epidemic prevention measures did not achieve the expected effect.
There are a large number of contagious asymptomatic infections during the spread of COVID-19
[1,2,3,4]. This feature determines the high concealment of the spread of COVID-19, and leads to
an increase in the difficulty of epidemic prevention and control. There have been a large number
of research results on asymptomatic infections of new coronary pneumonia, including age
distribution, average proportion, and transmission intensity [5,6,7]. In addition, some researchers
have studied the spread of COVID-19 by establishing dynamic models including asymptomatic
infections. Ruan et al. established a time-varying COVID-19 transmission compartment model
including asymptomatic infected persons, simulated and reviewed the development process of the
Wuhan epidemic, and obtained that the asymptomatic proportion of infected persons was about
20% [8]. Rahul Subramanian et al. established a COVID-19 transmission model including
asymptomatic infections, quantified asymptomatic infections in New York City, and obtained
asymptomatic infections accounted for about 60% [9]. Mohamed Amouch et al. proposed a new
epidemiological mathematical model of the spread of COVID-19 disease, fitted the outbreak in
Monaco, and obtained that the proportion of asymptomatic patients was 30% [10]. However, these
studies are all conducted for a specific variant, and cannot effectively reflect the changes caused
by variant iterations.
In the more than two years since the first appearance of COVID-19, many countries and regions
around the world have experienced repeated outbreaks. Taking England as an example, although
multiple rounds of lockdown measures have been adopted to control the spread of the epidemic,
such epidemic prevention measures have not been fully effective. When the epidemic prevention
measures were gradually lifted, the epidemic rebounded again. We believe that asymptomatic
infections have played a very important role in the rebound of the epidemic. The lockdown measures
have effectively reduced the number of infected people to a certain extent, but because large-scale
screening tests were not adopted, there were still a certain number of asymptomatic infections in the
population. After the epidemic prevention measures are lifted, these undetected asymptomatic
infections will cause the next round of outbreaks. If the number of asymptomatic infections can be
effectively estimated in the early stage of the next outbreak, and certain epidemic prevention and
control measures are taken, the spread of the epidemic can be delayed to a certain extent. We
establish an improved SEIAR infectious disease dynamics model to assess the role of asymptomatic
infections in the early stages of epidemic transmission.
The remainder of this article is organized as follows. In Section 2, we present the COVID-19
infectious disease model and analyze the stability of the equilibrium point. In the third section, we
use the established model to fit the actual epidemic data, and conduct a comparative analysis of the
relevant kinetic parameters. In the last section, we conclude and discuss.