A study on the transmission dynamics of COVID - 19 considering the

2025-04-30 0 0 938.68KB 22 页 10玖币
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A study on the transmission dynamics of COVID-19 considering the
impact of asymptomatic infection
Zonghao Zhang, Xiaotong Huang, Kedeng Cheng, Chuanqing Xu, Songbai Guo, Xiaojing Wang
School of Science
Beijing University of Civil Engineering and Architecture
Beijing 102699, China
Abstract: The COVID-19 epidemic has been spreading around the world for nearly three years,
and asymptomatic infections have exacerbated the spread of the epidemic. To evaluate the role of
asymptomatic infections in the spread of the epidemic, we develop mathematical models to assess
the proportion of asymptomatic infections caused by different strains of the main covid-19 variants.
The analysis shows that when the control reproduction number is less than 1, the disease-free
equilibrium point of the model is globally asymptotically stable; and when the control reproduction
number is greater than 1, the endemic equilibrium point exists and is unique, and is locally
asymptotically stable. We fit the epidemic data in the four time periods corresponding to the selected
614G, Alpha, Delta and Omicron variants. The fitting results show that, from the comparison of the
four time periods, the proportion of asymptomatic persons among the infected persons gradually
increased. We also predict the peak time and peak value for the four time periods, and the results
indicate that the transmission speed and transmission intensity of the variant strains increased to
some extent. Finally, we discuss the impact of the detection ratio of symptomatic infections on the
spread of the epidemic. The results show that with the increase of the detection ratio, the cumulative
number of cases has dropped significantly, but the decline in the proportion of asymptomatic
infections is not obvious. Therefore, in view of the hidden transmission of asymptomatic infections,
the cooperation between various epidemic prevention and control policies is required to effectively
curb the spread of the epidemic.
Keywords: COVID-19; Asymptomatic infections; Control reproduction number; Lyapunov
function; Data Fitting.
Mathematics Subjects Classification 2010: 34A34, 92B05
1. Introduction
Since its outbreak at the end of 2019, COVID-19 has had a severe impact on countries around the
world. How to effectively control the spread of the epidemic and restore normal production and life
is still an issue that governments need to consider. To control the spread of COVID-19, many
measures have been taken, including non-pharmacological interventions, pharmacological
interventions, vaccinations, and more. However, due to the continuous emergence of variants, the
Corresponding Author: xuchuanqing@bucea.edu.cn
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.
2. Model establishment and analysis
2.1 Model establishment
There are two typical characteristics of the spread of COVID-19. First, there are a large number of
asymptomatic infected people with new coronary pneumonia. The second is that COVID-19 patients
have a longer exposure period and have differences in infectivity. Based on our knowledge of
COVID-19, we have the following assumptions in our model:
(A1) We divide the exposure period into two parts: the early stage and the later stage, in which the
early stage is not infectious and the later stage is infectious;
(A2) For symptomatic infections, we assume that symptomatic infections can be screened as long
as they are tested, and that the detected symptomatic infections are completely isolated and no longer
contagious;
(A3) Asymptomatic infections were assumed not to be tested, and deaths from illness in
asymptomatic infections were not considered.
Based on the above assumptions, we establish a COVID-19 transmission compartment model
including asymptomatic infected persons. The model divides the general population into susceptible
(
S
), pre-exposure patients ( 1
E), late-exposure patients ( 2
E), detected symptomatic infections ( 1
I),
undetected symptomatic infections ( 2
I), asymptomatic infections ( A) and recovered ( R). Its
dynamic flow chart is shown in Figure 1.
Fig.1 Flow chart of the COVID-19 transmission dynamics model containing seven
compartments. The compartments represented by the red box is infectious, and the compartments
represented by the blue box is not infectious.
The corresponding propagation dynamics equation is constructed as follows:
 
 
 
 
 
 
2 2
1
2 2 1
2
1 2
1
2 1 1 1
2
2 2 2 2
1 3
1 1 2 2 3
,
,
,
,
1 ,
,
.
dS S E I A S
dt
dE
S E I A E
dt
dE E E
dt
dI E I
dt
dI E I
dt
dA E A
dt
dR I I A R
dt
 
 
 
  
 
 
 
 
 
 
 
 
 
 
(1)
The parameters in system (2.1) are explained as follows.
is the daily number of births and
is the daily natural mortality rate. The parameter
represents the basal transmission rate, and
represents the conversion rate from patients in the pre-exposure period to patients in the late-
exposure period.
represents the conversion rate from patients in the pre-exposure period to
asymptomatic infected persons, and
represents the conversion rate from patients in the late
exposure period to infected persons.
is the weight of the transmission intensity of the
asymptomatic infection relative to the symptomatic infection, and
is the rate of testing among
the symptomatic infection.
1 2 3
, ,
 
is the recovery rate of detected symptomatic infections,
undetected symptomatic infections, and asymptomatic infections, respectively.
1 2
,
 
is the
mortality rate of detected symptomatic infections and undetected symptomatic infections,
respectively.
2.2 Calculation of disease-free equilibrium point and controlled reproduction number
Obviously, there is always a disease-free equilibrium point
 
0 0
= , 0, 0, 0, 0, 0, 0
P S in system (1),
where 0
S
. Then we use the next generation matrix method to calculate the control
reproduction number of system (1). The Jacobian matrices
F
and
V
at the disease-free
equilibrium point are obtained from system (1) as
0 0 0
0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
S S S
F
 
 
 
 
 
 
 
 
 
,
 
1 1
2 2
3
0 0 0 0
0 0 0
0 0 0 .
0 1 0 0
0 0 0
V
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
The control reproduction number is the spectral radius of the
1
FV
, therefore we get
 
 
0
2 2 3
1
= .
C
S
 
 
 
 
 
 
 
 
 
2.3 Existence of the endemic equilibrium point
Theorem 2.3. When
1
C
, the system (1) has a unique positive equilibrium point
 
1 2 1 2
= , , , , , ,P S E E I I A R
 
.
Proof. Using the equilibrium equation of system (1) at the endemic equilibrium point, we can get
 
 
 
 
 
   
 
*
1
2 2 3
2 1 1 1
1 1
2 1 1
2 2 3
23
1 1
1 1 2 2 3
,
1
, ,
1, ,
1
.
S
E
E E I E
I E A E
E
R
 
 
 
 
 
   
 
 
  

   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
(2)
Furthermore, according to the equilibrium equation, we obtain
 
1
0.
S E
 
 
 
Simplify to get
 
1 1 0
0.
C C
E E S
  
 
 
 
 
 
Therefore, we can get
1
0,
E
or
 
0
1
,
C
C
S
E
 
 
 
   
摘要:

AstudyonthetransmissiondynamicsofCOVID-19consideringtheimpactofasymptomaticinfectionZonghaoZhang,XiaotongHuang,KedengCheng,ChuanqingXu,SongbaiGuo,XiaojingWangSchoolofScienceBeijingUniversityofCivilEngineeringandArchitectureBeijing102699,ChinaAbstract:TheCOVID-19epidemichasbeenspreadingaroundtheworl...

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