Simultaneous Analysis of the Impact of Vaccination and Compliance with Prevention Measures on the Transmission Dynamics of COVID-19 ()
1. Introduction
COVID-19 is an infectious disease caused by a virus, the coronavirus. Symptoms include a dry cough, headaches, aches and pains, fever, sudden loss of smell and taste, diarrhea and fatigue. In more severe forms, respiratory difficulties can lead to hospitalization in intensive care or even death. According to a review by the Faculty of Medicine and Dentistry at the Catholic University of Leuven, other signs of the disease may also appear, such as skin manifestations. Discovered in the 1960s, coronavirus is transmitted from a contaminated patient to a healthy person via salivary droplets released when talking, coughing, or sneezing. SARS-CoV-2 can also be transmitted through contact with an infected animal or an object soiled with the virus [1]-[3]. According to a study published in May 2020 in the American scientific journal PNAS (Proceedings of the National Academy of Sciences), speech and breathing, which emit microdroplets, could also be vectors for the transmission of COVID-19. They would be just as dangerous as coughing and sneezing. Contamination could also be airborne. Indeed, according to a study conducted by Pierre Bienvault in March 2020, the coronavirus could remain airborne for up to three hours; but specialists believe that this work does not allow us to conclude that COVID-19 is transmitted via the air. SARS-CoV-2 was identified in December 2019 at the Huanan seafood wholesale market in Wuhan, China, which sells live animals. While the specific animal source of the virus has not yet been determined, it is believed to be of animal origin. The pangolin, an endangered species, and the bat have been singled out by some scientists for their potential as animal reservoirs and intermediary hosts respectively. The epidemic has since spread to every continent around the globe. From the identified case in China until November 15, 2020, the World Health Organization (WHO) reported over 53.7 million cases of COVID-19 worldwide, classifying the disease as a pandemic. The disease spread to other countries via travelers. After Asia, the disease spread to Europe and America, before reaching Africa in early March 2020. To limit the spread of this pandemic, most countries have taken measures such as border closures and containment [1]-[3]. To date, to protect themselves and control the spread of the pandemic, according to WHO recommendations, the Cameroon government recommended taking vaccines as well as respecting some prevention measures such as wearing masks in public places, regular hand-washing, and respecting physical distancing, etc.
Managing this pandemic is a public health emergency for the international community. The situation is most pressing in countries with limited resources, particularly in sub-Saharan Africa. Given the precarious conditions in which the populations of sub-Saharan African countries live, and the fragility of these countries’ economies, it is difficult to envisage the measures initiated in the developing countries of sub-Saharan Africa to combat this pandemic [4]-[9].
To prevent these countries with limited resources from being devastated by this pandemic, on the one hand, and on the other, from becoming potential hotbeds for the emergence of the COVID-19 epidemic, the international community and developing countries will be obliged to support these countries. So it’s vital to determine the main factors likely to impact on the spread of the virus, and to assess impact of measures to be proposed. Mathematical modeling and numerical simulations are ideally suited to these tasks.
Numerous ways of evaluating the spread of some transmissible diseases have been set out. For the particular case of COVID-19, each of the proposed mathematical models is analyzed according to the different hypotheses set and objectives to be reached. Some of the work carried out on mathematical modelling needs to be presented. We begin by looking at the work of Shigui Ruan of the University of Miami et al., who in January 2006, in a paper entitled “The effect of global travel on the spread of SARS” a multiregional compartmental model using the theory of medical geography (central place theory) and considering each epidemic zone (such as Hong Kong SAR, Singapore, Toronto and Beijing) as a single region. To understand the global spread of SARS, they proposed a multiregional model for the effect of international travel on the geographic transmission of the disease. They first calculated the basic reproduction number (
) using the techniques of Diekmann et al. (1990) and van den Driessche and Watmough (2002).
In this article, we will study the effects of preventions on the dynamic transmission of this disease, as well as the impact of vaccinations on the prevention and control of COVID-19 infection. To this end, we will describe a mathematical model of dynamic transmission of COVID-19, which takes into account the compliance of prevention measures according to the World Health Organization and the vaccination coverage rate of the population studied. We will establish some basic properties of the model to prove its biological feasibility, and determine the basic reproductive number and other important parameters. We will run numerical simulations to illustrate the impact of these factors on the evolution of this global pandemic.
2. Mathematical Modelling
2.1. Formulation of Mathematical Models
In order to describe the spreading dynamics of the disease, based on the contribution to the prevention measures and vaccination, the population has been partitioned in seven classes also called compartments (see Table 1): S a population consisting of susceptible individuals, V vaccinated individuals, (L) latent individuals, (IA) asymptomatic infectious individuals, (Is) symptomatic infectious individuals and (R) recovered individuals.
Some of the following model parameters and their biological justification can be found in [5] [8]-[10].
The population of susceptible is increasing with new birth at a rate Λ. It decreases when the susceptible come into contact with infectious individuals (IA, IS) or with the concentration of the virus in the nature Cv. The contact rate between susceptible individuals and, in one hand with asymptomatic infectious individuals is denoted by
, in the other hand with symptomatic infectious individuals is
. Natural death also contribute to the reduction of susceptible individuals with the rate μ. The natural death rate μ is the same for all compartments. Infected individuals increase in size with the arrival of newly infected individuals from the susceptible population. After the incubation period, the infected individuals begin to decline with the rate ε to become infectious.
Removed individuals increase with recovery in the population of asymptomatic and symptomatic infectious respectively. Assuming the presence of permanent immunity, the rate of removed individuals that become susceptible is denoted by φ and the vaccinated rate is α. The vaccinated individuals increase at a rate α of removed individuals and susceptible individuals and decrease with the rate ξ when the vaccine failed to immunise the vaccinated individuals. We defined p as the proportion of vaccinated individuals whose vaccine succeeded in immunising the patient.
It is assumed that after disinfection of the premises, the concentration of viruses decreases at a rate θ. The concentration of Cv virus produced by the asymptomatic infected individuals is noted
and that produced by symptomatic infected individuals is noted
. Once an outbreak is declared, consideration is given to the implementation of strategies to control and prevent the spread of the disease in the population.
Denoting mb the set of prevention measures put in place, the force of infection governing the interaction between the susceptible and the infectious and the concentration of the virus in nature is defined by
. By infectious, we distinguish two classes that is asymptomatic infectious and symptomatic infectious. The population of asymptomatic infectious increases with the proportion of latent infected persons (q) at ε rate. Asymptomatic individuals recover at
rate while symptomatic individuals recover at a rate
to become immune.
Table 1. Classification of the population.
Group |
Symbol |
Description |
Susceptible |
S |
People who do not have antibodies and are easily infected by COVID-19 |
Vaccinated |
V |
People who have been vaccinated against COVID-19 |
Latent |
L |
People who have no apparent symptoms,the symptoms remain hidden and do not manifest |
Asymptomatic |
IA |
People who are infected but do not have any symptoms |
Symptomatic |
IS |
People who have obvious symptoms after being infected |
Removed |
R |
People who have recovered from infection |
Virus concentrate |
Cv |
The concentration of the virus in the environment |
The mathematical modelling of the dynamic transmission of COVID-19 is shown in the diagram in Figure 1.
Figure 1. Diagram of dynamic transmission of COVID-19.
Transmission dynamics of COVID-19 are then modelled by the following system.
(1)
with
2.2. Basic Properties
2.2.1. Local Existence and Positivity of Solution
Let
,
,
the positive cone of E and
is the ball of E centered at 0 and radius
.
and
System (1) can be rewritten as follows:
(2)
Lemma 1.
1. F is lipschitz continuous on bounded of E;
2. For all
, there is
such that
.
Proof.
1) Since the function
is
differentiable on E, then it is lipschtiz continuous on bounded of E.
2) Let
and
.
We have,
Since we have,
and
then it follows that this property is satisfied once
.□
We obtain the following theorem.
Theorem 1. Let
. The Cauchy problem associated to system (2) for the initial condition
has an unique maximal solution in
.
Proof. From lemma 1 and according to the Cauchy-Lipschitz theorem [11], Equation (2) has a unique maximum solution for all related Cauchy problems, defined on an interval
,
.
To show the positivity of the solution, we rewrite the Equation (2):
(3)
where
and
choosen such that
for all
.
The solution of the Cauchy problem associated with the differential Equation (3) and initial condition
, using Duhamel’s formula, is given by
This shows that the maximal solution to the Cauchy problem associated to (3) (i.e. Equation (2)) is positive. Prove that the result is valuable.□
2.2.2. Boundedness of Solutions
Taking into account (1) model, we have divided it into two sub-sections: the human population and the viral population. And so, the dynamics of the total human population satisfies the following conditions
(4)
Integrating the above differential equality yield
where
is the initial value of
.
Let’s note
.
Using
, the dynamics of viral population satisfies
(5)
where
.
Integrating (5) gives
where
is the initial value of
.
This implies that
for all
.
It then follows that
We have the following proposition.
Proposition 1. Every maximal solution of the system (1) is global and the region
is positively invariant and attractive for the model (1).
2.3. Asymptotic Properties: Autonomous Case
2.3.1. Disease-Free Equilibrium and Basic Reproductive Number
Disease-free equilibrium (DFE) is obtained when there are no infected individuals in the population. For the system (1), the equilibrium DFE is given by
where
and
.
In mathematical biology, the basic reproductive number, which is highly essential for qualitative analysis of a model, is defined using the next-generation matrix method employed in [12]. Following the notations of [12], the F and V matrices for the new infection terms and the remaining transfer terms are, respectively, given by
and
The inverse matrix of V is given by:
Based on the technique of the next-generation matrix, the basic reproductive number is defined as the spectral radius of matrix
noted
(see [12] [13]).
Thus
we assert the following result based on Theorem 2 by Van Den Driessche and Watmough in [12].
Theorem 2. If
then the disease-free equilibrium of (1) is locally asymptotically stable, it is unstable if
.
2.3.2. Global Stability of Disease-Free Equilibrium
The stability of the disease-free equilibrium is not just local, it is also global. To establish the global stability of the disease-free equilibrium, we use the result of Kamgang and Sallet [14].
Using [14] notations, the (1) model system is rephrased as:
(6)
where
is class of non infected individuals
and the vector
is class of infected individuals
. We have
,
,
and
, with
and
A direct calculation shows that all the eigenvalues of
are real and negative. Thus, the system
is globally asymptotically stable at equilibrium
. Let’s note that
is a Metzler matrix, i.e. a matrix such that the off-diagonal terms are non-negative [15] [16].
Consider the bounded set
:
Recall the following theorem in [14].
Theorem 3. The system (1) is of class
, defined E. If
(1)
is positively invariant relative to (1).
(2) The system
is globally asymptotically stable at equilibrium
on the canonical projection of
onto
.
(3) Considering any
, the matrix
is Metzler irreducible.
(4) There exists a matrix
which is an upper bound of the set
with the property that if
, for any
, such that
, therefore
.
(5) The stability modulus of
,
satisfied
.
Then the DFE is GAS in
.
Now let’s check the assumptions of the previous theorem: it’s obvious that conditions (1-3) of the theorem are satisfied. An upper bound on the set of matrices
, which is the matrix
, is given by
To check condition (5) in theorem 3, we will use the following useful lemma which is the characterization of Metzler stable matrices:
Lemma 2. Let M be a square Metzler matrix written in block form
with A and D square matrices. M is Metzler stable if and only if matrices D and
are Metzler stable.
Matrix
can be express in the form of the matrix M in lemma 2, with:
Clearly, D is a stable Metzler matrix. Then, after some computations, we obtain
is a stable Metzler matrix if and only if
.
So we have the following result:
Theorem 4. If
then the disease-free equilibrium of (1) is globally asymptotically stable.
2.3.3. Existence of Endemic Equilibrium and Stability
The equilibria of system (1) are the elements
which verify the following system:
(7)
where
.
After a few calculations, we get
(8)
where
with the real functions f, g and h defined respectively by
and the real
verifies the following equation
(9)
From Equation (9), we have
or
(10)
From inequality
, it is easy to check that
for
. Therefore, we deduce that (10) is equivalent to following equation
(11)
where
,
and
From all the above, we can state the following theorem.
Theorem 5. If
, system (1) has two equilibria, the disease-free equilibrium and an endemic equilibrium.
Proof. We have
and
, because
. Then the second-degree Equation (11) has a unique positive solution
which corresponds to the endemic equilibrium
given by system (8).□
2.4. Asymptotic Properties: Non-Autonomous Case
Let
be the threshold defined by:
(12)
where
with
and
with
Let’s also consider the function
From all the above, we assume that
2.4.1. Disease Extinction
Theorem 6. If
, then the disease dies out, i.e
and
Proof.
(13)
then
(14)
thus
(15)
we deduce then
(16)
Introducing inequality (16) in following inequality
(17)
Noting
we obtain:
(18)
then
(19)
We deduce that
(20)
introducing inequalities (16) and (20) in inequality (13), we deduce the following inequality
(21)
From Equation (21) Using a fluctuation method (see [10] [17]) one conludes that
(22)
we deduce then
(23)
Thus we obtain
(24)
Then
implies that
. We therefore conclude that the disease is extinguished when
, i.e.
,
and
as
.□
2.4.2. Disease Persistence
This part is devoted to formulate the disease persistence property. To establish the conditions that guarantee the persistence of the disease in the population, we use the mathematical properties cited in [18]-[23] are used.
Theorem 7. Suppose that there exists
, such that
(25)
If
, the disease described by the (2) system is persistent.
Proof. Suppose by contradiction that the disease is not uniformly weakly persistent. Suppose there exists
, such that.
as
The sum of the first two equations of system (2) gives us the following equation:
(26)
Solving the differential inequation (26), we obtain the following inequality:
(27)
One deduces that:
(28)
Introducing the inequality (28) in system (2), the following is obtained:
(29)
From where:
(30)
Note
Equation (30) implies the following:
(31)
one deduces then:
(32)
Finally one gets
(33)
We find that:
since
contradicts the fact that
is bounded.
so, if
, then the disease described by the system (2) is persistence.□
3. Simulations
Here, we focus on the simulation considering a population of 10 thousand inhabitants. These simulations lay emphasis on asymptomatic behaviour of result of task 1 describing the transmission method of the new version of the coronavirus in the given population. The different representations of the diagram were obtained by diversifying the parameters in such a way that mb represents the prevention measures as proposed by the World Health Organization and certain patners in charge of health. We equally vary α who is rate of increase in vaccinated people who recover. The different values used in simulation are given in Table 2. We have divided the simulations into two sub-sections: in the first sub-section, we run several simulations taking into account the impact of prevention measures on the spread dynamics of coronavirus, but without vaccination, and in the second section, we run different simulations on the effect of
Table 2. Biological description, values and units of the parameters of model.
Parameter |
description |
Value |
Reference |
Λ |
Human birth rate |
0.05 per day |
[6] |
|
contact rate of spread between S and A |
0.1 per day |
[6] |
|
contact rate of spread between S and I |
0.15 per day |
[24] |
|
contact rate of spread between S and Cv |
0.2 per day |
[6] |
|
Immune loss rate |
0.0027 per day |
[6] |
|
duration of incubation period |
0.14 |
[24] |
|
rate where the concentration of the virus decreases |
5 × 10−2 per day |
[24] |
|
rate of increase in vaccinated people who recover |
0 per day |
[24] |
|
recovery rate of asymptomatic infected |
0.1 per day |
[6] [24] |
|
recovery rate of symptomatic infected |
0.07 per day |
[6] [24] |
|
Natural death rate |
5 × 10−5 per day |
[25] |
|
vaccination failure rate |
0.01 per day |
[25] |
|
Virus shedding rate by asymptomatic infected |
2.3 |
[25] |
|
Virus shedding rate by symptomatic infected |
0.3 |
[25] |
p |
proportion of the people vaccinated |
0.4 |
|
q |
proportion of the |
0.65 |
|
vaccination on this pandemic. Simulations are therefore carried out to test the model’s behavior over time, and the following information can be drawn from the model’s parameters.
3.1. Effect of Prevention Measures on the Dynamics Spreading of Coronavirus without Vaccination
In this sub-section, we show curves obtained after simulations of our system taking into account the effect of prevention measures taken by the World Health Organization and international partners in the health sector, but without taking vaccination or the health pass into account. Here we consider
, but we vary the values of the parameter
, which is in fact the set of prevention measures. Thus we obtain the black curve (
), the red curve (
), the blue curve (
), the green curve (
), and finally the pink curve (
).
Figure 2. Evolution of number cases of COVID-19 for
,
,
,
,
,
and
,
,
.
Figure 2 illustrates the effect of the people complying with prevention measures on changes in number of new infections among susceptible people. The simulation was carried out by varying the values of the prevention compliance parameter. We can see that the proportion of susceptible people decreases as compliance with prevention measures decreases over time. This shows the positive impact of compliance with prevention measures by susceptible individuals.
Figure 3. Evolution of number cases of COVID-19 for
,
,
,
,
,
and
,
,
.
Figure 3 illustrates the effect of people complying with prevention measures on evolution of new cases of latent individuals. By varying the values of the prevention measures parameter, we can see that: the more the latent population decreases, the faster it reaches its maximum before stabilizing. This shows that compliance with prevention measures by latent individuals prevents the disease from manifesting itself more rapidly.
Figure 4 illustrates the effect of the people complying with prevention measures on evolution of number of new cases of asymptomatic infected. The case where of people complying with prevention measures is zero (
), the disease evolves very rapidly in the population, reaching a peak of almost 40 new cases per day by day
. By increasing of people complying with the prevention measures, the disease progresses more slowly, and the number of new cases is reduced to a low peak. We can see that for 60 per cent of people complying with the prevention measures (
), the number of new cases per day is only 10 when the peak is reached. This peak is reached around 500 days after the onset of the disease.
Figure 5 illustrates the effect of the proportion of people complying with prevention measures on changes in the number of new cases among symptomatically infected people. The behavior of the curves is identical to that observed in Figure 4, although it should be noted that the number of cases is higher for the symptomatically infected than for the asymptomatically infected.
Figure 6 shows the effect of people complying with prevention measures on
Figure 4. Evolution of number cases of COVID-19 for
,
,
,
,
,
and
,
,
.
Figure 5. Evolution of number cases of COVID-19 for
,
,
,
,
,
and
,
,
.
Figure 6. Evolution of number cases of COVID-19 for
,
,
,
,
,
and
,
,
.
changes in a number of new cases among those who have been cured. The simulation shows that the more prevention measures are observed, the higher the proportion of cured cases.
Figure 7 illustrates the impact of compliance with prevention measures on virus concentration in the environment. This simulation shows that: when the population respects the prevention measures, the virus concentration in the environment decreases.
Partial conclusion: Compliance with prevention measures in the various compartments studied had a positive impact on the evolution of the disease.
3.2. Vaccination’s Effect on Coronavirus Disease
In this part, vaccination is taken into account in the control of the disease. Thus, we set the value of the prevention measures at
and we vary the values of the parameter α. We thus obtain curves of black (
), red curve (
), blue curve (
), green curve (
), pink curve (
). With
fixed.
Figure 8 shows the evolution of cases in susceptible individuals under the influence of vaccination. This simulation shows a descending curve, demonstrating that as the proportion or rate of vaccinated individuals increases in a given population, the population of susceptible individuals decreases and becomes constant at the end of the vaccination period.
Figure 7. Evolution of number cases of COVID-19 for
,
,
,
,
,
and
,
,
.
Figure 8. Evolution of number cases of COVID-19 for
,
and
,
,
,
,
;
,
,
.
Figure 9. Evolution of number cases of COVID-19 for
,
and
,
,
,
,
;
,
,
.
Figure 10. Evolution of number cases of COVID-19 for
,
and
,
,
,
,
;
,
,
.
Figure 11. Evolution of number cases of COVID-19 for
,
and
,
,
,
,
;
,
,
.
Figure 12. Evolution of number cases of COVID-19 for
,
and
,
,
,
,
;
,
,
.
Figure 13. Evolution of number cases of COVID-19 for
,
and
,
,
,
,
;
,
,
.
Figures 9-11 illustrate the influence of vaccination on the evolution of the number of new symptomatic and asymptomatic cases. The peak of each curve is reached around 300 days after the onset of infection. The number of new cases decreases as the proportion of people vaccinated increases. Hence the positive impact of vaccination
Figure 12 and Figure 13 illustrate the same phenomena as the previous figures.
Partial conclusion: The curves obtained from these simulations show that the proportion of individuals complying with prevention measures reduces in number the occurrence of new cases, as well as cases obtained when the peak is reached. The proportion of vaccinated individuals reduces the number of new cases. Finally, we observe that optimal combination can be achieved to eradicate the disease. These results prove that our proposed mathematical model is valid.
4. Conclusion
COVID-19 has been spreading worldwide for over five years, and has yet to be rigorously managed. Multiple, much more infectious variants of the SARS-CoV-2 virus have been identified, representing a major scientific challenge for the management of the SARS epidemic. The prevention and control of coronavirus diseases remains a task not to be neglected. Several vaccines have been invented and implemented, but relying solely on vaccination to manage the spread of this infectious disease will only lead to a partial resolution. We show that, when the basic reproductive number
, there exists a locally asymptotically stable endemic equilibrium in addition to a locally asymptotically stable disease-free equilibrium, proving that even if the basic reproductive number is less than 1, the disease cannot be completely eliminated. To achieve optimal and rapid control of this pandemic, in addition to the sanitary pass or vaccination, it is essential to rigorously implement certain so-called “prevention” measures. In this article, we have formulated a seven-compartment (class) ordinary differential equation model to understand the spread dynamics of this infectious disease. Emphasis was placed on compliance with prevention measures and the effect of vaccination on a defined population. Numerical simulations were carried out to give a clearer illustration of its temporal evolution. In particular, we examined the impact of prevention measures and vaccination on slowing the spread of coronavirus infection. The model is fully analyzed and strategies to control the spread of the disease are proposed. Using the method developed by (van den Driessche and Watmough, 2002), we obtained the basic reproduction number R0 of the model. It has been shown that the rigorous application of prevention and vaccination measures can have a positive impact on the management of this epidemic. We suggest that scrupulous compliance with prevention measures combined with vaccination are rigorous strategies for controlling coronavirus infection. Our paper aims to provide decision-makers with a clearer reading and vision of the dynamics of the spread of the infectious disease known as coronavirus.
Conflicts of Interest
The authors declare no conflicts of interest.