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Abstract The effectiveness of non-pharmaceutical interventions (NPIs) during a pandemic is challenging to assess due to the multifaceted interactions between interventions and population dynamics. Significant difficulty arises from the overlapping effects of various NPIs applied to different subgroups within a population. To address this, we propose a new mathematical model that incorporates various intervention strategies, including total and partial lockdowns, school closures, and reduced interactions among specific subgroups, such as the elderly. Our model extends previous work by explicitly accounting for the quadratic nature of control costs and the interplay between overlapping controls targeting the same population segments. Using optimal control theory, we identify intervention policies that effectively mitigate disease transmission while balancing economic and societal costs. To demonstrate the utility of our approach, we apply the model to real-world data from the COVID-19 pandemic in the State of New Jersey. Our results provide insights into the trade-offs and synergies of different NPIs and the importance of accurately capturing the relationship between a policy and the population affected. 

The COVID-19 pandemic highlighted the need to quickly respond, via public policy, to the onset of an infectious disease breakout. Deciding the type and level of interventions a population must consider to mitigate risk and keep the disease under control could mean saving thousands of lives. Many models were quickly introduced highlighting lockdowns, testing, contact tracing, travel policies, later on vaccination, and other intervention strategies along with costs of implementation. Here, we provided a framework for capturing population heterogeneity whose consideration may be crucial when developing a mitigation strategy based on non-pharmaceutical interventions. Precisely, we used age-stratified data to segment our population into groups with unique interactions that policy can affect such as school children or the oldest of the population, and formulated a corresponding optimal control problem considering the economic cost of lockdowns and deaths. We applied our model and numerical methods to census data for the state of New Jersey and determined the most important factors contributing to the cost and the optimal strategies to contained the pandemic impact. 

The COVID-19 pandemic lit a fire under researchers who have subsequently raced to build models which capture various physical aspects of both the biology of the virus and its mobility throughout the human population. These models could include characteristics such as different genders, ages, frequency of interactions, mutation of virus, etc. Here, we propose two mathematical formulations to include virus mutation dynamics. The first uses a compartmental epidemiological model coupled with a discrete-time finite-state Markov chain. If one includes a nonlinear dependence of the transition matrix on current infected, the model is able to reproduce pandemic waves due to different variants. The second approach expands such an idea to a continuous state-space leveraging a combination of ordinary differential equations with an evolution equation for measure. This approach allows to include reinfections with partial immunity with respect to variants genetically similar to that of first infection. 

During the Covid-19 pandemic a key role is played by vaccination to combat the virus. There are many possible policies for prioritizing vaccines, and different criteria for optimization: minimize death, time to herd immunity, functioning of the health system. Using an age-structured population compartmental finite-dimensional optimal control model, our results suggest that the eldest to youngest vaccination policy is optimal to minimize deaths. Our model includes the possible infection of vaccinated populations. We apply our model to real-life data from the US Census for New Jersey and Florida, which have a significantly different population structure. We also provide various estimates of the number of lives saved by optimizing the vaccine schedule and compared to no vaccination. 

The outbreak of COVID-19 resulted in high death tolls all over the world. The aim of this paper is to show how a simple SEIR model was used to make quick predictions for New Jersey in early March 2020 and call for action based on data from China and Italy. A more refined model, which accounts for social distancing, testing, contact tracing and quarantining, is then proposed to identify containment measures to minimize the economic cost of the pandemic. The latter is obtained taking into account all the involved costs including reduced economic activities due to lockdown and quarantining as well as the cost for hospitalization and deaths. The proposed model allows one to find optimal strategies as combinations of implementing various non-pharmaceutical interventions and study different scenarios and likely initial conditions.