Manotosh Mandal1,2, Soovoojeet Jana3, Swapan Kumar Nandi4, Anupam Khatua2, Sayani Adak3, T K Kar2. 1. Department of Mathematics, Tamralipta Mahavidyalaya, Tamluk 721636, West Bengal, India. 2. Department of Mathematics, Indian Institute of Engineering Science and Technology, Shibpur, Howrah 711103, India. 3. Department of Mathematics, Ramsaday College, Amta, Howrah, 711401, West Bengal, India. 4. Nayabasat P. M. Sikshaniketan, Paschim Medinipur 721253, West Bengal, India.
Abstract
As there is no vaccination and proper medicine for treatment, the recent pandemic caused by COVID-19 has drawn attention to the strategies of quarantine and other governmental measures, like lockdown, media coverage on social isolation, and improvement of public hygiene, etc to control the disease. The mathematical model can help when these intervention measures are the best strategies for disease control as well as how they might affect the disease dynamics. Motivated by this, in this article, we have formulated a mathematical model introducing a quarantine class and governmental intervention measures to mitigate disease transmission. We study a thorough dynamical behavior of the model in terms of the basic reproduction number. Further, we perform the sensitivity analysis of the essential reproduction number and found that reducing the contact of exposed and susceptible humans is the most critical factor in achieving disease control. To lessen the infected individuals as well as to minimize the cost of implementing government control measures, we formulate an optimal control problem, and optimal control is determined. Finally, we forecast a short-term trend of COVID-19 for the three highly affected states, Maharashtra, Delhi, and Tamil Nadu, in India, and it suggests that the first two states need further monitoring of control measures to reduce the contact of exposed and susceptible humans.
As there is no vaccination and proper medicine for treatment, the recent pandemic caused by COVID-19 has drawn attention to the strategies of quarantine and other governmental measures, like lockdown, media coverage on social isolation, and improvement of public hygiene, etc to control the disease. The mathematical model can help when these intervention measures are the best strategies for disease control as well as how they might affect the disease dynamics. Motivated by this, in this article, we have formulated a mathematical model introducing a quarantine class and governmental intervention measures to mitigate disease transmission. We study a thorough dynamical behavior of the model in terms of the basic reproduction number. Further, we perform the sensitivity analysis of the essential reproduction number and found that reducing the contact of exposed and susceptible humans is the most critical factor in achieving disease control. To lessen the infected individuals as well as to minimize the cost of implementing government control measures, we formulate an optimal control problem, and optimal control is determined. Finally, we forecast a short-term trend of COVID-19 for the three highly affected states, Maharashtra, Delhi, and Tamil Nadu, in India, and it suggests that the first two states need further monitoring of control measures to reduce the contact of exposed and susceptible humans.
Keywords:
Bang-bang and singular control; Basic reproduction number; Short term prediction of COVID-19; Theoretical epidemiology; Transcritical bifurcation
The recent pandemic, which is commonly known as COVID-19, is an infectious disease caused by the virus, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). In late December 2019, the diseaseCOVID-19 was first identified in Wuhan, the capital Hubei province, China, and causing the first pandemic of this century. Since the start of the year 2020, the infectious diseaseCOVID-19 has started to spread globally and resulting in almost three million positive cases till today (till 27th April, 2020 there with about one million closed cases having a 20% death rate). As we understand, the disease COVID-19 has become a pandemic due to several reasons. Some of them are (i) unavailability of both suitable vaccine and exact medicine, (ii) high disease transmission rate, and (iii) the precise nature of the virus SARS-CoV-2 being still unknown. As many as 210 countries and territories around the globe have been suffering from COVID-19 today [see [16]].The primary step taken by most of the governmental agencies to control COVID-19 is the implementation of lockdown to maintain social distance. This procedure is an excellent measure to control the spreading of the disease. Still, from an economic point of view, the complete lockdown may be the cause of a significant financial crisis for the near future. In particular, lockdown in high dense countries may reduce the disease transmission rate, although complete control may not be achievable. Hence to alive the economic status of a country, a full lockdown for an indefinite period is not desirable at all in any circumstances. Therefore there should be a suitable balance between the two different characteristics of governmental policies complete lockdown and healthy free conditions.Therefore, in the present scenario, a qualitative analysis of COVID-19 is more significant compare to quantitative analysis. Hence a suitable mathematical model would not only able to represent the whole disease system but also the study of the model would undoubtedly derive the precise nature of the disease. It may forecast the behavioral aspect of the disease shortly. Although the primitive mathematical models on theoretical epidemiology (see Bernoulli [1], Hamer [13], Ross [40]. Kermack and McKendric [24], etc) look quite simple, still, from a new perspective, those works are the major works on mathematical epidemiology. With the advancement of computational tools and software, we can develop a complex mathematical model and analyze it thoroughly in a scientific manner. In the history of literature, we see that many model-based studies have successfully achieved the global dynamics of the corresponding infectious disease (see the references Keeling and Rohani [23], Wang and Zhao [41], Buonomo et al. [3], Zhou et al. [43], Jana et al. [18], [20], Li et al. [29], Zegarra and Hernandez [42] etc).According to the information received, it may take around one week to two weeks for the exposure of symptoms of COVID-19 of an infected person, although during this period, that person able to infect other susceptible persons. However, there may be some infectedpersons whose infection is so mild that the person would recover due to innate immunity even before the hospitalization. Thus in this article, by the term ’infected’ person, we will mean those persons who are hospitalized. Further, we assume that the medical personals assisting COVID-19 positive hospitalized individuals have taken necessary protective items. Thus to keep simplicity, we believe that only exposed persons and asymptomatic infectedpersons can spread the disease. Still, the infectedpersons who are hospitalized in due course are not spreading the virus. Although the effect of COVID-19 started not more than six months ago, some significant works have already been done or are undergoing to expose COVID-19 with the help of suitable mathematical models. Kucharski et al. [26] have proposed a mathematical model-based analysis of COVID-19, where the authors have considered all the positive cases of Wuhan, China, till 5th March 2020. In another recent work, Ndairou et al. [35] have presented an autonomous system of mathematical model to study the spread of COVID-19 in the Wuhan city, China. Using mathematical modeling, Prem et al. [38] have analyzed the controlling status of COVID-19 of Wuhan city. Hellewell et al. [15] have described the effective procedure of COVID-19 disease using isolation. In another work, Mizumoto and Chowell [33] have studied the transmission dynamics of COVID-19 in the international conveyance, Diamond Princess Cruises Ship. The basic reproduction number is an important parameter to analyze the nature of an infectious disease. In their work, Liu et al. [30] have investigated the possible numerical value of the basic reproduction number of COVID-19. In a recent article, Fanelli and Piazza [7] have analyzed and predicted the nature of COVID-19 in three most affected countries till March 2020 with the help of mathematical modelling. Ribeiro et al. [39] have used some stochastic based regression models to forecast the phenomena in as many as ten most affected states of Brazil. In other recent work, Chakraborty and Ghosh [4] have considered a hybrid ARIMA-WBF model to forecast various COVID-19 affected countries throughout the globe.Since the nature and destruction of COVID-19 depends on various parameters (namely personal immunity, history of visiting into a COVID-19 pandemic country, maintaining the required hygiene, etc.) of the affected system, using a single model we cannot describe the whole disease system throughout the globe. Addition of detail and complexity can make models more accurate but this also complicates their mathematics. However, even this kind of simple model is very helpful when formal vaccination or proper treatment control is not available. Motivated by this, in the present paper, we propose a mathematical model introducing a quarantine class and governmental intervention measures like lockdown, media coverage on social distancing, and improvement of public hygiene, etc to mitigate disease transmission. The main purpose of this work is to explore the role of quarantine and the governmental intervention strategies on COVID-19 control and elimination. We study a thorough dynamical behavior of the model in terms of the basic reproduction number. Further, we perform the sensitivity analysis of the essential reproduction number and found that reducing the contact of exposed and susceptible humans is the most critical factor in achieving disease control. To lessen the infected individuals as well as to minimize the cost of implementing government control measures, we formulate an optimal control problem, and optimal control is determined. Finally, we predict a short-term trend of COVID-19 for the three most affected states, Maharashtra, Delhi, and Tamil Nadu in India, and it suggests that the first two states need further monitoring of control measures to reduce the contact of exposed and susceptible humans.The rest portion of this paper has been organized in the following way: In Section 2, we describe the theoretical analysis of the article, which includes the basic reproduction number, existence, and asymptotic stability criteria of the two equilibria, namely disease-free and endemic equilibrium point. In Section 3, we formulate an optimal control problem and solve the problem analytically. In Section 4, we provide some numerical examples to illustrate the theoretical counterparts. Next, in Section 5, we consider real-world examples on COVID-19 of three most COVID-19 affected states in India and derive some short term forecasting based on the proposed model. In the final section, we provide a thorough discussion of our article.
Model formulation
In this section, we formulate a mathematical model on COVID-19 based on some realistic assumptions. At any time instant t, the human populations are subdivided into five time-dependent classes, namely Susceptible S(t), Exposed E(t), Hospitalized infected I(t), Quarantine Q(t) and Recovered or Removed R(t). Based on those five state variables, we aim to form an autonomous system using first-order differential equations. Let A be the constant recruitment rate to the susceptible population, and β be the disease transmission rate. However the disease transmission from vulnerable to infectedpersons (here the class E) depends on several parameters, namely, precautions (use of face mask, social distancing, not rubbing face and nose using hand, etc.) and hygienic environment (use of soap and sanitizer, hand washing, cleaning, etc.) taken by both susceptible as well as infectedpersons. Since here, we have assumed that the virus of COVID-19 is spreading when a vulnerable person comes into contact with an exposed person; therefore we think that ρ
1(0 < ρ
1 < 1) portion of susceptible human would maintain proper precaution measure and ρ
2(0 < ρ
2 < 1) portion of the exposed class would take proper precaution measure for disease transmission (i.e., use of face mask, social distancing and implementing hygiene). Therefore the disease can only be transmitted to the portion of susceptible individuals due to the contact of portion of exposed individuals with a bi-linear disease transmission rate β. We know that a person is whether infected by the SARS-CoV-2 virus or not can be clinically detected using RT-PCR examination and a person with negative results in the RT-PCR test may still be COVID-19 positive as it may take some days (from 7 to 21 days) to express infection. Therefore, the portion with positive COVID-19 of the class of population E is considered as infected, and they are hospitalized. Let α and b
2 be the portions of the exposed class goes to the infected class and quarantine class, respectively. It should be noted that since it would take quite a long time to get the output of the RT-PCR test, and sometimes it requires more than one RT-PCR analysis for a single person for confirmation of COVID-19. Let among the quarantine classes of populations, cQ portion of communities move to infected level, and the b
1
Q part would become susceptible to the disease after the quarantine period. Let η and σ be respectively recovery rate of the hospitalized infected populations I and exposed class E. Let d be the natural death rate, which is common to all classes of communities and δ be the COVID-19 induced death rate. Also, it is statistically observed a person once recovered from the disease COVID-19 has very little chance to become infected again for the same disease. Hence, we assume that no portion of the recovered population moves to the susceptible class back. Also, in the formulation of a mathematical model, we understand that the people of the hospitalized infected class (i.e., I(t)) would not be spreading the disease or spreading a negligible amount of disease since they are kept completely isolated from the susceptible individuals. However, to control the pandemic COVID-19, suitable governmental measures (like complete or semi lockdown, rationing system, continue media coverage on social isolation and improvement of public hygiene, home deliveries of essential commodities, to make an alternate source of income for job-losers during the lockdown, etc.) have been implemented by the various governmental and non-governmental agencies. Thus this policy may be considered as one of the effective control tools, and mainly the susceptible population of COVID-19 cases would be benefited due to this policy. Mathematically we represent this policy by the parameter M and let this policy be implemented at a rate p. Therefore due to the implementation of this policy, the portion, pSM moves from susceptible to the recovered or removed class (R(t)). It should be noted that usually, the parameter M should be time-dependent as for the optimum result, the policy should be applied according to the necessity of the situation and keeping a proper balance between two different states, namely lockdown and complete free state. However, in the qualitative analysis of this model, we assume the parameter M as time-independent, but in formulating an optimal control problem to keep the infected individuals at the minimum level, M is assumed as a time-dependent control M(t), where indeed 0 ≤ M(t) ≤ 1. Based on the above assumptions, we present a schematic diagram of the proposed COVID-19 system in Fig. 1
. Further, based on the above-stated assumptions and the flow diagram of COVID-19, we formulate an autonomous a dynamical system consisting of five first-order differential equations shown as below:
Fig. 1
Flow diagram of disease transmission.
Flow diagram of disease transmission.On the basis of above stated assumptions and the flow diagram of COVID-19, we formulated an autonomous dynamical system consisting of five first order differential equations shown as below:The initial condition of the system (1) are S(0) ≥ 0, E(0) ≥ 0, Q(0) ≥ 0, I(0) ≥ 0, R(0) ≥ 0.
Analysis of the system for fixed control
In this section we assume the fixed value for control parameter M. Here we mainly study the uniformly boundedness of the solutions and subsequently the basic reproduction number, different equilibria and their stability criteria, sensitivity etc.
Boundedness of the system
Here we examine the boundedness property of the system (1).The solutions of the system
(1)
are uniformly bounded.We assume thatTherefore
Integrating the above inequality and by applying the theorem of differential equation due to Birkhoff and Rota [2], we getNow for t → ∞,Hence all the solutions of (1) that are initiating in are confined in the regionfor any ϵ > 0 and for t → ∞. Hence the theorem. □
Basic reproduction number
In any epidemic model, the basic reproduction number is the most important epidemiological parameter for determining the nature of a disease. Generally, it is denoted by R
0 and is defined as the “number of secondary infected individuals caused by single infected individuals in the whole time interval” (see, van den Driessche and Watmough [6]). Therefore the dimensionless quantity R
0 refers as the expectation of the spreading disease.In literature, several techniques are available to evaluate R
0 for an epidemic spread. In our present research article we use the next generation matrix approach [5], [9], [22]. Now the classes which are directly involved for spread of disease is only E, Q, I. Therefore from system (1) we haveThe above system can be written as whereIt is clear from the system (1) that is a disease free equilibrium. Now the Jacobian matrix of Φ and Ψ at the disease free equilibrium are respectively given by, andThe basic reproduction number (R
0) is the spectral radius of the of the matrix and for the present model it is given by
Equilibria
The system has two possible equilibria. One is disease free equilibrium point, where infection vanishes from the system. It is given by E
0(S
0, 0, 0, 0, R
0), where
. The other equilibrium point is E
1(S*, E*, Q*, I*, R*), where infection is always present in the system is called endemic equilibria, where.Note It is observed from the expression of the above two equilibrium point is that the disease free equilibrium E
0 is always feasible but the endemic equilibrium E
1 is feasible if R
0 > 1.
Stability analysis
In the present section we investigate the local asymptotic stability criteria of the different equilibria.The disease free equilibrium E
0
is locally asymptotically stable if R
0 < 1 and it is unstable if R
0 > 1.The Jacobian matrix at the disease free equilibrium of the system (1) is given byNow the characteristic equation of the system (1) at its disease free equilibrium is given byClearly all the eigen value of the Jacobian matrix are negative if and only if R
0 < 1. Hence the system is locally asymptotically stable if R
0 < 1 and it is unstable if R
0 > 1. Hence the theorem. □Note Here we see that the disease free equilibrium E
0 losses its stability when the R
0 increases to its value greater than 1. So, we may conclude that at R
0 the system (1) passes through a bifurcation around its disease free equilibrium which are discussed in the next theorem..The system
(1)
passes through a transcritical bifurcation around its disease free equilibrium whenFrom the above analysis, it has been observed that when R
0 < 1 between the two equilibria, only the disease free equilibrium exists and locally asymptotically stable where as R
0 > 1 is the threshold condition for both existence and asymptotic stability criteria of the endemic equilibrium point although the disease free equilibrium reduces to unstable nature at the threshold R
0 > 1. Hence we may conclude that there is change of feasibility as well as stability occurs at Following the articles Gukenheimer and Holmes [12], Kar and Jana [21], Jana et al. [19] etc, it is concluded that the system undergoes a transcritical bifurcation at and in Fig. 4, we represent graphically the phenomenon of transcritical bifurcation. □
Fig. 4
The transcritical bifurcation diagram depicts the exchange of stability at
Now we study the local asymptotic stability of the endemic equilibrium E
1.The Endemic equilibrium E
1 is locally asymptotically stable for RThe jacobian matrix for the system (1) is given by where,
The characteristic equation of the system (1) around its endemic equilibrium E
2 is whereIt is clear from the equation (5) that first two roots are negative real numbers and remaining roots are the roots of the cubic polynomial. It is also observe that here C
1, C
2, C
3 and all are positive for any parametric value. Hence following the Routh-Hurwitz criterion we may conclude that the system (1) is locally asymptotically stable around its endemic equilibrium E
1. □
Optimal control problem
Here we focus on the time varying control M(t), which represents the awareness due to media coverage. Now it is very important to find out a strategy which minimizes the number of infectedpersons as well as the associated cost. In this regard, the optimal control theory is a very powerful tool to figure out such policy. Therefore we consider the optimal control problem to minimize the objective functional. Following [27], [31], we construct the objective functional as follows: subject to the proposed model (1). The parameters c
1 and c
2 corresponds as the weight constraints for the infected population and the control respectively. Here the objective functional is linear in the control with bounded states. Therefore it can be be showed by using standard results that an optimal control and corresponding optimal states exist [8]. Now we need to find out the value of the optimal control M*(t) such thatwhere .Here we use the Pontryagin’s Maximum Principle [8], [28], [37] to derive the necessary conditions for our optimal control and corresponding states. The Lagrangian is given byThe Hamiltonian is defined as followsFor the optimal control M*(t), there exist adjoint variables, corresponding to the states S, E, Q, I ans R such that: where the adjoint variables satisfy the transversality conditionsWe minimize the Hamiltonian with respect to the control variable M*(t). Now, since the Hamiltonian is linear in the control parameter, so we consider if the optimal control is bang-bang or singular. First we find the switching function asNow the singular control occurs when the switching function vanishes on non-trivial interval of time. Also the optimal control would take its upper bound or its lower bound according as or > 0.Now to investigate the singular case, we assume that on some non-trivial interval. In this case we calculate .After some simplifications of the time derivative of we obtainUsing the equations of the system (2) and (5), we obtainWe observe that the control parameter M does not explicitly occur in the above expression, so next we calculate the second derivative with respect to time. where .Using the state and co-state equations of systems (1) and (9), we simplify the Eq. (14) and finally obtainThe above equation can be written in the form and then we can solve the singular control as provided Φ1(t) ≠ 0 and where andMoreover in order to satisfy the Generalized Legendre-Clebsch Condition for the singular control to be optimal, we require to be negative [25]. Therefore we summarize the control profile on a nontrivial interval in the following way:Hence the control is optimal provided Φ1(t) < 0 and .
Numerical simulation
We study numerical results in two different cases, first for fixed control and second when the control has been applied optimally. First, we consider the values of parameters in Table 1
, for numerical simulations. Since δ is the disease induced mortality rate and d is the natural death rate, hence δ > d. Using these parameters and the initial conditions as
Table 1
Description and values/ranges of parameters.
Parameters
Description
Value/Ranges
A
Total recruitment
50
β
Disease transmission rate
[0.5, 2.3]
ρ1
Portion of S contact with E
(0, 1)
ρ2
Portion of E contact with S
(0, 1)
d
Natural death rate
0.2
b1
The rate that Q becomes S
0.25
b2
The rate that E becomes quarantine
0.8
α
The rate that E becomes I
0.3
η
The rate that I becomes R naturally
0.25
σ
The rate that E becomes R naturally
0.2
c
The rate that Q becomes I
0.12
δ
The mortality rate for I
0.25
M
Policy parameter
0.8
p
Implementation rate of policy
0.78
Description and values/ranges of parameters.Fig. 2
verifies the numerical result when R
0 < 1 and in this case the solutions of the model (1) converge to the DFE, and Fig. 3
verifies when R
0 > 1 and the corresponding solutions of the model (1) converge to the EE, . These results are discussed in the Theorem 3.2 and Theorem 3.4. Further, in the Theorem 3.3, we have shown that the system (1) may undergo through a transcritical bifurcation at the threshold parametric condition Therefore in Fig. 4, we demonstrate the scenarios when and it has been observed that the model (1) possesses a transcritical bifurcation there.
Fig. 2
Dynamical behavior around DFE.
Fig. 3
Dynamical behavior around EE.
Dynamical behavior around DFE.Dynamical behavior around EE.The transcritical bifurcation diagram depicts the exchange of stability atWe now perform the sensitivity analysis to determine the higher and lower impact of some parameters on the basic reproduction number, R
0 and hence impact of such parameters on the dynamics of the proposed model (1). To perform the sensitivity analysis [22], we calculate the normalized forward sensitivity index of R
0 and these indices measures the relative change in a R
0 with respect to the relative change in its parameters (Table 1).The normalized forward sensitivity index of a function, F(x
1, x
2, ⋅⋅⋅, x), for x (1 ≤ i ≤ n), is defined as: .To find the sensitivity of R
0, we consider the parameters A, β, ρ
1, ρ
2, α, d, p, M, b
2, σ as R
0 is the functions of these parameters. The sensitivity index of R
0 with respect to the parameter β is given by . Similarly, we can find the sensitivity indices of R
0 with respect to the other parameters.Positive index indicates that R
0 is an increasing function of the corresponding parameter and negative index implies that R
0 is a decreasing function of that parameter. For example, as , it shows that if β is increased by 10% then the R
0 is also increased by 10%. Again, as implies that 10% increment in d will decrease R
0 by 4.09%. From Table 2
, we see that the most sensitive parameter which has positive impact on R
0 are the disease transmission rate β and recruitment rate A, and the parameters ρ
1, ρ
2 produce more negative impact on R
0, as compared to the parameters d, p, M, b
2, σ. We have shown this behavior in Fig. 5
.
Table 2
Sensitivity index of R0 against parameters.
Parameters
A
β
ρ1
ρ2
α
d
p
M
b2
σ
Sensitivity index
1
1
−3.545
−7.50
−0.138
−0.386
−0.757
−0.757
−0.575
−0.144
Fig. 5
Sensitivity index of R0 against some parameters.
Sensitivity index of R0 against parameters.Number of active, recovered, death and confirmed classes of COVID 19 cases in the states of Maharashtra, Delhi and Tamil Nadu.Here, in table 3 the phrases ‘Recov’ and ‘Conf’ represents recovered and confirmed infected class respectively.
Table 3
Number of active, recovered, death and confirmed classes of COVID 19 cases in the states of Maharashtra, Delhi and Tamil Nadu.
Date
States of India
Maharashtra
Delhi
Tamil Nadu
March/April
Active
Recov
Death
Conf
Active
Recov
Death
Conf
Active
Recov
Death
Conf
02
0
0
0
0
2
0
0
2
0
0
0
0
03
0
0
0
0
2
0
0
2
0
0
0
0
04
0
0
0
0
3
0
0
3
0
0
0
0
05
0
0
0
0
3
0
0
3
0
0
0
0
06
0
0
0
0
4
0
0
4
0
0
0
0
07
0
0
0
0
4
0
0
4
1
0
0
1
08
0
0
0
0
4
0
0
4
1
0
0
1
09
2
0
0
2
4
0
0
4
1
0
0
1
10
5
0
0
5
5
0
0
5
1
0
0
1
11
11
0
0
11
6
0
0
6
1
0
0
1
12
11
0
0
11
8
0
0
8
1
0
0
1
13
19
0
0
19
8
0
0
8
1
0
0
1
14
31
0
0
31
9
0
0
9
1
0
0
1
15
33
0
0
33
9
0
0
9
1
0
0
1
16
39
0
0
39
9
0
0
9
1
0
0
1
17
41
0
0
41
10
0
0
10
1
0
0
1
18
45
0
0
45
12
0
0
12
2
0
0
2
19
48
0
0
48
14
0
0
14
3
0
0
3
20
52
0
0
52
14
0
0
14
3
0
0
3
21
64
0
0
64
18
0
0
18
6
0
0
6
22
74
0
0
74
26
0
0
26
7
0
0
7
23
95
0
0
95
29
0
0
29
8
0
0
8
24
104
0
0
104
30
0
0
30
14
0
0
14
25
124
1
3
128
35
0
0
35
21
0
0
21
26
120
6
3
129
38
0
0
38
27
0
0
27
27
111
15
4
130
38
0
0
38
36
0
0
36
28
150
25
5
180
38
0
0
38
39
2
0
41
29
155
25
6
186
47
0
0
47
47
3
0
50
30
165
25
8
198
95
0
0
95
62
4
0
66
31
168
39
9
216
95
0
0
95
117
6
0
123
01
254
39
9
302
144
6
2
152
227
6
1
234
02
280
42
13
335
207
8
4
219
227
6
1
234
03
277
42
16
335
207
8
4
219
302
6
1
309
04
424
42
24
490
424
15
6
445
403
6
2
411
05
424
42
24
490
478
18
7
503
476
6
3
485
06
647
56
45
748
497
19
7
523
558
8
5
571
07
764
56
48
868
548
21
7
576
608
8
5
621
08
875
79
64
1018
546
21
9
576
664
19
7
690
09
946
117
72
1135
639
21
9
669
709
21
8
738
10
1142
125
97
1364
660
25
13
698
805
21
8
834
11
1276
188
110
1574
684
25
14
723
859
44
8
911
12
1426
208
127
1761
1025
25
19
1069
915
44
10
969
13
1619
217
149
1985
1103
27
24
1154
1014
50
11
1075
14
1948
229
160
2337
1452
30
28
1510
1104
58
11
1173
15
2250
259
178
2687
1501
30
30
1561
1111
81
12
1204
16
2437
295
187
2919
1504
42
32
1578
1110
118
14
1242
17
2711
300
194
3205
1551
51
38
1640
1072
180
15
1267
18
2791
331
201
3323
1593
72
42
1707
1025
283
15
1323
19
3075
365
211
3651
1779
72
42
1893
992
365
15
1372
20
3473
507
223
4203
1668
290
45
2003
1051
411
15
1477
21
3865
572
232
4669
1603
431
47
2081
1046
457
17
1520
22
4248
722
251
5221
1498
611
47
2156
943
635
18
1596
23
4594
789
269
5652
1476
724
48
2248
949
642
18
1629
24
5307
840
283
6430
1518
808
50
2376
911
752
20
1683
25
5559
957
301
6817
1604
857
53
2514
867
866
22
1755
26
6229
1076
323
8068
1702
869
54
2625
838
960
23
1821
27
6538
1188
342
8068
1987
877
54
2918
841
1020
24
1885
Here, in table 3 the phrases ‘Recov’ and ‘Conf’ represents recovered and confirmed infected class respectively.
Sensitivity index of R0 against some parameters.Figs. 6
and 7
represent the contour plot of the basic reproduction number R
0 with respect to the parameters β vs ρ
1 and ρ
1 vs ρ
2 respectively. It can be noticed from Fig. 6 that for increasing value of β and decreasing value of ρ
1, R
0 increases. Again, for decreasing values for ρ
1 and ρ
2, R
0 increases, which has been demonstrated in Fig. 7.
Fig. 6
Contour plot of R0 as a function of β and ρ1.
Fig. 7
Contour plot of R0 as a function of ρ1 and ρ2.
Contour plot of R0 as a function of β and ρ1.Contour plot of R0 as a function of ρ1 and ρ2.We know that the numerical value of the basic reproduction number R
0 determines the exact nature of secondary infections due to the disease. From the Table 1 and Fig. 5, Fig. 6, Fig. 7; we claim that the parameters with negative indices can be increased then the numerical value of R
0 would be decreased significantly. Also the parameters namely A and β has positive indices and hence reduction of these two parameters would ultimately control the disease. Further, from the sensitivity indecies, we see that the two parameters related to isolation namely ρ
1 and ρ
2 are the most sensitive parameters and one can control easily these two parameters. Thus we may conclude from here that the best procedure to control the disease is to increase the value of isolation.Next we present the numerical solution of the formulated optimal control problem. To find the numerical solution of the objective functional (6) subject to the system of differential Eq. (1), we use fourth order Runge-kutta method with the help of MATLAB 16 software. First, we find the solution of the model (1) by forward fourth order Runge-Kutta method with an initial size of population. Then solve the representing adjoint Eq. (9) by backward fourth order Runge-Kutta method by applying the solutions of the system (1) and the transversality conditions (10). Here, we choose the following parameters set:And the corresponding initial guess of population size is . Fig. 8
depicts the solutions of all state variables in the presence and absence of control parameter. It is noticed that in presence of control, exposed, quarantine and infected population increases slower than the absence of the control. Similarly, in presence of control, susceptible population decreases faster than the absence of the control and recovered population increases faster than the absence of the control. These real phenomena justify our proposed model. In Fig. 9
, we plot the evolution of the variations of adjoint or costate variables and the control parameter are depicted in the Fig. 10
. Clearly the optimal control follows a combination of singular and bang-bang control and this type of representation of an optimal control is a very rare phenomenon in theoretical epidemiology.
Fig. 8
Variation of population in presence and absence of control strategy.
Fig. 9
Variation of the adjoint variables when control applied optimally.
Fig. 10
Variation of the control strategy of control parameter M.
Variation of population in presence and absence of control strategy.Variation of the adjoint variables when control applied optimally.Variation of the control strategy of control parameter M.
Application of model to forecast COVID-19 at some states in India
In this portion, we present an example of a real case where we can apply the proposed model. The World Health Organization (WHO) first confirmed an incident of COVID-19 on 12th January 2020 that was the induce respiratory illness in a cluster of people in Wuhan, Hubei Province, China, and this case was actually reported to the WHO on 31st December 2019. India, the second most populated country, has also been affected severely due to the global pandemic COVID-19. In this paper, we analyze the effect of COVID-19 cases in three states in three different parts of India. These states are the Western state Maharashtra (where the commercial capital of India, Mumbai situated), the northern state Delhi (where the capital of India, New Delhi is located), and the southern state Tamil Nadu (where another highly populated mega-city, Chennai is situated) and the some of total populations of these three states crossing two hundred millions. We apply the model system (1) to study the pandemic situation due to COVID-19 in these three states of India from 2nd March, 2020 to 27th April, 2020 and predict the future behavior of the disease in a short term basis. Although the first case of COVID-19 in India was confirmed in the state Kerala on 30th January 2020, the first cases of COVID-19 were reported in the state of Delhi, Tamil Nadu, and Maharashtra respectively on 2nd, 7th, and 9th March 2020. The active, recovered, death and confirmed COVID-19 cases of these three states are collected from the official websites of the official updates of coronavirus, COVID-19 in India, Government of India [36], Government of Delhi [11], Government of Maharashtra [10] and Government of Tamil Nadu[14] and presented during this period in the Table 3.We fit the proposed model (1) to the daily active infected and confirmed (cumulative) infectedCOVID-19 cases in those three states of India using the set of parameters as given in Table 4
and the initial size of the population from the Table 5
. To fit these real data, we use the software Mathematica and then predict the behavior of COVID-19 for those three states on a short term basis. In
Figs. 11–Fig. 13, we respectively present the active COVID-19 cases in Maharashtra, Delhi, and Tamil Nadu for 91 days starting from 2nd March, 2020, till the 31st May 2020. Also, in Figs. 14, 15 and in Fig. 16, we present the cumulative confirmed (i.e., the sum of active cases, recovered and death) COVID-19 cases of Maharashtra, Delhi, and Tamil Nadu, respectively, for the same period.
Table 4
Values of parameters in the states of Maharashtra, Delhi and Tamil Nadu.
Parameter Value
Maharashtra
Delhi
Tamil Nadu
References
A
28112
2144
14205
[34]
d
0.0058
0.0036
0.0071
[34]
δ
0.0685
0.0232
0.0122
[10], [11], [14], [36]
α
1/5.2
1/4
1/5.4
[10], [11], [14], [36]
η
1/14
1/14
1/14
[32], [36][17]
ρ1
0.64
0.72
0.62
Estimated
ρ2
0.78
0.82
0.75
Estimated
b1
0.07122
0.045185
0.062856
Estimated
b2
1.11013
0.78529
0.157832
Estimated
σ
0.119732
0.14029
0.36186
Estimated
p
0.96657
0.923769
0.90076
Estimated
M
0.916499
0.925161
0.91462
Estimated
Table 5
Initial values of population in the states of Maharashtra, Delhi and Tamil Nadu.
Initial Values
Maharashtra
Delhi
Tamil Nadu
References
S(0)
1374333
134555
947030
[10], [11], [14], [36]
E(0)
312
214
346
Estimated
Q(0)
945
845
710
Estimated
I(0)
0
2
0
[10], [11], [14], [36]
R(0)
0
0
0
[10], [11], [14], [36]
Fig. 11
Active COVID-19 cases in Maharashtra.
Fig. 13
Active COVID-19 cases in Tamil Nadu.
Fig. 14
Confirmed COVID-19 cases in Maharashtra.
Fig. 15
Confirmed COVID-19 cases in Delhi.
Fig. 16
Confirmed COVID-19 cases in Tamil Nadu.
Values of parameters in the states of Maharashtra, Delhi and Tamil Nadu.Initial values of population in the states of Maharashtra, Delhi and Tamil Nadu.Active COVID-19 cases in Maharashtra.
Discussion and conclusion
After world war II, the globe has never undergone like the present scenarios that arrived due to the pandemic COVID-19. Starting from Wuhan city in December 2019, the virus SARS-CoV-2 has spread throughout as many as 210 countries and territories and continues to increase its pandemic nature. In the absence of proper vaccination and treatment of COVID-19, one would rely on qualitative control of the disease rather than complete eradication. Since these types of situations are unknown to present society, in these circumstances, various governments have taken some policies to control the destructive nature of the disease as much as possible. To study the dynamics of the disease, in this article, we have proposed and analyzed a classical SEIR type mathematical model to incorporate the COVID-19 scenarios in the system (1). A detailed analysis shows that the proposed system posses two equilibria, namely one disease-free and one endemic whose existence and asymptotic stability criteria depend on the numerical value of basic reproduction number R
0. We have also established that the proposed system (1) undergoes a transcritical bifurcation at the threshold To study the impact of the government control measures to prevent the extensive transmission of COVID-19, we have introduced a control parameter M. Further, to reduce the infected individuals as well as to minimize the cost of implementing government control measures, an objective functional has been formed and solved using Pontryagin’s maximum principle. The optimal control follows a combination of bang-bang and singular control during its application. We also have discussed the sensitivity index of the threshold parameter R
0 and found the most sensitive parameter, which has a positive impact on R
0 is the disease transmission rate.Next, we consider three cases of populations, namely (i) active cases of COVID-19, (ii) confirmed cases of COVID-19, and (iii) recovered cases of COVID-19 in three states of India, namely, western state Maharashtra, northern state Delhi, and southern state Tamil Nadu where there are more than two hundred people residing. In Table 3, we provide the data of COVID-19 confirmed, active, recovered, and death cases of these three states starting from 2nd March 2020, till 27th April 2020. In Tables 4 and 5, we estimate the parametric values associated with the model system (1). Finally, using the software Mathematica, we try to fit our model (1) to estimate the nature of COVID-19 in those three states of India. In Fig. 11, Fig. 12, Fig. 13
, we present the active COVID-19 cases in Maharashtra, Delhi, and Tamil Nadu, respectively, for 91 days starting from 2nd March 2020, till the 31st of May 2020. In particular, we use the existing data for the first 57 days (till 27th April 2020) collecting from the websites of the Government of India and WHO to forecast the probable active COVID-19 cases in those three states for the rest of 34 days. It should be noted that here we can forecast the nature of the COVID-19 for the short term only as the Governmental policy would change in time to time resulting in the corresponding changes in the associated parameters of the proposed model system. From those three figures, we can claim that on 31st May 2020, the active cases of the three states Maharashtra, Delhi, and Tamil Nadu, will be around 46183, 3344, and 411 respectively. Similarly, in Fig. 14, Fig. 15
and in Fig. 16, we respectively present the cumulative confirmed (i.e., the sum of active, recovered and death) COVID-19 cases of Maharashtra, Delhi, and Tamil Nadu starting from 2nd March 2020, till the 31st May 2020. Further, using the existing data for the first 57 days (till 27th April 2020), the cases for the next 34 days has been predicted. It has been forecasting from those three figures that till 31st May 2020, the cumulative confirmed instances of those three states Maharashtra, Delhi, and Tamil Nadu will be around 83958, 19667, and 5133 respectively. Moreover, from above figures (Fig. 11 to 16), we can estimate the number of active cases and number of cumulative confirmed cases of those three states at any day of May, 2020.
Fig. 12
Active COVID-19 cases in Delhi
Active COVID-19 cases in DelhiActive COVID-19 cases in Tamil Nadu.Confirmed COVID-19 cases in Maharashtra.Confirmed COVID-19 cases in Delhi.Confirmed COVID-19 cases in Tamil Nadu.The primary finding of this article is that we have derived a mathematical model that can be used to study the qualitative dynamics of COVID-19. The basic reproduction number and its sensitivity analysis would determine the controlling procedure of the disease. Also, we have incorporated the governmental policy in our mathematical model and proposed a linear objective functional considering that governmental policy as the time-dependent control parameter. On the other hand, it should be noted that the estimated values of COVID-19 in the three different states of India in three different parts are forecasted using existing parametric space only. In the case of the first two states, Maharashtra and Delhi we see that the graph shows an increasing trend whereas for the state Tamil Nadu, the predicted data shows that the disease can be controlled with the existing parametric space. The main two burdens behind the control of COVID-19 are (i) the unconsciousness of the people about the disease and (ii) the high population density exposed the infection when the common people are out for their essential commodities. Moreover, the weakness of forecasting cumulative COVID-19 cases in the three states of India is that here the forecast is done on totally some existing parametric conditions. But human behaviour is the most uncertain phenomena. Hence, if the corresponding parametric space has been altered then there may be some changes in the graphs of COVID-19 cases. Therefore, in this article, we are targeting to forecast the COVID-19 cases on a short term basis and henceforth there would be very little chance to change in corresponding parametric space. But the framework of the current model gives some important insights into the dynamics of COVID-19 spread and control. Further, our simulation works suggest that both the quarantine and governmental intervention strategies like lockdown, media coverage on social distancing and public hygiene can play an important role in diminishing COVID-19 transmission. However, the successes of these strategies mainly rely on the proper implementation of the process. In our future work, we need to extend our model by incorporating some essential biological as well as epidemiological factors. To be given some examples, we may mention the acquired immunity in humans, differential susceptibility and infectivity of humans to COVID-19infection, and spatial heterogeneity.
The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
Authors: Kiesha Prem; Yang Liu; Timothy W Russell; Adam J Kucharski; Rosalind M Eggo; Nicholas Davies; Mark Jit; Petra Klepac Journal: Lancet Public Health Date: 2020-03-25
Authors: Teodoro Alamo; Daniel G Reina; Pablo Millán Gata; Victor M Preciado; Giulia Giordano Journal: Annu Rev Control Date: 2021-06-29 Impact factor: 6.091