Despite the significant progress in the development of vaccines, the COVID-19 pandemic still poses difficulty for its control because of many obstacles such as the proper implementation of vaccination, public hesitancy towards vaccines, dropping out from the second dose, and varying level of protection after the first and the second doses. In this study, we develop a novel mathematical model of COVID-19 transmission, including two separate vaccinated compartments (first dose and both doses). We parametrize and validate our model using data from Dougherty county of Georgia, USA, one of the most affected counties, where the transmission trend clearly is associated with various policies and public events. We analyze our model for stability of equilibria and persistence of the disease, and formulate expression for reproduction numbers. We estimate that the basic reproduction number in Dougherty county is 1.69, and the effective reproduction number during the study period ranges from 0.26 to 6.36. The number of daily undiagnosed cases peaked at 310 per day, resulting in the maximum number of active infectious individuals to be 2471. Our model predicts that in a high transmission scenario, the vaccination strategies should be combined with other non-pharmaceutical prevention strategies to ensure transmission control. Moreover, our results emphasize that completing both doses of vaccines on time is critical to achieve maximum benefits from the vaccination programs.
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Effects of vaccination on the two-strain transmission dynamics of COVID-19: Dougherty County, Georgia, USA, as a case study
The emergence of multiple strains of SARS-COV-2 has made it complicated to predict and control the COVID-19 pandemic. Although some vaccines have been effective in reducing the severity of the disease, these vaccines are designed for a specific strain of the virus and are usually less effective for other strains. In addition, the waning of vaccine-induced immunity, reinfection of recovered people, and incomplete vaccination are challenging to the vaccination program. In this study, we developed a detailed model to describe the multi-strain transmission dynamics of COVID-19 under vaccination. We implemented our model to examine the impact of inter-strain transmission competition under vaccination on the critical outbreak indicators: hospitalized cases, undiagnosed cases, basic reproduction numbers, and the overtake-time by a new strain to the existing strain. In particular, our results on the dependence of the overtake-time on vaccination rates, progression-to-infectious rate, and relative transmission rates provide helpful information for managing a pandemic with circulating two strains. Furthermore, our results suggest that a reduction in the relative transmission rates and a decrease in vaccination dropout rates or an increase in vaccination rates help keep the reproduction number of both strains below unity and keep the number of hospitalized cases and undiagnosed cases at their lowest levels. Moreover, our analysis shows that the second and booster-dose vaccinations are useful for further reducing the reproduction number.
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- Award ID(s):
- 1951793
- PAR ID:
- 10567163
- Publisher / Repository:
- Oxford University Press
- Date Published:
- Journal Name:
- Mathematical Medicine and Biology: A Journal of the IMA
- Volume:
- 40
- Issue:
- 4
- ISSN:
- 1477-8599
- Page Range / eLocation ID:
- 308 to 326
- Format(s):
- Medium: X
- Sponsoring Org:
- National Science Foundation
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