Abstract

In the current study, we define a hierarchical epidemic model that helps to describe the propagation of a pathogen in a clustered human population. The estimation of a novel coronavirus spreading worldwide leads to the idea of the hierarchical structure of the epidemic process. Thus, the propagation process is divided into three possible levels: a city, a country, and a worldwide. On each level, the pathogen propagation process is based on the susceptible-exposed-infected-recovered (SEIR) model. We thus formulate a modified transmission model of infected individuals between levels. The control of the pathogen’s spread can be seen as an optimal control problem. A trade-off exists between the cost of active virus propagation and the design of appropriate quarantine measures. Each level of the hierarchy is defined by its network. A series of numerical experiments was conducted to corroborate the obtained results.

Highlights

  • Infectious diseases still pose a serious medical challenge worldwide, with millions of deaths per year estimated to be directly related to infectious diseases

  • The outbreak of new diseases such as severe acute respiratory syndrome (SARS), Middle East respiratory syndrome (MERS), the rise of Ebola, and, most recently, the COVID-19 pandemic represent a few examples of significant problems that the public healthcare system and medical science research need to address

  • In contrast to classical SIRS models [43,44], where populations are divided into three groups, we formulate a three-level modified SEIR model (SusceptibleInfected-Recovered-Susceptible) with one virus circulated in a population of size N

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Summary

Introduction

Infectious diseases still pose a serious medical challenge worldwide, with millions of deaths per year estimated to be directly related to infectious diseases. The influenza A (H1N1) virus has the potential to develop into the first influenza pandemic of the twenty-first century [4], accompanied by seasonal influenza accompanies [5] Another important issue is the rate of the pathogen’s spread and the network of contacts for each resident in the population. We establish a hierarchical control-theoretic model to design disease control strategies through quarantine measures to mitigate the impact of epidemics on society. This approach has been motivated by the initial stage of the COVID-19 propagation in China and Italy.

Deterministic Epidemic Model
Basic Reproduction Number R0
Optimal Control Problem
Numerical Simulation
Conclusions
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