countries and communities to make proper prevention and control policies so as to effectively curb the spread of COVID-19. Different from the 2003 SARS epidemic and the worldwide 2009 H1N1 influenza pandemic, COVID-19 has unique epidemiological characteristics in its infectious and recovered compartments. This drives us to formulate a new infecti…
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…
The role of epidemiological models is crucial for informing public health officials during a public health emergency, such as the COVID-19 pandemic. However, traditional epidemiological models fail to capture the time-varying effects of mitigation strategies and do not account for under-reporting of active cases, thus introducing bias in the estimation of model parameters. To infer more accurate parameter estimates and to reduce the uncertainty of these estimates, we extend the SIR and SEIR epidemiological models with two time-varying parameters that capture the transmission rate and the rate …
Scientific advice to the UK government throughout the COVID-19 pandemic has been informed by ensembles of epidemiological models provided by members of the Scientific Pandemic Influenza group on Modelling (SPI-M). Among other applications, the model ensembles have been used to forecast daily incidence, deaths and hospitalizations. The models differ in approach (e.g. deterministic or agent-based) and in assumptions made about the disease and population. These differences capture genuine uncertainty in the understanding of disease dynamics and in the choice of simplifying assumptions underpinnin…
In this paper, we develop an extension of standard epidemiological models, suitable for COVID-19. This extension incorporates the transmission due to pre-symptomatic or asymptomatic carriers of the virus. Furthermore, this model also captures the spread of the disease due to the movement of people to/from different administrative boundaries within a country. The model describes the probabilistic rise in the number of confirmed cases due to the concomitant effects of (incipient) human transmission and multiple compartments. The associated parameters in the model can help architect the public he…
Estimates from infectious disease models have constituted a significant part of the scientific evidence used to inform the response to the COVID-19 pandemic in the UK. These estimates can vary strikingly in their bias and variability. Epidemiological forecasts should be consistent with the observations that eventually materialise. We use simple scoring rules to refine the forecasts of a novel statistical model for multisource COVID-19 surveillance data by tuning its smoothness hyperparameter.
Maps have played an important role in epidemiology and public health since the beginnings of these disciplines. With the advent of geographical information systems and advanced information visualization techniques, interactive maps have become essential tools for the analysis of geographical patterns of disease incidence and prevalence, as well as communication of public health knowledge, as dramatically illustrated by the proliferation of web-based maps and disease surveillance ``dashboards'' during the COVID-19 pandemic. While such interactive maps are usually effective in supporting static …
Mathematical models have been used to understand the spread patterns of infectious diseases such as Coronavirus Disease 2019 (COVID-19). The transmission component of the models can be modelled in an age-dependent manner via introducing contact matrix for the population, which describes the contact rates between the age groups. Since social contact patterns vary from country to country, we can compare and group the countries using the corresponding contact matrices. In this paper, we present a framework for clustering countries based on their contact matrices with respect to an underlying epid…
The Susceptible-Infected-Recovered (SIR) model is the cornerstone of epidemiological models. However, this specification depends on two parameters only, which implies a lack of flexibility and the difficulty to replicate the volatile reproduction numbers observed in practice. We extend the classic SIR model by introducing nonlinear stochastic transmission, to get a stochastic SIR model. We derive its exact solution and discuss the condition for herd immunity. The stochastic SIR model corresponds to a population of infinite size. When the population size is finite, there is also sampling uncert…
University of British Columbia（不列颠哥伦比亚大学）；MILA（米拉研究所）；CIFAR（加拿大高等研究院）；University of Oxford（牛津大学）；Epistemix Inc.（Epistemix公司）
In this work we demonstrate how to automate parts of the infectious disease-control policy-making process via performing inference in existing epidemiological models. The kind of inference tasks undertaken include computing the posterior distribution over controllable, via direct policy-making choices, simulation model parameters that give rise to acceptable disease progression outcomes. Among other things, we illustrate the use of a probabilistic programming language that automates inference in existing simulators. Neither the full capabilities of this tool for automating inference nor its ut…
COVID-19 pandemic has reshaped our world in a timescale much shorter than what we can understand. Particularities of SARS-CoV-2, such as its persistence in surfaces and the lack of a curative treatment or vaccine against COVID-19, have pushed authorities to apply restrictive policies to control its spreading. As data drove most of the decisions made in this global contingency, their quality is a critical variable for decision-making actors, and therefore should be carefully curated. In this work, we analyze the sources of error in typically reported epidemiological variables and usual tests us…
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…
Nonsmooth convex optimization to estimate the Covid-19 reproduction number space-time evolution with robustness against low quality data
Univ. Lille, CNRS, Centrale Lille（里尔大学、法国国家科学研究中心、中央理工学院里尔）；CNRS, ENS de Lyon, Laboratoire de Physique（法国国家科学研究中心、里昂高等师范学院、物理实验室）；INRIA, ENS de Lyon, Laboratoire d’Informatique（法国国家信息与自动化研究所、里昂高等师范学院、计算机实验室）
Data Science Institute（数据科学研究所）；Imperial College London（伦敦帝国理工学院）
The global pandemic of the 2019-nCov requires the evaluation of policy interventions to mitigate future social and economic costs of quarantine measures worldwide. We propose an epidemiological model for forecasting and policy evaluation which incorporates new data in real-time through variational data assimilation. We analyze and discuss infection rates in China, the US and Italy. In particular, we develop a custom compartmental SIR model fit to variables related to the epidemic in Chinese cities, named SITR model. We compare and discuss model results which conducts updates as new observation…
The evolution of RNA viruses such as HIV, Hepatitis C and Influenza virus occurs so rapidly that the viruses' genomes contain information on past ecological dynamics. Hence, we develop a phylodynamic method that enables the joint estimation of epidemiological parameters and phylogenetic history. Based on a compartmental susceptible-infected-removed (SIR) model, this method provides separate information on incidence and prevalence of infections. Detailed information on the interaction of host population dynamics and evolutionary history can inform decisions on how to contain or entirely avoid d…
The COVID-19 pandemic has created unprecedented challenges worldwide. Strained healthcare providers make difficult decisions on patient triage, treatment and care management on a daily basis. Policy makers have imposed social distancing measures to slow the disease, at a steep economic price. We design analytical tools to support these decisions and combat the pandemic. Specifically, we propose a comprehensive data-driven approach to understand the clinical characteristics of COVID-19, predict its mortality, forecast its evolution, and ultimately alleviate its impact. By leveraging cohort-leve…
The global crisis caused by the COVID-19 pandemic, in conjunction with the economic consequences and the collapse of health systems, has raised serious concerns in Europe, which is the most affected continent by the pandemic since it recorded 2,388,694 cases and 190,091 deaths (39.6% of the worldwide total), of which 71.7% (136,238) are in the United Kingdom (43,414), Italy (34,708), France (29,778), and Spain (28,338). Unlike other countries, Greece, with about 310 confirmed cases and 18 deaths per million, is one bright exception in the study and analysis of this phenomenon. Focusing on the …
The COVID-19 pandemic has drastically impacted people's travel behaviour and out-of-home activity participation. While countermeasures are being eased with increasing vaccination rates, the demand for public transport remains uncertain. To investigate user preferences to travel by London Underground during the pandemic, we conducted a stated choice experiment among its pre-pandemic users (N=961). We analysed the collected data using multinomial and mixed logit models. Our analysis provides insights into the sensitivity of the demand for the London Underground with respect to travel attributes …
Covid-19 is one of the most dreaded pandemics/epidemics in the world threatening the human population. The dynamics of this pandemic is quite complicated and prediction of pandemic states often fails. In this work, we study and correlate the SIR epidemiological model with the ongoing pandemic and found that pandemic dynamics and states are quite sensitively dependent on model parameters. The analysis of the exact parametric solution of the deterministic SIR model shows that the fixed points ($g^*$) depend on the SIR parameters, where, if $g^*\langle\fracγ{βx_0}$ then $g^*$ is stable and the pa…
Several analytical models have been used in this work to describe the evolution of death cases arising from coronavirus (COVID-19). The Death or `D' model is a simplified version of the SIR (susceptible-infected-recovered) model, which assumes no recovery over time, and allows for the transmission-dynamics equations to be solved analytically. The D-model can be extended to describe various focuses of infection, which may account for the original pandemic (D1), the lockdown (D2) and other effects (Dn). The evolution of the COVID-19 pandemic in several countries (China, Spain, Italy, France, UK,…
Monitoring the evolution of the Covid19 pandemic constitutes a critical step in sanitary policy design. Yet, the assessment of the pandemic intensity within the pandemic period remains a challenging task because of the limited quality of data made available by public health authorities (missing data, outliers and pseudoseasonalities, notably), that calls for cumbersome and ad-hoc preprocessing (denoising) prior to estimation. Recently, the estimation of the reproduction number, a measure of the pandemic intensity, was formulated as an inverse problem, combining data-model fidelity and space-ti…
We analyze the time-series data for the onset of A(H1N1)v influenza pandemic in India during the period June 1- September 30, 2009. Using a variety of statistical fitting procedures, we obtain a robust estimate of the exponential growth rate $\langle λ\rangle \simeq 0.15$. This corresponds to a basic reproductive number $R_0 \simeq 1.45$ for influenza A(H1N1)v in India, a value which lies towards the lower end of the range of values reported for different countries affected by the pandemic.
The COVID-19 pandemic has been a great catastrophe that upended human lives and caused millions of deaths all over the world. The rapid spread of the virus, with its early-stage exponential growth and subsequent 'waves', caught many medical professionals and decision-makers unprepared. Even though epidemiological models have been known for almost a century (since the 'Spanish Influenza' pandemic of 1918-20), the real-life spread of the SARS-CoV-2 virus often confounded the modelers. While the general framework of epidemiological models like SEIR (susceptible-exposed-infected-recovered) or SIR …
Since November 6$^{\mathrm{th}}$, 2020, Italian regions have been classified according to four levels, corresponding to specific risk scenarios, for which specific restrictive measures have been foreseen. By analyzing the time evolution of the reproduction number $R_t$, we estimate how much different restrictive measures affect $R_t$, and we quantify the combined effect of the diffusion of virus variants and the beginning of the vaccination campaign upon the $R_t$ trend. We also compute the time delay between implementation of restrictive measures and the resulting effects. Three different mod…
High-throughput molecular screening is required to investigate the origin and diffusion of antimicrobial resistance in pathogen outbreaks. The most frequent cause of human infection is Escherichia coli, which is dominated by sequence type 131 (ST131), a set of rapidly radiating pandemic clones. The highly infectious clades of ST131 originated firstly by a mutation enhancing virulence and adhesion. Secondly, single-nucleotide polymorphisms occurred enabling fluoroquinolone-resistance, which is near-fixed in all ST131. Thirdly, broader resistance through beta-lactamases has been gained and lost …
The effective reproduction number is a key figure to monitor the course of the COVID-19 pandemic. In this study we consider a retrospective modelling approach for estimating the effective reproduction number based on death counts during the first year of the pandemic in Germany. The proposed Bayesian hierarchical model incorporates splines to estimate reproduction numbers flexibly over time while adjusting for varying effective infection fatality rates. The approach also provides estimates of dark figures regarding undetected infections over time. Results for Germany illustrate that estimated …
Joint economic and epidemiological modelling of alternative pandemic response strategies
University of Canterbury（坎特伯雷大学）；Te Pūnaha Matatini（泰普纳哈·马塔蒂尼中心）；Simon Fraser University（西蒙菲莎大学）；University of Oxford（牛津大学）；Memorial University of Newfoundland（纽芬兰纪念大学）；Te Herenga Waka - Victoria University of Wellington（惠灵顿维多利亚大学）；Toha Network Limited（托哈网络有限公司）
The global pandemic due to the outbreak of COVID-19 ravages the whole world for more than two years in which all the countries are suffering a lot since December 2019. In order to control this ongoing waves of epidemiological infections, attempts have been made to understand the dynamics of this pandemic in deterministic approach with the help of several mathematical models. In this article characteristics of a multi-wave SIR model have been studied which successfully explains the features of this pandemic waves in India. Stability of this model has been studied by identifying the equilibrium …
This research quantifies the various South African lockdown regimes, for the SARS-CoV-2 pandemic, in terms of the basic reproduction number, $r_0$. It further calculates the levels of immunity required for these selfsame lockdown regimes to begin to work and predicts perceived values, should infections have been underestimated by a factor of 10. The latter results are compelling. The first, level-5 lockdown was a valiant attempt to contain the highly infectious, SARS-CoV-2 virus, based on a limited knowledge. Its basic reproduction number ($r_0 = 1.93$) never came anywhere close to the require…
In this work, we simulate the COVID-19 pandemic dynamics in a population modeled as a network of groups wherein infection can propagate both via intra-group and via inter-group interactions. Our results emphasize the importance of diminishing the inter-group infections in the effort of substantial flattening and delaying of the epi(demiologic) curve with concomitant mitigation of disastrous economy and social consequences. To exemplify with a limiting case, splitting a population into m (say, 5 or 10) noninteracting groups while keeping intra-group interaction unchanged yields a stretched epid…
This paper is concerned with nonlinear modeling and analysis of the COVID-19 pandemic currently ravaging the planet. There are two objectives: to arrive at an appropriate model that captures the collected data faithfully, and to use that as a basis to explore the nonlinear behavior. We use a nonlinear SEIR (Susceptible, Exposed, Infectious & Removed) transmission model with added behavioral and government policy dynamics. We develop a genetic algorithm technique to identify key model parameters employing COVID19 data from South Korea. Stability, bifurcations and dynamic behavior are analyzed. …
Rule-based models have been successfully used to represent different aspects of the COVID-19 pandemic, including age, testing, hospitalisation, lockdowns, immunity, infectivity, behaviour, mobility and vaccination of individuals. These rule-based approaches are motivated by chemical reaction rules which are traditionally solved numerically with the standard Gillespie algorithm proposed in the context of molecular dynamics. When applying reaction system type of approaches to epidemiology, generalisations of the Gillespie algorithm are required due to the time-dependency of the problems. In this…
Objectives.--To estimate the basic reproduction number of the Wuhan novel coronavirus (2019-nCoV). Methods.--Based on the susceptible-exposed-infected-removed (SEIR) compartment model and the assumption that the infectious cases with symptoms occurred before January 25, 2020 are resulted from free propagation without intervention, we estimate the basic reproduction number of 2019-nCoV according to the reported confirmed cases and suspected cases, as well as the theoretical estimated number of infected cases by other research teams, together with some epidemiological determinants learned from t…
Epidemiological forecasts are beset by uncertainties about the underlying epidemiological processes, and the surveillance process through which data are acquired. We present a Bayesian inference methodology that quantifies these uncertainties, for epidemics that are modelled by (possibly) non-stationary, continuous-time, Markov population processes. The efficiency of the method derives from a functional central limit theorem approximation of the likelihood, valid for large populations. We demonstrate the methodology by analysing the early stages of the COVID-19 pandemic in the UK, based on age…
Mathematical models have come to play a key role in global pandemic preparedness and outbreak response: helping to plan for disease burden, hospital capacity, and inform non-pharmaceutical interventions. Such models have played a pivotal role in the COVID-19 pandemic, with transmission models and, by consequence, modelers guiding global, national, and local responses to SARS-CoV-2. However, these models have systematically failed to account for the social and structural factors which lead to socioeconomic, racial, and geographic health disparities. Why do epidemiologic models of emerging infec…
Typically, mathematical simulation studies on COVID-19 pandemic forecasting are based on deterministic differential equations which assume that both the number ($n$) of individuals in various epidemiological classes and the time ($t$) on which they depend are quantities that vary continuous. This picture contrasts with the discrete representation of $n$ and $t$ underlying the real epidemiological data reported in terms daily numbers of infection cases, for which a description based on finite difference equations would be more adequate. Adopting a logistic growth framework, in this paper we pre…
We have proposed an SEIR compartmental mathematical model. The prime objective of this study is to analyze and forecast the pandemic in Italy for the upcoming months. The basic reproduction number has been calculated. Based on the current situation in Italy, in this paper, we will estimate the possible time for the end of the pandemic in the country. The impact of lockdown and rapid isolation on the spread of the pandemic are also discussed. Further, we have studied four of the most pandemic affected regions in Italy. Using the proposed model, a prediction has been made about the duration of p…
The 2014 epidemic of the Ebola virus is governed by a genetically diverse viral population. In the early Sierra Leone outbreak, a recent study has identified new mutations that generate genetically distinct sequence clades. Here we find evidence that major Sierra Leone clades have systematic differences in growth rate and reproduction number. If this growth heterogeneity remains stable, it will generate major shifts in clade frequencies and influence the overall epidemic dynamics on time scales within the current outbreak. Our method is based on simple summary statistics of clade growth, which…
Epidemiological models may give some basic guidelines for public health practitioners, allowing to analyze issues that can influence the strategies to prevent and fight a disease. To be used in decision-making, however, a mathematical model must be carefully parameterized and validated with epidemiological and entomological data. Here a SIR (S for susceptible, I for infectious, R for recovered individuals) and ASI (A for the aquatic phase of the mosquito, S for susceptible and I for infectious mosquitoes) epidemiological model describing a dengue disease is presented, as well as the associated…
In this paper, we estimate epidemiological data of the COVID-19 pandemic in Hungary using only the daily number of hospitalized patients, and applying well-known techniques from systems and control theory. We use a previously published and validated compartmental model for the description of epidemic spread. Exploiting the fact that an important subsystem of the model is linear, first we compute the number of latent infected persons in time. Then an estimate can be given for the number of people in other compartments. From these data, it is possible to track the time dependent reproduction num…
We developed a mathematical model to describe the transmission of new coronavirus in the São Paulo State, Brazil. The model divided a community in subpopulations comprised by young and elder persons, in order to take into account higher risk of fatality among elder persons with severe CoViD-19. From data collected in the São Paulo State, we estimated the transmission and additional mortality rates, from which we calculated the basic reproduction number R0. From estimated parameters, estimation of the deaths due to CoViD-19 was three times lower than those found in literature. Considering isola…
In this work, we review the figures used to characterize an epidemic outbreak most. Particular attention is drawn to epidemic spreading at time-varying transition rates. A time-varying SIR-like model is used to describe the epidemic dynamics, from which closed equations relating parameters and key quantities like reproduction ratio and doubling time are derived. The definition and computation of these metrics are revisited in the context of the general solution to the time-varying model dynamics, focusing on the similarities and differences with the time-invariant case. Further, the prediction…
Objective: The COVID-19 pandemic has created many challenges that need immediate attention. Various epidemiological and deep learning models have been developed to predict the COVID-19 outbreak, but all have limitations that affect the accuracy and robustness of the predictions. Our method aims at addressing these limitations and making earlier and more accurate pandemic outbreak predictions by (1) using patients' EHR data from different counties and states that encode local disease status and medical resource utilization condition; (2) considering demographic similarity and geographical proxi…
Understanding the spread of COVID-19 has been the subject of numerous studies, highlighting the significance of reliable epidemic models. Here, we introduce a novel epidemic model using a latent Hawkes process with temporal covariates for modelling the infections. Unlike other models, we model the reported cases via a probability distribution driven by the underlying Hawkes process. Modelling the infections via a Hawkes process allows us to estimate by whom an infected individual was infected. We propose a Kernel Density Particle Filter (KDPF) for inference of both latent cases and reproductio…
When analysing in vitro data, growth kinetics of influenza strains are often compared by computing their growth rates, which are sometimes used as proxies for fitness. However, analogous to mechanistic epidemic models, the growth rate can be defined as a function of two parameters: the basic reproduction number (the average number of cells each infected cell infects) and the mean generation time (the average length of a replication cycle). Using a mechanistic model, previously published data from experiments in human lung cells, and newly generated data, we compared estimates of all three para…
