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通过药物和非药物干预措施对新冠疫情进行优化控制。

Optimal control of the coronavirus pandemic with both pharmaceutical and non-pharmaceutical interventions.

作者信息

Oke Segun I, Ekum Matthew I, Akintande Olalekan J, Adeniyi Michael O, Adekiya Tayo A, Achadu Ojodomo J, Matadi Maba B, Iyiola Olaniyi S, Salawu Sulyman O

机构信息

Department of Mathematics, Ohio University, Athens, OH 45701-2979 USA.

Department of Mathematical Sciences, Lagos State University of Science and Technology, Ikorodu, Lagos Nigeria.

出版信息

Int J Dyn Control. 2023 Feb 1:1-25. doi: 10.1007/s40435-022-01112-2.

Abstract

Coronaviruses are types of viruses that are widely spread in humans, birds, and other mammals, leading to hepatic, respiratory, neurologic, and enteric diseases. The disease is presently a pandemic with great medical, economical, and political impacts, and it is mostly spread through physical contact. To extinct the virus, keeping physical distance and taking vaccine are key. In this study, a dynamical transmission compartment model for coronavirus (COVID-19) is designed and rigorously analyzed using Routh-Hurwitz condition for the stability analysis. A global dynamics of mathematical formulation was investigated with the help of a constructed Lyapunov function. We further examined parameter sensitivities (local and global) to identify terms with greater impact or influence on the dynamics of the disease. Our approach is data driven to test the efficacy of the proposed model. The formulation was incorporated with available confirmed cases from January 22, 2020, to December 20, 2021, and parameterized using real-time series data that were collected on a daily basis for the first 705 days for fourteen countries, out of which the model was simulated using four selected countries: USA, Italy, South Africa, and Nigeria. A least square technique was adopted for the estimation of parameters. The simulated solutions of the model were analyzed using MAPLE-18 with Runge-Kutta-Felberg method (RKF45 solver). The model entrenched parameters analysis revealed that there are both disease-free and endemic equilibrium points. The solutions depicted that the free equilibrium point for COVID-19 is asymptotic locally stable, when the epidemiological reproduction number condition . The simulation results unveiled that the pandemic can be controlled if other control measures, such as face mask wearing in public areas and washing of hands, are combined with high level of compliance to physical distancing. Furthermore, an autonomous derivative equation for the five-dimensional deterministic was done with two control terms and constant rates for the pharmaceutical and non-pharmaceutical strategies. The Lagrangian and Hamilton were formulated to study the model optimal control existence, using Pontryagin's Maximum Principle describing the optimal control terms. The designed objective functional reduced the intervention costs and infections. We concluded that the COVID-19 curve can be flattened through strict compliance to both pharmaceutical and non-pharmaceutical strategies. The more the compliance level to physical distance and taking of vaccine, the earlier the curve is flattened and the earlier the economy will be bounce-back.

摘要

冠状病毒是一类在人类、鸟类和其他哺乳动物中广泛传播的病毒,可导致肝脏、呼吸道、神经和肠道疾病。该疾病目前是一场具有重大医学、经济和政治影响的大流行病,主要通过身体接触传播。为了消灭这种病毒,保持身体距离和接种疫苗是关键。在本研究中,设计了一种冠状病毒(COVID-19)的动态传播 compartment 模型,并使用劳斯-赫尔维茨条件进行严格分析以进行稳定性分析。借助构造的李雅普诺夫函数研究了数学公式的全局动态。我们进一步研究了参数敏感性(局部和全局),以识别对疾病动态有更大影响的项。我们的方法是数据驱动的,以测试所提出模型的有效性。该公式结合了2020年1月22日至2021年12月20日的可用确诊病例,并使用14个国家前705天每天收集的实时序列数据进行参数化,其中该模型使用四个选定国家进行模拟:美国、意大利、南非和尼日利亚。采用最小二乘法估计参数。使用 MAPLE-18 和龙格-库塔-费尔贝格方法(RKF45 求解器)分析模型的模拟解。对模型根深蒂固的参数分析表明,存在无病平衡点和地方病平衡点。解表明,当流行病学繁殖数条件满足时,COVID-19 的自由平衡点在局部是渐近稳定的。模拟结果表明,如果将其他控制措施,如在公共场所佩戴口罩和洗手,与高度遵守身体距离相结合,大流行病是可以得到控制的。此外,针对五维确定性系统建立了一个带有两个控制项和药物及非药物策略恒定速率的自治导数方程。利用描述最优控制项的庞特里亚金极大值原理,建立了拉格朗日函数和哈密顿函数来研究模型最优控制的存在性。设计的目标函数降低了干预成本和感染率。我们得出结论,通过严格遵守药物和非药物策略,可以使 COVID-19 曲线变平。对身体距离和接种疫苗的遵守程度越高,曲线变平越早,经济反弹也越早。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/185b/9891200/1f6c090681c8/40435_2022_1112_Fig1_HTML.jpg

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