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Register a new userWhat the reproductive number R_0 can and cannot tell us about COVID-19 dynamics
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The reproductive number R_0 (and its value after initial disease emergence R) has long been used to predict the likelihood of pathogen invasion, to gauge the potential severity of an epidemic, and to set policy around interventions. However, often ignored complexities have generated confusion around use of the metric. This is particularly apparent with the emergent pandemic virus SARS-CoV-2, the causative agent of COVID-19. We address some of these misconceptions, namely, how R changes over time, varies over space, and relates to epidemic size by referencing the mathematical definition of R and examples from the current pandemic. We hope that a better appreciation of the uses, nuances, and limitations of R facilitates a better understanding of epidemic spread, epidemic severity, and the effects of interventions in the context of SARS-CoV-2.
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The study carries out predictive modeling based on publicly available COVID-19 data for the duration 01 April to 20 June 2020 pertaining to India and five of its most infected states: Maharashtra, Tamil Nadu, Delhi, Gujarat, and Rajasthan using susceptible, infected, recovered, and dead (SIRD) model. The basic reproduction number R0 is derived by exponential growth method using RStudio package R0. The differential equations reflecting SIRD model have been solved using Python 3.7.4 on Jupyter Notebook platform. For visualization, Python Matplotlib 3.2.1 package is used. The study offers insights on peak-date, peak number of COVID-19 infections, and end-date pertaining to India and five of its states. The results could be leveraged by political leadership, health authorities, and industry doyens for policy planning and execution.
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With the unfolding of the COVID-19 pandemic, mathematical modeling of epidemics has been perceived and used as a central element in understanding, predicting, and governing the pandemic event. However, soon it became clear that long term predictions were extremely challenging to address. Moreover, it is still unclear which metric shall be used for a global description of the evolution of the outbreaks. Yet a robust modeling of pandemic dynamics and a consistent choice of the transmission metric is crucial for an in-depth understanding of the macroscopic phenomenology and better-informed mitigation strategies. In this study, we propose a Markovian stochastic framework designed to describe the evolution of entropy during the COVID-19 pandemic and the instantaneous reproductive ratio. We then introduce and use entropy-based metrics of global transmission to measure the impact and temporal evolution of a pandemic event. In the formulation of the model, the temporal evolution of the outbreak is modeled by the master equation of a nonlinear Markov process for a statistically averaged individual, leading to a clear physical interpretation. We also provide a full Bayesian inversion scheme for calibration. The time evolution of the entropy rate, the absolute change in the system entropy, and the instantaneous reproductive ratio are natural and transparent outputs of this framework. The framework has the appealing property of being applicable to any compartmental epidemic model. As an illustration, we apply the proposed approach to a simple modification of the Susceptible-Exposed-Infected-Removed (SEIR) model. Applying the model to the Hubei region, South Korean, Italian, Spanish, German, and French COVID-19 data-sets, we discover a significant difference in the absolute change of entropy but highly regular trends for both the entropy evolution and the instantaneous reproductive ratio.
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