论文标题
评估不完美测试策略的潜在见解:使用印度早期的Covid-19数据参数估计和实践可识别性
Assessing potential insights of an imperfect testing strategy: Parameter estimation and practical identifiability using early COVID-19 data in India
论文作者
论文摘要
已经提出了一种对感染个体测试的确定性模型,以研究测试策略影响的潜在后果。该模型表现出有关无疾病的全球动力学和独特的地方性平衡,具体取决于受感染个体的募集为零时的基本繁殖数。否则,该模型没有无疾病的平衡,并且疾病在社区中永远不会消失。使用最大似然法估计了模型参数,就印度早期Covid-19的数据而言。实际可识别性分析表明,模型参数是唯一估计的。测试率每周的新案例的测试率在印度早期数据的新案例中说,如果测试率从基线值提高20%和30%,则峰值的每周新病例的后果降低了37.63%和52.90%;它还分别将高峰时间延长了四个和14周。测试功效也获得了类似的发现,即,如果它的基线值增加了12.67%,则峰值的每周新病例将降低59.05%,并将峰值延迟15周。因此,较高的测试率和功效通过将新病例淘汰来减轻疾病负担,代表了实际情况。还获得了测试率和疗效,通过增加易感人群的最终大小来降低流行病的严重程度。如果测试功效较高,则发现测试速率更为重要。使用部分等级相关系数(PRCC)和拉丁超立方体采样(LHS)确定必须针对恶化/包含流行病必须针对的关键参数的全局灵敏度分析。
A deterministic model with testing of infected individuals has been proposed to investigate the potential consequences of the impact of testing strategy. The model exhibits global dynamics concerning the disease-free and a unique endemic equilibrium depending on the basic reproduction number when the recruitment of infected individuals is zero; otherwise, the model does not have a disease-free equilibrium, and disease never dies out in the community. Model parameters have been estimated using the maximum likelihood method with respect to the data of early COVID-19 outbreak in India. The practical identifiability analysis shows that the model parameters are estimated uniquely. The consequences of the testing rate for the weekly new cases of early COVID-19 data in India tell that if the testing rate is increased by 20% and 30% from its baseline value, the weekly new cases at the peak are decreased by 37.63% and 52.90%; and it also delayed the peak time by four and fourteen weeks, respectively. Similar findings are obtained for the testing efficacy that if it is increased by 12.67% from its baseline value, the weekly new cases at the peak are decreased by 59.05% and delayed the peak by 15 weeks. Therefore, a higher testing rate and efficacy reduce the disease burden by tumbling the new cases, representing a real scenario. It is also obtained that the testing rate and efficacy reduce the epidemic's severity by increasing the final size of the susceptible population. The testing rate is found more significant if testing efficacy is high. Global sensitivity analysis using partial rank correlation coefficients (PRCCs) and Latin hypercube sampling (LHS) determine the key parameters that must be targeted to worsen/contain the epidemic.