| Literature DB >> 33678904 |
Pierre-Alexandre Bliman1, Michel Duprez2, Yannick Privat3, Nicolas Vauchelet4.
Abstract
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.Entities:
Keywords: Epidemic final size; Herd immunity; Lockdown policy; Optimal control; SIR epidemic model
Year: 2021 PMID: 33678904 PMCID: PMC7918002 DOI: 10.1007/s10957-021-01830-1
Source DB: PubMed Journal: J Optim Theory Appl ISSN: 0022-3239 Impact factor: 2.249
Herd immunity level and asymptotic susceptible proportion for initial value for several values of the basic reproduction number
| 1.5 | 2 | 2.5 | 3 | 3.5 | ||
|---|---|---|---|---|---|---|
| 0.67 | 0.50 | 0.40 | 0.33 | 0.29 | ||
| 0.42 | 0.20 | 0.11 | 0.059 | 0.034 | ||
| 43% | 37% | 33% | 29% | 27% |
The value of comes from (3), and may be deduced from the fact that , see Lemma 4.2 below. The ratio represents the proportion of susceptible that occur after passing the collective immunity threshold. The column in bold corresponds to found in [39] for the SARS-CoV-2 in France before the lockdown of March–May 2020
Fig. 1Numerical simulation of the SIR model with the numerical parameters given in Table 2. Left: no action. Right: switch at the epidemic peak ( is put to 0 at days)
Value of the parameters used for system (1a)–(1b) (see [39])
| Parameter | Name | Value |
|---|---|---|
| Infection rate | 0.29 | |
| Recovery rate | 0.1 | |
| Lockdown level (France, March/May 2020) | 0.231 | |
| Initial proportion of susceptible | ||
| Initial proportion of infected | ||
| Initial proportion of removed | 0 |
Fig. 2The optimal control belongs to a family of bang-bang functions parameterized by the switching time represented here
Fig. 3Solution of Problem for and , displayed on the time interval [0, 200]. In this case and
Fig. 4Solution of Problem for and displayed on the time interval [0, 200]. In this case and
Fig. 5Graph of for Problem with respect to T for (left) and with respect to for (right)
Fig. 6Graph of for Problem with respect to T for (left) and with respect to for (right)
Fig. 7Numerical simulation of the SIR model with the numerical parameters , , and given in Table 2. The optimal time introduced in Theorem 2.3 is plotted with respect to (corresponding to an initial number of infected people between and for a total number of people of ) and is chosen so that