Abstract

Covid-19 is a highly prevalent contagious disease, with high fatalities. With the absence of a one bullet drug or vaccine, infected individual is highly likely to die within a short time. The transmission and progression of Covid-19 can be described using distinct stages, namely exposure and latency, infectiousness, and recovery with waning immunity or death. This implies that, mathematical model will place individuals into four compartments, that is, Susceptible (S), Exposed (E), Infective (I) and Recovered (R), representing a SEIR model. Due to its fast fatal capacity, changes in population due to births do not affect the disease dynamics, but for the purpose of monitoring deaths, a compartment for deaths (D) is incorporated. The analysis of intervention strategies necessitates modification of SEIR model to include Quarantine (Q), Isolation (I), and Homebased care (H) compartments. In this paper, Public health Education Campaign, Quarantine and testing, Isolation, Treatment, use of facemask and Social distance intervention strategies were analyzed. Numerical results indicated that the most responsive mitigation strategy is use of quality facemask and observance of social distance. At 90% adherence to this plan reduces the force of infection from <i>β</i>=0.0197 to <i>β</i>=0.0033. This will consequently reduce the basic reproductive ratio from <i>R<sub>0</sub></i>=14.0362 to <i>R<sub>0</sub></i>=2.3388, which prevents 99.37% of population from contracting the disease. However, it is shown that a combination of other intervention strategies have synergetic effect of bringing down reproductive ratio to less than one. Sensitivity analysis indicated that isolation and treatment of infected individuals in government facilities is the most effective method with elasticity of <i>v</i>=-6.4, but due to financial implications, the alternative homebased care need to be fortified. This means, for Covid-19 pandemic to die off, we require early identification of infected individuals through mass testing and immediate isolation. In order to optimize financial constraints associated with isolation, currently at <i>α</i>=11%, the threshold efficacy of other intervention strategies should be enhanced to; public health campaign є > 50%, complacency ξ < 30%, facemask quality c > 89%, social distance <i>r</i> > 2m, and mass testing τ > 0.27. With these interventions, it is estimated that the reproductive ratio, reduces to less than one after 225 days from the first occurrence of Covid-19, and the epidemic will then begin to decline gradually to insignificant levels.

Highlights

  • The 2019 Novel Coronavirus (2019nCoV), is a new zoonotic pathogen in the family of SARS-CoV and MERSCoV among others [1]. This was named in February, 2020 as Severe Acute Respiratory Syndrome Coronavirus 2 (SARSCoV-2), with associated disease officially named as Covid-19 [2]

  • The model in equation (1 – 4) is common to many fast spreading infectious diseases, whose dynamics cannot be affected by natural death and birth rates. This applies to Covid-19 too, but modification is required to capture additional dynamics witnessed by Covid-19

  • Covid-19 pandemic has been the worst viral disease whose effect has been felt in the whole world

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Summary

Introduction

The 2019 Novel Coronavirus (2019nCoV), is a new zoonotic pathogen in the family of SARS-CoV and MERSCoV among others [1]. In the case of Covid-19, the most relevant model is SEIR, where from susceptible, individuals become exposed, progress to infective and after seeking treatment, recovers. Since the disease is fast spreading, and can show symptoms within a short period, and due to limitation in testing capacity, the term susceptible in our model represents the sampled size for testing. Recruitment into this class represents the testing rate. Above has a dotted line joining the recovered individuals back to the susceptible This represents the proportion that become re-infected upon waning of temporary immunity acquired after the first infection. This applies to Covid-19 too, but modification is required to capture additional dynamics witnessed by Covid-19

Model Formulation
Model Variables and Parameters
Model Parameters
Model Assumptions
Analytic Solutions
Sensitivity Analysis of Mitigation Strategies
Numerical Simulations
Simulation of Covid-19 in Absence of Intervention
Sensitivity Analysis of Intervention Strategies
Social Distance and Face mask Efficiency
Conclusion
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