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Springer Nature - PMC COVID-19 Collection logoLink to Springer Nature - PMC COVID-19 Collection
. 2020 Apr 7;25(2):157–164. doi: 10.1007/s12204-020-2169-0

Preliminary Assessment of the COVID-19 Outbreak Using 3-Staged Model e-ISHR

Sijia Li 1,#, Kun Song 2,#, Boran Yang 3,#, Yucen Gao 1, Xiaofeng Gao 1,
PMCID: PMC7137856  PMID: 32288417

Abstract

The outbreak of coronavirus disease 2019 (COVID-19) in Wuhan has aroused widespread concern and attention from all over the world. Many articles have predicted the development of the epidemic. Most of them only use very basic SEIR model without considering the real situation. In this paper, we build a model called e-ISHR model based on SEIR model. Then we add hospital system and time delay system into the original model to simulate the spread of COVID-19 better. Besides, in order to take the government’s control and people’s awareness into consideration, we change our e-ISHR model into a 3-staged model which effectively shows the impact of these factors on the spread of the disease. By using this e-ISHR model, we fit and predict the number of confirmed cases in Wuhan and China except Hubei. We also change some of parameters in our model. The results indicate the importance of isolation and increasing the number of beds in hospital.

Key words: coronavirus disease 2019 (COVID-19); epidemic prediction, 3-staged model; hospital system; government’s control

Nomenclature

E

The number of exposed individuals

H

The number of individuals isolated or cured in hospital

I

The number of individuals in incubation period

k

Proportion of healthy people in the population

Ncon

The number of confirmed cases

Nhom

The number of individuals isolated or cured at home

Nhos

The number of hospital beds

R

The number of recovered individuals

S

The number of individuals in symptomatic period

t

Outbreak duration

tdie

Average death time of virus carries

tinc

Average time of incubation period

trec

Average recovery time of virus carries

ttoH

Average to hospital time of virus carries in symptomatic period

α

Probability of getting infectious after having contact with a virus carrier

βhom

The number of people contacted by a virus carrier in symptomatic period each day

βinc

The number of people contacted by a virus carrier isolated or cured at home each day

βsym

The number of people contacted by a virus carrier in incubation period each day

γhom

Death rate in hospital

γhos

Death rate at home

δ

Proportion of naturally carrying antibodies in the population

Footnotes

Foundation item: the National Key Research and Development Program of China (No. 2018YFB1004700), the National Natural Science Foundation of China (Nos. 61872238 and 61972254), the Shanghai Science and Technology Fund (No. 17510740200), and the CCFHuawei Database System Innovation Research Plan (No. CCF-Huawei DBIR2019002A)

These authors contributed equally to this work.

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