Department of Computer Science, University of Verona, Verona, Italy.
Department of Mathematics and Computer Science, University of Ferrara, Ferrara, Italy.
J Math Biol. 2021 May 23;82(7):63. doi: 10.1007/s00285-021-01617-y.
The adoption of containment measures to reduce the amplitude of the epidemic peak is a key aspect in tackling the rapid spread of an epidemic. Classical compartmental models must be modified and studied to correctly describe the effects of forced external actions to reduce the impact of the disease. The importance of social structure, such as the age dependence that proved essential in the recent COVID-19 pandemic, must be considered, and in addition, the available data are often incomplete and heterogeneous, so a high degree of uncertainty must be incorporated into the model from the beginning. In this work we address these aspects, through an optimal control formulation of a socially structured epidemic model in presence of uncertain data. After the introduction of the optimal control problem, we formulate an instantaneous approximation of the control that allows us to derive new feedback controlled compartmental models capable of describing the epidemic peak reduction. The need for long-term interventions shows that alternative actions based on the social structure of the system can be as effective as the more expensive global strategy. The timing and intensity of interventions, however, is particularly relevant in the case of uncertain parameters on the actual number of infected people. Simulations related to data from the first wave of the recent COVID-19 outbreak in Italy are presented and discussed.
采取遏制措施来降低疫情高峰期的幅度是应对疫情快速传播的关键方面。必须对经典的房室模型进行修改和研究,以正确描述强制外部措施对降低疾病影响的效果。必须考虑社会结构的重要性,例如在最近的 COVID-19 大流行中证明至关重要的年龄依赖性,此外,可用数据通常是不完整和异质的,因此从一开始就必须将高度不确定性纳入模型。在这项工作中,我们通过存在不确定数据的社会结构传染病模型的最优控制公式来解决这些问题。在引入最优控制问题之后,我们制定了控制的瞬时逼近,这使我们能够推导出新的反馈控制房室模型,这些模型能够描述疫情高峰期的降低。长期干预的必要性表明,基于系统社会结构的替代措施可以与更昂贵的全局策略一样有效。然而,在实际感染者数量的参数存在不确定性的情况下,干预的时间和强度尤为重要。我们提出并讨论了与意大利最近 COVID-19 疫情第一波数据相关的模拟。