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

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

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]

Based on my student Sean's work, I altered the death rate to introduce the notion that doctors are getting better at saving lives:
[deathrate] = 0.02/(.0022*Days()^1.8+1)
I don't agree with this model of the death rate, but it was a start motivated by his work. Thanks Sean!:)

Resources:
  * Recent news: "Since the early days of the outbreak in China, scientists have known that SARS-CoV-2 is unusually contagious — more so than influenza or a typical cold virus. Scientific estimates of the reproduction number — the R0, which is the number of new infections that each infected person generates on average — have varied among different communities and different points but have generally been between 2 and 4. That is significantly higher than seasonal influenza."
 This model can be used to investigate how government interventions affect transmission and mortality associated with COVID-19 during an outbreak, and how these interventions impact on the economic activities in Burnie, Tasmania.     Assumptions can be made that effective government intervention can
This model can be used to investigate how government interventions affect transmission and mortality associated with COVID-19 during an outbreak, and how these interventions impact on the economic activities in Burnie, Tasmania.

Assumptions can be made that effective government intervention can reduce the number of people infected, whereas the local economy is severely impacted.

Insights:
1. When COVID-19 case are more than 10, government policy will be triggered.

2. Testing rate is very crucial to understanding the spread of the pandemic and responding appropriately.


The SEIRS(D) model for the purpose of experimenting with the phenomena of viral spread. I use it for COVID-19 simulation.
The SEIRS(D) model for the purpose of experimenting with the phenomena of viral spread. I use it for COVID-19 simulation.
4 months ago
The System Dynamics Model presents the the COVID-19 status in Puerto Princesa City
The System Dynamics Model presents the the COVID-19 status in Puerto Princesa City
8 months ago
 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
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
16 hours ago
 Ausbreitung von SARS-CoV-19 in verschiedenen Ländern - bitte passen Sie die Variablen über die Schieberegler weiter unten entsprechend an  Italien      ältere Bevölkerung (>65): 0,228     Faktor der geschätzten unentdeckten Fälle: 0,6     Ausgangsgröße der Bevölkerung: 60 000 000     hoher Blutd
Ausbreitung von SARS-CoV-19 in verschiedenen Ländern
- bitte passen Sie die Variablen über die Schieberegler weiter unten entsprechend an

Italien

    ältere Bevölkerung (>65): 0,228
    Faktor der geschätzten unentdeckten Fälle: 0,6
    Ausgangsgröße der Bevölkerung: 60 000 000
    hoher Blutdruck: 0,32 (gbe-bund)
    Herzkrankheit: 0,04 (statista)
    Anzahl der Intensivbetten: 3 100


Deutschland

    ältere Bevölkerung (>65): 0,195 (bpb)
    geschätzte unentdeckte Fälle Faktor: 0,2 (deutschlandfunk)
    Ausgangsgröße der Bevölkerung: 83 000 000
    hoher Blutdruck: 0,26 (gbe-bund)
    Herzkrankheit: 0,2-0,28 (Herzstiftung)
   
Anzahl der Intensivbetten: 5 880


Frankreich

    ältere Bevölkerung (>65): 0,183 (statista)
    Faktor der geschätzten unentdeckten Fälle: 0,4
    Ausgangsgröße der Bevölkerung: 67 000 000
    Bluthochdruck: 0,3 (fondation-recherche-cardio-vasculaire)
    Herzkrankheit: 0,1-0,2 (oecd)
   
Anzahl der Intensivbetten: 3 000


Je nach Bedarf:

    Anzahl der Begegnungen/Tag: 1 = Quarantäne, 2-3 = soziale Distanzierung , 4-6 = erschwertes soziales Leben, 7-9 = überhaupt keine Einschränkungen // Vorgabe 2
    Praktizierte Präventivmassnahmen (d.h. sich regelmässig die Hände waschen, das Gesicht nicht berühren usw.): 0.1 (niemand tut etwas) - 1 (sehr gründlich) // Vorgabe 0.8
    Aufklärung durch die Regierung: 0,1 (sehr schlecht) - 1 (sehr transparent und aufklärend) // Vorgabe 0,9
    Immunitätsrate (aufgrund fehlender Daten): 0 (man kann nicht immun werden) - 1 (wenn man es einmal hatte, wird man es nie wieder bekommen) // Vorgabe 0,4


Schlüssel

    Anfällige: Menschen sind nicht mit SARS-CoV-19 infiziert, könnten aber infiziert werden
    Infizierte: Menschen sind infiziert worden und haben die Krankheit COVID-19
    Geheilte: Die Menschen haben sich gerade von COVID-19 erholt und können es in diesem Stadium nicht mehr bekommen
    Tote: Menschen starben wegen COVID-19
    Immunisierte: Menschen wurden immun und können die Krankheit nicht mehr bekommen
    Kritischer Prozentsatz der Wiederherstellung: Überlebenschance ohne spezielle medizinische Behandlung



 Here we have a basic SEIR model and we will investigate what changes would be appropriate for modelling the 2019 Coronavirus 

Here we have a basic SEIR model and we will investigate what changes would be appropriate for modelling the 2019 Coronavirus