Several non-pharmaceutical interventions have been proposed to control the spread of the COVID-19 pandemic. On the large scale, these empirical solutions, often associated with extended and complete lockdowns, attempt to minimize the costs associated with mortality, economic losses and social factors, while being subject to constraints such as finite hospital capacity. Here we pose the question of how to mitigate pandemic costs subject to constraints by adopting the language of optimal control theory. This allows us to determine top-down policies for the nature and dynamics of social contact rates given an age-structured model for the dynamics of the disease. Depending on the relative weights allocated to life and socioeconomic losses, we see that the optimal strategies range from long-term social-distancing only for the most vulnerable, to partial lockdown to ensure not over-running hospitals, to alternating-shifts with significant reduction in life and/or socioeconomic losses. Crucially, commonly used strategies that involve long periods of broad lockdown are almost never optimal, as they are highly unstable to reopening and entail high socioeconomic costs. Using parameter estimates from data available for Germany and the USA, we quantify these policies and use sensitivity analysis in the relevant model parameters and initial conditions to determine the range of robustness of our policies. Finally we also discuss how bottom-up behavioral changes can also change the dynamics of the pandemic and show how this in tandem with top-down control policies can mitigate pandemic costs even more effectively.
University of Louisiana at Lafayette(路易斯安那大学拉斐特分校);Stanford University(斯坦福大学)
In this study, we propose a clustering-based approach on time-series data to capture COVID-19 spread patterns in the early period of the pandemic. We analyze the spread dynamics based on the early and post stages of COVID-19 for different countries based on different geographical locations. Furthermore, we investigate the confinement policies and the effect they made on the spread. We found that implementations of the same confinement policies exhibit different results in different countries. Specifically, lockdowns become less effective in densely populated regions, because of the reluctance …
Controlling the spread of COVID-19 - even after a licensed vaccine is available - requires the effective use of non-pharmaceutical interventions: physical distancing, limits on group sizes, mask wearing, etc. To date, such interventions have neither been uniformly nor systematically implemented in most countries. For example, even when under strict stay-at-home orders, numerous jurisdictions granted exceptions and/or were in close proximity to locations with entirely different regulations in place. Here, we investigate the impact of such geographic inconsistencies in epidemic control policies …
A pandemic, the worldwide spread of a disease, can threaten human beings from the social as well as biological perspectives and paralyze existing living habits. To stave off the more devastating disaster and return to a normal life, people make tremendous efforts at multiscale levels from individual to worldwide: paying attention to hand hygiene, developing social policies such as wearing masks, social distancing, quarantine, and inventing vaccines and remedy. Regarding the current severe pandemic, namely the coronavirus disease 2019, we explore the spreading-suppression effect when adopting t…
The COVID-19 pandemic constitutes one of the largest threats in recent decades to the health and economic welfare of populations globally. In this paper, we analyze different types of policy measures designed to fight the spread of the virus and minimize economic losses. Our analysis builds on a multi-group SEIR model, which extends the multi-group SIR model introduced by Acemoglu et al.~(2020). We adjust the underlying social interaction patterns and consider an extended set of policy measures. The model is calibrated for Germany. Despite the trade-off between COVID-19 prevention and economic…
Lockdown procedures have been proven successful in mitigating the spread of the viruses in this COVID-19 pandemic, but they also have devastating impact on the economy. We use a modified Susceptible-Infectious-Recovered-Deceased model with time dependent infection rate to simulate how the infection is spread under lockdown. The economic cost due to the loss of workforce and incurred medical expenses is evaluated with a simple model. We find the best strategy, meaning the smallest economic cost for the entire course of the pandemic, is to keep the strict lockdown as long as possible.
Policymakers commonly employ non-pharmaceutical interventions to manage the scale and severity of pandemics. Of non-pharmaceutical interventions, social distancing policies -- designed to reduce person-to-person pathogenic spread -- have risen to recent prominence. In particular, stay-at-home policies of the sort widely implemented around the globe in response to the COVID-19 pandemic have proven to be markedly effective at slowing pandemic growth. However, such blunt policy instruments, while effective, produce numerous unintended consequences, including potentially dramatic reductions in eco…
Governments across the world are currently facing the task of selecting suitable intervention strategies to cope with the effects of the COVID-19 pandemic. This is a highly challenging task, since harsh measures may result in economic collapse while a relaxed strategy might lead to a high death toll. Motivated by this, we consider the problem of forming intervention strategies to mitigate the impact of the COVID-19 pandemic that optimize the trade-off between the number of deceases and the socio-economic costs. We demonstrate that the healthcare capacity and the testing rate highly affect the …
In the wake of the COVID-19 pandemic many countries implemented containment measures to reduce disease transmission. Studies using digital data sources show that the mobility of individuals was effectively reduced in multiple countries. However, it remains unclear whether these reductions caused deeper structural changes in mobility networks, and how such changes may affect dynamic processes on the network. Here we use movement data of mobile phone users to show that mobility in Germany has not only been reduced considerably: Lockdown measures caused substantial and long-lasting structural cha…
The COVID-19 pandemic began over two years ago, yet schools, businesses, and other organizations are still struggling to keep the risk of disease outbreak low while returning to (near) normal functionality. Observations from these past years suggest that this goal can be achieved through the right balance of mitigation strategies, which may include some combination of mask use, vaccinations, viral testing, and contact tracing. The choice of mitigation measures will be uniquely based on the needs and available resources of each organization. This article presents practical guidance for creating…
The implementation of social distancing policies is key to reducing the impact of the current COVID-19 pandemic. However, their effectiveness ultimately depends on human behavior. In the United States, compliance with social distancing policies has widely varied thus far during the pandemic. But what drives such variability? Through six open datasets, including actual human mobility, we estimated the association between mobility and the growth rate of COVID-19 cases across 3,107 U.S. counties, generalizing previous reports. In addition, data from the 2016 U.S. presidential election was used to…
The COVID-19 pandemic is the profoundest health crisis of the 21rst century. The SARS-CoV-2 virus arrived in Brazil around March, 2020 and its social and economical backlashes are catastrophic. In this paper, it is investigated how Model Predictive Control (MPC) could be used to plan appropriate social distancing policies to mitigate the pandemic effects in Bahia and Santa Catarina, two states of different regions, culture, and population demography in Brazil. In addition, the parameters of Susceptible-Infected-Recovered-Deceased (SIRD) models for these two states are identified using an optim…
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.
Estimating the Impact of Social Distance Policy in Mitigating COVID-19 Spread with Factor-Based Imputation Approach
University of Hong Kong(香港大学);Toulouse School of Management(图卢兹管理学院);University of International Business and Economics(对外经济贸易大学);Beijing University of Chemical Technology(北京化工大学)
As of December 2020, the COVID-19 pandemic has infected over 75 million people, making it the deadliest pandemic in modern history. This study develops a novel compartmental epidemiological model specific to the SARS-CoV-2 virus and analyzes the effect of common preventative measures such as testing, quarantine, social distancing, and vaccination. By accounting for the most prevalent interventions that have been enacted to minimize the spread of the virus, the model establishes a paramount foundation for future mathematical modeling of COVID-19 and other modern pandemics. Specifically, the mod…
The recent COVID-19 pandemic highlighted the need of non-pharmaceutical interventions in the first stages of a pandemic. Among these, lockdown policies proved unavoidable yet extremely costly from an economic perspective. To better understand the tradeoffs between economic and epidemic costs of lockdown interventions, we here focus on a simple SIR epidemic model and study lockdowns as solutions to an optimal control problem. We first show numerically that the optimal lockdown policy exhibits a phase transition from suppression to mitigation as the time horizon grows, i.e., if the horizon is sh…
The infectious diseases are spreading due to human interactions enabled by various social networks. Therefore, when a new pathogen such as SARS-CoV-2 causes an outbreak, the non-pharmaceutical isolation strategies (e.g., social distancing) are the only possible response to disrupt its spreading. To this end, we introduce the new epidemic model (SICARS) and compare the centralized (C), decentralized (D), and combined (C+D) social distancing strategies, and analyze their efficiency to control the dynamics of COVID-19 on heterogeneous complex networks. Our analysis shows that the centralized soci…
Frankfurt Institute for Advanced Studies(法兰克福高等研究院);Beihang University(北京航空航天大学);Black Hole KG;Goethe University Frankfurt(法兰克福歌德大学)
As the COVID-19 pandemic continues to ravage the world, it is of critical significance to provide a timely risk prediction of the COVID-19 in multi-level. To implement it and evaluate the public health policies, we develop a framework with machine learning assisted to extract epidemic dynamics from the infection data, in which contains a county-level spatiotemporal epidemiological model that combines a spatial Cellular Automaton (CA) with a temporal Susceptible-Undiagnosed-Infected-Removed (SUIR) model. Compared with the existing time risk prediction models, the proposed CA-SUIR model shows th…
In the context of the ongoing Covid-19 pandemic, several reports and studies have attempted to model and predict the spread of the disease. There is also intense debate about policies for limiting the damage, both to health and to the economy. On the one hand, the health and safety of the population is the principal consideration for most countries. On the other hand, we cannot ignore the potential for long-term economic damage caused by strict nation-wide lockdowns. In this working paper, we present a quantitative way to compute lockdown decisions for individual cities or regions, while balan…
The spread of COVID-19 disease affected people's lives worldwide, particularly their travel behaviours and how they performed daily activities. During the first wave of the pandemic, spring 2020, countries adopted different strategies to contain the spread of the virus. The aim of this paper is to analyse the changes in mobility behaviours, focusing on the sustainability level of modal choices caused by the pandemic in two countries with different containment policies in place: Italy and Sweden. Survey data uncovered which transport means was the most used for three different trip purposes (gr…
To reduce the impact of COVID-19 pandemic most countries have implemented several counter-measures to control the virus spread including school and border closing, shutting down public transport and workplace and restrictions on gathering. In this research work, we propose a deep-learning prediction model for evaluating and predicting the impact of various lockdown policies on daily COVID-19 cases. This is achieved by first clustering countries having similar lockdown policies, then training a prediction model based on the daily cases of the countries in each cluster along with the data descri…
Air pollution is among the highest contributors to mortality worldwide, especially in urban areas. During spring 2020, many countries enacted social distancing measures in order to slow down the ongoing COVID-19 pandemic. A particularly drastic measure, the 'lockdown', urged people to stay at home and thereby prevent new COVID-19 infections during the first (2020) and second wave (2021) of the pandemic. In turn, it also reduced traffic and industrial activities. But how much did these lockdown measures improve air quality in large cities, and are there differences in how air quality was affect…
The COVID-19 pandemic has led to significant changes in how people are currently living their lives. To determine how to best reduce the effects of the pandemic and start reopening societies, governments have drawn insights from mathematical models of the spread of infectious diseases. In this article, we give an introduction to a family of mathematical models (called "compartmental models") and discuss how the results of analyzing these models influence government policies and human behavior, such as encouraging mask wearing and physical distancing to help slow the spread of the disease.