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Register a new userBeyond just flattening the curve: Optimal control of epidemics with purely non-pharmaceutical interventions
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When effective medical treatment and vaccination are not available, non-pharmaceutical interventions such as social distancing, home quarantine and far-reaching shutdown of public life are the only available strategies to prevent the spread of epidemics. Based on an extended SEIR (susceptible-exposed-infectious-recovered) model and continuous-time optimal control theory, we compute the optimal non-pharmaceutical intervention strategy for the case that a vaccine is never found and complete containment (eradication of the epidemic) is impossible. In this case, the optimal control must meet competing requirements: First, the minimization of disease-related deaths, and, second, the establishment of a sufficient degree of natural immunity at the end of the measures, in order to exclude a second wave. Moreover, the socio-economic costs of the intervention shall be kept at a minimum. The numerically computed optimal control strategy is a single-intervention scenario that goes beyond heuristically motivated interventions and simple flattening of the curve. Careful analysis of the computed control strategy reveals, however, that the obtained solution is in fact a tightrope walk close to the stability boundary of the system, where socio-economic costs and the risk of a new outbreak must be constantly balanced against one another. The model system is calibrated to reproduce the initial exponential growth phase of the COVID-19 pandemic in Germany.
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We develop a novel hybrid epidemiological model and a specific methodology for its calibration to distinguish and assess the impact of mobility restrictions (given by Apples mobility trends data) from other complementary non-pharmaceutical interventions (NPIs) used to control the spread of COVID-19. Using the calibrated model, we estimate that mobility restrictions contribute to 47 % (US States) and 47 % (worldwide) of the overall suppression of the disease transmission rate using data up to 13/08/2020. The forecast capacity of our model was evaluated doing four-weeks ahead predictions. Using data up to 30/06/20 for calibration, the mean absolute percentage error (MAPE) of the prediction of cumulative deceased individuals was 5.0 % for the United States (51 states) and 6.7 % worldwide (49 countries). This MAPE was reduced to 3.5% for the US and 3.8% worldwide using data up to 13/08/2020. We find that the MAPE was higher for the total confirmed cases at 11.5% worldwide and 10.2% for the US States using data up to 13/08/2020. Our calibrated model achieves an average R-Squared value for cumulative confirmed and deceased cases of 0.992 using data up to 30/06/20 and 0.98 using data up to 13/08/20.
Understanding how to effectively control an epidemic spreading on a network is a problem of paramount importance for the scientific community. The ongoing COVID-19 pandemic has highlighted the need for policies that mitigate the spread, without relying on pharmaceutical interventions, that is, without the medical assurance of the recovery process. These policies typically entail lockdowns and mobility restrictions, having thus nonnegligible socio-economic consequences for the population. In this paper, we focus on the problem of finding the optimum policies that flatten the epidemic curve while limiting the negative consequences for the society, and formulate it as a nonlinear control problem over a finite prediction horizon. We utilize the model predictive control theory to design a strategy to effectively control the disease, balancing safety and normalcy. An explicit formalization of the control scheme is provided for the susceptible--infected--susceptible epidemic model over a network. Its performance and flexibility are demonstrated by means of numerical simulations.
Since December 2019, A novel coronavirus (2019-nCoV) has been breaking out in China, which can cause respiratory diseases and severe pneumonia. Mathematical and empirical models relying on the epidemic situation scale for forecasting disease outbreaks have received increasing attention. Given its successful application in the evaluation of infectious diseases scale, we propose a Susceptible-Undiagnosed-Infected-Removed (SUIR) model to offer the effective prediction, prevention, and control of infectious diseases. Our model is a modified susceptible-infected-recovered (SIR) model that injects undiagnosed state and offers pre-training effective reproduction number. Our SUIR model is more precise than the traditional SIR model. Moreover, we combine domain knowledge of the epidemic to estimate effective reproduction number, which addresses the initial susceptible population of the infectious disease model approach to the ground truth. These findings have implications for the forecasting of epidemic trends in COVID-19 as these could help the growth of estimating epidemic situation.
We present modeling of the COVID-19 epidemic in Illinois, USA, capturing the implementation of a Stay-at-Home order and scenarios for its eventual release. We use a non-Markovian age-of-infection model that is capable of handling long and variable time delays without changing its model topology. Bayesian estimation of model parameters is carried out using Markov Chain Monte Carlo (MCMC) methods. This framework allows us to treat all available input information, including both the previously published parameters of the epidemic and available local data, in a uniform manner. To accurately model deaths as well as demand on the healthcare system, we calibrate our predictions to total and in-hospital deaths as well as hospital and ICU bed occupancy by COVID-19 patients. We apply this model not only to the state as a whole but also its sub-regions in order to account for the wide disparities in population size and density. Without prior information on non-pharmaceutical interventions (NPIs), the model independently reproduces a mitigation trend closely matching mobility data reported by Google and Unacast. Forward predictions of the model provide robust estimates of the peak position and severity and also enable forecasting the regional-dependent results of releasing Stay-at-Home orders. The resulting highly constrained narrative of the epidemic is able to provide estimates of its unseen progression and inform scenarios for sustainable monitoring and control of the epidemic.
Vector or pest control is essential to reduce the risk of vector-borne diseases or crop losses. Among the available biological control tools, the Sterile Insect Technique (SIT) is one of the most promising. However, SIT-control campaigns must be carefully planned in advance in order to render desirable outcomes. In this paper, we design SIT-control intervention programs that can avoid the real-time monitoring of the wild population and require to mass-rear a minimal overall number of sterile insects, in order to induce a local elimination of the wild population in the shortest time. Continuous-time release programs are obtained by applying an optimal control approach, and then laying the groundwork of more practical SIT-control programs consisting of periodic impulsive releases.
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