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 integrator for the differential one. Our model is calibrated so as to correspond to what is observed in the COVID-19 epidemic.
Several conclusions can be reached, despite the very simple structure of our model. First, it is not possible to pinpoint the genesis of the epidemic by just analysing data from when the epidemic is in full swing. It may well turn out that the epidemic has reached a sizeable part of the world months before it became noticeable. Concerning the confinement scenarios, a universal feature of all our simulations is that relaxing the lockdown constraints leads to a rekindling of the epidemic. Thus we sought the conditions for the second epidemic peak to be lower than the first one. This is possible in all the scenarios considered (abrupt, progressive or stepwise exit) but typically a progressive exit can start earlier than an abrupt one. However, by the time the progressive exit is complete, the overall confinement times are not too different. From our results, the most promising strategy is that of a stepwise exit. And in fact its implementation could be quite feasible, with the major part of the population (minus the fragile groups) exiting simultaneously but obeying rigorous distancing constraints.
We are currently facing a highly critical case of a world-wide pandemic. The novel coronavirus (SARS-CoV-2, a.k.a. COVID-19) has proved to be extremely contagious and the original outbreak from Asia has now spread to all continents. This situation will fruitfully profit from the study in regards of the spread of the virus, assessing effective countermeasures to weight the impact of the adopted strategies. The standard Susceptible-Infectious-Recovered (SIR) model is a very successful and widely used mathematical model for predicting the spread of an epidemic. We adopt the SIR model on a random …
Transmission rates in epidemic outbreaks may vary over time depending on the societal response. Non-pharmacological mitigation strategies such as social distancing and the adoption of protective equipment aim precisely at reducing transmission rates by reducing infectious contacts. To investigate the effects of mitigation strategies on the evolution of epidemics, nonlinear transmission rates that are influenced by the levels of infections, deaths or recoveries have been included in many variants of the classical SIR model. This class of models is particularly relevant to the COVID-19 epidemic,…
Despite many studies on the transmission mechanism of the Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), it remains still challenging to efficiently reduce mortality. In this work, we apply a two-population Susceptible-Infected-Removed (SIR) model to investigate the COVID-19 spreading when contacts between elderly and non-elderly individuals are reduced due to the high mortality risk of elderly people. We discover that the reduction of connections between two populations can delay the death curve but cannot well reduce the final mortality. We propose a merged SIR model, which ad…
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 …
After the sudden outbreak of Coronavirus in Wuhan, continuous and rich data of the epidemic has been made public as the vital fact for decision support in control measures and aggressive implementation of containment strategies and plans. With the further growth and spreading of the virus, future resource allocation and planning under updated strategies and measures rely on careful study of the epidemic data and characteristics for accurate prediction and estimation. By using the SIR model and reported data, key parameters are obtained from least sum of squared errors for an accurate predictio…
The current COVID-19 pandemic has proven that proper control and prevention of infectious disease require creating and enforcing the appropriate public policies. One critical policy imposed by the policymakers is encouraging the population to practice social distancing (i.e. controlling the contact rate among the population). Here we pose a mean-field game model of individuals each choosing a dynamic strategy of making contacts, given the trade-off of gaining utility but also risking infection from additional contacts. We compute and compare the mean-field equilibrium (MFE) strategy, which ass…
The most important features to assess the severity of an epidemic are its size and its timescale. We discuss these features in a systematic way in the context of SIR and SIR-type models. We investigate in detail how the size and timescale of the epidemic can be changed by acting on the parameters characterizing the model. Using these results and having as guideline the COVID-19 epidemic in Italy, we compare the efficiency of different containment strategies for contrasting an epidemic diffusion such as social distancing, lockdown, tracing, early detection and isolation.
Mathematical models are instrumental to forecast the spread of pathogens and to evaluate the effectiveness of non-pharmaceutical measures. A plethora of optimal strategies has been recently developed to minimize either the infected peak prevalence (IPP) or the epidemic final size (EFS). While most of the control strategies optimize a simple cost function along a fixed finite-time horizon, no consensus has been reached about how to simultaneously handle the IPP, the EFS, and the avoiding of new cycles of infections rebounding. In this work, based on the characterization of the dynamical behavio…
A probabilistic approach to the epidemic evolution on realistic social-contact networks allows for characteristic differences among subjects, including the individual number and structure of social contacts, and the heterogeneity of the infection and recovery rates according to age or medical preconditions. Within our probabilistic Susceptible-Infectious-Removed (SIR) model on social-contact networks, we evaluate the `infection load' or `activation margin' of various control scenarios; by confinement, by vaccination, and by their combination. We compare the epidemic burden for subpopulations w…
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.
University of Gothenburg（哥德堡大学）；CNR-IPCF, Istituto per i Processi Chimico-Fisici（意大利国家研究委员会化学物理过程研究所）
Containment of epidemic outbreaks entails great societal and economic costs. Cost-effective containment strategies rely on efficiently identifying infected individuals, making the best possible use of the available testing resources. Therefore, quickly identifying the optimal testing strategy is of critical importance. Here, we demonstrate that machine learning can be used to identify which individuals are most beneficial to test, automatically and dynamically adapting the testing strategy to the characteristics of the disease outbreak. Specifically, we simulate an outbreak using the archetypa…
Investigating the effect of adaptive optimal control function in epidemic dynamics: predictions and strategy evolution based on SIR/V game theoretic framework
We use a simple SIR-like epidemic model which integrates known age-contact patterns for the United States to model the effect of age-targeted mitigation strategies for a COVID-19-like epidemic. We find that, among strategies which end with population immunity, strict age-targeted mitigation strategies have the potential to greatly reduce mortalities and ICU utilization for natural parameter choices.
Real-time vaccination following an outbreak can effectively mitigate the damage caused by an infectious disease. However, in many cases, available resources are insufficient to vaccinate the entire at-risk population, logistics result in delayed vaccine deployment, and the interaction between members of different cities facilitates a wide spatial spread of infection. Limited vaccine, time delays, and interaction (or coupling) of cities lead to tradeoffs that impact the overall magnitude of the epidemic. These tradeoffs mandate investigation of optimal strategies that minimize the severity of t…
The rapid spread of the Coronavirus (COVID-19) confronts policy makers with the problem of measuring the effectiveness of containment strategies, balancing public health considerations with the economic costs of social distancing measures. We introduce a modified epidemic model that we name the controlled-SIR model, in which the disease reproduction rate evolves dynamically in response to political and societal reactions. An analytic solution is presented. The model reproduces official COVID-19 cases counts of a large number of regions and countries that surpassed the first peak of the outbrea…
A general stochastic model for susceptible -> infective -> recovered (SIR) epidemics in non homogeneous populations is considered. The heterogeneity is a very important aspect here since it allows more realistic but also more complex models. The basic reproduction number $R_0$, an indication of the probability of an outbreak for homogeneous populations does not indicate the probability of an outbreak for non homogeneous models anymore, because it changes with the initially infected case. Therefore, we use "individual $R_0$" that is the expected number of secondary cases for a given initially i…
We consider a SIR model with temporary immunity and time dependent transmission rate. We assume time dependent vaccination which confers the same immunity as natural infection. We study two types of vaccination strategies: i) optimal vaccination, in the sense that it minimizes the effort of vaccination in the set of vaccination strategies for which, for any sufficiently small perturbation of the disease free state, the number of infectious individuals is monotonically decreasing; ii) Nash-equilibria strategies where all individuals simultaneously minimize the joint risk of vaccination versus t…
The dynamics of epidemics depend on how people's behavior changes during an outbreak. At the beginning of the epidemic, people do not know about the virus, then, after the outbreak of epidemics and alarm, they begin to comply with the restrictions and the spreading of epidemics may decline. Over time, some people get tired/frustrated by the restrictions and stop following them (exhaustion), especially if the number of new cases drops down. After resting for a while, they can follow the restrictions again. But during this pause the second wave can come and become even stronger then the first on…
Interplay between evolutionary and epidemic time scales challenges the outcome of control policies
University of Zaragoza（萨拉戈萨大学）；Institute for Biocomputation and Physics of Complex Systems (BIFI), University of Zaragoza（萨拉戈萨大学复杂系统生物计算与物理研究所）；Universitat Rovira i Virgili（罗维拉-依维尔吉里大学）；Pacific Northwest National Laboratory（太平洋西北国家实验室）；Complexity Science Hub Vienna（维也纳复杂性科学中心）；ComSCIAM, Universitat Rovira i Virgili（罗维拉-依维尔吉里大学计算科学与数学中心）；Center for Computational Social Science, University of Kobe（神户大学计算社会科学中心）
A simplified susceptible-infected-recovered (SIR) epidemic model and a small-world model are applied to analyse the spread and control of Severe Acute Respiratory Syndrome (SARS) for Hong Kong in early 2003. From data available in mid April 2003, we predict that SARS would be controlled by June and nearly 1700 persons would be infected based on the SIR model. This is consistent with the known data. A simple way to evaluate the development and efficacy of control is described and shown to provide a useful measure for the future evolution of an epidemic. This may contribute to improve strategic …
We present a detailed set-based analysis of the well-known SIR and SEIR epidemic models subjected to hard caps on the proportion of infective individuals, and bounds on the allowable intervention strategies, such as social distancing, quarantining and vaccination. We describe the admissible and maximal robust positively invariant (MRPI) sets of these two models via the theory of barriers. We show how the sets may be used in the management of epidemics, for both perfect and imperfect/uncertain models, detailing how intervention strategies may be specified such that the hard infection cap is nev…
Susceptibility governs the dynamics of contagion. The classical SIR model is one of the simplest compartmental models of contagion spread, assuming a single shared susceptibility level. However, variation in susceptibility over a population can fundamentally affect the dynamics of contagion and thus the ultimate outcome of a pandemic. We develop mathematical machinery which explicitly considers susceptibility variation, illuminates how the susceptibility distribution is sculpted by contagion, and thence how such variation affects the SIR differential questions that govern contagion. Our method…
We study a multi-type SIR epidemic process among a heterogeneous population that interacts through a network. When we base social contact on a random graph with given vertex degrees, we give limit theorems on the fraction of infected individuals. For a given social distancing individual strategies, we establish the epidemic reproduction number $R_0$ which can be used to identify network vulnerability and inform vaccination policies. In the second part of the paper we study the equilibrium of the social distancing game, in which individuals choose their social distancing level according to an a…
Background: Network-based interventions are most powerful against epidemics when the full network structure is known. However, resource constraints often require decisions based on partial network data. We investigated how the effectiveness of network-based vaccination schemes varied based on the accuracy of network data available. Methods: We simulated propagating an SIR process on static empirical social networks from 75 rural Indian villages. First, we used regression analysis to predict the percentage of individuals ever infected (cumulative incidence) based on village-level networks. Seco…
