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Machine learning spatio-temporal epidemiological model to evaluate Germany-county-level COVID-19 risk

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 Added by Lingxiao Wang
 Publication date 2020
and research's language is English




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As the COVID-19 pandemic continues to ravage the world, it is of critical significance to provide a timely risk prediction of the COVID-19 in multi-level. To implement it and evaluate the public health policies, we develop a framework with machine learning assisted to extract epidemic dynamics from the infection data, in which contains a county-level spatiotemporal epidemiological model that combines a spatial Cellular Automaton (CA) with a temporal Susceptible-Undiagnosed-Infected-Removed (SUIR) model. Compared with the existing time risk prediction models, the proposed CA-SUIR model shows the multi-level risk of the county to the government and coronavirus transmission patterns under different policies. This new toolbox is first utilized to the projection of the multi-level COVID-19 prevalence over 412 Landkreis (counties) in Germany, including t-day-ahead risk forecast and the risk assessment to the travel restriction policy. As a practical illustration, we predict the situation at Christmas where the worst fatalities are 34.5 thousand, effective policies could contain it to below 21 thousand. Such intervenable evaluation system could help decide on economic restarting and public health policies making in pandemic.

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The new coronavirus known as COVID-19 is spread world-wide since December 2019. Without any vaccination or medicine, the means of controlling it are limited to quarantine and social distancing. Here we study the spatio-temporal propagation of the first wave of the COVID-19 virus in China and compare it to other global locations. We provide a comprehensive picture of the spatial propagation from Hubei to other provinces in China in terms of distance, population size, and human mobility and their scaling relations. Since strict quarantine has been usually applied between cities, more insight about the temporal evolution of the disease can be obtained by analyzing the epidemic within cities, especially the time evolution of the infection, death, and recovery rates which affected by policies. We study and compare the infection rate in different cities in China and provinces in Italy and find that the disease spread is characterized by a two-stages process. At early times, at order of few days, the infection rate is close to a constant probably due to the lack of means to detect infected individuals before infection symptoms are observed. Then at later times it decays approximately exponentially due to quarantines. The time evolution of the death and recovery rates also distinguish between these two stages and reflect the health system situation which could be overloaded.
The novel coronavirus disease (COVID-19) has spread rapidly across the world in a short period of time and with a heterogeneous pattern. Understanding the underlying temporal and spatial dynamics in the spread of COVID-19 can result in informed and timely public health policies. In this paper, we use a spatio-temporal stochastic model to explain the temporal and spatial variations in the daily number of new confirmed cases in Spain, Italy and Germany from late February to mid September 2020. Using a hierarchical Bayesian framework, we found that the temporal trend of the epidemic in the three countries rapidly reached their peaks and slowly started to decline at the beginning of April and then increased and reached their second maximum in August. However decline and increase of the temporal trend seems to be sharper in Spain and smoother in Germany. The spatial heterogeneity of the relative risk of COVID-19 in Spain is also more pronounced than Italy and Germany.
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