Optimal control and cost-effectiveness analysis for a COVID-19 model with individual protection awareness

Cost-effectiveness analysis of COVID-19 intervention policies using a mathematical model: an optimal control approach

COVID-19 is an infectious disease that causes millions of deaths worldwide, and it is the principal leading cause of morbidity and mortality in all nations. Although the governments of developed and developing countries are enforcing their universal control strategies, more precise and cost-effective single or combination interventions are required to control COVID-19 outbreaks. Using proper optimal control strategies with appropriate cost-effectiveness analysis is important to simulate, examine, and forecast the COVID-19 transmission phase. In this study, we developed a COVID-19 mathematical model and considered two important features including direct link between vaccination and latently population, and practical healthcare cost by separation of infections into Mild and Critical cases. We derived basic reproduction numbers and performed mesh and contour plots to explore the impact of different parameters on COVID-19 dynamics. Our model fitted and calibrated with number of cases of the COVID-19 data in Bangladesh as a case study to determine the optimal combinations of interventions for particular scenarios. We evaluated the cost-effectiveness of varying single and combinations of three intervention strategies, including transmission control, treatment, and vaccination, all within the optimal control framework of the single-intervention policies; enhanced transmission control is the most cost-effective and prompt in declining the COVID-19 cases in Bangladesh. Our finding recommends that a three-intervention strategy that integrates transmission control, treatment, and vaccination is the most cost-effective compared to single and double intervention techniques and potentially reduce the overall infections. Other policies can be implemented to control COVID-19 depending on the accessibility of funds and policymakers' judgments.

Model of strategy control for delayed panic spread in emergencies

In emergencies similar to virus spreading in an epidemic model, panic can spread in groups, which brings serious bad effects to society. To explore the transmission mechanism and decision-making behavior of panic, a government strategy was proposed in this paper to control the spread of panic. First, based on the SEIR epidemiological model, considering the delay effect between susceptible and exposed individuals and taking the infection rate of panic as a time-varying variable, a SEIR delayed panic spread model was established and the basic regeneration number of the proposed model was calculated. Second, the control strategy was expressed as a state delayed feedback and solved using the exact linearization method of nonlinear control system; the control law for the system was determined, and its stability was proven. The aim was to eradicate panic from the group so that the recovered group tracks the whole group asymptotically. Finally, we simulated the proposed strategy of controlling the spread of panic to illustrate our theoretical results.

Stability switches, periodic oscillations and global stability in an infectious disease model with multiple time delays

A delay differential equation model of an infectious disease is considered and analyzed. In this model, the impact of information due to the presence of infection is considered explicitly. As information propagation is dependent on the prevalence of the disease, the delay in reporting the prevalence is an important factor. Further, the time lag in waning immunity related to protective measures (such as vaccination, self-protection, responsive behaviour etc.) is also accounted. Qualitative analysis of the equilibrium points of the model is executed and it is observed that when the basic reproduction number is less unity, the local stability of the disease free equilibrium (DFE) depends on the rate of immunity loss as well as on the time delay for the waning of immunity. If the delay in immunity loss is less than a threshold quantity, the DFE is stable, whereas, it loses its stability when the delay parameter crosses the threshold value. When, the basic reproduction number is greater than unity, the unique endemic equilibrium point is found locally stable irrespective of the delay effect under certain parametric conditions. Further, we have analyzed the model system for different scenarios of both delays (i.e., no delay, only one delay, and both delay present). Due to these delays, oscillatory nature of the population is obtained with the help of Hopf bifurcation analysis in each scenario. Moreover, at two different time delays (delay in information's propagation), the emergence of multiple stability switches is investigated for the model system which is termed as Hopf-Hopf (double) bifurcation. Also, the global stability of the endemic equilibrium point is established under some parametric conditions by constructing a suitable Lyapunov function irrespective of time lags. In order to support and explore qualitative results, exhaustive numerical experimentations are carried out which lead to important biological insights and also, these results are compared with existing results.

Sliding dynamics and bifurcations of a human influenza system under logistic source and broken line control strategy

This paper proposes a non-smooth human influenza model with logistic source to describe the impact on media coverage and quarantine of susceptible populations of the human influenza transmission process. First, we choose two thresholds $ I_{T} $ and $ S_{T} $ as a broken line control strategy: Once the number of infected people exceeds $ I_{T} $, the media influence comes into play, and when the number of susceptible individuals is greater than $ S_{T} $, the control by quarantine of susceptible individuals is open. Furthermore, by choosing different thresholds $ I_{T} $ and $ S_{T} $ and using Filippov theory, we study the dynamic behavior of the Filippov model with respect to all possible equilibria. It is shown that the Filippov system tends to the pseudo-equilibrium on sliding mode domain or one endemic equilibrium or bistability endemic equilibria under some conditions. The regular/virtulal equilibrium bifurcations are also given. Lastly, numerical simulation results show that choosing appropriate threshold values can prevent the outbreak of influenza, which implies media coverage and quarantine of susceptible individuals can effectively restrain the transmission of influenza. The non-smooth system with logistic source can provide some new insights for the prevention and control of human influenza.

Optimal control and cost-effectiveness analysis of a new COVID-19 model for Omicron strain

Omicron, a mutant strain of COVID-19, has been sweeping the world since November 2021. A major characteristic of Omicron transmission is that it is less harmful to healthy adults, but more dangerous for people with underlying disease, the elderly, or children. To simulate the spread of Omicron in the population, we developed a new 9-dimensional mathematical model with high-risk and low-risk exposures. Then we analyzed its dynamic properties and obtain the basic reproduction number R 0 . With the data of confirmed cases from March 1, 2022 published on the official website of Shanghai, China, we used the weighted nonlinear least square estimation method to estimate the parameters, and get the basic reproduction number R 0 ≈ 1 . 5118 . Finally, we considered three control measures (isolation, detection and treatment), and studied the optimal control strategy and cost-effectiveness analysis of the model. The control strategy G is determined to be the optimal control strategy from the purpose of making fewer people infected. In strategy G, the three human control measures contain six control variables, and the control strength of these variables needs to be varied according to the pattern shown in Figure 11, so that the number of infections can be minimized and the percentage of reduction of infections can reach more than 95%.