An official website of the United States government
Abstract Background The COVID-19 pandemic has caused more than 25 million cases and 800 thousand deaths worldwide to date. In early days of the pandemic, neither vaccines nor therapeutic drugs were available for this novel coronavirus. All measures to prevent the spread of COVID-19 are thus based on reducing contact between infected and susceptible individuals. Most of these measures such as quarantine and self-isolation require voluntary compliance by the population. However, humans may act in their (perceived) self-interest only. Methods We construct a mathematical model of COVID-19 transmission with quarantine and hospitalization coupled with a dynamic game model of adaptive human behavior. Susceptible and infected individuals adopt various behavioral strategies based on perceived prevalence and burden of the disease and sensitivity to isolation measures, and they evolve their strategies using a social learning algorithm (imitation dynamics). Results This results in complex interplay between the epidemiological model, which affects success of different strategies, and the game-theoretic behavioral model, which in turn affects the spread of the disease. We found that the second wave of the pandemic, which has been observed in the US, can be attributed to rational behavior of susceptible individuals, and that multiple waves of the pandemic are possible if the rate of social learning of infected individuals is sufficiently high. Conclusions To reduce the burden of the disease on the society, it is necessary to incentivize such altruistic behavior by infected individuals as voluntary self-isolation.
more »
« less
Fractional SIR epidemiological models
Abstract The purpose of this work is to make a case for epidemiological models with fractional exponent in the contribution of sub-populations to the incidence rate. More specifically, we question the standard assumption in the literature on epidemiological models, where the incidence rate dictating propagation of infections is taken to be proportional to the product between the infected and susceptible sub-populations; a model that relies on strong mixing between the two groups and widespread contact between members of the groups. We contend, that contact between infected and susceptible individuals, especially during the early phases of an epidemic, takes place over a (possibly diffused) boundary between the respective sub-populations. As a result, the rate of transmission depends on the product of fractional powers instead. The intuition relies on the fact that infection grows in geographically concentrated cells, in contrast to the standard product model that relies on complete mixing of the susceptible to infected sub-populations. We validate the hypothesis of fractional exponents (1) by numerical simulation for disease propagation in graphs imposing a local structure to allowed disease transmissions and (2) by fitting the model to the JHU CSSE COVID-19 Data for the period Jan-22-20 to April-30-20, for the countries of Italy, Germany, France, and Spain.
more »
« less
- Award ID(s):
- 1807664
- PAR ID:
- 10203652
- Publisher / Repository:
- Nature Publishing Group
- Date Published:
- Journal Name:
- Scientific Reports
- Volume:
- 10
- Issue:
- 1
- ISSN:
- 2045-2322
- Format(s):
- Medium: X
- Sponsoring Org:
- National Science Foundation
More Like this
-
-
Vaccination is among the most effective means of preventing and controlling infectious disease outbreaks. Mathematical models can be used to identify the optimal allocation of vaccine among various groups when host populations are heterogeneous. Population heterogeneity may affect individual decision-making and government policy. We show that mixing among sub-populations can profoundly influence the optimal vaccination allocation. Centralized and decentralized programs are examined, accounting for individual behavior and economic constraints. We also compare approaches to modeling transitions between epidemiological classes by epidemiological and economic modelers, and identify key differences.more » « less
-
We explore the effects of cross-diffusion dynamics in epidemiological models. Using reaction–diffusion models of infectious disease, we explicitly consider situations where an individual in a category will move according to the concentration of individuals in other categories. Namely, we model susceptible individuals moving away from infected and infectious individuals. Here, we show that including these cross-diffusion dynamics results in a delay in the onset of an epidemic and an increase in the total number of infectious individuals. This representation provides more realistic spatiotemporal dynamics of the disease classes in an Erlang SEIR model and allows us to study how spatial mobility, due to social behavior, can affect the spread of an epidemic. We found that tailored control measures, such as targeted testing, contact tracing, and isolation of infected individuals, can be more effective in mitigating the spread of infectious diseases while minimizing the negative impact on society and the economy.more » « less
-
Rychtář, Jan (Ed.)The time-series Susceptible-Infectious-Recovered (TSIR) model has been a standard tool for studying the non-linear dynamics of acute, immunizing infectious diseases. The standard assumption of the TSIR model, that vaccination is equivalent to a reduction in the recruitment of susceptible individuals, or the birth rate, can lead to a bias in the estimate of the reporting fraction and of the total incidence. We show that this bias increases with the level of vaccination due to a double counting of individuals who are infected prior to the age of vaccination. We present a simple correction for this bias by discounting the observed number of cases by the product of the number that occur prior to the average age of vaccination and the vaccination coverage during the initial susceptible reconstruction step of the TSIR model fitting. We generate a time series of measles cases using an age-structured SIR transmission model with vaccination after birth (at 9 months of age) and illustrate the bias with the standard TSIR fitting method. We then illustrate that our proposed correction eliminates the bias in the estimated reporting fraction and total incidence. We note further that this bias does not impact the estimates of the seasonality of transmission.more » « less
-
Accurate numerical and physical models play an important role in modeling the spread of infectious disease as well as informing policy decisions. Vaccination programs rely on the estimation of disease parameters from limited, error-prone reported data. Using physics-informed neural networks (PINNs) as universal function approximators of the susceptible-infected-recovered (SIR) compartmentalized differential equation model, we create a data-driven framework that uses reported data to estimate disease spread and approximate corresponding disease parameters. We apply this to datafrom a London boarding school, demonstrating the framework's ability to produce accurate disease and parameter estimations despite noisy data. However, real-world populations contain sub-populations, each exhibiting different levels of risk and activity. Thus, we expand our framework to model meta-populations of preferentially-mixed subgroups with various contact rates, introducing a new substitution to decrease the number of parameters. Optimal parameters are estimated throughPINNs which are then used in a negative gradient approach to calculate an optimal vaccine distribution plan for informed policy decisions. We also manipulate a new hyperparameter in the loss function of the PINNs network to expedite training. Together, our work creates a data-driven tool for future infectious disease vaccination efforts in heterogeneously mixed populations.more » « less
