Optimal Immunity Control and Final Size Minimization by Social Distancing for the SIR Epidemic Model

The aim of this article is to understand how to apply partial or total containment to SIR epidemic model during a given finite time interval in order to minimize the epidemic final size, that is the cumulative number of cases infected during the complete course of an epidemic. The existence and uniqueness of an optimal strategy are proved for this infinite-horizon problem, and a full characterization of the solution is provided. The best policy consists in applying the maximal allowed social distancing effort until the end of the interval, starting at a date that is not always the closest date and may be found by a simple algorithm. Both theoretical results and numerical simulations demonstrate that it leads to a significant decrease in the epidemic final size. We show that in any case the optimal intervention has to begin before the number of susceptible cases has crossed the herd immunity level, and that its limit is always smaller than this threshold. This problem is also shown to be equivalent to the minimum containment time necessary to stop at a given distance after this threshold value.

[1]  Pierre-Alexandre Bliman,et al.  How best can finite-time social distancing reduce epidemic final size? , 2020, Journal of Theoretical Biology.

[2]  H. Behncke Optimal control of deterministic epidemics , 2000 .

[3]  Joshua B. Plotkin,et al.  Optimal, near-optimal, and robust epidemic control , 2020, Communications Physics.

[4]  P. Manfredi,et al.  Modeling the interplay between human behavior and the spread of infectious diseases , 2013 .

[5]  Bruno Buonomo,et al.  Optimal public health intervention in a behavioural vaccination model: the interplay between seasonality, behaviour and latency period. , 2018, Mathematical medicine and biology : a journal of the IMA.

[6]  Jianhong Wu,et al.  Optimal isolation strategies of emerging infectious diseases with limited resources. , 2013, Mathematical biosciences and engineering : MBE.

[7]  Luca Bolzoni,et al.  Optimal control of epidemic size and duration with limited resources. , 2019, Mathematical biosciences.

[8]  Jianhong Wu,et al.  Optimal Treatment Profile During an Influenza Epidemic , 2013 .

[9]  K. Wickwire Optimal immunization rules for an epidemic with recovery , 1977 .

[10]  Troy Day,et al.  Optimal control of epidemics with limited resources , 2011, Journal of mathematical biology.

[11]  P. Manfredi,et al.  Optimal time-profiles of public health intervention to shape voluntary vaccination for childhood diseases , 2018, Journal of Mathematical Biology.

[12]  Igor D. Kolesin,et al.  Optimization of immunocorrection of collective immunity , 2016, Autom. Remote. Control..

[13]  M. T. Angulo,et al.  A simple criterion to design optimal nonpharmaceutical interventions for epidemic outbreaks , 2020, medRxiv.

[14]  Yinggao Zhou,et al.  Optimal vaccination policy and cost analysis for epidemic control in resource-limited settings , 2015, Kybernetes.

[15]  M. Iannelli,et al.  Optimal Screening in Structured SIR Epidemics , 2012 .

[16]  Luca Bolzoni,et al.  Time-optimal control strategies in SIR epidemic models , 2017, Mathematical Biosciences.

[17]  G. Katriel The size of epidemics in populations with heterogeneous susceptibility , 2012, Journal of mathematical biology.

[18]  A. Abakuks An optimal isolation policy for an epidemic , 1973, Journal of Applied Probability.

[19]  E. Labriji,et al.  Free terminal Time Optimal Control Problem of an SIR Epidemic Model with Vaccination , 2014 .

[20]  Holly Gaff,et al.  Optimal control applied to vaccination and treatment strategies for various epidemiological models. , 2009, Mathematical biosciences and engineering : MBE.

[21]  Facundo Piguillem,et al.  Optimal Covid-19 Quarantine and Testing Policies , 2020, The Economic Journal.

[22]  G. Blasio A synthesis problem for the optimal control of epidemics , 1980 .

[23]  D. Earn,et al.  Generality of the Final Size Formula for an Epidemic of a Newly Invading Infectious Disease , 2006, Bulletin of mathematical biology.

[24]  S. Moghadas,et al.  Optimality of a time-dependent treatment profile during an epidemic , 2013, Journal of biological dynamics.

[25]  T. Déirdre Hollingsworth,et al.  Mitigation Strategies for Pandemic Influenza A: Balancing Conflicting Policy Objectives , 2011, PLoS Comput. Biol..

[26]  L. Bobisud Optimal control of a deterministic epidemic , 1977 .

[27]  X. Zou,et al.  OPTIMAL VACCINATION STRATEGIES FOR AN INFLUENZA EPIDEMIC MODEL , 2013 .

[28]  K. H. Wickwire,et al.  On the optimal control of a deterministic epidemic , 1974, Advances in Applied Probability.

[29]  A. Abakuks Optimal immunisation policies for epidemics , 1974, Advances in Applied Probability.

[30]  David Greenhalgh,et al.  Some results on optimal control applied to epidemics , 1988 .

[31]  H. Hermes,et al.  Foundations of optimal control theory , 1968 .

[32]  W. O. Kermack,et al.  Contributions to the mathematical theory of epidemics—I , 1991, Bulletin of mathematical biology.

[33]  Viggo Andreasen,et al.  The Final Size of an Epidemic and Its Relation to the Basic Reproduction Number , 2011, Bulletin of mathematical biology.

[34]  J. Lessler,et al.  Estimating the burden of SARS-CoV-2 in France , 2020, Science.

[35]  K. H. Wickwire,et al.  Optimal isolation policies for deterministic and stochastic epidemics , 1975 .

[36]  Gabriel Turinici,et al.  Global optimal vaccination in the SIR model: properties of the value function and application to cost-effectiveness analysis. , 2015, Mathematical biosciences.

[37]  Joel C. Miller,et al.  A Note on the Derivation of Epidemic Final Sizes , 2012, Bulletin of mathematical biology.

[38]  E. Shim Optimal dengue vaccination strategies of seropositive individuals. , 2019, Mathematical biosciences and engineering : MBE.