Modeling of suppression and mitigation interventions in the COVID-19 epidemics
Abstract Background: The global spread of the COVID-19 pandemic has become the most fundamental threat to humanealth. In the absence of vaccines and effective therapeutical solutions, non-pharmaceutic interventions have become a major way for controlling the epidemics. Soft mitigation interventions are able to slow down the epidemic but not to halt it well. While strict suppression interventions are efficient for controlling the epidemics, long-term measures are likely to have negative impacts on economics and people’s daily lives. Hence, dynamically balancing the interventions of suppression and mitigation plays a fundamental role in manipulating the epidemic curves.Methods: We collected data of the number of infections for several countries during the COVID-19 pandemics and found a clear phenomenon of periodic waves of infections. Based on the observation, by connecting the infection level with the medical resources and a tolerance parameter, we propose a mathematical model by combining intervention measures to understand the epidemic dynamics.Results: Depending on the parameters of the medical resources, tolerance level, and the starting time of interventions, the combined intervention measure dynamically changes with the infection level, resulting in a periodic wave of infections con-trolled within an accepted level. The study reveals that, (a) with an immediate, strict suppression, the number of infections and deaths is well controlled with a significant reduction in very short time period; (b) an appropriate, dynamical combination of suppression and mitigation may find a feasible way in reducing the impacts of epidemics on people’s lives and economics.Conclusions: While the assumption of interventions deployed with a cycle of period in the model is limited and unrealistic, the phenomenon of periodic waves of infections in reality is captured by our model. These results provide helpful insights for policy-makers to dynamically deploy an appropriate intervention strategy to effectively battle against the COVID-19.