We developed a computational tool to assess the risks of novel coronavirus outbreaks outside of China. We estimate the dependence of the risk of a major outbreak in a country from imported cases on key parameters such as: (i) the evolution of the cumulative number of cases in mainland China outside the closed areas; (ii) the connectivity of the destination country with China, including baseline travel frequencies, the effect of travel restrictions, and the efficacy of entry screening at destination; and (iii) the efficacy of control measures in the destination country (expressed by the local reproduction number ). We found that in countries with low connectivity to China but with relatively high , the most beneficial control measure to reduce the risk of outbreaks is a further reduction in their importation number either by entry screening or travel restrictions. Countries with high connectivity but low benefit the most from policies that further reduce . Countries in the middle should consider a combination of such policies. Risk assessments were illustrated for selected groups of countries from America, Asia, and Europe. We investigated how their risks depend on those parameters, and how the risk is increasing in time as the number of cases in China is growing.
The quarantine of people suspected of being exposed to an infectious agent is one of the most basic public health measure that has historically been used to combat the spread of communicable diseases in human communities. This study presents a new deterministic model for assessing the population-level impact of the quarantine of individuals suspected of being exposed to disease on the spread of the 2014-2015 outbreaks of Ebola viral disease. It is assumed that quarantine is imperfect (i.e., individuals can acquire infection during quarantine). In the absence of quarantine, the model is shown to exhibit global dynamics with respect to the disease-free and its unique endemic equilibrium when a certain epidemiological threshold (denoted by R 0 ) is either less than or greater than unity. Thus, unlike the full model with imperfect quarantine (which is known to exhibit the phenomenon of backward bifurcation), the version of the model with no quarantine does not undergo a backward bifurcation. Using data relevant to the 2014-2015 Ebola transmission dynamics in the three West African countries (Guinea, Liberia and Sierra Leone), uncertainty analysis of the model show that, although the current level and effectiveness of quarantine can lead to significant reduction in disease burden, they fail to bring the associated quarantine reproduction number ( R 0 Q ) to a value less than unity (which is needed to make effective disease control or elimination feasible). This reduction of R 0 Q is, however, very possible with a modest increase in quarantine rate and effectiveness. It is further shown, via sensitivity analysis, that the parameters related to the effectiveness of quarantine (namely the parameter associated with the reduction in infectiousness of infected quarantined individuals and the contact rate during quarantine) are the main drivers of the disease transmission dynamics. Overall, this study shows that the singular implementation of a quarantine intervention strategy can lead to the effective control or elimination of Ebola viral disease in a community if its coverage and effectiveness levels are high enough.
COVID-19 epidemic has been suppressed in Hungary due to timely non-pharmaceutical interventions, prompting a considerable reduction in the number of contacts and transmission of the virus. This strategy was effective in preventing epidemic growth and reducing the incidence of COVID-19 to low levels. In this report, we present the first epidemiological and statistical analysis of the early phase of the COVID-19 outbreak in Hungary. Then, we establish an age-structured compartmental model to explore alternative post-lockdown scenarios. We incorporate various factors, such as age-specific measures, seasonal effects, and spatial heterogeneity to project the possible peak size and disease burden of a COVID-19 epidemic wave after the current measures are relaxed.
We developed a computational tool to assess the risks of novel coronavirus outbreaks outside of China. We estimate the dependence of the risk of a major outbreak in a country from imported cases on key parameters such as: (i) the evolution of the cumulative number of cases in mainland China outside the closed areas; (ii) the connectivity of the destination country with China, including baseline travel frequencies, the effect of travel restrictions, and the efficacy of entry screening at destination; and (iii) the efficacy of control measures in the destination country (expressed by the local reproduction number Rloc ). We found that in countries with low connectivity to China but with relatively high Rloc , the most beneficial control measure to reduce the risk of outbreaks is a further reduction in their importation number either by entry screening or travel restrictions. Countries with high connectivity but low Rloc benefit the most from policies that further reduce Rloc . Countries in the middle should consider a combination of such policies. Risk assessments were illustrated for selected groups of countries from America, Asia, and Europe. We investigated how their risks depend on those parameters, and how the risk is increasing in time as the number of cases in China is growing.
Lassa haemorrhagic fever is listed in WHO's Blueprint priority list of diseases and pathogens prioritized for research and development, affecting several hundreds of thousands of people each year. Lassa fever is spread via infected Natal multimammate mice and also through human-to-human contacts and it is a particular threat to pregnant women. Despite its importance, relatively few mathematical models have been established for modelling Lassa fever transmission up to now. We establish and study a new compartmental model for Lassa fever transmission including asymptomatic carriers, quarantine and periodic coefficients to model annual weather changes. We determine parameter values providing the best fit to data from Nigerian states Edo and Ondo from 2018–20. We perform uncertainty analysis and PRCC analysis to assess the importance of different parameters and numerical simulations to estimate the possible effects of control measures in eradicating the disease. The results suggest that the most important parameter which might be subject of control measures is death rate of mice, while mouse-to-human and human-to-human transmission rates also significantly influence the number of infected. However, decreasing the latter two parameters seems insufficient to eradicate the disease, while a parallel application of decreasing transmission rates and increasing mouse death rate might be able to stop the epidemic.
We establish a compartmental model to study the transmission of Zika virus disease including spread through sexual contacts and the role of asymptomatic carriers. To incorporate the impact of the seasonality of weather on the spread of Zika, we apply a nonautonomous model with time-dependent mosquito birth rate and biting rate, which allows us to explain the differing outcome of the epidemic in different countries of South America: using Latin Hypercube Sampling for fitting, we were able to reproduce the different outcomes of the disease in various countries. Sensitivity analysis shows that, although the most important factors in Zika transmission are the birth rate of mosquitoes and the transmission rate from mosquitoes to humans, spread through sexual contacts also highly contributes to the transmission of Zika virus: our study suggests that the practice of safe sex among those who have possibly contracted the disease, can significantly reduce the number of Zika cases.