Modeling Vaccine Efficacy for COVID-19 Outbreak in New York City.

In this article we study the efficacy of vaccination in epidemiological reconstructions of COVID-19 epidemics from reported cases data. Given an epidemiological model, we developed in previous studies a method that allowed the computation of an instantaneous transmission rate that produced an exact fit of reported cases data of the COVID-19 outbreak. In this article, we improve the method by incorporating vaccination data. More precisely, we develop a model in which vaccination is variable in its effectiveness. We develop a new technique to compute the transmission rate in this model, which produces an exact fit to reported cases data, while quantifying the efficacy of the vaccine and the daily number of vaccinated. We apply our method to the reported cases data and vaccination data of New York City.

What can we learn from COVID-19 data by using epidemic models with unidentified infectious cases?

The COVID-19 outbreak, which started in late December 2019 and rapidly spread around the world, has been accompanied by an unprecedented release of data on reported cases. Our objective is to offer a fresh look at these data by coupling a phenomenological description to the epidemiological dynamics. We use a phenomenological model to describe and regularize the reported cases data. This phenomenological model is combined with an epidemic model having a time-dependent transmission rate. The time-dependent rate of transmission involves changes in social interactions between people as well as changes in host-pathogen interactions. Our method is applied to cumulative data of reported cases for eight different geographic areas. In the eight geographic areas considered, successive epidemic waves are matched with a phenomenological model and are connected to each other. We find a single epidemic model that coincides with the best fit to the data of the phenomenological model. By reconstructing the transmission rate from the data, we can understand the contributions of the changes in social interactions (contacts between individuals) on the one hand and the contributions of the epidemiological dynamics on the other hand. Our study provides a new method to compute the instantaneous reproduction number that turns out to stay below 3.5 from the early beginning of the epidemic. We deduce from the comparison of several instantaneous reproduction numbers that the social effects are the most important factor in understanding the epidemic wave dynamics for COVID-19. The instantaneous reproduction number stays below 3.5, which implies that it is sufficient to vaccinate 71% of the population in each state or country considered in our study. Therefore, assuming the vaccines will remain efficient against the new variants and adjusting for higher confidence, it is sufficient to vaccinate 75-80% to eliminate COVID-19 in each state or country.

Clarifying predictions for COVID-19 from testing data: The example of New York State.

With the spread of COVID-19 across the world, a large amount of data on reported cases has become available. We are studying here a potential bias induced by the daily number of tests which may be insufficient or vary over time. Indeed, tests are hard to produce at the early stage of the epidemic and can therefore be a limiting factor in the detection of cases. Such a limitation may have a strong impact on the reported cases data. Indeed, some cases may be missing from the official count because the number of tests was not sufficient on a given day. In this work, we propose a new differential equation epidemic model which uses the daily number of tests as an input. We obtain a good agreement between the model simulations and the reported cases data coming from the state of New York. We also explore the relationship between the dynamic of the number of tests and the dynamics of the cases. We obtain a good match between the data and the outcome of the model. Finally, by multiplying the number of tests by 2, 5, 10, and 100 we explore the consequences for the number of reported cases.

Unreported Cases for Age Dependent COVID-19 Outbreak in Japan.

We investigate the age structured data for the COVID-19 outbreak in Japan. We consider a mathematical model for the epidemic with unreported infectious patient with and without age structure. In particular, we build a new mathematical model and a new computational method to fit the data by using age classes dependent exponential growth at the early stage of the epidemic. This allows to take into account differences in the response of patients to the disease according to their age. This model also allows for a heterogeneous response of the population to the social distancing measures taken by the local government. We fit this model to the observed data and obtain a snapshot of the effective transmissions occurring inside the population at different times, which indicates where and among whom the disease propagates after the start of public mitigation measures.