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Singh S, Herng LC, Iderus NHM, Ghazali SM, Ahmad LCRQ, Ghazali NM, Nadzri MNM, Anuar A, Kamarudin MK, Cheng LM, Tee KK, Lin CZ, Gill BS, Ahmad NARB. Utilizing disease transmission and response capacities to optimize covid-19 control in Malaysia. BMC Public Health 2024; 24:1422. [PMID: 38807095 PMCID: PMC11134902 DOI: 10.1186/s12889-024-18890-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2023] [Accepted: 05/20/2024] [Indexed: 05/30/2024] Open
Abstract
OBJECTIVES Public Health Social Measures (PHSM) such as movement restriction movement needed to be adjusted accordingly during the COVID-19 pandemic to ensure low disease transmission alongside adequate health system capacities based on the COVID-19 situational matrix proposed by the World Health Organization (WHO). This paper aims to develop a mechanism to determine the COVID-19 situational matrix to adjust movement restriction intensity for the control of COVID-19 in Malaysia. METHODS Several epidemiological indicators were selected based on the WHO PHSM interim guidance report and validated individually and in several combinations to estimate the community transmission level (CT) and health system response capacity (RC) variables. Correlation analysis between CT and RC with COVID-19 cases was performed to determine the most appropriate CT and RC variables. Subsequently, the CT and RC variables were combined to form a composite COVID-19 situational matrix (SL). The SL matrix was validated using correlation analysis with COVID-19 case trends. Subsequently, an automated web-based system that generated daily CT, RC, and SL was developed. RESULTS CT and RC variables were estimated using case incidence and hospitalization rate; Hospital bed capacity and COVID-19 ICU occupancy respectively. The estimated CT and RC were strongly correlated [ρ = 0.806 (95% CI 0.752, 0.848); and ρ = 0.814 (95% CI 0.778, 0.839), p < 0.001] with the COVID-19 cases. The estimated SL was strongly correlated with COVID-19 cases (ρ = 0.845, p < 0.001) and responded well to the various COVID-19 case trends during the pandemic. SL changes occurred earlier during the increase of cases but slower during the decrease, indicating a conservative response. The automated web-based system developed produced daily real-time CT, RC, and SL for the COVID-19 pandemic. CONCLUSIONS The indicators selected and combinations formed were able to generate validated daily CT and RC levels for Malaysia. Subsequently, the CT and RC levels were able to provide accurate and sensitive information for the estimation of SL which provided valuable evidence on the progression of the pandemic and movement restriction adjustment for the control of Malaysia.
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Affiliation(s)
- Sarbhan Singh
- Institute for Medical Research (IMR), National Institutes of Health (NIH), Ministry of Health Malaysia, No.1, Jalan Setia MurniSetia Alam, U13/52, Seksyen, Selangor, Malaysia.
| | - Lai Chee Herng
- Institute for Medical Research (IMR), National Institutes of Health (NIH), Ministry of Health Malaysia, No.1, Jalan Setia MurniSetia Alam, U13/52, Seksyen, Selangor, Malaysia
| | - Nuur Hafizah Md Iderus
- Institute for Medical Research (IMR), National Institutes of Health (NIH), Ministry of Health Malaysia, No.1, Jalan Setia MurniSetia Alam, U13/52, Seksyen, Selangor, Malaysia
| | - Sumarni Mohd Ghazali
- Institute for Medical Research (IMR), National Institutes of Health (NIH), Ministry of Health Malaysia, No.1, Jalan Setia MurniSetia Alam, U13/52, Seksyen, Selangor, Malaysia
| | - Lonny Chen Rong Qi Ahmad
- Institute for Medical Research (IMR), National Institutes of Health (NIH), Ministry of Health Malaysia, No.1, Jalan Setia MurniSetia Alam, U13/52, Seksyen, Selangor, Malaysia
| | - Nur'ain Mohd Ghazali
- Institute for Medical Research (IMR), National Institutes of Health (NIH), Ministry of Health Malaysia, No.1, Jalan Setia MurniSetia Alam, U13/52, Seksyen, Selangor, Malaysia
| | - Mohd Nadzmi Md Nadzri
- Institute for Medical Research (IMR), National Institutes of Health (NIH), Ministry of Health Malaysia, No.1, Jalan Setia MurniSetia Alam, U13/52, Seksyen, Selangor, Malaysia
| | - Asrul Anuar
- Institute for Medical Research (IMR), National Institutes of Health (NIH), Ministry of Health Malaysia, No.1, Jalan Setia MurniSetia Alam, U13/52, Seksyen, Selangor, Malaysia
| | - Mohd Kamarulariffin Kamarudin
- Institute for Medical Research (IMR), National Institutes of Health (NIH), Ministry of Health Malaysia, No.1, Jalan Setia MurniSetia Alam, U13/52, Seksyen, Selangor, Malaysia
| | - Lim Mei Cheng
- Institute for Medical Research (IMR), National Institutes of Health (NIH), Ministry of Health Malaysia, No.1, Jalan Setia MurniSetia Alam, U13/52, Seksyen, Selangor, Malaysia
| | - Kok Keng Tee
- Department of Medicine, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia
| | - Chong Zhuo Lin
- Institute for Public Health (IPH), National Institutes of Health (NIH), Ministry of Health Malaysia, Setia Alam, 40170, Malaysia
| | - Balvinder Singh Gill
- Institute for Medical Research (IMR), National Institutes of Health (NIH), Ministry of Health Malaysia, No.1, Jalan Setia MurniSetia Alam, U13/52, Seksyen, Selangor, Malaysia
| | - Nur Ar Rabiah Binti Ahmad
- Institute for Medical Research (IMR), National Institutes of Health (NIH), Ministry of Health Malaysia, No.1, Jalan Setia MurniSetia Alam, U13/52, Seksyen, Selangor, Malaysia
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Aljabali AAA, Obeid MA, El-Tanani M, Mishra V, Mishra Y, Tambuwala MM. Precision epidemiology at the nexus of mathematics and nanotechnology: Unraveling the dance of viral dynamics. Gene 2024; 905:148174. [PMID: 38242374 DOI: 10.1016/j.gene.2024.148174] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2023] [Revised: 01/10/2024] [Accepted: 01/16/2024] [Indexed: 01/21/2024]
Abstract
The intersection of mathematical modeling, nanotechnology, and epidemiology marks a paradigm shift in our battle against infectious diseases, aligning with the focus of the journal on the regulation, expression, function, and evolution of genes in diverse biological contexts. This exploration navigates the intricate dance of viral transmission dynamics, highlighting mathematical models as dual tools of insight and precision instruments, a theme relevant to the diverse sections of Gene. In the context of virology, ethical considerations loom large, necessitating robust frameworks to protect individual rights, an aspect essential in infectious disease research. Global collaboration emerges as a critical pillar in our response to emerging infectious diseases, fortified by the predictive prowess of mathematical models enriched by nanotechnology. The synergy of interdisciplinary collaboration, training the next generation to bridge mathematical rigor, biology, and epidemiology, promises accelerated discoveries and robust models that account for real-world complexities, fostering innovation and exploration in the field. In this intricate review, mathematical modeling in viral transmission dynamics and epidemiology serves as a guiding beacon, illuminating the path toward precision interventions, global preparedness, and the collective endeavor to safeguard human health, resonating with the aim of advancing knowledge in gene regulation and expression.
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Affiliation(s)
- Alaa A A Aljabali
- Faculty of Pharmacy, Department of Pharmaceutics & Pharmaceutical Technology, Yarmouk University, Irbid 21163, Jordan.
| | - Mohammad A Obeid
- Faculty of Pharmacy, Department of Pharmaceutics & Pharmaceutical Technology, Yarmouk University, Irbid 21163, Jordan
| | - Mohamed El-Tanani
- College of Pharmacy, Ras Al Khaimah Medical and Health Sciences University, Ras Al Khaimah, United Arab Emirates.
| | - Vijay Mishra
- School of Pharmaceutical Sciences, Lovely Professional University, Phagwara, Punjab 144411, India
| | - Yachana Mishra
- School of Bioengineering and Biosciences, Lovely Professional University, Phagwara, Punjab 144411, India
| | - Murtaza M Tambuwala
- Lincoln Medical School, University of Lincoln, Brayford Pool Campus, Lincoln LN6 7TS, United Kingdom.
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Heltberg ML, Michelsen C, Martiny ES, Christensen LE, Jensen MH, Halasa T, Petersen TC. Spatial heterogeneity affects predictions from early-curve fitting of pandemic outbreaks: a case study using population data from Denmark. ROYAL SOCIETY OPEN SCIENCE 2022; 9:220018. [PMID: 36117868 PMCID: PMC9470254 DOI: 10.1098/rsos.220018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/18/2022] [Accepted: 08/16/2022] [Indexed: 06/15/2023]
Abstract
The modelling of pandemics has become a critical aspect in modern society. Even though artificial intelligence can help the forecast, the implementation of ordinary differential equations which estimate the time development in the number of susceptible, (exposed), infected and recovered (SIR/SEIR) individuals is still important in order to understand the stage of the pandemic. These models are based on simplified assumptions which constitute approximations, but to what extent this are erroneous is not understood since many factors can affect the development. In this paper, we introduce an agent-based model including spatial clustering and heterogeneities in connectivity and infection strength. Based on Danish population data, we estimate how this impacts the early prediction of a pandemic and compare this to the long-term development. Our results show that early phase SEIR model predictions overestimate the peak number of infected and the equilibrium level by at least a factor of two. These results are robust to variations of parameters influencing connection distances and independent of the distribution of infection rates.
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Affiliation(s)
- Mathias L. Heltberg
- Niels Bohr Institute, University of Copenhagen, Blegdamsvej 17, Copenhagen E 2100, Denmark
- Laboratoire de Physique, Ecole Normale Superieure, Rue Lhomond 15, Paris 07505, France
- Infektionsberedskab, Statens Serum Institute, Artillerivej, Copenhagen S 2300, Denmark
| | - Christian Michelsen
- Niels Bohr Institute, University of Copenhagen, Blegdamsvej 17, Copenhagen E 2100, Denmark
| | - Emil S. Martiny
- Niels Bohr Institute, University of Copenhagen, Blegdamsvej 17, Copenhagen E 2100, Denmark
| | - Lasse Engbo Christensen
- DTU Compute, Section for Dynamical Systems, Department of Applied Mathematics and Computer Science, Technical University of Denmark, Anker Engelunds Vej 101A, Kongens Lyngby 2800, Denmark
| | - Mogens H. Jensen
- Niels Bohr Institute, University of Copenhagen, Blegdamsvej 17, Copenhagen E 2100, Denmark
| | - Tariq Halasa
- Animal Welfare and Disease Control, University of Copenhagen, Gronnegårdsvej 8, Frederiksberg C 1870, Denmark
| | - Troels C. Petersen
- Niels Bohr Institute, University of Copenhagen, Blegdamsvej 17, Copenhagen E 2100, Denmark
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