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 different policies and reopening schedules. Our study provides a gauge for the effectiveness of the approaches by different state governments and can serve as a guide for implementing best policies in the future. It also indicates that the face mask mandate seems to correlate with the change in the death count more dramatically than other measures.
Motivated by COVID-19, we develop and analyze a simple stochastic model for a disease spread in human population. We track how the number of infected and critically ill people develops over time in order to estimate the demand that is imposed on the hospital system. To keep this demand under control, we consider a class of simple policies for slowing down and reopening the society and we compare their efficiency in mitigating the spread of the virus from several different points of view. We find that in order to avoid overwhelming of the hospital system, a policy must impose a harsh lockdown o…
We construct an agent-based SEIR model to simulate COVID-19 spread at a 16000-student mostly non-residential urban university during the Fall 2021 Semester. We find that mRNA vaccine coverage above 80% makes it possible to safely reopen to in-person instruction. If vaccine coverage is 100%, then our model indicates that facemask use is not necessary. Our simulations with vaccine coverage below 70% exhibit a right-skew for total infections over the semester, which suggests that high levels of infection are not exceedingly rare with campus social connections the main transmission route. Less eff…
Reopening strategies are crucial to balance efforts of economic revitalization and bringing back a sense of normalcy while mitigating outbreaks and effectively flattening the infection curve. This paper proposes practical reopening, monitoring and testing strategies for institutions to reintroduce physical meetings based on SIR simulations run on a student friendship network collected pre-Covid-19. These serve as benchmarks to assess several testing strategies that can be applied in physical classes. Our simulations show that the best outbreak mitigation results are obtained with full knowledg…
The COVID-19 pandemic has affected travel behaviors and transportation system operations, and cities are grappling with what policies can be effective for a phased reopening shaped by social distancing. A baseline model was previously developed and calibrated for pre-COVID conditions as MATSim-NYC. A new COVID model is calibrated that represents travel behavior during the COVID-19 pandemic by recalibrating the population agendas to include work-from-home and re-estimating the mode choice model for MATSim-NYC to fit observed traffic and transit ridership data. Assuming the change in behavior ex…
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…
We study mechanisms for reopening economic activities that explore the trade off between containing the spread of COVID-19 and maximizing economic impact. This is of current importance as many organizations, cities, and states are formulating reopening strategies. Our mechanisms, referred to as group scheduling, are based on partitioning the population into groups and scheduling each group on appropriate days with possible gaps (when all are quarantined). Each group interacts with no other group and, importantly, any person who is symptomatic in a group is quarantined. Specifically, our mechan…
By the emergence of the novel coronavirus disease (COVID-19) in Wuhan, China, and its rapid outbreak worldwide, the infectious illness has changed our everyday travel patterns. In this research, our team investigated the changes in the daily mobility pattern of people during the pandemic by utilizing an integrated data panel. To incorporate various aspects of human mobility, the team focused on the Social Distancing Index (SDI) which was calculated based on five basic mobility measures. The SDI patterns showed a plateau stage in the beginning of April that lasted for about two weeks. This phen…
This paper introduces new methods to study the changing dynamics of COVID-19 cases and deaths among the 50 worst-affected countries throughout 2020. First, we analyse the trajectories and turning points of rolling mortality rates to understand at which times the disease was most lethal. We demonstrate five characteristic classes of mortality rate trajectories and determine structural similarity in mortality trends over time. Next, we introduce a class of \emph{virulence matrices} to study the evolution of COVID-19 cases and deaths on a global scale. Finally, we introduce \emph{three-way incons…
The COVID-19 pandemic has affected travel behaviors and transportation system operations, and cities are grappling with what policies can be effective for a phased reopening shaped by social distancing. This edition of the white paper updates travel trends and highlights an agent-based simulation model's results to predict the impact of proposed phased reopening strategies. It also introduces a real-time video processing method to measure social distancing through cameras on city streets.
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…
This study analyzed the morbidity and mortality rates of the COVID-19 pandemic in different prefectures of Japan. Under the constraint that daily maximum confirmed deaths and daily maximum cases should exceed 4 and 10, respectively, 14 prefectures were included, and cofactors affecting the morbidity and mortality rates were evaluated. In particular, the number of confirmed deaths was assessed excluding the cases of nosocomial infections and nursing home patients. A mild correlation was observed between morbidity rate and population density (R2=0.394). In addition, the percentage of the elderly…
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.
The risk for severe illness and mortality from COVID-19 significantly increases with age. As a result, age-stratified modeling for COVID-19 dynamics is the key to study how to reduce hospitalizations and mortality from COVID-19. By taking advantage of network theory, we develop an age-stratified epidemic model for COVID-19 in complex contact networks. Specifically, we present an extension of standard SEIR (susceptible-exposed-infectious-removed) compartmental model, called age-stratified SEAHIR (susceptible-exposedasymptomatic-hospitalized-infectious-removed) model, to capture the spread of CO…
In the initial wave of the COVID-19 pandemic we observed great discrepancies in both infection and mortality rates between countries. Besides the biological and epidemiological factors, a multitude of social and economic criteria also influence the extent to which these discrepancies appear. Consequently, there is an active debate regarding the critical socio-economic and health factors that correlate with the infection and mortality rates outcome of the pandemic. Here, we leverage Bayesian model averaging techniques and country level data to investigate the potential of 28 variables, describi…
Background: Northern Italy was one of the most impacted areas by COVID. It is now widely assumed that the virus was silently spreading for at least 2 weeks before the first patient was identified. During this silent phase, and in the following weeks when the hospital system was overburdened, data collection was not performed in an accurate enough way to estimate an epidemic curve. With the aim of assessing both the dynamics of the introduction of the virus and the effectiveness of containment measures introduced, we try to reconstruct the epidemic curve using all cause mortality data. Methods:…
Covid-19 is raging a devastating trail with the highest mortality-to-infected ratio ever for a pandemic. Lack of vaccine and therapeutic has rendered social exclusion through lockdown as the singular mode of containment. Harnessing the predictive powers of Machine Learning within a 6 dimensional infection kinetic model, depicting interactive evolution of 6 infection stages - healthy susceptible ($H$), predisposed comorbid susceptible ($P$), infected ($I$), recovered ($R$), herd immunized ($V$) and mortality ($D$) - the model, PHIRVD, provides the first accurate mortality prediction of 18 count…
Purpose: In this study we propose to identify significant economic, political, and social factors that helped contribute to the incidence and mortality of SARS-CoV-2 around the world during the first seven months of the COVID-19 pandemic. Methods: Retrospective analyses were conducted using data acquired by the World Health Organization regarding the number of new cases and deaths from 76 countries from January through July 2020. Hierarchical cluster and principal component analyses were used to categorize different countries based on their ability to control the outbreak based on number of ca…
Factors such as non-uniform definitions of mortality, uncertainty in disease prevalence, and biased sampling complicate the quantification of fatality during an epidemic. Regardless of the employed fatality measure, the infected population and the number of infection-caused deaths need to be consistently estimated for comparing mortality across regions. We combine historical and current mortality data, a statistical testing model, and an SIR epidemic model, to improve estimation of mortality. We find that the average excess death across the entire US is 13$\%$ higher than the number of reporte…
According to the changed operative conditions due to lockdown and successive reopening a number of facts can be analysed. The main effects have been detected on: mobility, environment, social media and people flows. While in this first report only mobility, transport and environment are reported. The analysis performed identified a strong reduction of the mobility and transport activities, and in the pollutants. The mobility reduction has been assessed to be quite coherent with respect to what has been described by Google Global mobility report. On the other hand, in this paper a number of add…
The severe acute respiratory syndrome COVID-19 has been in the center of the ongoing global health crisis in 2020. The high prevalence of mild cases facilitates sub-notification outside hospital environments and the number of those who are or have been infected remains largely unknown, leading to poor estimates of the crude mortality rate of the disease. Here we use a simple model to describe the number of accumulated deaths caused by COVID-19. The close connection between the proposed model and an approximate solution of the SIR model provides a system of equations whose solutions are robust …
By fitting a compartment ODE model for Covid-19 propagation to cumulative case and death data for US states and European countries, we find that the case mortality rate seems to have decreased by at least 80% in most of the US and at least 90% in most of Europe. These are much larger and faster changes than reported in empirical studies, such as the 18% decrease in mortality found for the New York City hospital system from March to August 2020 (Horwitz et al, Trends in Covid-19 risk-adjusted mortality rates, J. Hosp. Med. 2020). Our reported decreases surprisingly do not have strong correlatio…
This paper compares and contrasts the spread and impact of COVID-19 in the three countries most heavily impacted by the pandemic: the United States (US), India and Brazil. All three of these countries have a federal structure, in which the individual states have largely determined the response to the pandemic. Thus, we perform an extensive analysis of the individual states of these three countries to determine patterns of similarity within each. First, we analyse structural similarity and anomalies in the trajectories of cases and deaths as multivariate time series. Next, we study the lengths …
We develop an agent-based model to assess the cumulative number of deaths during hypothetical Covid-19-like epidemics for various non-pharmaceutical intervention strategies. We consider local and non-local modes of disease transmission. The first simulates transmission through social contacts in the vicinity of the place of residence while the second through social contacts in public places: schools, hospitals, airports, etc., where many people meet, who live in remote geographic locations. Epidemic spreading is modeled as a discrete-time stochastic process on random geometric networks. We use…
The 2019 Novel Corona virus infection (COVID 19) is an ongoing public health emergency of international focus. Significant gaps persist in our knowledge of COVID 19 epidemiology, transmission dynamics, investigation tools and management, despite (or possibly because of) the fact that the outbreak is an unprecedented global threat. On the positive side, enough is currently known about the epidemic process to permit the construction of mathematical predictive models. In our work, we adapt a traditional SEIR epidemic model to the specific dynamic compartments and epidemic parameters of COVID 19, …
We investigate patterns of COVID-19 mortality across 20 Italian regions and their association with mobility, positivity, and socio-demographic, infrastructural and environmental covariates. Notwithstanding limitations in accuracy and resolution of the data available from public sources, we pinpoint significant trends exploiting information in curves and shapes with Functional Data Analysis techniques. These depict two starkly different epidemics; an "exponential" one unfolding in Lombardia and the worst hit areas of the north, and a milder, "flat(tened)" one in the rest of the country -- inclu…
Background: Due to the societal, economic, and health costs of COVID-19 non-pharmaceutical interventions (NPIs), it is important to assess their effects. Human mobility serves as a surrogate for human contacts and compliance to NPIs. In Nordic countries, NPIs have mostly been advised and sometimes made mandatory. It is unclear if making NPIs mandatory further reduced mobility. Aim: We investigated the effect of non-compulsory and follow-up mandatory measures in major cities and rural regions on human mobility in Norway. We identified NPI categories that most affected mobility. Methods: We used…
COVID-19 has shown a relatively low mortality rate in young healthy individuals, with the majority of this group being asymptomatic or having mild symptoms, while the severity of the disease among individuals with underlying health conditions has caused signiffcant mortality rates worldwide. Understanding these differences in mortality amongst different sectors of society and modelling this will enable the different levels of risk and vulnerabilities to be determined to enable strategies exit the lockdown. However, epidemiological models do not account for the variability encountered in the se…
We adapt a SEIRD differential model with asymptomatic population and Covid deaths, which we call SEAIRD, to simulate the evolution of COVID-19, and add a control function affecting both the diffusion of the virus and GDP, featuring all direct and indirect containment policies; to model feasibility, the control is assumed to be a piece-wise linear function satisfying additional constraints. We describe the joint dynamics of infection and the economy and discuss the trade-off between production and fatalities. In particular, we carefully study the conditions for the existence of the optimal poli…
The study of mortality and the calculation of excess deaths is a fundamental tool for understanding the effect of epidemics / pandemics and the seasonal cycles of endemic / epidemic diseases such as influenza, which is of great importance in times of crisis, according to the WHO and different authors. In this study, we analyzed the indicator of excess deaths in Chile during the COVID-19 pandemic. Simultaneously, research is being carried out to corroborate and characterize possible causes of the underestimation of deaths by official health agencies.
While several non-pharmacological measures have been implemented for a few months in an effort to slow the coronavirus disease (COVID-19) pandemic in the United States, the disease remains a danger in a number of counties as restrictions are lifted to revive the economy. Making a trade-off between economic recovery and infection control is a major challenge confronting many hard-hit counties. Understanding the transmission process and quantifying the costs of local policies are essential to the task of tackling this challenge. Here, we investigate the dynamic contact patterns of the population…
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…
