Prediction of Epidemic and Pandemic Outbreaks Using Mathematical Models Review Report Submitted by Ms. Bijila B M.Tech First Semester Biomedical Engineering Department of ICE Submitted To Ms. Priyanka C P Assistant Professor Department of ME NSS College of Engineering Palakkad - 678008, Kerala, India January 2, 2025 Abstract Mathematical models are powerful tools for the prediction of infectious diseases. The main objective of using mathematical models is to understand the complex dynamics of disease that useful for the predictions, planning and control of epidemic and pandemic outbreaks. Here, propose a literature review of ten peer-reviewed articles that introduce ten different models. Articles were collected from Google Scholar that were published between 2020 to 2024. The type of model used, year of study, data collection and method of solving of each article are analyzed and identified the advantages and limitations of each model compared with others. The literature review suggests best models for prediction and prevention of infectious disease. i Contents Abstract i 1 Introduction 1 2 Literature Review 2 2.1 Basic Compartmental Model . . . . . . . . . . . . . . . 2 2.2 Extended SIR model . . . . . . . . . . . . . . . . . . . 4 2.2.1 SIR Model with Vital Dynamics . . . . . . . . . 4 2.2.2 SIR Model with Machine Learning . . . . . . . 4 Extended SEIR model . . . . . . . . . . . . . . . . . . . 4 2.3.1 SEIR Model with Vaccination and Quarantine . . 4 2.3.2 SEIR Model with Neural Network and Deep 2.3 2.4 3 4 Learning . . . . . . . . . . . . . . . . . . . . . 5 Comparison of Models . . . . . . . . . . . . . . . . . . 5 Discussion 7 3.1 9 Advantages and Limitations . . . . . . . . . . . . . . . Conclusion 10 References 11 ii 1. Introduction When a disease spread rapidly for a large population within a specified geographical area or region is considered as a epidemic condition. Yellow fever, smallpox, malaria, and mpox are examples of epidemic cases. When the spread crosses different countries or continents, then the condition will become a pandemic. COVID in 2019 and HINI influenza in 2009 are pandemic diseases and many people lost their lives. It is necessary to control the effect of diseases on human life. Mathematical models are the best solutions to reduce the effect of infectious diseases to certain extent. It helps to understand the disease dynamics such as infection rate, recovery rate, and death rate. This useful for the prediction of severity of infectious disease. The prediction about uncontrolled outbreak of disease provides a warning for the public and for the government to take necessary steps and policies such as quarantine and lockdown to prevent outbreaks. There are many mathematical models that are used for these objectives, including deterministic models, stochastic models, and statistical models. The most simple and widely used are compartmental models. A total of ten articles have been reviewed in this paper. The goal of review is to familiarize the reader with different compartment mathematical models and to compare the strengths, drawbacks, and challenges of each model with respect to the other. 1 2. Literature Review There are different types of classification for mathematical modeling. The main classifications studied here are based on : 1. Basic Compartmental 2. Extended Compartmental 2.1 Basic Compartmental Model The basic compartmental/deterministic model includes two types: SusceptibleInfected-Recovered (SIR) model and Susceptible-Exposed-Infected-Recovered (SEIR) model. SIR model was developed by Kermack and McKendrick in 1927 [1], which is considered as the simple mathematical model of epidemics. It includes three separate groups: Figure 2.1: SIR Model The group of individuals that are not currently infected but may be infected are included in the susceptible(S) category. Those are currently infectious are in the infected(I) category and those are no longer infectious are entered in the recovered or removed(R) category [2]. The 2 SIR model is represented by some ordinary differential equations: dS SI = −β dt N dI SI = β − γI dt N dR = γI dt (2.1) (2.2) (2.3) where β is the transmission rate and γ is the recovery rate. The N is the total population which can be represented as: S (t) + I(t) + R(t) = N (2.4) SEIR model is a modified version of the SIR model that proposes a new category, Exposed(E), which indicates the individuals who are infected by pathogen but not yet infected [3]. Figure 2.2: SEIR Model The differential equations for SEIR model can be written as: dS SI = −β dt N dE SI = β − ϵE dt N dI = ϵE − γI dt dR = γI dt 3 (2.5) (2.6) (2.7) (2.8) where β, ϵ and γ indicates the infection, progression and recovery rates. 2.2 Extended SIR model 2.2.1 SIR Model with Vital Dynamics The SIR model assumes that sex, age, death, birth and some social behaviours have no effect in the case of infectious disease. SIRD model extends the SIR categories with the division of Deceased or Death (D) [4]. It creates a four set of ordinary differential equations and the total population can be represented here as N = S + I + R + D. Infected quarantined individuals do not contribute to the spread of disease. In order to afford quarantine cases in SIR model, the infected people is divided into two groups: Quarantined and Unquarantined [5]. 2.2.2 SIR Model with Machine Learning For a dynamic and non-homogeneous population, it is better to use machine learning(ML) methods together with SIR model to handle complex spatial interactions and to provide accurate predictions. SIMLR model uses SIR model with time-varying parameters that utilizes machine learning methods [6]. 2.3 Extended SEIR model 2.3.1 SEIR Model with Vaccination and Quarantine There are several categories are included in the SEIR model for better predictions of epidemic and pandemic outbreak. SEIRV model includes 4 the category of Vaccinated(V) people [7]. Vaccination is the only measure to stop the death rate and acquire immunity against infectious diseases. SEIQRDP model divides the population into Suscepted, Exposed, Infected, Quarantined, Recovered, Death and Protected (or insusceptible) people [8]. metapopulation or mSEIR model is used in the cases of interactions of the population between different regions [9]. 2.3.2 SEIR Model with Neural Network and Deep Learning Neural-SEIR model approximates the core parameters through neural networks [10]. It uses long short-term memory (LSTM) neural network to predict complex epidemics like coronavirus. It also preserves the traditional SEIR structure. The metapopulation SEIR model is combined with hybrid deep learning(DL) [11]. This model helps to minimize the gap between real and estimated status of infectious diseases. 2.4 Comparison of Models The articles are searched using Google Scholar, those are published between 2020 and 2024. The review includes ten articles that describe different epidemic models. The key parameter of epidemic models is the reproduction number R0 and can be defined it in case of SIR model as: R0 = β γ (2.9) When R0 > 1, virus is currently spreading and when R0 < 1, virus begins to stop spreading. 5 6 mSEIR NeuralSEIR SEIR+DL 8. 9. 10. SIMLR 5. SEIQRDP SIR+Q 4. 7. SIRD 3. SEIRV SEIR 2. 6. 2020 SIR 1. 2020 2023 2020 2024 2022 2022 2020 2020 2020 Year of Study Sl.No Model Collected data of different months (2020) in two cities, key parameters R0 and RMS E. Collected data from Dec 2019 to Feb 2020, RMS E, MAE and S MAPE, NVIDIA GeForce RTX 3090 hardware and encoded with Python Tensorflow Collected data from 10 Jan 2020 to 16 Feb 2020, key parameter is MAPE, window sliding algorithm (optimization) Global prediction of Mpox cases in 31 Dec 2022, key parameter is RE(relative error), least square method and simulation. Analyze collected data for one year, key parameters are R0 and V(vaccination rate) Predict new infections one to four weeks in advance, key parameters are CT (change in trend) and MAPE(Mean absolute percentage error) Collected data from 26 April 2020 to 12 May 2020, Key parameters are R0 and f t(factor of testing), Python simulation Results based on data of 116 days, Key parameters are R0 and R2 (regression coefficient), MATLAB simulation Collected data from 15 Jan 2020 to 29 Feb 2020, R0 is the key parameter, Optimization Toolbox of MATLAB software. Collected data from 2 March 2020 to 15 May 2020, total population(N) is constant, no vital dynamics, R0 is the key parameter,MATLAB simulation. Description Table 2.1: Brief characteristics of each model COVID cases in south Korea COVID cases in China COVID cases in China Mpox data of six countries collected from WHO COVID data of vaccinated countries from WHO COVID data form Canada and United States COVID cases in the state of Kerala and India COVID cases in Kuwait COVID cases in Japan COVID cases in Saudi Arabia Data Collection 3. Discussion The commonly used mathematical models for pandemic or epidemic prediction are the SIR [2] and SEIR [3] models. These predict based on certain assumptions. Reproductive number R0 is the key parameter for both models that define as the average number of susceptible individuals infected by a single infected person. It indicates the transmissivity and impact of the infectious disease. The remaining studied models are the extension of SIR and SEIR models. The SIR model assumes that vital dynamics such as birth, death, age, sex and social behaviour has no effect on the spreading of disease. Also, the population is taken as constant, so the recovered people are included only in immune category, not in the death category. That is, the death rate is taken as constant. But, the death is a major concept in case of infectious disease. The SIRD model [3] helps to avoid this limitation of SIR model and is the best model to detects the severity of the disease. Testing and quarantine are necessary factors for controlling the spread of infectious disease by mutual contact which can proposed by SIR+Q model [4]. Fraction of testing( f t) is the fraction of infected people who are tested and quarantine. If f t increases, more people get quarantined and controls the spreading of disease. SIR model uses the static parameters only. To performing time-varying parameter, combine SIR model with machine learning called as SIMLR model [5]. 7 It predicts the number of new infections for one to four week in advance. The SEIR model have also some limitations which can overcome by its extensions. Vaccination helps to increase the immunity of each individuals internally and to defend the infectious disease. SEIRV model [6] includes different compartments such as vaccination rate, death rate and birth rate. Social distancing and vaccination rate have major role in reducing R0 and to overcome infectious disease. SEIQRDP model [7] include more compartments to enhance the accuracy of results than SEIR model. SEIR model focus on fixed transmission rate. mSEIR model [8] used for metapopulation that considers the mobility and interactions of population in different regions. It helps for heterogeneous transmission, that is, to predict the spread of disease between different areas. mSEIR model need more accuracy, so, it is combinated with hybrid deep learning models [10]. To prove the efficiency and effectiveness, it compared with other forecasting models such as LSTM and DNN networks. By combining SEIR with neural network structure [9], achieve high accuracy and efficiency on the prediction of disease using time-series data. Long short-term memory(LSTM) network provides accurate predictions not only in case of disease, but only several applications such as weather predictions, energy prediction and drug prediction. 8 3.1 Advantages and Limitations Sl.No Model Advantages Limitations 1. SIR Relatively simple and easy to implement Assumes no vital dynamics such as birth, death, age and sex, population size as constant 2. SEIR Useful in case of incubation period Limited scope for heterogeneous population, assumptions similar to SIR model 3. SIRD Detect severity within limited days Not very accurate and error percentage remain high 4. SIR+Q Understand the usage of testing and quarantine Limited to homogeneity, cannot apply for complexity real-world epidemics 5. SIMLR Apply for heterogeneous world, describe complex dynamics Require large and high-quality datasets, complex model 6. SEIRV Analyze effectiveness of vaccination, consider reinfection possibility Homogeneity, Effect of vaccine considered constant for all age groups and in all regions. 7. SEIQRDP Includes more compartments, analyze disease on global scale Homogeneity, oversimplification in dynamics 8. mSEIR Consider mobility and interaction of urban population Requires up-to-date dataset, assume homogeneity within subpopulation 9. NeuralSEIR Elimiate the need of huge and high-quality data, reduce complexity Long-term prediction may undergo less accuracy 10. SEIR+DL Applicable for heteropopulation, Provide real-time predictions Not good in generalizability, hybrid model is risky and complex Table 3.1: Advantages and limitation of each model 9 4. Conclusion This review paper presents different mathematical models for the prediction and control of epidemic and pandemic situations. It includes ten different compartmental models from ten published articles. Each model has its own advantages and some limitations. All models are best for the application of epidemic prediction based on availability of data, geographical area, homogeneous or heterogeneous population, and severity of the disease. Even though, for the new artificial intelligence world, it is better to use the hybrid models using machine learning, deep learning and neural network. The advancements in such hybrid models can be considered as the future scope of epidemic predictions. 10 References [1] Kermack William Ogilvy and McKendrick A. G. 1927 A contribution to the mathematical theory of epidemics Proc. R. Soc. Lond. A115700–721 http://doi.org/10.1098/rspa.1927. 0118 [2] Alboaneen, Dabiah, et al. Predicting the epidemiological outbreak of the coronavirus disease 2019 (COVID-19) in Saudi Arabia. International journal of environmental research and public health 17.12 (2020): 4568. https://doi.org/10.3390/ ijerph17124568 [3] Kuniya, Toshikazu. Prediction of the epidemic peak of coronavirus disease in Japan, 2020 Journal of clinical medicine 9.3 (2020): 789. https://doi.org/10.3390/jcm9030789 [4] Sedaghat, Ahmad, et al. Predicting Trends of Coronavirus Disease (COVID-19) Using SIRD and Gaussian-SIRD Models 2020 IEEE 3rd International Conference and Workshop in Óbuda on Electrical and Power Engineering (CANDO-EPE). IEEE, 2020. doi:10. 1109/CANDO-EPE51100.2020.9337783. [5] Anand, Nikhil, et al. Predicting the spread of COVID-19 using SIR model augmented to incorporate quarantine and testing Transactions of the Indian National Academy of Engineering 5.2 (2020): 141-148. https://doi.org/10.1007/s41403-020-00151-5 11 [6] Vega, Roberto, Leonardo Flores, and Russell Greiner. SIMLR: Machine Learning inside the SIR model for COVID-19 Forecasting Forecasting 4.1 (2022): 72-94.https://doi.org/10.3390/ forecast4010005 [7] Poonia, Ramesh Chandra, et al. An enhanced SEIR model for prediction of COVID-19 with vaccination effect Life 12.5 (2022): 647. https://doi.org/10.3390/life12050647 [8] Zhang, Li, et al. Global prediction for mpox epidemic Environmental Research 243 (2024): 117748. https://doi.org/10.1016/ j.envres.2023.117748 [9] Chen, Duxin, et al. Prediction of COVID-19 spread by sliding mSEIR observer Science China Information Sciences 63 (2020): 1-13. https://doi.org/10.1007/s11432-020-3034-y [10] Wang, Haoyu, et al. Neural-SEIR: A flexible data-driven framework for precise prediction of epidemic disease Mathematical Biosciences and Engineering 20.9 (2023): 16807-16823. http: //www.aimspress.com/journal/mbe [11] Rahmadani, Firda, and Hyunsoo Lee. Hybrid deep learningbased epidemic prediction framework of COVID-19: South Korea case Applied Sciences 10.23 (2020): app10238539 12 8539. doi:10.3390/
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