Basic Diagram B(t) E (exposed) S (susceptible) QS(t) QE(t) C(t) Q=Q1+Q2 Q1 (quarantined non-symptomatic) I (infectious) QI(t) DI(t) RI(t) QQ(t) Q2 (quarantined symptomatic) DQ(t) D (dead/disabled) * Transitions are the # of people moving between states (NOT the fraction of people who transition) RQ2(t) R (recovered) RQ1(t) States (sum up to the whole population) S(t) = # of susceptible people at time t E(t) = # of exposed people at time t (incubation state) I(t) = # of infectious people at time t Q1(t) = # of non-symptomatic people in quarantine at time t Q2(t) = # of symptomatic (infectious) people in quarantine at time t Q(t) = # of people in quarantine at time t D(t) = # of people dead/disabled at time t R(t) = # of people recovered at time t Transitions (# of people transitioning between states during the time interval) B(t) = # of susceptible people who become infected (exposed) during the time interval C(t) = # of exposed people who develop symptoms during the time interval QS(t) = # of susceptible people who are quarantined during the time interval QE(t) = # of exposed people who are quarantined during the time interval QI(t) = # of infectious people who are quarantined during the time interval QQ(t) = # of quarantined exposed people who develop symptoms during the time interval (currently do not include the QQ transition in the model) DI(t) = # of infectious people who die or become disabled during the time interval DQ(t) = # of quarantined people who die during the time interval RI(t) = # of infectious people who recover during the time interval RQ1(t) = # of quarantined non-symptomatic people who recover during the time interval RQ2(t) = # of quarantined infectious people who recover during the time interval B(t) E (exposed) β=transmission rate (# new people exposed per infectious person) β*I(t-1) α=close contacts of newly quarantined people S (susceptible) α*ΔQ*S(t-1)/(E(t-1)+S(t-1)) QS(t) QE(t) α*ΔQ*(E(t-1)/(E(t-1)+S(t-1)) C(t) [E(t-1)-QE(t)]*(1/μ1) ΔQ=QI(t-1) Q1 (quarantined non-symptomatic) q=quarantine rate q*I(t-1) QI(t) I (infectious) φ=treatment rate Q2 (quarantined symptomatic) RI(t) (1-d)*[I(t-1)-QI(t)]*(1/μ2) DI(t) RQ2(t) (1-d)*Q2(t-1)*(1/μ2) d*[I(t-1)-QI(t)]*(1/μ2) DQ(t) d*Q2(t-1)*(1/μ2) d=mortality rate of the disease D (dead/disabled) RQ1(t) φ*Q1(t-1) + Q1(t-1)(1-φ)*(1/μ1) R (recovered) • subtract off those who go to quarantine before determining how many people go to the other states • use 1/μ2 to account for time delay before a person dies or recovers (if they were infectious) • use 1/μ1 to account for time delay before a quarantined non-symptomatic person is considered recovered (unless they receive treatment … then they go immediately to recovered) β=transmission rate (# new people exposed per infectious person) States (sum up to the whole population) S(t) = # of susceptible people at time t E(t) = # of exposed people at time t (incubation state) I(t) = # of infectious people at time t Q(t) = # of people in quarantine at time t D(t) = # of people dead/disabled at time t R(t) = # of people recovered at time t Discretized model S(t+h) = S(t) – QS(t) – B(t) E(t+h) = E(t) + B(t) – C(t) – QE(t) I(t+h) = I(t) + C(t) – QI(t) – RI(t) – DI(t) Q1(t+h) = Q1(t) + QS(t) + QE(t) – RQ1(t) Q2(t+h) = Q2(t) + QI(t) – DQ(t) – RQ2(t) D(t+h) = D(t) + DI(t) + DQ(t) R(t+h) = R(t) + RI(t) + RQ1(t) + RQ2(t) • constraints are included in the Excel implementation of this model • limits on the number of people being sent to quarantine (setting to a large number effectively removes the constraint) • limits on the B(t) transition (since it doesn’t depend on S(t) limits are needed to prevent more people from transitioning than are available) State Transitions (# of people moving between states) α=close contacts of newly quarantined people q=quarantine rate d=mortality rate of the disease φ=treatment rate • subtract off those who go to quarantine first • use 1/μ2 to account for time delay before a person dies or recovers (if they were infectious) • use 1/μ1 to account for time delay before a quarantined non-symptomatic person is considered recovered (unless they receive treatment … then they go immediately to recovered) ΔQ=QI(t-1) B(t) = β*I(t-1) C(t) = [E(t-1)-QE(t)]*(1/μ1) QS(t) = α*ΔQ*S(t-1)/(S(t-1)+E(t-1)) QE(t) = α*ΔQ*E(t-1)/(S(t-1)+E(t-1)) QI(t) = q*I(t-1) DI(t) = d*[I(t-1)-QI(t)]*(1/μ2) DQ(t) = d*Q2(t-1)*(1/μ2) RI(t) = (1-d)*[I(t-1)-QI(t)]*(1/μ2) RQ1(t) = φ*Q1(t-1) + Q1(t-1)*(1-φ)*(1/μ1) RQ2(t) = (1-d)*Q2(t-1)*(1/μ2)