When encountering the outbreak and early spreading of COVID-19, the Government of Japan imposed gradually upgraded restriction policies and declared the state of emergency in April 2020 for the first time. To evaluate the efficacy of the countering strategies in different periods, we constructed a SEIADR (susceptible-exposed-infected-asymptomatic-documented-recovered) model to simulate the cases and determined corresponding spreading coefficients. The effective reproduction number R t was obtained to evaluate the measures controlling the COVID-19 conducted by the Government of Japan during different stages. It was found that the strict containing strategies during the state of emergency period drastically inhibit the COVID-19 trend. R t was decreased to 1.1123 and 0.8911 in stages 4 and 5 (a state of emergency in April and May 2020) from 3.5736, 2.0126, 3.0672 in the previous three stages when the containing strategies were weak. The state of emergency was declared again in view of the second wave of massive infections in January 2021. We estimated the cumulative infected cases and additional days to contain the COVID-19 transmission for the second state of emergency using this model. R t was 1.028 which illustrated that the strategies were less effective than the previous state of emergency. Finally, the overall infected population was predicted using combined isolation and testing intensity; the effectiveness and the expected peak time were evaluated. If using the optimized control strategies in the current stage, the spread of COVID-19 in Japan could be controlled within 30 days. The total confirmed cases should reduce to less than 4.2 × 10 5 by April 2021. This model study suggested stricter isolating measures may be required to shorten the period of the state of emergency.
This study establishes a compartment model for the categorized COVID-19 risk area. In this model, the compartments represent administrative regions at different transmission risk levels instead of individuals in traditional epidemic models. The county-level regions are partitioned into High-risk (H), Medium-risk (M), and Low-risk (L) areas dynamically according to the current number of confirmed cases. These risk areas are communicable by the movement of individuals. An LMH model is established with ordinary differential equations (ODEs). The basic reproduction number R0 is derived for the transmission of risk areas to determine whether the pandemic is controlled. The stability of this LHM model is investigated by a Lyapunov function and Poincare–Bendixson theorem. We prove that the disease-free equilibrium (R0 < 1) is globally asymptotically stable and the disease will die out. The endemic equilibrium (R0 > 1) is locally and globally asymptotically stable, and the disease will become endemic. The numerical simulation and data analysis support the previous theoretical proofs. For the first time, the compartment model is applied to investigate the dynamics of the transmission of the COVID-19 risk area. This work should be of great value in the development of precision region-specific containment strategies.
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