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COVID-19 outbreak model brief description

The model stimulated the COVID-19 outbreak at Burnie in Tasmania. The pandemic spread was driven by infection rate, death rate, recovery rate, and government policy.

The government policy reduces the infection in some way, but it also decreases the physical industry. Online industry plays a vital role during the pandemic and brings more opportunities to the world economy. 

The vaccination directly reduces the infection rate. The national border will open as long as residents have been fully vaccinated. 

Assumption: 
The model was created based on different rates, including infection rate, death rate, testing rate and recovered rate. There will be difference between the real cases and the model. 

The model only list five elements of government policies embracing vaccination rate, national border and state border restrictions, public health orders, and business restrictions. Public health order includes social distance and residents should wear masks in high spread regions. 

This model only consider two industries which are physical industry, like manufacturer, retailers, or hospitality industries, and online industry. During the pandemic, employees star to work from home and students can have online class. Therefore, the model consider the COVID-19 has positive impact on online industry. 

Interesting insights:
The susceptible will decrease dramatically in first two weeks due to high infection rate and low recovery rate and government policy. After that, the number of susceptible will have a slight decline. 

The death toll and recovery rate was increased significantly in the first two weeks due to insufficient healthy response. And the trend will become mild as government policy works. 



BMA708_DafeiMeng_567691_Model of COVID-19 Outbreak in Burnie, Tasmania
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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
Butcher/Student Check of Final Version of Italian COVID-19 outbreak
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Modelo Epidemiológico para Casos de COVId-19

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This is a mitigated model showing the potential spread of COVID-19 across the healthcare system.

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

We add simple containment meassures that affect different paramenters.

The initial parametrization is based on the suggested current data. The initial population is set for Hong Kong.

The questions that we want to answer in this kind of models are not the shape of the curves, that are almost known from the beginning, but, when this happens, and the amplitude of the shapes. This is crucial, since in the current circumstance implies the collapse of certain resources, not only healthcare.

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This is a complex model of COVID-19 outbreak in Burnie Tasmania. It show the effect of government policy to local economic and the impact of Covid-19. 

Assumptions
Government policy can reduce the number of infected, however also would reduce the economic growth. 

Interesting insights
Based on changing the value of government policy, it show that the policy can help to reduce on the number of death and infection. 

Covid-19 Out break
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If no attempt is made to eradicate SARS-CoV-2 it will eventually become endemic, ineradicable, at a high never-ending cost to world in terms of economic growth, human health and lives. The current strategy adopted by most governments is to impose  restrictive measures when the virus threatens to overwhelm hospital services and to relax these restrictions as this danger recedes. This is short-sighted. It cannot eliminate the highly infectious delta variant, which has an estimated R0-value of between 6 & 9. Periodic lockdowns will be hard to avoid in the future.

However, eradication is possible, herd immunity can be achieved quickly worldwide, reducing the R0 permanently to below 1, which will lead to the disappearance of the virus. Critical in achieving this is Ivermectin, a medicine that is cheap,  readily available and can be manufactured by most countries. A recent meta study has shown that Ivermectin, prophylactically employed, can prevent infection with the virus  by 86 % on average – very similar to the efficacy of vaccines. Eradication will require employment of all the instruments shown in the graph: future generations do not have to live with this plague. 

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