Insight diagram
This insight began as a March 22nd Clone of "Italian COVID 19 outbreak control"; thanks to Gabo HN for the original insight. The following links are theirs:

Initial data from:
Italian data [link] (Mar 4)
Incubation estimation [link]

Andy Long
Northern Kentucky University
May 2nd, 2020

This is an update of our model from April 9th, 2020. As we prepare for our final exam, I read a story in The Guardian about Italy's struggle to return to normalcy. The final paragraphs:

During the debate in the Senate on Thursday, the opposition parties grilled Conte. Ex-prime minister Matteo Renzi, who has called for less restraint in the reopening, remarked, “The people in Bergamo and Brescia who are gone, those who died of the virus, if they could speak, they’d tell us to relaunch the country for them, in their honour.”

Renzi’s controversial statement was harshly criticised by doctors who warned that the spread of the disease, which, as of Thursday, had killed almost 30,000 people in the country and infected more than 205,000 [ael: my emphasis], was not over and that a misstep could take the entire country back to mid-March coronavirus levels.

“We risk a new wave of infections and outbreaks if we’re not careful,” said Tullio Prestileo, an infectious diseases specialist at Palermo’s Benefratelli Hospital. “If we don’t realise this, we could easily find ourselves back where we started. In that case, we may not have the strength to get back up again.”

I have since updated the dataset, to include total cases from February 24th to May 2nd. I went to Harvard's Covid-19 website for Italy  and and then to their daily updates, available at github. I downloaded the regional csv file for May 2nd,  which had regional totals (21 regions); I grabbed the column "totale_casi" and did some processing to get the daily totals from the 24th of February to the 2nd of May.

The cases I obtained in this way matched those used by Gabo HN.

The initial data they used started on March 3rd (that's the 0 point in this Insight).

You can get a good fit to the data through April 9th by choosing the following (and notice that I've short-circuited the process from the Infectious to the Dead and Recovered). I've also added the Infectious to the Total cases.

The question is: how well did we do at modeling this epidemic through May 2nd (day 60)? And how can we change the model to do a better job of capturing the outbreak from March 3rd until May 2nd?

Incubation Rate:  .025
R0: 3
First Lockdown: IfThenElse(Days() == 5, 16000000, 0)
Total Lockdown: IfThenElse(Days() >= 7, 0.7,0)

(I didn't want to assume that the "Total Lockdown" wasn't leaky! So it gets successively tighter, but people are sloppy, so it simply goes to 0 exponentially, rather than completely all at once.)

deathrate: .01
recoveryrate: .03

"Death flow": [deathrate]*[Infectious]
"Recovery flow": [recoveryrate]*[Infectious]

Total Reported Cases: [Dead]+[Surviving / Survived]+[Infectious]



Resources:
  * https://annals.org/aim/fullarticle/2762808/incubation-period-coronavirus-disease-2019-covid-19-from-publicly-reported
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SARS-CoV-19 spread in different countries
- please adjust variables accordingly

Italy
  • elderly population (>65): 0.228
  • estimated undetected cases factor: 4-11
  • starting population size: 60 000 000
  • high blood pressure: 0.32 (gbe-bund)
  • heart disease: 0.04 (statista)
  • free intensive care units: 3 100

Germany
  • elderly population (>65): 0.195 (bpb)
  • estimated undetected cases factor: 2-3 (deutschlandfunk)
  • starting population size: 83 000 000
  • high blood pressure: 0.26 (gbe-bund)
  • heart disease: 0.2-0.28 (herzstiftung)
  • free intensive care units: 5 880

France
  • elderly population (>65): 0.183 (statista)
  • estimated undetected cases factor: 3-5
  • starting population size: 67 000 000
  • high blood pressure: 0.3 (fondation-recherche-cardio-vasculaire)
  • heart disease: 0.1-0.2 (oecd)
  • free intensive care units: 3 000

As you wish
  • numbers of encounters/day: 1 = quarantine, 2-3 = practicing social distancing, 4-6 = heavy social life, 7-9 = not caring at all // default 2
  • practicing preventive measures (ie. washing hands regularly, not touching your face etc.): 0.1 (nobody does anything) - 1 (very strictly) // default 0.8
  • government elucidation: 0.1 (very bad) - 1 (highly transparent and educating) // default 0.9
  • Immunity rate (due to lacking data): 0 (you can't get immune) - 1 (once you had it you'll never get it again) // default 0.4

Key
  • Healthy: People are not infected with SARS-CoV-19 but could still get it
  • Infected: People have been infected and developed the disease COVID-19
  • Recovered: People just have recovered from COVID-19 and can't get it again in this stage
  • Dead: People died because of COVID-19
  • Immune: People got immune and can't get the disease again
  • Critical recovery percentage: Chance of survival with no special medical treatment
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