COVID - 19和Omicron爆发传播的数学建模:干预策略的最优控制方法

M. Amouch, N. Karim
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引用次数: 0

摘要

截至2022年1月1日,摩洛哥共记录了966777例确诊病例和14851例死亡病例。最近,摩洛哥报告了一种新的COVID - 19病毒株,即所谓的Omicron变体,被认为比现有的COVID - 19病毒更危险。为了结束当前的全球COVID - 19大流行和欧米克隆变异,迫切需要实施多种人群政策,如接种疫苗、对更多的人进行检测和追踪接触者。为了预测大流行的进展并制定有效的控制策略,我们提出了一个新的混合数学模型,考虑到COVID - 19与Omicron变体的差异,预测摩洛哥COVID - 19的动态,并研究一些控制策略对其传播的影响。该模型监测易感(S) $$ (S) $$、暴露(E) $$ (E) $$、感染COVID - 19 (I) $$ (I) $$、感染Omicron (IO) $$ \left({I}_O\right) $$、住院(H) $$ (H) $$、重症监护病房(U) $$ (U) $$、隔离(Q) $$ (Q) $$、康复(R) $$ (R) $$八个区室的动态,总表示为SEIIOHUQR $$ SEI{I}_O HUQR $$。我们计算了基本复制数∑(0)$$ {\mathcal{R}}_0 $$,研究了局部和全局无感染平衡稳定性,进行了敏感性分析以确定模型预测对参数值的鲁棒性,并根据摩洛哥COVID - 19大流行的实际数据估计了敏感参数。我们结合了代表疫苗接种和感染个体诊断的两个控制变量,并提出了一个最佳的意识计划策略,这将有助于降低病毒的传播速度。采用庞特里亚金极大值原理描述最优控制,并采用迭代法求解最优性系统。最后,使用MATLAB软件进行了大量的有控制和无控制的数值模拟,以说明我们的结果。结果表明,通过对易感个体进行疫苗接种和诊断,降低未感染者和感染者之间的接触率,可以有效降低基本繁殖数,并趋于降低流行高峰的强度,在较长时间内传播疫情的最大影响。模型模拟表明,通过在大流行开始时实施结合上述两个控制变量的战略,有可能消除摩洛哥正在发生的SARS - COV - 2大流行及其变体Omicron。我们的预测是基于真实的数据和合理的假设。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Mathematical modeling of COVID‐19 and Omicron outbreak spread: Optimal control approach for intervention strategies
In Morocco, 966,777 confirmed cases and 14,851 confirmed deaths because of COVID‐19 were recorded as of January 1, 2022. Recently, a new strain of COVID‐19, the so‐called Omicron variant, was reported in Morocco, which is considered to be more dangerous than the existing COVID‐19 virus. To end this ongoing global COVID‐19 pandemic and Omicron variant, there is an urgent need to implement multiple population‐wide policies like vaccination, testing more people, and contact tracing. To forecast the pandemic's progress and put together a strategy to effectively contain it, we propose a new hybrid mathematical model that predicts the dynamics of COVID‐19 in Morocco, considering the difference between COVID‐19 and the Omicron variant, and investigate the impact of some control strategies on their spread. The proposed model monitors the dynamics of eight compartments, namely susceptible (S)$$ (S) $$ , exposed (E)$$ (E) $$ , infected with COVID‐19 (I)$$ (I) $$ , infected with Omicron (IO)$$ \left({I}_O\right) $$ , hospitalized (H)$$ (H) $$ , people in intensive care units (U)$$ (U) $$ , quarantined (Q)$$ (Q) $$ , and recovered (R)$$ (R) $$ , collectively expressed as SEIIOHUQR$$ SEI{I}_O HUQR $$ . We calculate the basic reproduction number ℛ0$$ {\mathcal{R}}_0 $$ , studying the local and global infection‐free equilibrium stability, a sensitivity analysis is conducted to determine the robustness of model predictions to parameter values, and the sensitive parameters are estimated from the real data on the COVID‐19 pandemic in Morocco. We incorporate two control variables that represent vaccination and diagnosis of infected individuals and we propose an optimal strategy for an awareness program that will help to decrease the rate of the virus' spread. Pontryagin's maximum principle is used to characterize the optimal controls, and the optimality system is solved by an iterative method. Finally, extensive numerical simulations are employed with and without controls to illustrate our results using MATLAB software. Our results reveal that achieving a reduction in the contact rate between uninfected and infected individuals by vaccinating and diagnosing the susceptible individuals, can effectively reduce the basic reproduction number and tends to decrease the intensity of epidemic peaks, spreading the maximal impact of an epidemic over an extended period of time. The model simulations demonstrate that the elimination of the ongoing SARS‐COV‐2 pandemic and its variant Omicron in Morocco is possible by implementing, at the start of the pandemic, a strategy that combines the two variables of control mentioned above. Our predictions are based on real data with reasonable assumptions.
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