Huaxiong Sheng1, Lin Wu2, Tingting Wu1, Bo Peng2. 1. Graduate School of National Defense University, Beijing, China. 2. Joint Operation College of National Defense University, Beijing, China.
Abstract
The COVID-19 epidemic is not only a medical issue but also a sophisticated social problem. We propose a network dynamics model of epidemic transmission introducing a heterogeneous control factor. The proposed model applied the classical susceptible- exposed-infectious-recovered model to the network based on effective distance and was modified by introducing a heterogeneous control factor with temporal and spatial characteristics. International aviation data were approximately used to estimate the flux fraction matrix, and the effective distance was calculated. Through parameter estimation and simulation, the theoretical values of the modified model fit well with practical values. By adjusting the parameters and observing the change of the results, we found that the modified model is more in line with the actual needs and has higher credibility in the comprehensive analysis. The assessment shows that the number of confirmed cases worldwide will reach about 20 million optimistically. In severe cases, the peak value will exceed 80 million, and the late stage of the epidemic shows a long tail shape, lasting more than one and a half years. The effective way to control the global epidemic is to strengthen international cooperation and to impose international travel restrictions and other measures.
The COVID-19 epidemic is not only a medical issue but also a sophisticated social problem. We propose a network dynamics model of epidemic transmission introducing a heterogeneous control factor. The proposed model applied the classical susceptible- exposed-infectious-recovered model to the network based on effective distance and was modified by introducing a heterogeneous control factor with temporal and spatial characteristics. International aviation data were approximately used to estimate the flux fraction matrix, and the effective distance was calculated. Through parameter estimation and simulation, the theoretical values of the modified model fit well with practical values. By adjusting the parameters and observing the change of the results, we found that the modified model is more in line with the actual needs and has higher credibility in the comprehensive analysis. The assessment shows that the number of confirmed cases worldwide will reach about 20 million optimistically. In severe cases, the peak value will exceed 80 million, and the late stage of the epidemic shows a long tail shape, lasting more than one and a half years. The effective way to control the global epidemic is to strengthen international cooperation and to impose international travel restrictions and other measures.
Since the World Health Organization (WHO) declared coronavirus disease 2019 (COVID‐19) a global pandemic on March 11, the whole world has been fought against the virus for almost 5 months. Positive effects have been achieved, although the pandemic is still prevalent. In many countries, the epidemic has been under control, but in certain countries, the number of confirmed cases is still growing rapidly. Now the pandemic is not only a medical issue but also a sophisticated social problem. It is more important to figure out how the pandemic transmits in different countries and the trend of the global epidemic situation in this interaction.A lot of research was carried out on mathematical modeling of epidemic transmission.
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The models not only help to estimate dynamics of epidemic transmission but also other significant forecasts. The scientists and researchers have focused on dynamic models of epidemic transmission in network environment.
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Many researchers describe the network topology of potential contacts as a random network, and use the susceptible‐exposed‐infectious‐recovered (SEIR) model to analyze and predict the spread of epidemics.
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These studies were based on a seminal work of modeling the SEIR epidemics on a random network in 2013.
Compared with the classical uniform mixture model, the stochastic network can describe the heterogeneity of contact quantity more realistically and accurately. Compared with classic methods, the network dynamics model reflects the complexity of the real world and can describe the characteristics and dynamics of virus transmission among different groups in different regions better. Recently mathematical modeling includes references 24, 25, 26, 27, 28, 29. International air travel contributed to the international spread of the virus, and its elimination and control have got global attention.
It's unreasonable to illustrate the influence of the pandemic propagation purely in regard to the geographical distance. Therefore, Brockmann et al.
proposed a notion called effective distance and its computation method to replace traditional geographical distance, which was successfully applied to explain the trend of the 2009 H1N1 influenza pandemic and 2003 SARS epidemic. Using the concept, complex spatiotemporal patterns can be reduced to surprisingly simple, homogeneous wave propagation patterns. Zhang and Dong
applied this method to analyze and predict the initial trend of the COVID‐19 epidemic situation in China based on Baidu migration data. Pichit Boonkrong
proposed a multi‐group SEIR epidemic model and a complicated network nodes' interaction algorithm to study the implication of epidemic transmission in the network structure quantitatively.However, the current modeling methods are not suitable for the analysis of global epidemic transmission with heterogeneity. The speed of disease transmission is related to the national control strategies. This heterogeneity is mainly reflected in the different control strategies of different countries, which have obvious temporal and spatial characteristics. Using the existing modeling methods, there will be problems such as lack of refinement and parameter deviation, which is difficult to meet the needs of fine analysis of epidemic interaction between countries and the global epidemic trend.Based on the above understanding, we in this study focus on a network dynamics model of epidemic transmission introducing a heterogeneous control factor. The proposed model applied the classical SEIR model to the network based on effective distance and was modified by introducing a heterogeneous control factor with temporal and spatial characteristics. The flux fraction matrix was approximately estimated by using international aviation data, and the effective distance was calculated. By comparing with the actual trends, we use numerical simulations to test the validity of the applied model and predict the future trend of countries and the world.
MODEL FORMULATION
Effective distance
In network topology structure, distance is used to define the mutual influence between nodes. The farther the distance, the less mutual influence. The distance between two nodes is usually represented by the number of edges in the shortest path or the actual geography distance. In the case of epidemic transmission, using the above two methods to define the distance will lead to the research results inconsistent with the real evolution process of infectious diseases.The concept of effective distance was first proposed by Brockmann and Helbing in 2013.
They found that in the network with information flow as interaction, intuitive geographical distance and the number of edges on the shortest path cannot effectively measure the mutual influence between node pairs, and effective distance can solve this problem.As is shown in Figure 1, the information flow between node m and node n is represented by F
. We define flux fraction from node m to node n as
where F
is the sum of the information fluxes from node m to all others nodes. Therefore, flux fraction P
is the proportion of the information flow from node m to node n in the sum of information flow from node m to all other nodes.
Figure 1
Information flow among nodes
Information flow among nodesThe effective length from node m to node n can be calculated by the flux fraction, and then the effective distance can be calculated. The effective distance is the sum of the effective lengths on the shortest path from node m to node n. We define the effective distance d
mn from node m to connected node n as follows:The effective distance D
mn is the shortest path from node m to indirectly connected node n
where is the sum of all the paths from node m to node n.In directed networks, the effective distance between two nodes is usually not equal and needs to be treated differently. Moreover, we can see that the larger the flux fraction P
, the smaller the effective length D
, which means that P
is inversely proportional to D
.
Network dynamics model of epidemic transmission based on effective distance
According to Yang et al.,
we add the mobility of different people in regions to the classic SEIR model, constructing the network dynamic epidemic transmission model based on effective distance, as is shown in Figure 2.
Figure 2
Network dynamics model of epidemic transmission based on effective distance
Network dynamics model of epidemic transmission based on effective distanceThe mathematical model is given by the following set of coupled differential equations:In a certain country n, the susceptible population s is transformed into the exposed population e by probability λ, the exposed population e is transformed into the infectious population i by probability φ, and the infectious population is transformed into the withdrawal population (recovered population and death population) by probability μ + η after treatment. Furthermore, we also consider the population flowing out of the country with probability ω
and the population flowing into the country with probability ω
. s
, e
, i
, r
is, respectively, the proportion of the susceptible, exposed, infectious, and recovered in the sum population in country n. λ
, φ
, μ, and η represent the infection rate, diagnosis rate, cured rate, and death rate in country n, respectively. ω
is the proportion of the population flowing from node n to node m in the sum population of node n. Considering Lie algebra
,
and other methods, the Runge Kutta method is used in Python language to get the analytical solution of the equation.After substituting Equation (2.1) into Equation (2.4), we can get the updated equations as follows:
where γ
is the average emigration population ratio of node n, which ranges from 0 to 1.Basic reproduction number (R
0) is the most important parameter in epidemic dynamics. It can describe the internal transmission ability of infectious diseases and can be used for public health policy analysis, epidemic evaluation at home and abroad, and disease transmission inflection point prediction. It refers to the average number of people infected by an infective person in a susceptible environment. (1) when R
0 < 1, COVID‐19 will gradually disappear; (2) when R
0 > 1, it indicates that COVID‐19 will spread rapidly in an exponential manner; (3) when R
0 = 1, COVID‐19 will reach a balance, and it will always exist as a local disease.The basic reproduction number of COVID‐19 was estimated as 3.77.
In the SEIR model, R
0 is computed as R
0 =‐λ/μ.
So we can estimate the related parameters for the general case, as is shown in Table 1.
Table 1
Parameter estimation for the general case
Parameter
Definitions
Estimated mean value
λ
Infection rate
0.38
φ
Diagnosis rate
1/7
μ
Cured rate
0.1
η
Death rate
0.03
γ
Average emigration population ratio
0.12
Parameter estimation for the general case
Introducing a heterogeneous control factor
Different countries have different control strategies. The intensity of control varies in different times and places. Based on the heterogeneity of control strategies in different countries, the above model can be optimized, and we construct a network dynamic model of epidemic transmission introducing a heterogeneous control factor with temporal and spatial characteristics, as is shown in Figure 3.
Figure 3
Network dynamics model of epidemic transmission introducing a heterogeneous control factor The trend of the control factor. There is no precautionary action at the initial stage of the pandemic, the value of ξ is 1
Network dynamics model of epidemic transmission introducing a heterogeneous control factor The trend of the control factor. There is no precautionary action at the initial stage of the pandemic, the value of ξ is 1Based on Equation (2.5), we introduced a control factor , and propose the following optimal mode:Here, we define ξ to simulate the heterogeneous control factor, reflecting the intensity of disease prevention and control. At the initial stage of the epidemic, the government's macro‐control is not enough, and it has not taken strict control measures. At this time, the value of a is at a high level. With the continuous improvement of epidemic prevention measures and the enhancement of people's awareness of epidemic prevention, the a value continues to decrease until the epidemic situation becomes stable. The whole process can be described by an improved Logistic model.
The trend of ξ is shown in Figure 4.
Figure 4
At the time of t
0, the control measures have been taken, and the first turning point appears. With the improvement of epidemic prevention measures, ξ is decreasing gradually. The infection rate won't decline continuously when it decreases in a certain degree. The second turning point occurs at the time of t
0 + t
and ξ reaches its minimum value ε
At the time of t
0, the control measures have been taken, and the first turning point appears. With the improvement of epidemic prevention measures, ξ is decreasing gradually. The infection rate won't decline continuously when it decreases in a certain degree. The second turning point occurs at the time of t
0 + t
and ξ reaches its minimum value εThe heterogeneous control factor ξ plays the same role as the infection rate λ, which directly affects the interaction probability between susceptible people and infected people. ξ has temporal and spatial characteristics and can be described by a function, which can be represented by the initial control time t
0, the control lasting time t
, the proportionality coefficient δ.The smaller the value of ξ, the greater the intensity of epidemic prevention and control. When the epidemic situation is stable, the intensity of epidemic prevention and control reaches its maximum, and the minimum value of ξ is obtained. Suppose that the minimum value of ξ is ε, we can calculate the value of δ as follows:The parameters of the control factor are estimated in a certain range and shown in Table 2.
Table 2
Parameters' estimation of the control factor
Parameter
Definitions
Estimated mean value
ε
The lowest infection rate
0.2–0.9
t0
The initial time for control measures taken
10–100 days
tm
The interval needed for stability after taking control measures
13–1000 days
Parameters' estimation of the control factor
NUMERICAL SIMULATION
Calculation and verification of effective distance
According to the current epidemic situation, ten representative countries were selected for research, their basic information is shown in Table 3.
Table 3
Basic information of major countries
Country
Latitude
Longitude
Population
Date of first case
US
37.1
−95.7
328 802 000
2020.1.20
United Kingdom
55.4
−3.45
66 040229
2020.1.31
France
46.2
2.21
65 273 512
2020.2.27
India
21
78
1 380 004 385
2020.1.30
Germany
51
9
83 783 945
2020.3.1
Italy
43
12
60 461 828
2020.2.21
China
30.6
114.3
1 404 676 330
2019.12.8
Iran
32
53
83 992 953
2020.2.19
Brazil
−14.2
−51.9
212 559 409
2020.2.26
Russia
60
90
145 934 460
2020.3.19
Basic information of major countriesWorld Tourism Cities Federation and Tourism Research Centre, Chinese Academy of Social Sciences jointly published the world tourism economics trend report (2019), which ranked the top 20 countries in tourism revenue. It is not difficult to find that these countries are also the most severe countries affected by COVID‐19. We used data on the tourism income among selected countries
to approximately estimate the matrix of connectivity components and to calculate effective distance among selected countries.After normalization of the data, the matrix of connectivity components was obtained. According to Equations ((2.2), (2.3)), the effective distance among selected countries in the world was calculated. As shown in Figure 5, in terms of geographical distance, the distance between China and other European countries such as Italy, France, and Germany is similar, but the effective distance between China and Italy is obviously smaller than that of other European countries.
Figure 5
The left map drawn in pie charts shows the geographical distance between China and other countries. Compared with it, the photograph on the right drawn in Gephi reflects the effective distance from China to other countries
The left map drawn in pie charts shows the geographical distance between China and other countries. Compared with it, the photograph on the right drawn in Gephi reflects the effective distance from China to other countriesFigure 6 shows that the effective distance from China to Iran and Italy is relatively small, and the outbreak time of the two countries is relatively early. This is consistent with the fact that the destination of the One Belt, One Road Strategy via Iran is Italy, which validates the rationality of effective distance.
Figure 6
There is a positive correlation between the dates of the first reported cases and the effective distance between China and others
There is a positive correlation between the dates of the first reported cases and the effective distance between China and others
Model simulation
According to the actual situation of major countries in the world, the parameters of the model are estimated, as shown in Table 4.
Table 4
Estimation of epidemic parameters in major epidemic countries in the world
Parameter
US
United Kingdom
France
India
Germany
Italy
China
Iran
Brazil
Russia
λ
0.79
0.5
0.38
0.5
0.38
0.38
0.1
0.5
0.78
0.5
μ
0.1
0.1
0.1
0.1
0.1
0.1
0.1
0.1
0.1
0.1
η
0.04
0.04
0.03
0.05
0.03
0.03
0.03
0.04
0.05
0.03
γ
0.16
0.15
0.15
0.13
0.16
0.16
0.16
0.12
0.12
0.13
Estimation of epidemic parameters in major epidemic countries in the worldThe network dynamics epidemic transmission model based on effective distance was used to fit and compare the epidemic trend of major countries. Figure 7 presents the theoretical value of the infected population in major countries worldwide. The abscissa is the number of days after the event that China took the city closure measures on January 23, and the ordinate is the infected population of different countries. The theoretical value of the model is basically consistent with the actual trend of each country. It can be seen that China, Italy, Germany, and other countries have taken strict measures to limit the spread of the epidemic and tend to be stable. The number of people infected in the main epidemic countries, mainly in the United States and Brazil, will also increase significantly.
Figure 7
Theoretical value of infected population in major countries worldwide
Theoretical value of infected population in major countries worldwideThe epidemic situation in the world will be summarized to form the overall situation of the global epidemic situation. As shown in Figure 8, the global epidemic situation will continue for a long time to reach its peak, and the number of confirmed cases will reach nearly 20 million.
Figure 8
Theoretical value of the total number of infected people in the world
Theoretical value of the total number of infected people in the worldTo illustrate the effectiveness of the improved model, it is necessary to compare it with the original model. The control measures in the original model are consistent. In the improved model, different countries adopt different levels of control measures, and the trend of epidemic situation will be different accordingly, as shown in Figure 9.
Figure 9
The trend of the United States, India, Italy, and Brazil under different control measures is obviously different from that of the original model
The trend of the United States, India, Italy, and Brazil under different control measures is obviously different from that of the original modelFigure 10 shows that there are obvious differences in the results of the comparison of the three situations of increasing and reducing the control strength of the United States by 20% and keeping the control strength unchanged. It can be seen from the comparison of the three situations that strengthening management and control can significantly reduce the number of infected people, the peak number of infected people will come ahead of time, and COVID‐19 could be effectively prevented, which is in line with expectations and verifies the validity of the model. Therefore, all countries should strengthen their own epidemic prevention and resolutely resist the misconception of “mass immunization.”
Figure 10
The three situations of increasing and reducing the control strength of the United States by 20% and keeping the control strength unchanged
The three situations of increasing and reducing the control strength of the United States by 20% and keeping the control strength unchangedConsidering the differences of epidemic control policies and public awareness of epidemic prevention in severe cases, the values of the heterogeneous control factor of the model were modified, as shown in Table 5.
Table 5
The epidemic control factor in the worst case
Parameter
US
United Kingdom
France
India
Germany
Italy
China
Iran
Brazil
Russia
t0
54
60
67
62
60
47
0
51
38
54
tm
350
260
180
270
155
160
50
180
330
210
ε
0.13
0.05
0.05
0.11
0.05
0.06
0.01
0.05
0.12
0.05
The epidemic control factor in the worst caseAs shown in Figure 11, the peak time of the epidemic situation in major countries in the world has been further delayed and improved. The United States, Brazil, and India will still be the main source of the epidemic development. The United States has always been the country with the most serious epidemic situation. Outbreaks in other countries will gradually stabilize. The global epidemic peak exceeds 80 million. The late stage of the epidemic shows a long tail shape, lasting more than one and a half years. The COVID‐19 is a major epidemic that is still spreading in summer and winter.
Figure 11
Theoretical value of infected population in major countries and the global situation in the worst case
Theoretical value of infected population in major countries and the global situation in the worst case
Discussion and suggestions
Different countries have different strengths in epidemic control, which is very important for epidemic analysis. So, it is necessary to improve the original model. By setting appropriate parameters, the simulation results of the network dynamics epidemic transmission model introducing a heterogeneous control factor could fit well with the actual epidemic situation in major countries in the world, and the effectiveness of the improved model was obtained. If we only analyze the possible consequences of the epidemic, we can set other parameter values.Compared with the original model. The improved model is closer to the needs of reality and has higher credibility in comprehensive analysis. However, for a country, the influence of other countries on it is dynamic and cannot be described quantitatively. In this model, a comprehensive control factor is used instead of multiple factors related to specific measures, which can greatly reduce the difficulty of the model and has no impact on the analysis of the problem.Now there is the risk of a multi‐point outbreak in the global epidemic situation. The effective way to stop the global epidemic is to strengthen international cooperation and to impose international travel restrictions and other measures. The spread of the epidemic situation has brought huge losses to the economy of various countries. Whether a country with a controllable epidemic situation will break out for the second time is a question that needs to be studied next.
CONCLUSIONS
In this paper, we propose a network dynamics model of epidemic transmission introducing a heterogeneous control factor. The proposed model applied the classical SEIR model to the network based on effective distance and was modified by introducing a heterogeneous control factor with temporal and spatial characteristics. International aviation data were approximately used to estimate the flux fraction matrix, and the effective distance was calculated. Through parameter estimation and simulation, the theoretical values of the modified model fit well with practical values. By adjusting the parameters and observing the change of the results, we found that the modified model is more in line with the actual needs and has higher credibility in the comprehensive analysis. The assessment shows that the number of confirmed cases worldwide will reach about 20 million optimistically. In severe cases, the peak value will exceed 80 million, and the late stage of the epidemic shows a long tail shape, lasting more than one and a half years.There are some limitations and improvements in this paper. Firstly, the proposed model is highly dependent on the correctness of the heterogeneous control factor. The factor is estimated values after comprehensive consideration of various control measures and there are no specific control strategies and evaluation methods, such as a variety of isolation measures, setting the isolation period of floating population, nucleic acid testing, vaccination, and so forth, which need to be further studied in the future. Moreover, in reality, there may be many other situations, so the description of the control factors should be further modified and improved in combination with the actual situation. Secondly, the study of the model is based on a series of assumptions, such as ignoring the factors of seasonal climate, the second outbreak of global COVID‐19, control of a country's relaxation of epidemic control for the sake of economy and employment. Therefore, we can use other modeling methods such as complex networks based on multi‐agents to carry out comprehensive research.
CONFLICT OF INTERESTS
The authors declare that there are no conflict of interests.
Authors: Urshila Durani; Ajay Major; Ana I Velazquez; Jori May; Marquita Nelson; Ze Zheng; Anurekha G Hall; Sara Taveras Alam; Robby Reynolds; J Colton Thompson; Ashok Kumbamu; Devika G Das; Martina C Murphy; Elizabeth Henry; Alfred Ian Lee; Ariela L Marshall; Ted Wun; Lachelle Dawn Weeks Journal: JCO Oncol Pract Date: 2022-01-06