In December 2019, the first patients in Wuhan, China were diagnosed with a primary atypical pneumonia, which showed to be unknown and contagious. Since then, known as COVID-19 disease, the responsible viral pathogen, SARS-CoV-2, has spread around the world in a pandemic. Decisions on how to deal with the crisis are often based on simulations of the pandemic spread of the virus. The results of some of these, as well as their methodology and possibilities for improvement, will be described in more detail in this paper in order to inform beyond the current public health dogma called "flatten-the-curve". There are several ways to model an epidemic in order to simulate the spread of diseases. Depending on the timeliness, scope and quality of the associated real data, these multivariable models differ in the value of used parameters, but also in the selection of considered influencing factors. It was exemplarily shown that epidemics in their course are simulated more realistically by models that assume subexponential growth. Furthermore, various simulations of the COVID-19 pandemic were presented in an European perspective, compared against each other and discussed in more detail. It is difficult to estimate how credible the simulations of the pandemic models currently are, so it remains to be seen whether the spread of the pandemic can be effectively reduced by the measures taken. Whether a model works well in reality is largely determined by the quality and scope of its underlying data. Past studies have shown that countermeasures are able to reduce reproduction numbers or transmission rates in epidemics. In addition to that, the presented modelling study provides a good framework for the creation of subexponential-growth-models for assessing the spread of COVID-19.
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.
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…
The debate on the role of school closures as a mitigation strategy against the spread of Covid-19 is gaining relevance due to emerging variants in Europe. According to WHO, decisions on schools "should be guided by a risk-based approach". However, risk evaluation requires sound methods, transparent data and careful consideration of the context at the local level. We review a recent study by Gandini et al., on the role of school opening as a driver of the second COVID-19 wave in Italy, which concluded that there was no connection between school openings/closures and SARS-CoV-2 incidence. infect…
This paper introduces new methods to analyze the changing progression of COVID-19 cases to deaths in different waves of the pandemic. First, an algorithmic approach partitions each country or state's COVID-19 time series into a first wave and subsequent period. Next, offsets between case and death time series are learned for each country via a normalized inner product. Combining these with additional calculations, we can determine which countries have most substantially reduced the mortality rate of COVID-19. Finally, our paper identifies similarities in the trajectories of cases and deaths fo…
In this short note we model the region-wise trends of the evolution to COVID-19 infections using a stochastic SIR model. The SIR dynamics are expressed using \textit{Itô-stochastic differential equations}. We first derive the parameters of the model from the available daily data from European regions based on a 24-day history of infections, recoveries and deaths. The derived parameters have been aggregated to project future trends for the Indian subcontinent, which is currently at an early stage in the infection cycle. The projections are meant to serve as a guideline for strategizing the soci…
A second wave pandemic constitutes an imminent threat to society, with a potentially immense toll in terms of human lives and a devastating economic impact. We employ the epidemic renormalisation group approach to pandemics, together with the first wave data for COVID-19, to efficiently simulate the dynamics of disease transmission and spreading across different European countries. The framework allows us to model, not only inter and extra European border control effects, but also the impact of social distancing for each country. We perform statistical analyses averaging on different level of …
The coronavirus disease 2019 (COVID-19) pandemic radically impacts our lives, while the transmission/infection and recovery dynamics of COVID-19 remain obscure. A time-dependent Susceptible, Exposed, Infectious, and Recovered (SEIR) model was proposed and applied to fit and then predict the time series of COVID-19 evolution observed in the last three months (till 3/22/2020) in various provinces and metropolises in China. The model results revealed the space dependent transmission/infection rate and the significant spatiotemporal variation in the recovery rate, likely due to the continuous impr…
State government-mandated social distancing measures have helped to slow down the growth of the COVID-19 pandemic in the United States. Current predictive models of the development of COVID-19, especially after mitigation efforts, are largely based on extrapolating the data from other countries. Since most states enforced stay-at-home orders towards the end of March, their effect should be reflected in the death and infection counts at the end of April. Using the data available until April 25th, we investigate the change in the infection rate due to the mitigation efforts, and project death an…
The COVID-19 pandemic is the most significant global crisis since World War II that affected almost all the countries of our planet. To control the COVID-19 pandemic outbreak, it is necessary to understand how the virus is transmitted to a susceptible individual and eventually spread in the community. The primary transmission pathway of COVID-19 is human-to-human transmission through infectious droplets. However, a recent study by Greenhalgh et al. (Lancet: 397:1603-1605, 2021) demonstrates 10 scientific reasons behind the airborne transmission of SARS-COV-2. In the present study, we introduce…
In this work Data Envelopment Analysis (DEA) is employed in thirty-day windows to quantify temporal evolution of relative pandemic mitigation inefficiency of Brazilian municipalities. For each thirty-day window the results of inefficiency scores of over five thousand Brazilian municipalities are displayed on maps, to address the spatial distribution of the corresponding values. This phenomenological spatiotemporal approach reveals location of the hotspots, in terms of relative pandemic inefficiency of the municipalities, at different points in time along the pandemic. It is expected that the c…
In the absence of any available vaccines or drugs, prevention of the spread of Coronavirus Disease 2019 (COVID-19) pandemic is being achieved by putting many mitigation measures in place. It is indispensable to have robust and reliable ways of evaluating the effectiveness of these measures. In this work, we assume that, at a very coarse-grained level of description, the overall effect of all the mitigation measures is that we can still describe the spread of the pandemic using the most basic Susceptible-Exposed-Infectious-Removed ($SEIR$) model but with an "effective contact rate" ($β$) which …
I employ a simple mathematical model of an epidemic process to evaluate how four basic quantities: the reproduction number (R), the numbers of sensitive (S) and infectious individuals(I), and total community size (N) affect strategies to control COVID-19. Numerical simulations show that strict suppression measures at the beginning of an epidemic can create low infectious numbers, which thereafter can be managed by mitigation measures over longer periods to flatten the epidemic curve. The stronger the suppression measure, the faster it achieves the low numbers of infections that are conducive t…
After the breakout of the disease caused by the new virus COVID-19, the mitigation stage has been reached in most of the countries in the world. During this stage, a more accurate data analysis of the daily reported cases and other parameters became possible for the European countries and has been performed in this work. Based on a proposed parametrization model appropriate for implementation to an epidemic in a large population, we focused on the disease spread and we studied the obtained curves, as well as, we investigated probable correlations between the country's characteristics and the p…
Background: Early detection and isolation of COVID-19 patients are essential for successful implementation of mitigation strategies and eventually curbing the disease spread. With a limited number of daily COVID-19 tests performed in every country, simulating the COVID-19 spread along with the potential effect of each mitigation strategy currently remains one of the most effective ways in managing the healthcare system and guiding policy-makers. Methods: We introduce COVIDHunter, a flexible and accurate COVID-19 outbreak simulation model that evaluates the current mitigation measures that are …
The current pandemic caused by the coronavirus SARS-CoV-2 is having negative health, social and economic consequences worldwide. In Europe, the pandemic started to develop strongly at the end of February and beginning of March 2020. It has subsequently spread over the continent, with special virulence in northern Italy and inland Spain. In this study we show that an unusual persistent anticyclonic situation prevailing in southwestern Europe during February 2020 (i.e. anomalously strong positive phase of the North Atlantic and Arctic Oscillations) could have resulted in favorable conditions, in…
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 COVID-19 pandemic started in Wuhan, China, and caused the worldwide spread of the RNA virus SARS-CoV-2, the causative agent of COVID-19. Because of its mutational rate, wide geographical distribution, and host response variance this coronavirus is currently evolving into an array of strains with increasing genetic diversity. Most variants apparently have neutral effects for disease spread and symptoms severity. However, in the viral Spike protein, which is responsible for host cell attachment and invasion, an emergent variant, containing the amino acid substitution D to G in position 614 (…
We investigate the effect of school closure and subsequent reopening on the transmission of COVID-19, by considering Denmark, Norway, Sweden, and German states as case studies. By comparing the growth rates in daily hospitalisations or confirmed cases under different interventions, we provide evidence that the effect of school closure is visible as a reduction in the growth rate approximately 9 days after implementation. Limited school attendance, such as older students sitting exams or the partial return of younger year groups, does not appear to significantly affect community transmission. A…
Despite commercial airlines mandating masks, there have been multiple documented events of COVID-19 superspreading on flights. We used available data from three flights, including cabin layout and seat locations of infected and uninfected passengers, to suggest interventions to mitigate COVID-19 superspreading events during air travel. Specifically, we studied: 1) London to Hanoi with 201 passengers, including 13 secondary infections among passengers; 2) Singapore to Hangzhou with 321 passengers, including 12 to 14 secondary infections; 3) a non-superspreading event on a private jet in Japan w…
We estimate the growth in demand for ICU beds in Chicago during the emerging COVID-19 epidemic, using state-of-the-art computer simulations calibrated for the SARS-CoV-2 virus. The questions we address are these: (1) Will the ICU capacity in Chicago be exceeded, and if so by how much? (2) Can strong mitigation strategies, such as lockdown or shelter in place order, prevent the overflow of capacity? (3) When should such strategies be implemented? Our answers are as follows: (1) The ICU capacity may be exceeded by a large amount, probably by a factor of ten. (2) Strong mitigation can avert this …
Household size can explain 40% of the variance in cumulative COVID-19 incidence across Europe
Max Planck Institute for Dynamics and Self-Organization（马克斯·普朗克动力学与自组织研究所）；Wroclaw University of Science and Technology（弗罗茨瓦夫科技大学）；Institute of Sociology, University of Wroclaw（弗罗茨瓦夫大学社会学研究所）；Interdisciplinary Centre for Mathematical and Computational Modelling, University of Warsaw（华沙大学跨学科数学与计算建模中心）；University of Göttingen（哥廷根大学）；Trier University（特里尔大学）
The data on number of registered cases of COVID-19 disease in twenty European countries is analyzed by the least-squares fitting procedure with generic analytic functions. Three regimes of the expansion of the disease are identified and quantified -- early exponential expansion, damped exponential, and linear expansion. Differences among countries in the early expansion period are quantified. The velocity of the expansion in the exponential regime lies within one standard deviation from the average value for 11 countries. The number of infected individuals at the initial time is excessively hi…
Vrije Universiteit Brussel（布鲁塞尔自由大学）；National University of Ireland Galway（爱尔兰国立大学戈尔韦分校）；University of Antwerp（安特卫普大学）；Hasselt University（哈瑟尔特大学）；HU University of Applied Sciences Utrecht（乌得勒支应用科学大学）
Infectious disease outbreaks can have a disruptive impact on public health and societal processes. As decision making in the context of epidemic mitigation is hard, reinforcement learning provides a methodology to automatically learn prevention strategies in combination with complex epidemic models. Current research focuses on optimizing policies w.r.t. a single objective, such as the pathogen's attack rate. However, as the mitigation of epidemics involves distinct, and possibly conflicting criteria (i.a., prevalence, mortality, morbidity, cost), a multi-objective approach is warranted to lear…
OBJECTIVES: to describe the first wave of the COVID-19 pandemic with a focus on undetected cases and to evaluate different post-lockdown scenarios. DESIGN: the study introduces a SEIR compartmental model, taking into account the region-specific fraction of undetected cases, the effects of mobility restrictions, and the personal protective measures adopted, such as wearing a mask and washing hands frequently. SETTING AND PARTICIPANTS: the model is experimentally validated with data of all the Italian regions, some European countries, and the US. MAIN OUTCOME MEASURES: the accuracy of the model …
The COVID-19 pandemic has posed a policy making crisis where efforts to slow down or end the pandemic conflict with economic priorities. This paper provides mathematical analysis of optimal disease control policies with idealized compartmental models for disease propagation and simplistic models of social and economic costs. Two locally optimal control strategies are found and categorized as `suppression' and `mitigation' strategies. We analyze how these strategies change when we incorporate vaccination into the model and find a new optimal `delay-mitigation' strategy.
Modeling and analysis of the large scale Covid-19 pandemic data can yield inferences about it's dynamics and characteristics of disease propagation. These inferences can then be correlated with contextual factors like population density, effects of strategic interventions, heterogeneous disease propagation etc, and such set of validated inferences can serve as precedents for designing of subsequent mitigation strategies. In this work, we present the analysis of Covid-19 pandemic data in Indian context using growth functions fitting procedure and harmonic analysis method. Our results of growth …
The ongoing COVID-19 pandemic has progressed with varying degrees of intensity in individual countries, suggesting it is important to analyse factors that vary between them. We study measures of `population-weighted density', which capture density as perceived by a randomly chosen individual. These measures of population density can significantly explain variation in the initial rate of spread of COVID-19 between countries within Europe. However, such measures do not explain differences on a global scale, particularly when considering countries in East Asia, or looking later into the epidemics…
By the end of May 2020, all states in the US have eased their COVID-19 mitigation measures. Different states adopted markedly different policies and timing for reopening. An important question remains in how the relaxation of mitigation measures is related to the number of casualties. To address this question, we compare the actual data to a hypothetical case in which the mitigation measures are left intact using a projection of the data from before mitigation measures were eased. We find that different states have shown significant differences in the number of deaths, possibly due to their di…
In this paper, we introduce a new control-theoretic paradigm for mitigating the spread of a virus. To this end, our discrete-time controller, aims to reduce the number of new daily deaths, and consequently, the cumulative number of deaths. In contrast to much of the existing literature, we do not rely on a potentially complex virus transmission model whose equations must be customized to the "particulars" of the pandemic at hand. For new viruses such as Covid-19, the epidemiology driving the modelling process may not be well known and model estimation with limited data may be unreliable. With …
Returning universities to full on-campus operations while the COVID-19 pandemic is ongoing has been a controversial discussion in many countries. The risk of large outbreaks in dense course settings is contrasted by the benefits of in-person teaching. Transmission risk depends on a range of parameters, such as vaccination coverage and efficacy, number of contacts and adoption of non-pharmaceutical intervention measures (NPIs). Due to the generalised academic freedom in Europe, many universities are asked to autonomously decide on and implement intervention measures and regulate on-campus opera…
We develop a minimalist compartmental model to study the impact of mobility restrictions in Italy during the Covid-19 outbreak. We show that an early lockdown shifts the epidemic in time, while that beyond a critical value of the lockdown strength, the epidemic tend to restart after lifting the restrictions. As a consequence, specific mitigation strategies must be introduced. We characterize the relative importance of different broad strategies by accounting for two fundamental sources of heterogeneity, i.e. geography and demography. First, we consider Italian regions as separate administrativ…
We consider a global (location independent) model of pandemic growth which generalizes the SIR model to accommodate important features of the COVID-19 pandemic, notably the implementation of pandemic reduction measures. This "SHIR" model is applied to COVID-19 data, and shows promise as a simple, tractable formalism with few parameters that can be used to model pandemic case numbers. As an example we show that the average time dependence of new COVID-19 cases per day from 15 Central and Western European countries is in good agreement with the analytic, parameter-free prediction of the model
The novel coronavirus disease (COVID-19) is a highly contagious respiratory disease that was first detected in Wuhan, China in December 2019, and has since spread around the globe, claiming more than 69,000 lives by the time this protocol is written. It has been widely acknowledged that the most effective public policy to mitigate the pandemic is \emph{social and physical distancing}: keeping at least six feet away from people, working from home, closing non-essential businesses, etc. There have been a lot of anecdotal evidences suggesting that social distancing has a causal effect on disease …
A major strategy to prevent the spread of COVID-19 is the limiting of in-person contacts. However, this is impractical or impossible for the many disabled people who do not live in care facilities, but still require caregivers. We seek to determine which interventions can prevent infections among disabled people and their caregivers. We simulate transmission with a model that includes susceptible, exposed, asymptomatic, symptomatically ill, hospitalized, and removed individuals. The networks on which we simulate disease spread incorporate heterogeneity in the risks of different types of intera…
Early assessments of the spreading rate of COVID-19 were subject to significant uncertainty, as expected with limited data and difficulties in case ascertainment, but more reliable inferences can now be made. Here, we estimate from European data that COVID-19 cases are expected to double initially every three days, until social distancing interventions slow this growth, and that the impact of such measures is typically only seen nine days - i.e. three doubling times - after their implementation. We argue that such temporal patterns are more critical than precise estimates of the basic reproduc…
Repeated asymptomatic screening for SARS-CoV-2 promises to control spread of the virus but would require too many resources to implement at scale. Group testing is promising for screening more people with fewer test resources: multiple samples tested together in one pool can be excluded with one negative test result. Existing approaches to group testing design for SARS-CoV-2 asymptomatic screening, however, do not consider dilution effects: that false negatives become more common with larger pools. As a consequence, they may recommend pool sizes that are too large or misestimate the benefits o…
The dramatic outbreak of the coronavirus disease 2019 (COVID-19) pandemics and its ongoing progression boosted the scientific community's interest in epidemic modeling and forecasting. The SIR (Susceptible-Infected-Removed) model is a simple mathematical model of epidemic outbreaks, yet for decades it evaded the efforts of the community to derive an explicit solution. The present work demonstrates that this is a non-trivial task. Notably, it is proven that the explicit solution of the model requires the introduction of a new transcendental special function, related to the Wright's Omega functi…
In this paper, we propose a new real-time differential virus transmission model, which can give more accurate and robust short-term predictions of COVID-19 transmitted infectious disease with benefits of near-term trend projection. Different from the existing Susceptible-Exposed-Infected-Removed (SEIR) based virus transmission models, which fits well for pandemic modeling with sufficient historical data, the new model, which is also SEIR based, uses short history data to find the trend of the changing disease dynamics for the infected, the dead and the recovered so that it can naturally accomm…
As Europe is experiencing a second violent CoVid-19 storm, with the PCR-based testing system deteriorating due to the high volumes of people to be tested daily, there is a general reconsideration of the mathematical theories at the basis of our contact tracing and testing approaches. Drawing upon the concept of super spreader, we propose the use of (less sensitive) rapid tests to detect those secondary infections that do not need the use of PCRs, thus saving the most part of PCR tests currently used. This before the system fails.
The first mitigation response to the Covid-19 pandemic was to limit person-to-person interaction as much as possible. This was implemented by the temporary closing of many workplaces and people were required to follow social distancing. Networks are a great way to represent interactions among people and the temporary severing of these interactions. Here, we present a network model of human-human interactions that could be mediators of disease spread. The nodes of this network are individuals and different types of edges denote family cliques, workplace interactions, interactions arising from e…
The complexities involved in modelling the transmission dynamics of COVID-19 has been a roadblock in achieving predictability in the spread and containment of the disease. In addition to understanding the modes of transmission, the effectiveness of the mitigation methods also needs to be built into any effective model for making such predictions. We show that such complexities can be circumvented by appealing to scaling principles which lead to the emergence of universality in the transmission dynamics of the disease. The ensuing data collapse renders the transmission dynamics largely independ…
The COVID-19 has caused more than three million infections and over two hundred thousand deaths by April 20201. Limiting socioeconomic activities (SA) is among the most adopted governmental mitigating efforts to combat the transmission of the virus, though the degree varies dramatically among different regimes2. This study aims to quantify the contribution from the SA and weather conditions to the transmission of COVID-19 at global scale. Ruling out the unobservable factors including medical facilities and other control policies (MOC) through region-by-time fixed effects3,4, we show that the l…
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…
Several European countries have suspended the inoculation of the AstraZeneca vaccine out of suspicion of causing deep vein thrombosis. In this letter we report some Fermi estimates performed using a stochastic model aimed at making a risk-benefit analysis of the interruption of the delivery of the AstraZeneca vaccine in France and Italy. Our results clearly show that excess deaths due to the interruption of the vaccination campaign injections largely overrun those due to thrombosis even in worst case scenarios of frequency and gravity of the vaccine side effects.
To model the spread of COVID-19 coronavirus in Russian regions and in Moscow, a discrete logistic equation describing the increase in the number of cases is used. To check the adequacy of the mathematical model, the simulation results were compared with the spread of coronavirus in China, in a number of European and Asian countries, and the United States. The parameters of the logistics equation for Russia, Moscow and other large regions were determined in the interval (01.03 - 08.04). A comparative analysis of growth rates of COVID-19 infected population for different countries and regions is…
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…
We have developed a globally applicable diagnostic Covid-19 model by augmenting the classical SIR epidemiological model with a neural network module. Our model does not rely upon previous epidemics like SARS/MERS and all parameters are optimized via machine learning algorithms employed on publicly available Covid-19 data. The model decomposes the contributions to the infection timeseries to analyze and compare the role of quarantine control policies employed in highly affected regions of Europe, North America, South America and Asia in controlling the spread of the virus. For all continents co…
Imperial College London（伦敦帝国理工学院）；National University of Singapore（新加坡国立大学）；University of Copenhagen（哥本哈根大学）
The COVID-19 pandemic has caused over 6.4 million registered deaths to date and has had a profound impact on economic activity. Here, we study the interaction of transmission, mortality, and the economy during the SARS-CoV-2 pandemic from January 2020 to December 2022 across 25 European countries. We adopt a Bayesian Mixed Effects model with auto-regressive terms. We find that increases in disease transmission intensity decreases Gross domestic product (GDP) and increases daily excess deaths, with a longer lasting impact on excess deaths in comparison to GDP, which recovers more rapidly. Broad…
As of November 2020, the number of COVID-19 cases is increasing rapidly in many countries. In Europe, the virus spread slowed considerably in the late spring due to strict lockdown, but a second wave of the pandemic grew throughout the fall. In this study, we first reconstruct the time evolution of the effective reproduction numbers ${\cal R}(t)$ for each country by integrating the equations of the classic SIR model. We cluster countries based on the estimated ${\cal R}(t)$ through a suitable time series dissimilarity. The result suggests that simple dynamical mechanisms determine how countrie…
This paper develops an individual-based stochastic network SIR model for the empirical analysis of the Covid-19 pandemic. It derives moment conditions for the number of infected and active cases for single as well as multigroup epidemic models. These moment conditions are used to investigate the identification and estimation of the transmission rates. The paper then proposes a method that jointly estimates the transmission rate and the magnitude of under-reporting of infected cases. Empirical evidence on six European countries matches the simulated outcomes once the under-reporting of infected…
The epidemic curve and the final extent of the COVID-19 pandemic are usually predicted from the rate of early exponential raising using the SIR model. These predictions implicitly assume a full social mixing, which is not plausible generally. Here I am showing a counterexample to the these predictions, based on random propagation of an epidemic in Barabási--Albert scale-free network models. The start of the epidemic suggests $R_0=2.6$, but unlike $Ω\approx 70\%{}$ predicted by the SIR model, they reach a final extent of only $Ω\approx 4\%{}$ without external mitigation and $Ω\approx 0.5$--$1.5…
The SEIR model is a compartmental model used to simulate the dynamics of an epidemic. In this chapter, we introduce two control functions in the compartmental SEIR model representing vaccination and plasma transfusion. Optimal control problems are proposed to study the effects of these two control measures, on the reduction of infected individuals and increase of recovered ones, with minimal costs. Up to our knowledge, the plasma transfusion treatment has never been considered as a control strategy for epidemics mitigation. The proposed vaccination and treatment strategies may have a real appl…
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…
In a given country, the cumulative death toll of the first wave of the COVID-19 epidemic follows a sigmoid curve as a function of time. In most cases, the curve is well described by the Gompertz function, which is characterized by two essential parameters, the initial growth rate and the decay rate as the first epidemic wave subsides. These parameters are determined by socioeconomic factors and the countermeasures to halt the epidemic. The Gompertz model implies that the total death toll depends exponentially, and hence very sensitively, on the ratio between these rates. The remarkably differe…
This study explored how population mobility flows form commuting networks across US counties and influence the spread of COVID-19. We utilized 3-level mixed effects negative binomial regression models to estimate the impact of network COVID-19 exposure on county confirmed cases and deaths over time. We also conducted weighting-based analyses to estimate the causal effect of network exposure. Results showed that commuting networks matter for COVID-19 deaths and cases, net of spatial proximity, socioeconomic, and demographic factors. Different local racial and ethnic concentrations are also asso…
COVID-19 has spread from China across Europe and the United States and has become a global pandemic. In countries of the Global South, due to often weaker socioeconomic options and health care systems, effective local countermeasures remain debated. We combine large-scale socioeconomic and traffic survey data with detailed agent-based simulations of local transportation to analyze COVID-19 spreading in a regional model for the Nelson Mandela Bay Municipality in South Africa under a range of countermeasure scenarios. The simulations indicate that any realistic containment strategy, including th…
