A data-driven epidemic model with social structure for understanding the COVID-19 infection on a heavily affected Italian Province

M. Azzi, C. Bardelli, S. Deandrea, G. Dimarco, S. Figini, P. Perotti, G. Toscani, M. Zanella

Mathematical Models and Methods in Applied Sciences, 31(12):2533-2570, 2021. (Preprint arXiv)

In this work, using a detailed dataset furnished by National Health Authorities concerning the Province of Pavia (Lombardy, Italy), we propose to determine the essential features of the ongoing COVID-19 pandemic in term of contact dynamics. Our contribution is devoted to provide a possible planning of the needs of medical infrastructures in the Pavia Province and to suggest different scenarios about the vaccination campaign which possibly help in reducing the fatalities and/or reducing the number of infected in the population.
The proposed research combines a new mathematical description of the spread of an infectious diseases which takes into account both age and average daily social contacts with a detailed analysis of the dataset of all traced infected individuals in the Province of Pavia. These information are used to develop a data-driven model in which calibration and feeding of the model are extensively used. The epidemiological evolution is obtained by relying on an approach based on statical mechanics. This leads to study the evolution over time of a system of probability distributions characterizing the age and social contacts of the population. One of the main outcomes shows that, as expected, the spread of the disease is closely related to the mean number of contacts of individuals. The model permits to forecast thanks to an uncertainty quantification approach and in the short time horizon, the average number and the confidence bands of expected hospitalized classified by age and to test different options for an effective vaccination campaign with age-decreasing priority.

Kinetic models for epidemic dynamics with social heterogeneity

G. Dimarco, B. Perthame, G. Toscani, M. Zanella

Journal of Mathematical Biology, 83, 4, 2021. (Preprint arXiv)

We introduce a mathematical description of the impact of sociality in the spread of infectious diseases by integrating an epidemiological dynamics with a kinetic modeling of population-based contacts. The kinetic description leads to study the evolution over time of Boltzmann-type equa- tions describing the number densities of social contacts of susceptible, infected and recovered indi- viduals, whose proportions are driven by a classical SIR-type compartmental model in epidemiology. Explicit calculations show that the spread of the disease is closely related to moments of the con- tact distribution. Furthermore, the kinetic model allows to clarify how a selective control can be assumed to achieve a minimal lockdown strategy by only reducing individuals undergoing a very large number of daily contacts. We conduct numerical simulations which confirm the ability of the model to describe different phenomena characteristic of the rapid spread of an epidemic. Motiv- ated by the COVID-19 pandemic, a last part is dedicated to fit numerical solutions of the proposed model with infection data coming from different European countries.

 

Modelling lockdown measures in epidemic outbreaks using selective socio-economic containment with uncertainty.

G. Albi, L. Pareschi, M. Zanella

Mathematical Biosciences and Engineering, 18(6): 7161-7190, 2021. (Preprint arXiv)

After the introduction of drastic containment measures aimed at stopping the epidemic contagion from SARS-CoV2, many governments have adopted a strategy based on a periodic relaxation of such measures in the face of a severe economic crisis caused by lockdowns. Assessing the impact of such openings in relation to the risk of a resumption of the spread of the disease is an extremely difficult problem due to the many unknowns concerning the actual number of people infected, the actual reproduction number and infection fatality rate of the disease. In this work, starting from a compartmental model with a social structure and stochastic inputs, we derive models with multiple feedback controls depending on the social activities that allow to assess the impact of a selective relaxation of the containment measures in the presence of uncertain data. Specific contact patterns in the home, work, school and other locations have been considered. Results from different scenarios concerning the first wave of the epidemic in some major countries, including Germany, France, Italy, Spain, the United Kingdom and the United States, are presented and discussed.

Control with uncertain data of socially structured compartmental epidemic models

G. Albi, L. Pareschi, M. Zanella

Journal of Mathematical Biology, 82, 63, 2021. (Preprint arXiv)

The adoption of containment measures to reduce the amplitude of the epidemic peak is a key aspect in tackling the rapid spread of an epidemic. Classical compartmental models must be modified and studied to correctly describe the effects of forced external actions to reduce the impact of the disease. In addition, data are often incomplete and heterogeneous, so a high degree of uncertainty must naturally be incorporated into the models. In this work we address both these aspects, through an  optimal control formulation of the epidemiological model in presence of uncertain data. After the introduction of the optimal control problem, we formulate an instantaneous approximation of the control that allows us to derive new feedback controlled compartmental models capable of describing the epidemic peak reduction. The need for long-term interventions shows that alternative actions based on the social structure of the system can be as effective as the more expensive global strategy. The importance of the timing and intensity of interventions is particularly relevant in the case of uncertain parameters on the actual number of infected people. Simulations related to data from the recent COVID-19 outbreak in Italy are presented and discussed.