Social contacts, epidemic spreading and health system. Mathematical modeling and applications to COVID-19 infection

Analytical tool for COVID-19 using an SIR model equivalent to the chain reaction equation of infection

Insights from data analysis of existing cases are important to prevent future outbreaks of coronavirus disease 2019 (COVID-19). Although mathematical models are expected to be useful for this purpose, the adequacy of reproducibility of these models is difficult to confirm because they are based on hypotheses. For example, using the time variation of the parameter of the basic reproduction number for the time variation of complex data on the number of infected persons is a change of expression and does not capture the substance of the problem. We previously showed that the simplest Susceptible, Infected, Recovered (SIR) model alone, without any complex models, exhibits acceptable reproducibility. By clarifying the rationale for this reproducibility, quantifiable characteristics regarding the infection spread, such as the duration of the pandemic and the mechanism of occurrence of several large waves, can be uncovered and this can contribute to countermeasures. Here, we show this method equals the chain reaction equation for infection, allowing the parameters (infection rate, population) of the mathematical models to be extracted from the data. Once a model that reproduces the actual situation is determined, much of the information becomes apparent. As an example, we present three characteristics of the spread of infection effective in controlling COVID-19: the time of onset of infection, the rapidity of the spread, and the time to acquisition of herd immunity. Acquiring this information is likely to increase the predictive accuracy of the model.

An SIR model with viral load-dependent transmission

The viral load is known to be a chief predictor of the risk of transmission of infectious diseases. In this work, we investigate the role of the individuals' viral load in the disease transmission by proposing a new susceptible-infectious-recovered epidemic model for the densities and mean viral loads of each compartment. To this aim, we formally derive the compartmental model from an appropriate microscopic one. Firstly, we consider a multi-agent system in which individuals are identified by the epidemiological compartment to which they belong and by their viral load. Microscopic rules describe both the switch of compartment and the evolution of the viral load. In particular, in the binary interactions between susceptible and infectious individuals, the probability for the susceptible individual to get infected depends on the viral load of the infectious individual. Then, we implement the prescribed microscopic dynamics in appropriate kinetic equations, from which the macroscopic equations for the densities and viral load momentum of the compartments are eventually derived. In the macroscopic model, the rate of disease transmission turns out to be a function of the mean viral load of the infectious population. We analytically and numerically investigate the case that the transmission rate linearly depends on the viral load, which is compared to the classical case of constant transmission rate. A qualitative analysis is performed based on stability and bifurcation theory. Finally, numerical investigations concerning the model reproduction number and the epidemic dynamics are presented.

Inference on COVID-19 Epidemiological Parameters Using Bayesian Survival Analysis

The need to provide accurate predictions in the evolution of the COVID-19 epidemic has motivated the development of different epidemiological models. These models require a careful calibration of their parameters to capture the dynamics of the phenomena and the uncertainty in the data. This work analyzes different parameters related to the personal evolution of COVID-19 (i.e., time of recovery, length of stay in hospital and delay in hospitalization). A Bayesian Survival Analysis is performed considering the age factor and period of the epidemic as fixed predictors to understand how these features influence the evolution of the epidemic. These results can be easily included in the epidemiological SIR model to make prediction results more stable.

Modelling lockdown measures in epidemic outbreaks using selective socio-economic containment with uncertainty

After the introduction of drastic containment measures aimed at stopping the epidemic contagion from SARS-CoV2, many governments have adopted a strategy based on a periodic relaxation of such measures in the face of a severe economic crisis caused by lockdowns. Assessing the impact of such openings in relation to the risk of a resumption of the spread of the disease is an extremely difficult problem due to the many unknowns concerning the actual number of people infected, the actual reproduction number and infection fatality rate of the disease. In this work, starting from a SEIRD compartmental model with a social structure based on the age of individuals and stochastic inputs that account for data uncertainty, the effects of containment measures are introduced via an optimal control problem dependent on specific social activities, such as home, work, school, etc. Through a short time horizon approximation, we derive models with multiple feedback controls depending on social activities that allow us to assess the impact of selective relaxation of containment measures in the presence of uncertain data. After analyzing the effects of the various controls, results from different scenarios concerning the first wave of the epidemic in some major countries, including Germany, France, Italy, Spain, the United Kingdom and the United States, are presented and discussed. Specific contact patterns in the home, work, school and other locations have been considered for each country. Numerical simulations show that a careful strategy of progressive relaxation of containment measures, such as that adopted by some governments, may be able to keep the epidemic under control by restarting various productive activities.