The SARS-CoV-2 leads to a worldwide COVID-19 pandemic, which has caused tremendous damage to the world. In this paper, we develop a dynamic model in vivo, fitting and estimating parameters for T lymphocytes and pro-inflammatory cytokines IL-6 in patients with mild and severe COVID-19 at Yale New Haven Hospital through the GWMCMC algorithm. Meanwhile, we also analyze the structural identifiability and practical identifiability of the model. Further, we add time-varying parameters to the model, using the least squares method to perform data fitting and parameter estimation on survivors and non-survivors of the Italian infectious disease hospital. Then analyze the similarities and differences in immune response mechanisms between the two countries. Finally, we demonstrate the existence and stability of the equilibrium state of the model and analyze the Hopf bifurcation at the positive equilibrium state by using the central manifold theory and normal form theory. This result may explain the recurrence of infection in some COVID-19 patients.
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