This paper is based on the observation that, during Covid-19 epidemic, the choice of which individuals should be tested has an important impact on the effectiveness of selective confinement measures. This decision problem is closely related to the problem of optimal sensor selection, which is a very active research subject in control engineering. The goal of this paper is to propose a policy to smartly select the individuals to be tested. The main idea is to model the epidemics as a stochastic dynamic system and to select the individual to be tested accordingly to some optimality criteria, e.g. to minimize the probability of undetected asymptomatic cases. Every day, the probability of infection of the different individuals is updated making use of the stochastic model of the phenomenon and of the information collected in the previous days. Simulations for a closed community of 10000 individuals show that the proposed technique, coupled with a selective confinement policy, can reduce the spread of the disease while limiting the number of individuals confined if compared to the simple contact tracing of positive and to an off-line test selection strategy based on the number of contacts.
Several recent studies have tackled the issue of optimal network immunization by providing efficient criteria to identify key nodes to be removed in order to break apart a network, thus preventing the occurrence of extensive epidemic outbreaks. Yet, although the efficiency of those criteria has been demonstrated also in empirical networks, preventive immunization is rarely applied to real-world scenarios, where the usual approach is the a posteriori attempt to contain epidemic outbreaks using quarantine measures. Here we compare the efficiency of prevention with that of quarantine in terms of …
The importance of a strict quarantine has been widely debated during the COVID-19 epidemic even from the purely epidemiological point of view. One argument against strict lockdown measures is that once the strict quarantine is lifted, the epidemic comes back, and so the cumulative number of infected individuals during the entire epidemic will stay the same. We consider an SIR model on a network and follow the disease dynamics, modeling the phases of quarantine by changing the node degree distribution. We show that the system reaches different steady states based on the history: the outcome of …
We consider an epidemic process on adaptive activity-driven temporal networks, with adaptive behaviour modelled as a change in activity and attractiveness due to infection. By using a mean-field approach, we derive an analytical estimate of the epidemic threshold for SIS and SIR epidemic models for a general adaptive strategy, which strongly depends on the correlations between activity and attractiveness in the susceptible and infected states. We focus on strong social distancing, implementing two types of quarantine inspired by recent real case studies: an active quarantine, in which the popu…
The Covid-19 pandemic is ongoing worldwide, and the damage it has caused is unprecedented. For prevention, South Korea has adopted a local quarantine strategy rather than a global lockdown. This approach not only minimizes economic damage, but it also efficiently prevents the spread of the disease. In this work, the spread of COVID-19 under local quarantine measures is modeled using the Susceptible-Exposed-Infected-Recovered model on complex networks. In this network approach, the links connected to isolated people are disconnected and then reinstated when they are released. This link dynamics…
Contact tracing and quarantine are well established non-pharmaceutical epidemic control tools. The paper aims to clarify the impact of these measures in COVID-19 epidemic. A new deterministic model is introduced (SEIRQ: susceptible, exposed, infectious, removed, quarantined) with Q compartment capturing individuals and releasing them with delay. We obtain a simple rule defining the reproduction number $\mathcal{R}$ in terms of quarantine parameters, ratio of diagnosed cases and transmission parameters. The model is applied to the epidemic in Poland in March - April 2020, when social distancing…
This study focuses on investigating the manner in which a prompt quarantine measure suppresses epidemics in networks. A simple and ideal quarantine measure is considered in which an individual is detected with a probability immediately after it becomes infected and the detected one and its neighbors are promptly isolated. The efficiency of this quarantine in suppressing a susceptible-infected-removed (SIR) model is tested in random graphs and uncorrelated scale-free networks. Monte Carlo simulations are used to show that the prompt quarantine measure outperforms random and acquaintance prevent…
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…
Contact tracing via digital tracking applications installed on mobile phones is an important tool for controlling epidemic spreading. Its effectivity can be quantified by modifying the standard methodology for analyzing percolation and connectivity of contact networks. We apply this framework to networks with varying degree distributions, numbers of application users, and probabilities of quarantine failures. Further, we study structured populations with homophily and heterophily and the possibility of degree-targeted application distribution. Our results are based on a combination of explicit…
We study the critical effect of quarantine on the propagation of epidemics on an adaptive network of social contacts. For this purpose, we analyze the susceptible-infected-recovered (SIR) model in the presence of quarantine, where susceptible individuals protect themselves by disconnecting their links to infected neighbors with probability w, and reconnecting them to other susceptible individuals chosen at random. Starting from a single infected individual, we show by an analytical approach and simulations that there is a phase transition at a critical rewiring (quarantine) threshold w_c separ…
The goal of this work is to study the optimal controls for the COVID-19 epidemic in Brazil. We consider an age-structured SEIRQ model with quarantine compartment, where the controls are the quarantine entrance parameters. We then compare the optimal controls for different quarantine lengths and distribution of the total control cost by assessing their respective reductions in deaths in comparison to the same period without quarantine. The best strategy provides a calendar of when to relax the isolation measures for each age group. Finally, we analyse how a delay in the beginning of the quarant…
The COVID-19 pandemic has challenged authorities at different levels of government administration around the globe. When faced with diseases of this severity, it is useful for the authorities to have prediction tools to estimate in advance the impact on the health system and the human, material, and economic resources that will be necessary. In this paper, we construct an extended Susceptible-Exposed-Infected-Recovered model that incorporates the social structure of Mar del Plata, the $4^\circ$ most inhabited city in Argentina and head of the Municipality of General Pueyrredón. Moreover, we co…
In this work, we inspect the reliability of controlling and quelling an epidemic disease mimicked by a Susceptible-Infected-Susceptible (SIS) model defined on a complex network by means of current and implementable quarantine and isolation policies. Specifically, we consider that each individual in the network is originally linked to two types of individuals: members of the same household and acquaintances. The topology of this network evolves taking into account a probability $q$ that aims at representing the quarantine or isolation process in which the connection with acquaintances is disrup…
The impact of mitigation or control measures on an epidemics can be estimated by fitting the parameters of a compartmental model to empirical data, and running the model forward with modified parameters that account for a specific measure. This approach has several drawbacks, stemming from biases or lack of availability of data and instability of parameter estimates. Here we take the opposite approach -- that we call reverse epidemiology. Given the data, we reconstruct backward in time an ensemble of networks of contacts, and we assess the impact of measures on that specific realization of the…
During pandemic events, strategies such as social distancing can be fundamental to curb viral spreading. Such actions can reduce the number of simultaneous infections and mitigate the disease spreading, which is relevant to the risk of a healthcare system collapse. Although these strategies can be suggested, their actual implementation may depend on the population perception of the disease risk. The current COVID-19 crisis, for instance, is showing that some individuals are much more prone than others to remain isolated, avoiding unnecessary contacts. With this motivation, we propose an epidem…
In the context of the recent COVID-19 outbreak, quarantine has been used to "flatten the curve" and slow the spread of the disease. In this paper, we show that this is not the only benefit of quarantine for the mitigation of an SIR epidemic spreading on a graph. Indeed, human contact networks exhibit a powerlaw structure, which means immunizing nodes at random is extremely ineffective at slowing the epidemic, while immunizing high-degree nodes can efficiently guarantee herd immunity. We theoretically prove that if quarantines are declared at the right moment, high-degree nodes are disproportio…
Changs in individual behavior often entangles with the dynamic interaction of individuals, which complicates the epidemic process and brings great challenges for the understanding and control of the epidemic. In this work, we consider three kinds of typical behavioral changes in epidemic process that is, self-quarantine of infected individuals, self-protection of susceptible individuals, and social distancing between them. We connect the behavioral changes with individual's social attributes by the activity-driven network with attractiveness. A mean-field theory is established to derive an ana…
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…
Most researches on adaptive networks mainly concentrate on the properties of steady state, but neglect transient dynamics. In this study, we pay attention to the emergence of community structures in transient process and the effects of community-based control strategies on epidemic spreading. First, by normalizing modularity $Q$, we investigate the evolution of community structures during the transient process, and find that very strong community structures are induced by rewiring mechanism in the early stage of epidemic spreading, which remarkably delays the outbreaks of epidemic. Then we stu…
We study a dynamics of the epidemiological infection spreading at different values of the risk factor $β$ (a control parameter) with the using of dynamic Monte Carlo approach (DMC). In our toy model, the infection transmits due to contacts of randomly moving individuals. We show that the behavior of recovereds critically depends on the $β$ value. For sub-critical values $β<β_{c}\sim 0.6$, the number of infected cases asymptotically converges to zero, such that for a moderate risk factor the infection may disappear with time. Our simulations shown that over time, the properties of such a system…
The ongoing Coronavirus disease 2019 (COVID-19) is a major crisis that has significantly affected the healthcare sector and global economies, which made it the main subject of various fields in scientific and technical research. To properly understand and control this new epidemic, mathematical modelling is presented as a very effective tool that can illustrate the mechanisms of its propagation. In this regard, the use of compartmental models is the most prominent approach adopted in the literature to describe the dynamics of COVID-19. Along the same line, we aim during this study to generaliz…
We study the effectiveness of tracking and testing in mitigating or suppressing epidemic outbreaks, in combination with or as an alternative to quarantines and global lockdowns. We study these intervention methods on a network-based SEIR model, augmented with an additional probability to model symptomatic, asymptomatic and pre-symptomatic cases. Our focus is on the basic trade-offs between economic costs and human lives lost, and how these trade-offs change under different lockdown, quarantine, tracking and testing policies. Our main findings are as follows: (i) Tests combined with patient qua…
We propose a tractable epidemic model that includes containment measures. In the absence of containment measures, the epidemics spread exponentially fast whenever the infectivity rate is positive, $λ>0$. The containment measures are modeled by considering a time-dependent modulation of the bare infectivity $λ$ leading to effective infectivity that decays in time for each infected individual, mimicking for instance the combined effect of the asymptomatic onset of the disease, testing policies and quarantine. We consider a wide range of temporal kernels for effective infectivity and we investiga…
Agent-based modeling for realistic reproduction of human mobility and contact behavior to evaluate test and isolation strategies in epidemic infectious disease spread
The isolation of infectious individuals is a key measure of public health for the control of communicable diseases. However, involving a strong perturbation of daily life, it often causes psychosocial distress, and severe financial and social costs. These may act as mechanisms limiting the adoption of the measure in the first place or the adherence throughout its full duration. In addition, difficulty of recognizing mild symptoms or lack of symptoms may impact awareness of the infection and further limit adoption. Here, we study an epidemic model on a network of contacts accounting for limited…
We propose a dynamical model for describing the spread of epidemics. This model is an extension of the SIQR (susceptible-infected-quarantined-recovered) and SIRP (susceptible-infected-recovered-pathogen) models used earlier to describe various scenarios of epidemic spreading. As compared to the basic SIR model, our model takes into account two possible routes of contagion transmission: direct from the infected compartment to the susceptible compartment and indirect via some intermediate medium or fomites. Transmission rates are estimated in terms of average distances between the individuals in…
The pandemic caused by the novel Coronavirus SARS-CoV2 has been responsible for life threatening health complications, and extreme pressure on healthcare systems. While preventive and definite curative medical interventions are yet to arrive, Non-Pharmaceutical Interventions (NPIs) like physical isolation, quarantine and drastic social measures imposed by governing agencies are effective in arresting the spread of infections in a population. In densely populated countries like India, lockdown interventions are partially effective due to social and administrative complexities. Using detailed de…
In this paper, we propose a Boltzmann-type kinetic model of the spreading of an infectious disease on a network. The latter describes the connections among countries, cities or districts depending on the spatial scale of interest. The disease transmission is represented in terms of the viral load of the individuals and is mediated by social contacts among them, taking into account their displacements across the nodes of the network. We formally derive the hydrodynamic equations for the density and the mean viral load of the individuals on the network and we analyse the large-time trends of the…
We test the existence of a neighborhood based peer effect around participation in an incentive based conservation program called `Water Smart Landscapes' (WSL) in the city of Las Vegas, Nevada. We use 15 years of geo-coded daily records of WSL program applications and approvals compiled by the Southern Nevada Water Authority and Clark County Tax Assessors rolls for home characteristics. We use this data to test whether a spatially mediated peer effect can be observed in WSL participation likelihood at the household level. We show that epidemic spreading models provide more flexibility in model…
There are multiple testing methods to ascertain an infection in an individual and they vary in their performances, cost and delay. Unfortunately, better performing tests are sometimes costlier and time consuming and can only be done for a small fraction of the population. On the other hand, greater number of individuals can be tested using a cheaper, rapid test, but may only provide less reliable results. In this work, we studied the interplay between cost and delay of the tests as well the additional advantages offered by partial and complete lockdowns. To understand the influence of differen…
When effective medical treatment and vaccination are not available, non-pharmaceutical interventions such as social distancing, home quarantine and far-reaching shutdown of public life are the only available strategies to prevent the spread of epidemics. Based on an extended SEIR (susceptible-exposed-infectious-recovered) model and continuous-time optimal control theory, we compute the optimal non-pharmaceutical intervention strategy for the case that a vaccine is never found and complete containment (eradication of the epidemic) is impossible. In this case, the optimal control must meet compe…
Motivated by the need for novel robust approaches to modelling the Covid-19 epidemic, this paper treats a population of $N$ individuals as an inhomogeneous random social network (IRSN). The nodes of the network represent different types of individuals and the edges represent significant social relationships. An epidemic is pictured as a contagion process that changes daily, triggered on day $0$ by a seed infection introduced into the population. Individuals' social behaviour and health status are assumed to be random, with probability distributions that vary with their type. First a formulatio…
I propose a smartphone app that will allow people to participate in the management of their own safety during an epidemic or pandemic such as COVID-19 by enabling them to view, in advance, the risks they would take if they visit some given venue (a cafe, the gym, the workplace, the park,...) and, furthermore, track the accumulation of such risks during the course of any given day or week. This idea can be presented to users of the app as counting points. One point represents some constant probability, $p_\text{point}$, of infection. Then the app would work in a similar way to a calorie countin…
Social distancing plays a pivotal role in preventing the spread of viral diseases illnesses such as COVID-19. By minimizing the close physical contact among people, we can reduce the chances of catching the virus and spreading it across the community. This paper aims to provide a comprehensive survey on how emerging technologies, e.g., wireless and networking, artificial intelligence (AI) can enable, encourage, and even enforce social distancing practice. To that end, we first provide a comprehensive background of social distancing including basic concepts, measurements, models, and propose va…