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2.
Comput Math Methods Med ; 2021: 2689000, 2021.
Article in English | MEDLINE | ID: covidwho-1566408

ABSTRACT

We have studied one of the most common distributions, namely, Lindley distribution, which is an important continuous mixed distribution with great ability to represent different systems. We studied this distribution with three parameters because of its high flexibility in modelling life data. The parameters were estimated by five different methods, namely, maximum likelihood estimation, ordinary least squares, weighted least squares, maximum product of spacing, and Cramér-von Mises. Simulation experiments were performed with different sample sizes and different parameter values. The different methods were compared on the generated data by mean square error and mean absolute error. In addition, we compared the methods for real data, which represent COVID-19 data in Iraq/Anbar Province.


Subject(s)
COVID-19/epidemiology , Public Health Informatics/methods , Algorithms , Computer Simulation , Humans , Iraq , Least-Squares Analysis , Likelihood Functions , Models, Statistical , Public Health Informatics/standards , SARS-CoV-2 , Statistics as Topic
3.
Sci Rep ; 11(1): 20739, 2021 10 20.
Article in English | MEDLINE | ID: covidwho-1475485

ABSTRACT

Since the first coronavirus disease 2019 (COVID-19) outbreak appeared in Wuhan, mainland China on December 31, 2019, the geographical spread of the epidemic was swift. Malaysia is one of the countries that were hit substantially by the outbreak, particularly in the second wave. This study aims to simulate the infectious trend and trajectory of COVID-19 to understand the severity of the disease and determine the approximate number of days required for the trend to decline. The number of confirmed positive infectious cases [as reported by Ministry of Health, Malaysia (MOH)] were used from January 25, 2020 to March 31, 2020. This study simulated the infectious count for the same duration to assess the predictive capability of the Susceptible-Infectious-Recovered (SIR) model. The same model was used to project the simulation trajectory of confirmed positive infectious cases for 80 days from the beginning of the outbreak and extended the trajectory for another 30 days to obtain an overall picture of the severity of the disease in Malaysia. The transmission rate, ß also been utilized to predict the cumulative number of infectious individuals. Using the SIR model, the simulated infectious cases count obtained was not far from the actual count. The simulated trend was able to mimic the actual count and capture the actual spikes approximately. The infectious trajectory simulation for 80 days and the extended trajectory for 110 days depicts that the inclining trend has peaked and ended and will decline towards late April 2020. Furthermore, the predicted cumulative number of infectious individuals tallies with the preparations undertaken by the MOH. The simulation indicates the severity of COVID-19 disease in Malaysia, suggesting a peak of infectiousness in mid-March 2020 and a probable decline in late April 2020. Overall, the study findings indicate that outbreak control measures such as the Movement Control Order (MCO), social distancing and increased hygienic awareness is needed to control the transmission of the outbreak in Malaysia.


Subject(s)
COVID-19/epidemiology , COVID-19/physiopathology , Public Health Informatics/methods , Computer Simulation , Disease Outbreaks , Disease Susceptibility/epidemiology , Epidemics , Humans , Malaysia , Models, Theoretical , Public Health , Quarantine , SARS-CoV-2
5.
Health Secur ; 19(1): 31-43, 2021.
Article in English | MEDLINE | ID: covidwho-1174869

ABSTRACT

In this paper, we investigate how message construction, style, content, and the textual content of embedded images impacted message retransmission over the course of the first 8 months of the coronavirus disease 2019 (COVID-19) pandemic in the United States. We analyzed a census of public communications (n = 372,466) from 704 public health agencies, state and local emergency management agencies, and elected officials posted on Twitter between January 1 and August 31, 2020, measuring message retransmission via the number of retweets (ie, a message passed on by others), an important indicator of engagement and reach. To assess content, we extended a lexicon developed from the early months of the pandemic to identify key concepts within messages, employing it to analyze both the textual content of messages themselves as well as text included within embedded images (n = 233,877), which was extracted via optical character recognition. Finally, we modelled the message retransmission process using a negative binomial regression, which allowed us to quantify the extent to which particular message features amplify or suppress retransmission, net of controls related to timing and properties of the sending account. In addition to identifying other predictors of retransmission, we show that the impact of images is strongly driven by content, with textual information in messages and embedded images operating in similar ways. We offer potential recommendations for crafting and deploying social media messages that can "cut through the noise" of an infodemic.


Subject(s)
COVID-19 , Information Dissemination/methods , Public Health Informatics/methods , Social Media/statistics & numerical data , Communication , Humans , SARS-CoV-2 , Social Marketing
6.
Comput Math Methods Med ; 2020: 7056285, 2020.
Article in English | MEDLINE | ID: covidwho-968450

ABSTRACT

COVID-19 pandemic has become a concern of every nation, and it is crucial to apply an estimation model with a favorably-high accuracy to provide an accurate perspective of the situation. In this study, three explicit mathematical prediction models were applied to forecast the COVID-19 outbreak in Iran and Turkey. These models include a recursive-based method, Boltzmann Function-based model and Beesham's prediction model. These models were exploited to analyze the confirmed and death cases of the first 106 and 87 days of the COVID-19 outbreak in Iran and Turkey, respectively. This application indicates that the three models fail to predict the first 10 to 20 days of data, depending on the prediction model. On the other hand, the results obtained for the rest of the data demonstrate that the three prediction models achieve high values for the determination coefficient, whereas they yielded to different average absolute relative errors. Based on the comparison, the recursive-based model performs the best, while it estimated the COVID-19 outbreak in Iran better than that of in Turkey. Impacts of applying or relaxing control measurements like curfew in Turkey and reopening the low-risk businesses in Iran were investigated through the recursive-based model. Finally, the results demonstrate the merit of the recursive-based model in analyzing various scenarios, which may provide suitable information for health politicians and public health decision-makers.


Subject(s)
COVID-19/epidemiology , Disease Outbreaks , Public Health Informatics/methods , Algorithms , Communicable Disease Control , Decision Making , Forecasting , Humans , Iran/epidemiology , Models, Theoretical , Turkey/epidemiology
7.
J Med Internet Res ; 22(10): e21955, 2020 10 05.
Article in English | MEDLINE | ID: covidwho-836120

ABSTRACT

BACKGROUND: The Great COVID-19 Shutdown aimed to eliminate or slow the spread of SARS-CoV-2, the virus that causes COVID-19. The United States has no national policy, leaving states to independently implement public health guidelines that are predicated on a sustained decline in COVID-19 cases. Operationalization of "sustained decline" varies by state and county. Existing models of COVID-19 transmission rely on parameters such as case estimates or R0 and are dependent on intensive data collection efforts. Static statistical models do not capture all of the relevant dynamics required to measure sustained declines. Moreover, existing COVID-19 models use data that are subject to significant measurement error and contamination. OBJECTIVE: This study will generate novel metrics of speed, acceleration, jerk, and 7-day lag in the speed of COVID-19 transmission using state government tallies of SARS-CoV-2 infections, including state-level dynamics of SARS-CoV-2 infections. This study provides the prototype for a global surveillance system to inform public health practice, including novel standardized metrics of COVID-19 transmission, for use in combination with traditional surveillance tools. METHODS: Dynamic panel data models were estimated with the Arellano-Bond estimator using the generalized method of moments. This statistical technique allows for the control of a variety of deficiencies in the existing data. Tests of the validity of the model and statistical techniques were applied. RESULTS: The statistical approach was validated based on the regression results, which determined recent changes in the pattern of infection. During the weeks of August 17-23 and August 24-30, 2020, there were substantial regional differences in the evolution of the US pandemic. Census regions 1 and 2 were relatively quiet with a small but significant persistence effect that remained relatively unchanged from the prior 2 weeks. Census region 3 was sensitive to the number of tests administered, with a high constant rate of cases. A weekly special analysis showed that these results were driven by states with a high number of positive test reports from universities. Census region 4 had a high constant number of cases and a significantly increased persistence effect during the week of August 24-30. This change represents an increase in the transmission model R value for that week and is consistent with a re-emergence of the pandemic. CONCLUSIONS: Reopening the United States comes with three certainties: (1) the "social" end of the pandemic and reopening are going to occur before the "medical" end even while the pandemic is growing. We need improved standardized surveillance techniques to inform leaders when it is safe to open sections of the country; (2) varying public health policies and guidelines unnecessarily result in varying degrees of transmission and outbreaks; and (3) even those states most successful in containing the pandemic continue to see a small but constant stream of new cases daily.


Subject(s)
Communicable Disease Control/legislation & jurisprudence , Coronavirus Infections/epidemiology , Coronavirus Infections/transmission , Health Policy , Pneumonia, Viral/epidemiology , Pneumonia, Viral/transmission , Public Health Informatics/methods , Betacoronavirus , COVID-19 , Communicable Disease Control/methods , Humans , Models, Statistical , Pandemics , Public Health , Reference Standards , Regression Analysis , SARS-CoV-2 , United States
8.
BMJ Open ; 10(9): e040487, 2020 09 10.
Article in English | MEDLINE | ID: covidwho-760256

ABSTRACT

OBJECTIVE: To evaluate the quality of information regarding the prevention and treatment of COVID-19 available to the general public from all countries. DESIGN: Systematic analysis using the 'Ensuring Quality Information for Patients' (EQIP) Tool (score 0-36), Journal of American Medical Association (JAMA) benchmark (score 0-4) and the DISCERN Tool (score 16-80) to analyse websites containing information targeted at the general public. DATA SOURCES: Twelve popular search terms, including 'Coronavirus', 'COVID-19 19', 'Wuhan virus', 'How to treat coronavirus' and 'COVID-19 19 Prevention' were identified by 'Google AdWords' and 'Google Trends'. Unique links from the first 10 pages for each search term were identified and evaluated on its quality of information. ELIGIBILITY CRITERIA FOR SELECTING STUDIES: All websites written in the English language, and provides information on prevention or treatment of COVID-19 intended for the general public were considered eligible. Any websites intended for professionals, or specific isolated populations, such as students from one particular school, were excluded, as well as websites with only video content, marketing content, daily caseload update or news dashboard pages with no health information. RESULTS: Of the 1275 identified websites, 321 (25%) were eligible for analysis. The overall EQIP, JAMA and DISCERN scores were 17.8, 2.7 and 38.0, respectively. Websites originated from 34 countries, with the majority from the USA (55%). News Services (50%) and Government/Health Departments (27%) were the most common sources of information and their information quality varied significantly. Majority of websites discuss prevention alone despite popular search trends of COVID-19 treatment. Websites discussing both prevention and treatment (n=73, 23%) score significantly higher across all tools (p<0.001). CONCLUSION: This comprehensive assessment of online COVID-19 information using EQIP, JAMA and DISCERN Tools indicate that most websites were inadequate. This necessitates improvements in online resources to facilitate public health measures during the pandemic.


Subject(s)
Coronavirus Infections , Internet/standards , Pandemics , Pneumonia, Viral , Public Health Informatics , Betacoronavirus , COVID-19 , Consumer Health Information/standards , Coronavirus Infections/epidemiology , Coronavirus Infections/prevention & control , Coronavirus Infections/therapy , Data Accuracy , Humans , Needs Assessment , Pandemics/prevention & control , Pneumonia, Viral/epidemiology , Pneumonia, Viral/prevention & control , Pneumonia, Viral/therapy , Public Health Informatics/methods , Public Health Informatics/standards , Public Health Informatics/trends , SARS-CoV-2
9.
Eur J Epidemiol ; 35(8): 749-761, 2020 Aug.
Article in English | MEDLINE | ID: covidwho-743740

ABSTRACT

The global pandemic of the 2019-nCov requires the evaluation of policy interventions to mitigate future social and economic costs of quarantine measures worldwide. We propose an epidemiological model for forecasting and policy evaluation which incorporates new data in real-time through variational data assimilation. We analyze and discuss infection rates in the UK, US and Italy. We furthermore develop a custom compartmental SIR model fit to variables related to the available data of the pandemic, named SITR model, which allows for more granular inference on infection numbers. We compare and discuss model results which conducts updates as new observations become available. A hybrid data assimilation approach is applied to make results robust to initial conditions and measurement errors in the data. We use the model to conduct inference on infection numbers as well as parameters such as the disease transmissibility rate or the rate of recovery. The parameterisation of the model is parsimonious and extendable, allowing for the incorporation of additional data and parameters of interest. This allows for scalability and the extension of the model to other locations or the adaption of novel data sources.


Subject(s)
Coronavirus Infections/epidemiology , Forecasting , Pandemics , Pneumonia, Viral/epidemiology , Public Health Informatics/methods , Bayes Theorem , Betacoronavirus , COVID-19 , Computer Simulation , Disease Outbreaks , Humans , Italy/epidemiology , Models, Biological , Models, Statistical , Quarantine , SARS-CoV-2 , United Kingdom/epidemiology , United States/epidemiology
10.
J Med Internet Res ; 22(7): e20912, 2020 07 30.
Article in English | MEDLINE | ID: covidwho-724770

ABSTRACT

BACKGROUND: Intervention measures have been implemented around the world to mitigate the spread of the coronavirus disease (COVID-19) pandemic. Understanding the dynamics of the disease spread and the effectiveness of the interventions is essential in predicting its future evolution. OBJECTIVE: The aim of this study is to simulate the effect of different social distancing interventions and investigate whether their timing and stringency can lead to multiple waves (subepidemics), which can provide a better fit to the wavy behavior observed in the infected population curve in the majority of countries. METHODS: We have designed and run agent-based simulations and a multiple wave model to fit the infected population data for many countries. We have also developed a novel Pandemic Response Index to provide a quantitative and objective way of ranking countries according to their COVID-19 response performance. RESULTS: We have analyzed data from 18 countries based on the multiple wave (subepidemics) hypothesis and present the relevant parameters. Multiple waves have been identified and were found to describe the data better. The effectiveness of intervention measures can be inferred by the peak intensities of the waves. Countries imposing fast and stringent interventions exhibit multiple waves with declining peak intensities. This result strongly corroborated with agent-based simulations outcomes. We also provided an estimate of how much lower the number of infections could have been if early and strict intervention measures had been taken to stop the spread at the first wave, as actually happened for a handful of countries. A novel index, the Pandemic Response Index, was constructed, and based on the model's results, an index value was assigned to each country, quantifying in an objective manner the country's response to the pandemic. CONCLUSIONS: Our results support the hypothesis that the COVID-19 pandemic can be successfully modeled as a series of epidemic waves (subepidemics) and that it is possible to infer to what extent the imposition of early intervention measures can slow the spread of the disease.


Subject(s)
Communicable Disease Control , Computer Simulation , Coronavirus Infections/epidemiology , Pneumonia, Viral/epidemiology , Public Health Informatics/methods , Algorithms , Betacoronavirus , COVID-19 , Forecasting , Global Health , Humans , Pandemics , Population Dynamics , Quarantine , SARS-CoV-2
11.
J Med Internet Res ; 22(7): e19483, 2020 07 30.
Article in English | MEDLINE | ID: covidwho-658765

ABSTRACT

BACKGROUND: Timely allocation of medical resources for coronavirus disease (COVID-19) requires early detection of regional outbreaks. Internet browsing data may predict case outbreaks in local populations that are yet to be confirmed. OBJECTIVE: We investigated whether search-engine query patterns can help to predict COVID-19 case rates at the state and metropolitan area levels in the United States. METHODS: We used regional confirmed case data from the New York Times and Google Trends results from 50 states and 166 county-based designated market areas (DMA). We identified search terms whose activity precedes and correlates with confirmed case rates at the national level. We used univariate regression to construct a composite explanatory variable based on best-fitting search queries offset by temporal lags. We measured the raw and z-transformed Pearson correlation and root-mean-square error (RMSE) of the explanatory variable with out-of-sample case rate data at the state and DMA levels. RESULTS: Predictions were highly correlated with confirmed case rates at the state (mean r=0.69, 95% CI 0.51-0.81; median RMSE 1.27, IQR 1.48) and DMA levels (mean r=0.51, 95% CI 0.39-0.61; median RMSE 4.38, IQR 1.80), using search data available up to 10 days prior to confirmed case rates. They fit case-rate activity in 49 of 50 states and in 103 of 166 DMA at a significance level of .05. CONCLUSIONS: Identifiable patterns in search query activity may help to predict emerging regional outbreaks of COVID-19, although they remain vulnerable to stochastic changes in search intensity.


Subject(s)
Coronavirus Infections/epidemiology , Pneumonia, Viral/epidemiology , Population Surveillance/methods , Public Health Informatics/methods , Search Engine/trends , Algorithms , Betacoronavirus , COVID-19 , Humans , Internet , Models, Statistical , Pandemics , SARS-CoV-2 , United States
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