The scourge of the devastating pandemic of COVID-19 has unequivocally proved to be a bane for the entire world, afflicting an enormously large number of people in all countries without exception. Ever since its inception, the deadly virus has created havoc and brought untold misery in terms of mortality. The pandemic refuses to show any obvious or even subtle signs of abating as yet, nor is there any antidote in the form of either a drug or a credible vaccine available at present to contain the proliferation of the virus. It is, therefore, pertinent to resort to the exercise of preventive measures as propounded by the various world agencies, like World Health Organisation. The obtaining scenario warrants that we at least assess for ourselves as to the timelines when the virus is expected to be easing out or mutating, gradually or otherwise following a predictable pattern, if at all. It would be tempting to turn this bane into a boon of sort to contemplate the possible ways including exploring mathematical modelling techniques to investigate if some tangible predictions can actually be made as to when the flex, the substantial reduction in the number of COVID-19 positive cases, and the consequential fatalities would occur. This would certainly go a long way in enhancing the psychological, albeit mental preparedness of the public at large to combat the virus effectively and to develop a pragmatic perspective to tackle this menace rationally. Dwelling on this motivation, we intend to make a modest attempt to address some of these relevant issues within the general framework of a suitable mathematical model by confronting its formulations with the currently available observational data borrowed from the governmental agencies and various other available sources.
Model Prescriptions
The essential ingredients of the mathematical formulation of a model to incorporate the patterns of the spread of the Covid-19 virus can be variously comprehended by invoking the concepts of probability, particularly those that are widely accepted and extensively used to account for the current situations. One such obvious choice is to consider the Gaussian (also known as normal) probability distribution functions to evolve a comprehensive theoretical model by virtue of which the progression of the virus could be reasonably well understood and monitored. The generalised Gauss error function, embodying the above requirements, appears to be a strong candidate to try its efficacy to fulfil the stated pursuit. We shall, therefore, endeavour to use this parametrised Gauss function to seek predictions of the dates when the flex, substantial reduction in the number of cases, and above all, the fatalities would occur.
In this context, we shall first take a quick look at the various efforts devoted in this direction. Various data driven mathematical models (SIR Model, SEIR model, SEIRU model, Bailey’s model etc.) have been used recently to analyse the COVID-19 pandemic in different countries of the world and predict the number of confirmed positive cases and fatalities for future [2, 3, 4, 5,6]. Some of these models and their predictions are outlined in a recent paper by Nin Wang et al [2]. Ignazio Ciufolini and Antonio Paolozzi [1] fitted the COVID-19 data using Gauss error function to predict the date of flex as well as the date of substantial reduction in the number of confirmed positive COVID-19 cases in Italy and China.
We follow the approach of Ciufolini and Paolozzi [1] and have fitted the number of cumulative positive infectious cases (I), to a cumulative distribution function (CDF) of the type of a Gauss error function (GEF) (with four adjustable parameters) of the type
a + b erf (cx - d)
that is the integral of a normal Gaussian distribution. The COVID–19 data for the cumulative number of positive infectious cases for the state of Maharashtra, the second most populous state of India, having a population of nearly 123 million people, has been taken from the website covid19India.org and Aarogya Setu App [6] of the Government of India. Using this approach, we calculate the dates of flex for the cumulative positive COVID–19 infectious cases (I), and for the fatalities which occurred in the state of Maharashtra. We have also calculated the approximate dates on which sufficient reduction in the number of confirmed positive cases (to approximately 1000) and in fatalities (to about 34) could be expected based on this model.
Fit of Cumulative Positive Cases of COVID-19 in Maharashtra
Following Ciufolini and Paolozzi [1], we approximated the number of cumulative positive infectious cases (I), to a cumulative distribution function (CDF) of the type of a Gauss error function (GEF) with four parameters, of the type
a + b erf (cx - d)
that is the integral of a normal Gaussian distribution. The fit of the observed data with the Gauss error function is shown in figure (1) below.
The date of flex, where the second derivative of the I-t curve becomes negative, i.e., the date from which the rate of growth of the number of infections starts decreasing using the fit has been found, using the data for the number, I , from the above sources and is found to be September 26, 2020.
The date of flex was calculated using the data for the periods from April 1 to August 11 (both dates included), then from April 1 to August 12 and so on, upto the data from April 1 to August 24 (both dates included). As the final date of analysis is increased, the date of flex quasi-oscillates. We thus obtained 14 different values for the date of flex. The date of flex from this analysis is estimated to be September 26, 2020. The standard deviation of these 14 points has a 1-sigma value of 1 day. The 2-sigma uncertainty and the 3-sigma uncertainties in the date of flex are thus 2 days and 3 days respectively.
The date of flex was also estimated by plotting the graph of the second derivative of I (GEF values, obtained numerically) versus t (measured in days) and was found to be September 25, 2020 (in agreement with the above value) as can be seen from the graph below Figure (2).
The variation of the daily new cases with time is shown in the graph below and is seen to peak around the same time, after which it starts decreasing.
The values of the parameters a, b, c, d in the Gauss error function for positive COVID-19 cases as on August 24, 2020 are as follows :
1080780
|
a
|
1085002
|
b
|
0.011758
|
c
|
2.042767
|
d
|
Using this fit of the above data within the prescriptions of the Gauss error function, we also calculated the date from which the increase in the number of daily cumulative positive COVID -19 cases is likely to be sufficiently reduced in Maharashtra to, say around 1000 cases. This date was calculated using the data spanning the period from April 1 to August 11 (both dates included), then from April 1 to August 12 and so on, up until from April 1 to August 24 (both days included). We thus found 14 different values for the date of sufficient reduction in the number of daily cumulative positive cases to approximately 1000, with a standard deviation of 1 day. This date was found to be around February 7, 2021.
We then carried out a similar analysis using the data on cumulative number of fatalities due to COVID-19, again taking the data from the Websites of covid19India.org, and the Aarogya Setu App of the Government of India [6].
The values of the parameters a, b, c and d for fatalities in the Gauss error function are
16947.59
|
a
|
17062.72
|
b
|
0.014982
|
c
|
1.910964
|
d
|
The variation of the daily cumulative fatalities cases with time is shown in Figure (4) below.
The date of flex for the fatalities was calculated using the data for the periods from April 1 to August 11 (both dates included), then from April 1 to August 12 and so on, up until from April 1 to August 24 (both dates included). As the final date of analysis is increased, the date of flex oscillates with a much larger amplitude than in the case of infections. We thus obtained 14 different values for the date of flex for the fatalities. The date of flex for the fatalities, where the second derivative of the F-t curve becomes negative, i.e., the date from which the rate of growth of the number of fatalities starts decreasing using the fit has been found, using the data for the number F, from the above sources and is found to be August 8, 2020.
The standard deviation of these 14 points has a large 1-sigma value of 6 days. The 2-sigma uncertainty and the 3-sigma uncertainties in the date of flex for fatalities are thus 12 days and 18 days, respectively. Thus, there is a large variation in the dates of flex for the fatalities, unlike in the case of COVID-19 positive cases, where the date more or less converges to a point as the period of analysis is increased. (The date of flex may shift ahead to a further date as more data is included in the analysis as indicated by the trend so far).
The variation of the second derivative of the number of fatalities with time is shown in Figure 5.
As in the case of number of infections, we likewise calculate the date at which the number of fatalities in Maharashtra is likely to reduce to approximately 34 (in proportion to the reduction in the number of daily increase in new positive cases to 1000). This is likely to happen on approximately November 2, 2020. This calculation was also done using the data from April 1 to August 11, Then from April 1 to August 12, and so on and finally from April 1 to August 24. The standard deviation of these 14 results is 11 days, implying a large 3-sigma uncertainty of 33 days for this date.
It is pertinent to point out here that these predictions are statistical in nature and the actual dates of these events will depend on how seriously the COVID-19 protocols of wearing masks, maintaining social distancing, etc. are followed by the public and what other guidelines or relaxations in the movement and assembly of people are introduced by the Central and local Government bodies. Let us hope that a credible vaccine or some other antidote in the form of a suitable drug becomes available soon so as to effectively contain the proliferation of the virus and the situation returns to normal soon.