The Signature Features of COVID‐19 Pandemic in a Hybrid Mathematical Model—Implications for Optimal Work–School Lockdown Policy

Background: The coronavirus disease 2019 (COVID-19) first identified in China, spreads rapidly across the globe and is considered the fastest moving pandemic in history. The new disease has challenged policymakers and scientists on key issues such as the magnitude of the first-time problem, the susceptibility of the population, the severity of the disease, and its symptoms. Most countries have adopted lockdown policies to reduce the spatial spread of COVID-19, but they have damaged the economic and moral fabric of society. Timely action to prevent the spread of the virus is critical, and mathematical modeling in non-pharmaceutical intervention (NPI) policy management has proven to be a major weapon in this fight due to the lack of an effective COVID-19 vaccine. Methods: We present a new hybrid model for COVID-19 dynamics using both an age-structured mathematical model and spatio-temporal model in silico, analyzing the data of COVID-19 in Israel. The age-structured mathematical model is based on SIRD two age-class model. The spatial model examines a circle of day and night (with one-hour resolution) and three main locations (work / school or home) for every individual. Results: We determine mathematically the basic reproduction number ( R_0 ) via the next-generation matrix based on Markov chain theory. Then, we analyze the stability of the equilibria and the effects of the significant differences in infection rates between children and adults. Using the hybrid model, we have introduced a method for estimating the reproduction number of an epidemic in real time from the data of daily notification of cases. The results of the proposed model are confirmed by the Israeli Lockdown experience with a mean square error of 0.205 over two weeks. The model was able to predict changes in ( R_0 ) by opening schools on September 1, 2020, resulting in ( R_0 ) = 2.2, which entailed a month quarantine of all areas of life. According to the model, by extending the school day to 9 hours, and assuming that children and adults go to school and work every day (except weekends), we get a significant reduction in ( R_0 ) of 1.45. Finally, model-based analytical-numerical results are obtained and displayed in graphical profiles. Conclusions: The use of mathematical models promises to reduce the uncertainty in the choice of Lockdown policies. Our unique use of contact details from 2 classes (children and adults), the interaction of populations depending on the time of day (the cycle of day and night), and several physical locations, allowed a new look at the differential dynamics of the spread and control of infection. Using knowledge about how the length of the work and school day affects the dynamics of the spread of the disease can be useful for improving control programs, mitigation, and policy.

[1]  W. O. Kermack,et al.  A contribution to the mathematical theory of epidemics , 1927 .

[2]  M. Heath Numerical Methods for Large Sparse Linear Least Squares Problems , 1984 .

[3]  J. Navarro-Pedreño Numerical Methods for Least Squares Problems , 1996 .

[4]  Åke Björck,et al.  Numerical methods for least square problems , 1996 .

[5]  J. Watmough,et al.  Reproduction numbers and sub-threshold endemic equilibria for compartmental models of disease transmission. , 2002, Mathematical biosciences.

[6]  Svetlana Bunimovich-Mendrazitsky,et al.  Modeling polio as a disease of development. , 2005, Journal of theoretical biology.

[7]  Eric D. Heggestad,et al.  Polynomial Regression with Response Surface Analysis: A Powerful Approach for Examining Moderation and Overcoming Limitations of Difference Scores , 2010 .

[8]  Faryad Darabi Sahneh,et al.  Epidemic spread in human networks , 2011, IEEE Conference on Decision and Control and European Control Conference.

[9]  L. Stone,et al.  Modelling seasonal influenza in Israel. , 2011, Mathematical biosciences and engineering : MBE.

[10]  Jiaquan Xu,et al.  Deaths: Final Data for 2012. , 2015, National vital statistics reports : from the Centers for Disease Control and Prevention, National Center for Health Statistics, National Vital Statistics System.

[11]  Joel C. Miller,et al.  Mathematical models of SIR disease spread with combined non-sexual and sexual transmission routes , 2016, bioRxiv.

[12]  J. Martin,et al.  Births: Final Data for 2018. , 2019, National vital statistics reports : from the Centers for Disease Control and Prevention, National Center for Health Statistics, National Vital Statistics System.

[13]  E. Arias,et al.  Deaths: Final Data for 2017. , 2019, National vital statistics reports : from the Centers for Disease Control and Prevention, National Center for Health Statistics, National Vital Statistics System.

[14]  Liangrong Peng,et al.  Rational evaluation of various epidemic models based on the COVID-19 data of China , 2020, Epidemics.

[15]  V. Colizza,et al.  Impact of lockdown on COVID-19 epidemic in Île-de-France and possible exit strategies , 2020, BMC Medicine.

[16]  David N. Fisman,et al.  Mathematical modelling of COVID-19 transmission and mitigation strategies in the population of Ontario, Canada , 2020, Canadian Medical Association Journal.

[17]  N. Linton,et al.  Estimation of the asymptomatic ratio of novel coronavirus infections (COVID-19) , 2020, International Journal of Infectious Diseases.

[18]  Amit N. Patel,et al.  Cardiovascular Disease, Drug Therapy, and Mortality in Covid-19 , 2020, The New England journal of medicine.

[19]  Yuxin Shi,et al.  Clinical progression of patients with COVID-19 in Shanghai, China , 2020, Journal of Infection.

[20]  K. Garikipati,et al.  Correction to: System inference for the spatio-temporal evolution of infectious diseases: Michigan in the time of COVID-19 , 2020, Computational mechanics.

[21]  Buse Eylul Oruc,et al.  Homebound by COVID19: the benefits and consequences of non-pharmaceutical intervention strategies , 2020, BMC Public Health.

[22]  S. Lo,et al.  A familial cluster of pneumonia associated with the 2019 novel coronavirus indicating person-to-person transmission: a study of a family cluster , 2020, The Lancet.

[23]  D. Gurwitz,et al.  Effects of age and sex on recovery from COVID-19: Analysis of 5769 Israeli patients , 2020, Journal of Infection.

[24]  Lanjuan Li,et al.  Early antiviral treatment contributes to alleviate the severity and improve the prognosis of patients with novel coronavirus disease (COVID‐19) , 2020, Journal of internal medicine.

[25]  Zhongyi Jiang,et al.  Epidemiology of COVID-19 Among Children in China , 2020, Pediatrics.

[26]  Bernard Harmegnies,et al.  Clinical and epidemiological characteristics of 1420 European patients with mild‐to‐moderate coronavirus disease 2019 , 2020, Journal of internal medicine.

[27]  Zhongyi Jiang,et al.  Epidemiology of COVID-19 Among Children in China , 2020, Pediatrics.

[28]  Wenjun Liu,et al.  COVID‐19 epidemic: Disease characteristics in children , 2020, Journal of Medical Virology.

[29]  Eurosurveillance Editorial Team,et al.  Note from the editors: World Health Organization declares novel coronavirus (2019-nCoV) sixth public health emergency of international concern , 2020, Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin.

[30]  Krishna Garikipati,et al.  System inference for the spatio-temporal evolution of infectious diseases: Michigan in the time of COVID-19 , 2020, Computational Mechanics.

[31]  Gourav Dey,et al.  Artificial Intelligence (AI) Provided Early Detection of the Coronavirus (COVID-19) in China and Will Influence Future Urban Health Policy Internationally , 2020, AI.

[32]  I. Nesteruk Statistics-Based Predictions of Coronavirus Epidemic Spreading in Mainland China , 2020 .

[33]  S. Halperin,et al.  COVID-19 in children: the link in the transmission chain , 2020, The Lancet Infectious Diseases.

[34]  Zunyou Wu,et al.  Characteristics of and Important Lessons From the Coronavirus Disease 2019 (COVID-19) Outbreak in China: Summary of a Report of 72 314 Cases From the Chinese Center for Disease Control and Prevention. , 2020, JAMA.

[35]  L. Stone,et al.  Imitation dynamics in the mitigation of the novel coronavirus disease (COVID-19) outbreak in Wuhan, China from 2019 to 2020 , 2020, Annals of translational medicine.

[36]  Buse Eylul Oruc,et al.  Evaluating scenarios for school reopening under COVID19 , 2020, BMC Public Health.

[37]  P. Brémaud Non-homogeneous Markov Chains , 2020 .

[38]  Thomas E. Yankeelov,et al.  Simulating the spread of COVID-19 via a spatially-resolved susceptible–exposed–infected–recovered–deceased (SEIRD) model with heterogeneous diffusion , 2020, Applied Mathematics Letters.

[39]  L. Mayorga,et al.  COVID-19 lockdown: if, when and how , 2020, medRxiv.

[40]  Xiangshi Wang,et al.  A Case Series of children with 2019 novel coronavirus infection: clinical and epidemiological features , 2020, Clinical infectious diseases : an official publication of the Infectious Diseases Society of America.

[41]  M. R. Ferrández,et al.  Mathematical modeling of the spread of the coronavirus disease 2019 (COVID-19) taking into account the undetected infections. The case of China , 2020, Communications in Nonlinear Science and Numerical Simulation.