Modeling COVID-19 pandemic using Bayesian analysis with application to Slovene data

In the paper, we propose a semiparametric framework for modeling the COVID-19 pandemic. The stochastic part of the framework is based on Bayesian inference. The model is informed by the actual COVID-19 data and the current epidemiological findings about the disease. The framework combines many available data sources (number of positive cases, number of patients in hospitals and in intensive care, etc.) to make outputs as accurate as possible and incorporates the times of non-pharmaceutical governmental interventions which were adopted worldwide to slow-down the pandemic. The model estimates the reproduction number of SARS-CoV-2, the number of infected individuals and the number of patients in different disease progression states in time. It can be used for estimating current infection fatality rate, proportion of individuals not detected and short term forecasting of important indicators for monitoring the state of the healthcare system. With the prediction of the number of patients in hospitals and intensive care units, policy makers could make data driven decisions to potentially avoid overloading the capacities of the healthcare system. The model is applied to Slovene COVID-19 data showing the effectiveness of the adopted interventions for controlling the epidemic by reducing the reproduction number of SARS-CoV-2. It is estimated that the proportion of infected people in Slovenia was among the lowest in Europe (0.350%, 90% CI [0.245-0.573]%), that infection fatality rate in Slovenia until the end of first wave was 1.56% (90% CI [0.94-2.21]%) and the proportion of unidentified cases was 88% (90% CI [83-93]%). The proposed framework can be extended to more countries/regions, thus allowing for comparison between them. One such modification is exhibited on data for Slovene hospitals.

[1]  Smriti Mallapaty,et al.  How deadly is the coronavirus? Scientists are close to an answer , 2020, Nature.

[2]  Mario Santana-Cibrian,et al.  Modeling behavioral change and COVID-19 containment in Mexico: A trade-off between lockdown and compliance , 2020, Mathematical Biosciences.

[3]  Cécile Viboud,et al.  Age profile of susceptibility, mixing, and social distancing shape the dynamics of the novel coronavirus disease 2019 outbreak in China , 2020, medRxiv.

[4]  Yan Bai,et al.  Presumed Asymptomatic Carrier Transmission of COVID-19. , 2020, JAMA.

[5]  Philip D O'Neill,et al.  A tutorial introduction to Bayesian inference for stochastic epidemic models using Markov chain Monte Carlo methods. , 2002, Mathematical biosciences.

[6]  R Core Team,et al.  R: A language and environment for statistical computing. , 2014 .

[7]  Ziga Zaplotnik,et al.  Simulation of the COVID-19 pandemic on the social network of Slovenia: estimating the intrinsic forecast uncertainty , 2020, ArXiv.

[8]  R. Blagus,et al.  Estimation of the reproductive number and the outbreak size of SARS-CoV-2 in Slovenia , 2020 .

[9]  Linhao Linhao Zhong Zhong,et al.  Early Prediction of the 2019 Novel Coronavirus Outbreak in the Mainland China Based on Simple Mathematical Model , 2020, Ieee Access.

[10]  X. Tang,et al.  Clinical and immunological assessment of asymptomatic SARS-CoV-2 infections , 2020, Nature Medicine.

[11]  Ruiyun Li,et al.  Substantial undocumented infection facilitates the rapid dissemination of novel coronavirus (SARS-CoV-2) , 2020, Science.

[12]  Christl A. Donnelly,et al.  Report 2: Estimating the potential total number of novel Coronavirus cases in Wuhan City, China , 2020 .

[13]  G. Leung,et al.  Nowcasting and forecasting the potential domestic and international spread of the 2019-nCoV outbreak originating in Wuhan, China: a modelling study , 2020, The Lancet.

[14]  M. Graffar [Modern epidemiology]. , 1971, Bruxelles medical.

[15]  N. Sporn,et al.  COVID-19 outbreak at a large homeless shelter in Boston: Implications for universal testing , 2020, medRxiv.

[16]  Aki Vehtari,et al.  Practical Bayesian model evaluation using leave-one-out cross-validation and WAIC , 2015, Statistics and Computing.

[17]  Zhilan Feng,et al.  Staggered release policies for COVID-19 control: Costs and benefits of relaxing restrictions by age and risk , 2020, Mathematical Biosciences.

[18]  F. Piazza,et al.  Analysis and forecast of COVID-19 spreading in China, Italy and France , 2020, Chaos, Solitons & Fractals.

[19]  C. Macken,et al.  Mitigation strategies for pandemic influenza in the United States. , 2006, Proceedings of the National Academy of Sciences of the United States of America.

[20]  L. Meyers,et al.  Risk for Transportation of Coronavirus Disease from Wuhan to Other Cities in China , 2020, Emerging infectious diseases.

[21]  C. Althaus,et al.  Pattern of early human-to-human transmission of Wuhan 2019 novel coronavirus (2019-nCoV), December 2019 to January 2020 , 2020, Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin.

[22]  David B. Dunson,et al.  Bayesian Data Analysis , 2010 .

[23]  Eric J Topol,et al.  Prevalence of Asymptomatic SARS-CoV-2 Infection , 2020, Annals of Internal Medicine.

[24]  G. Chowell,et al.  Estimating the asymptomatic proportion of coronavirus disease 2019 (COVID-19) cases on board the Diamond Princess cruise ship, Yokohama, Japan, 2020 , 2020, Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin.

[25]  C.Y. Hsu,et al.  Analysis of household data on influenza epidemic with Bayesian hierarchical model , 2014, Mathematical Biosciences.

[26]  Alessandro Vespignani,et al.  Modeling the spatial spread of infectious diseases: The GLobal Epidemic and Mobility computational model , 2010, J. Comput. Sci..

[27]  T. Britton,et al.  Statistical studies of infectious disease incidence , 1999 .

[28]  Theodore Kypraios,et al.  A tutorial introduction to Bayesian inference for stochastic epidemic models using Approximate Bayesian Computation. , 2017, Mathematical biosciences.

[29]  S. Bhatt,et al.  Estimating the effects of non-pharmaceutical interventions on COVID-19 in Europe , 2020, Nature.