The occurrence of coronavirus disease 2019 (COVID-19) was followed by a small burst of cases around the world; afterward, due to a series of emergency non-pharmaceutical interventions (NPIs), the increasing number of confirmed cases slowed down in many countries. However, the subsequent gradual easing of governance led to a sudden increase in cases in late July 2020, arousing deep concern across the globe. This study evaluates the situation of the COVID-19 pandemic in countries and territories worldwide from January 2020 to February 2021. According to the time-varying reproduction number ( R ( t )) of each country or territory, the results show that almost half of the countries and territories in the world have never controlled the epidemic. Among the countries and territories that had once contained the occurrence, nearly half failed to maintain their prevention and control, causing the COVID-19 pandemic to rebound across the world—resulting in even higher waves in half of the rebounding countries or territories. This work also proposes and uses a time-varying country-level transmission risk score (CTRS), which takes into account both R ( t ) and daily new cases, to demonstrate country-level or territory-level transmission potential and trends. Time-varying hierarchical clustering of time-varying CTRS values was used to successfully reveal the countries and territories that contributed to the recent aggravation of the global pandemic in the last quarter of 2020 and the beginning of 2021, and to identify countries and territories with an increasing risk of COVID-19 transmission in the near future. Furthermore, a regression analysis indicated that the introduction and relaxation of NPIs, including workplace closure policies and stay-at-home requirements, appear to be associated with recent global transmission changes. In conclusion, a systematic evaluation of the global COVID-19 pandemic over the past year indicates that the world is now in an unexpected situation, with limited lessons learned. Summarizing the lessons learned could help in designing effective public responses for constraining future waves of COVID-19 worldwide.
Background: In late February 2022, the Omicron epidemic swept through Shanghai, and the Shanghai government responded to it by adhering to a dynamic zero-COVID strategy. In this study, we conducted a retrospective analysis of the Omicron epidemic in Shanghai to explore the timing and performance of control measures based on the eventual size and duration of the outbreak. Methods: We constructed an age-structured and vaccination-stratified SEPASHRD model by considering populations that had been detected or controlled before symptom onset. In addition, we retrospectively modeled the epidemic in Shanghai from 26 February 2022 to 31 May 2022 across four periods defined by events and interventions, on the basis of officially reported confirmed (58,084) and asymptomatic (591,346) cases. Results: According to our model fitting, there were about 785,123 positive infections, of which about 57,585 positive infections were symptomatic infections. Our counterfactual assessment found that precise control by grid management was not so effective and that citywide static management was still needed. Universal and enforced control by citywide static management contained 87.65% and 96.29% of transmission opportunities, respectively. The number of daily new and cumulative infections could be significantly reduced if we implemented static management in advance. Moreover, if static management was implemented in the first 14 days of the epidemic, the number of daily new infections would be less than 10. Conclusions: The above research suggests that dynamic zeroing can only be achieved when strict prevention and control measures are implemented as early as possible. In addition, a lot of preparation is still needed if China wants to change its strategy in the future.
Introduction: Differential equations governed compartmental models are known for their ability to simulate epidemiological dynamics and provide highly accurate descriptive and predictive results. However, identifying the corresponding parameters of flow from one compartment to another in these models remains a challenging task. These parameters change over time due to the effect of interventions, virus variation and so on, thus time-varying compartmental models are required to reflect the dynamics of the epidemic and provide plausible results.Methods: In this paper, we propose an Euler iteration augmented physics-informed neural networks(called Euler-PINNs) to optimally integrates real-world reported data, epidemic laws and deep neural networks to capture the dynamics of COVID-19. The proposed Euler-PINNs method integrates the differential equations into deep neural networks by discretizing the compartmental model with suitable time-step and expressing the desired parameters as neural networks. We then define a robust and concise loss of the predicted data and the observed data for the epidemic in question and try to minimize it. In addition, a novel activation function based on Fourier theory is introduced for the Euler-PINNs method, which can deal with the inherently stochastic and noisy real-world data, leading to enhanced model performance.Results and Discussion: Furthermore, we verify the effectiveness of the Euler-PINNs method on 2020 COVID-19-related data in Minnesota, the United States, both qualitative and quantitative analyses of the simulation results demonstrate its accuracy and efficiency. Finally, we also perform predictions based on data from the early stages of the outbreak, and the experimental results demonstrate that the Euler-PINNs method remains robust on small dataset.
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