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Modified SIR model for COVID-19 transmission dynamics: Simulation with case study of UK, US and India

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The work of U.F.-G. has been supported by the government of the Basque Country for the ELKARTEK21/10 KK-2021/00014 and ELKARTEK20/78 KK-2020/00114 research programs, respectively and the work of M. Altangi has been supported by the Deanship of Scientific Research at King Khalid University through the Research Group program with Grant Number R.G.P2/150/43. All authors approved the final version of the manuscript.

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Modified SIR model for COVID-19 transmission dynamics: Simulation with case study of UK, US and India

Author: Rakshit, Pranati,Kumar, Soumen,Noeiaghdam, Samad,Fernández Gámiz, Unai,Altanji, Mohamed,Santra, Shyam Sundar
Publisher: Elsevier
Year: 2022
DOI: 10.1016/j.rinp.2022.105855
Source: https://addi.ehu.eus/bitstream/10810/58292/1/1-s2.0-S2211379722005009-main.pdf
Resul s in Physics 40 (2022) 105855
A ailable online 27 July 2022
2211-3797/© 2022 The Au ho (s). Published by Else ie B.V. This is an open access a icle unde he CC BY license (h p://c ea i ecommons.o g/licenses/by/4.0/).
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Resul s in Physics
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Modi ied SIR model o COVID-19 ansmission dynamics: Simula ion wi h
case s udy o UK, US and India
P ana i Rakshi a, Soumen Kuma b, Samad Noeiaghdam c,d, Unai Fe nandez-Gamiz e,∗,
Mohamed Al anji , Shyam Sunda San a g,h
aDepa men o Compu e Science and Enginee ing, JIS College o Enginee ing, Kalyani, Wes Bengal, India
bAssocia e Consul an and Da a Scien is in Ta a Consul ancy Se ices L d., Kolka a, Wes Bengal, India
cIndus ial Ma hema ics Labo a o y, Baikal School o BRICS, I ku sk Na ional Resea ch Technical Uni e si y, I ku sk, 664074, Russia
dDepa men o Applied Ma hema ics and P og amming, Sou h U al S a e Uni e si y, Lenin p ospec 76, Chelyabinsk, 454080, Russia
eNuclea Enginee ing and Fluid Mechanics Depa men , Uni e si y o he Basque Coun y UPV/EHU, Nie es Cano 12, 01006 Vi o ia-Gas eiz, Spain
Depa men o Ma hema ics, College o Science, King Khalid Uni e si y, Abha 61413, Saudi A abia
gDepa men o Ma hema ics, JIS College o Enginee ing, Kalyani, Wes Bengal 741235, India
hDepa men o Ma hema ics, Applied Science Clus e , Uni e si y o Pe oleum and Ene gy S udies (UPES), Deh adun, U a akhand 248007, India
ARTICLE INFO
Keywo ds:
COVID-19
SIR model
P edic ion
Asymp oma ic
R-Squa e sco e
ABSTRACT
Co ona i us disease 2019 (COVID-19) is an in ec ious disease and has sp ead o e mo e han 200 coun ies
since i s ou b eak in Decembe 2019. This pandemic has posed he g ea es h ea o global public heal h
and seems o ha e changing cha ac e is ics wi h al e ing a ian s, hence a ious epidemiological and s a-
is ical models a e ge ing de eloped o p edic he in ec ion sp ead, mo ali y a e and calib a ing a ious
impac ing ac o s. Bu he aysmp oma ic pa ien coun s and demog aphical ac o s needs o be conside ed
in model e alua ion. He e we ha e p oposed a new se en compa men al model, Suscep ible- Exposed-
In ec ed–Asymp oma ic–Qua an ined–Fa al–Reco e ed (SEIAQFR) which is based on classical Suscep ible-
In ec ed-Reco e ed (SIR) model dynamic o in ec ious disease, and conside ed ac o s like asymp oma ic
ansmission and qua an ine o pa ien s. We ha e aken UK, US and India as a case s udy o model e alua ion
pu pose. In ou analysis, i is ound ha he Rep oduc i e Ra e (𝑅0) o he disease is dynamic o e a long
pe iod and p o ides be e esul s in model pe o mance (>0.98 R-squa e sco e) when model is i ed ac oss
smalle ime pe iod. On an a e age 40%−50% cases a e asymp oma ic and ha e con ibu ed o model accu acy.
The model is employed o show accu acy in co espondence wi h di e en geog aphic da a in bo h wa e o
disease sp ead. Di e en disease sp eading ac o s like in ec ion a e, eco e y a e and mo ali y a e a e well
analyzed wi h bes i o eal wo ld da a. Pe o mance e alua ion o his model has achie ed good R-Squa e
sco e which is 0.95 − 0.99 o in ec ion p edic ion and 0.90 − 0.99 o dea h p edic ion and an a e age 1% − 5%
MAPE in di e en wa e o he disease in UK, US and India.
In oduc ion
Vi us causes in ec ions which la e u ns in o disease in human &
animal body and a e he e o e ha e an impac on medical, social, and
economical li e. No el Co ona i us (COVID-19) caused an ou b eak
o a ypical pneumonia i s in Wuhan, China in Decembe 2019 [1]
and hen ex ended i s deadly cha ac e is ics h oughou he whole
wo ld in ec ing mo e han 210 million popula ion wo ldwide aking
a dea h oll o 4.47 million [2] ill da e as o 27 h Aug 2021. A e
assessing i is amazing sp eading powe and signi ican ha m owa ds
human ci iliza ion, he Wo ld Heal h O ganiza ion (WHO) announced
∗Co esponding au ho .
E-mail add esses: [email p o ec ed] (P. Rakshi ), [email p o ec ed] (S. Kuma ), [email p o ec ed],[email p o ec ed] (S. Noeiaghdam),
[email p o ec ed] (U. Fe nandez-Gamiz), [email p o ec ed] (M. Al anji), [email p o ec ed],[email p o ec ed] (S.S. San a).
his new pneumonia ou b eak a ‘‘global pandemic’’ [3]. Though e e
wi h coughing and espi a o y p oblems a e he main symp oms o
COVID-19 which esemble he p ima y indica ions o simple lu, bu
la e complexi y a ises esul ing e y low oxygen sa u a ion in body.
P ima ily i was app ehended ha Co ona i uses a e ansmi ed in
wo modes: d ople s du ing coughing o sneezing and con ac ans-
mission (con amina ed hands). Disin ec an s like hyd ogen pe oxide
and sodium hypochlo i e, e c. [4] can des oy his i us. I is di icul
o ind ou he sp eading mechanism o COVID-19 because i can be
silen ly ca ied by and ansmi ed om people wi hou showing any
h ps://doi.o g/10.1016/j. inp.2022.105855
Recei ed 1 Ap il 2022; Recei ed in e ised o m 22 July 2022; Accep ed 22 July 2022
Resul s in Physics 40 (2022) 105855
2
P. Rakshi e al.
symp oms [5], bu his is c i ical o p e en he pandemic ou b eak.
The sp ead o he disease is igh ening and a h ea o human ci iliza-
ion. Though he adminis a ion o accina ion s a ed ac oss se e al
coun ies, WHO s ill ecommends a guideline like social dis ancing,
sani iza ion o hands, usage o ace masks o a oid i is successi e
wa es. Go e nmen o each coun y has also aken a ious s a egies
like comple e lockdown, banning in e na ional physical anspo , and
qua an ining he suspec ed pe sons o con ol he epidemic p og ession
a i s ea ly s ages. As an example, coun ies such as Sou h Ko ea [6,7]
quickly s a ed o ace con ac s o in ec ed pe sons, hence iden i ying
he epicen e o he ou b eak, and p e en ing huge impac .
Compa men al models which di ide he o al human popula ion
in o classes acco ding o he s a e o he disease a e he mos popula
ma hema ical models [8]. Among hem, he classic SEIR model is he
mos widely adop ed o pandemic disease and also cha ac e izes he
COVID-19 ou b eak [9]. In simple SEIR model, he numbe o people in
di e en ca ego y like in ec ed o eco e ed o dead a e measu ed on
he basis o di e en pa ame e s o disease dynamics like he numbe
o con ac s pe uni ime, he ansmission a e o he disease, he ime
pe iod o disease incuba ion, a e o eco e y o he sick pe son o be
cu ed and he a e o dea h.
We know ha due o he lack o p ope de ec ion echnique, he
asymp oma ic pa ien s who ha e mild o no symp om, a e no consid-
e ed in he con i med case coun , and his is he un ouched a ea in basic
SEIR model. To es ima e he un aceable con ac s some me hods ha e
been discussed in [10]. In his wo k, we aim o conside he "Asymp-
oma ic" class as a i al ac o in epidemic olume de e mina ion and
has in oduced new compa men in exis ing model. I he in ec ed
iden i ied case is conside ed he ip o an icebe g, he e is a la ge
hidden popula ion ca ying he i us wi hou any symp oms due o lack
o public heal h su eillance and e ec i e es ing. We ha e measu ed
he dynamic na u e o he di e en key epidemic pa ame e s which
con ibu e o he sp ead o COVID-19, in a ela i ely e ec i e way
in di e en pe iods o disease ou b eak ac oss mul iple geog aphical
a eas. The e ec i eness o la ency pe iod, in ec i i y a e, eco e y a e
and se e al ac o s like human immuni y, social awa eness had been
conside ed while calib a ing he model in di e en phases o ou b eak
in India, UK and US.
In Sec ion "Backg ound" we ha e discussed he backg ound o his
p esen wo k, Sec ion ‘‘Ma e ial and me hods’’ desc ibes abou he
ma e ial and me hod in which he p oposed model, model pa ame e
e c. a e discussed, he esul s, ou come analysis ha e been discussed
in Sec ion "Resul s and Discussion" while Sec ion "Fu u e Wo k" deals
wi h he u u e scope, conclusion.
Backg ound
In di e en coun ies a ious ma hema ical modeling has been p o-
posed and de eloped o unde s and he dynamics o Co id 19 sp ead.
The epidemiological beha io o his i us can be e alua ed as a
complex pa e ns/sys em h ough ma hema ical models. This s a is ical
da a ega ding he disease sp ead can be analyzed and in e p e ed o a
model e olu ion which will help o p edic he disease cha ac e is ics,
o impose con ainmen , o con ol and mi iga e p obable ou b eak. The
al eady known pa ame e s abou he i us sp ead like he numbe o
in ec ed coun , he numbe o eco e ed people and he dea h coun
can be ed in o he model o e ine and calib a e i mo e accu a ely.
The dynamic equa ions o ma hema ical models can p o ide powe ul
insigh s in o he dynamics. These me hods hold good o he disease
whe e a la ge numbe o unknown, unce ain ac o s con ibu e o he
disease g ow h.
Rela ed wo ks
Ba is a e al. [11] p oposed suscep ible in ec ious eco e ed (SIR)
model which ied o o ecas he numbe o Co ona i us pandemic
cases and inal size, which seemed o be e y accu a e conside ing a
he mon h o Feb ua y 2020 da a, bu he cu en end has p o ed
he p edic ion no so e ec i e. Huang Y e al. [12] u ilized he SIR
model equa ions and es ima ed he u u e in ec ed coun due o Co ona
i us in Japan, Sou h Ko ea, I aly, and I an. Incuba ion pe iod has no
been conside ed while cons uc ing his model. Fo ios e al. [13] has
adop ed echniques which ollow simple ime se ies o ecas ing. They
p edic s he u u e wi h non con e gence g ow h. Leona do e al. [14],
conside ed he la en pe iod in a compa men al model o SEIR whe e
he in ec ion sp eads wi h changeable con ainmen s. The exponen-
ial cu e da a ep esen s a good p edic ion in dea hs and eco e ed
coun . Ca cione e al. [15] has used he modi ied SEIR model and
a ied di e en ini ial pa ame e s alues o calib a e he model. While
analyzing he esul s, hei model is e ined wi h numbe o dead
indi iduals. They ound a ange o incuba ion pe iod and Rep oduc ion
numbe o i he eal-wo ld da a and calcula e he in ec ion a ali y
a e (IFR). FaïçalNdaï ou e al. [16] has p oposed a new compa men al
model conside ing supe –sp eade s. Mo eo e , hey conside a dea h
compa men . They ha e men ioned he "Asymp oma ic" class in hei
model. They ha e done a good sensi i i y analysis o hei model and
nume ical simula ion wi h he case s udy o Wuhan. Eugene B. Pos -
niko e al. [17] p opose a simple SIR model wi h p edic i e es ima ion
conside ing co ela ion o epidemic dynamics. Peng e al. [18] has
in oduced qua an ined s a e o p opose a new SEIR model and also
done a sensi i i y analysis. Mukesh Jakha e al. [19] has made a s a e-
wise analysis o India. They ha e made a s udy and o ecas based on
he demog aphical di e si y. Also, he phase wise Lockdown popula ion
densi y is conside ed while p edic ing he g ow h o he epidemic. A
de ailed analysis and compa a i e s udy o he di e en o ecas ing
me hodology has been ound in [20]. Subhas Khajanchi e al. [21] has
in oduced ma hema ical modeling conside ing di e en Indian s a es
and hey calcula ed R0 alue and o he sensi i e pa ame e s using he
pa ial ank co ela ion coe icien s echniques.
Mo i a ion o he esea ch
Though all he abo e wo ks h ow ligh on he espec i e a eas
du ing analysis, bu in mos o he cases he pa ame e s es ima ion
and p edic ion is la gely based on he s a is ics o con i med cases,
whe eas we el ha in a de eloping coun y like India wi h i s a ie y
o popula ion, he e a e la ge numbe o unde ec ed cases which will
con ibu e o u u e sp ead signi ican ly. Also, we ha e ep esen ed
he model wi h UK and US cases o asce ain he accep abili y ac oss
a ious geog aphical da a. In his s udy, we ha e analyzed he numbe
o asymp oma ic cases and un epo ed in ec ious cases as impac ing
ac o s, whe eas he numbe o epo ed in ec ious cases and dea h
coun s a e conside ed o i he model pa ame e wi h he eal-wo ld
s a is ical da a. While all he o he p e ious esea che s ha e ocused
on a pa icula Geog aphical a ea wi h a speci ic ime span o hei
model calib a ion and e alua ion, we ha e simula ed he model beha -
io wi h espec o di e en demog aphic da a like UK, US and India
in bo h i s wa e and second wa e o he disease peak wi h a ying
pa ame e alues.
Ma e ial and me hods
A i s , we will b ie ly discuss he p ope ies o basic Suscep ible-
Exposed-In ec ed-Remo ed (SEIR) sys em wi h ou s a es o he dis-
ease. Suscep ible a e heal hy indi iduals bu ha e a chance and ul-
ne able o ge in ec ed. Exposed a e indi iduals who ha e had con ac
wi h an in ec ed pe son bu no ye conside ed as in ec ed. In ec ed a e
Resul s in Physics 40 (2022) 105855
3
P. Rakshi e al.
Fig. 1. P oposed SEIAQFR model wi h se en compa men s/classes.
indi iduals who es ed posi i e o in ec ion and eco e ed is indi id-
uals who a e decla ed cu ed. We ha e employed model analysis wi h
exis ing da a o di e en coun ies by a ying he pa ame e s and ini ial
assump ions and conside ed he epo ed a ali y numbe and in ec ed
coun as e e ence while es ablishing he model dynamics. He e we
ha e emphasized on cu en and p edic i e end o he ou b eak
wi h eal wo ld da a along and hence he model calib a ion becomes
complex and lexible o accommoda e impac ing ea u es.
P oposed model (SEIAQFR)
Now, le us desc ibe ou p oposed model which conside s 7-
compa men /classes o he disease and he elabo a ion o s a e ans-
o ma ion is depic ed in Fig. 7. Suscep ible (S): They a e he indi iduals
o he o al popula ions (N) who a e exposed o he disease sp ead.
Exposed (E): The indi iduals ha ha e been exposed o came in o
con ac o In ec i e pe sons. A his s age pe son is in ec ed bu no
ye de eloped any symp oms, hence no iden i ied as in ec ious o
sp ead he disease. Disease is in a la en s age. People goes om S o E
depending on he numbe o con ac s wi h In ec ed (I) indi iduals and
he a e o in ec ion sp eading.
In ec ed (I): The indi iduals hose a e e ealing symp oms o Co id-
19, iden i ied and symp oma ically in ec ed. They a e also in ec i e, so
hey can sp ead he disease(see Fig. 1).
Asymp oma ic (A): These g oups a e in ec ed and in ec i e, hey
may ac as a hidden ca ie o he disease, bu no iden i ied as hey
a e no showing any disease symp oms and due o lack o apid es s
conduc ed in mass, hey a e no es ed posi i e.
Qua an ined (Q): When in ec ed people a e con i med wi h Co id-
19 a e p ope medical es and ei he hospi alized o home qua an-
ined.
Reco e ed(R): Pe sons eco e ed om epidemic disease, so asymp-
oma ic indi iduals may ge au oma ically eco e ed wi hou hei
disease de ec ion & ea men , whe eas Qua an ined pe sons ge well
a e p ope ea men .
Fa al (F): This g oup o people ailed o su i e a e COVID-19
diagnosis.
Model pa ame e s and s a e ansi ions
Di e en model pa ame e s con ibu ing o his model is desc ibed
below:
𝛽: This deno es a e age con ac equency i.e., Numbe o people an
in ec ed pe son can in ec /day. This con ols he a e o sp ead, which
ep esen s he p obabili y o ansmi ing disease be ween a suscep ible
and in ec ious indi idual. In o he wo ds, gi en a popula ion N, among
hem ini ially suscep ible is S and I is in ec ed people, hen in ec ed
people s a impac ing suscep ible popula ion a a a e o 𝛽 o make
hem exposed COVID-19 i us.
𝛼: Exposed (E) becomes in ec ious a he a e o 𝛼i.e. (1
𝛼)is he a e -
age ime equi ed o an exposed indi idual be ween his ini ial con ac
o an in ec ious pe son and showing he symp oms o COVID-19. The e-
o e (1
𝛼)o 𝛼−is he incuba ion pe iod o he disease. Assuming ha
among Exposed (E) pe sons, ac ion p de elops symp oms and become
symp oma ically in ec ed (I) whe eas (1-p) emains Asymp oma ic (A)
a e he incuba ion pe iod.
𝛾: The symp oma ic(I) a e mo ed o Qua an ined(Q) s a e ei he in
hospi al o a home a a a e o 𝛾so (1
𝛾o 𝛾−) is he in ec ious pe iod
du ing which a symp oma ic in ec ed pe son can sp ead in ec ion. And
ob iously, a e being qua an ined he is isola ed and canno sp ead
in ec ion. We assume ha all iden i ied symp oma ic pe sons will be
qua an ined, hence p obabili y is 1.
𝜑: The asymp oma ic people(A) also con ibu e o Symp oma ic
In ec ed (I) g oup by de eloping symp oms a e (1/𝜑) days i.e., a a
a e o 𝜑, o he wise hey ge au oma ically eco e ed om in ec ion
wi hou showing any symp oms and hence wi hou unde going any
ea men . The asymp oma ic (A) a e emo ed a a a e 𝜑, a ac ion
𝑞o hem going in au oma ic emission and ac ion (1 − 𝑞)becomes
symp oma ic (I).
𝜃: This deno es Reco e y Ra e a e ea men i.e., he Qua an ined
people(Q) ge well a a a e o 𝜃. i.e. (1/𝜃o 𝜃−) is he a e age
qua an ined pe iod in hospi al/home o he eco e ed pe son du ing
ea men .
𝛿: This deno es Mo ali y/Fa ali y Ra e. Un o una ely, qua an ined
pe sons (Q) ge deceased a 𝛿 a e wi h p obabili y 𝑥, hen (1/𝛿o 𝛿−)
is he a e age days spen by any pa ien be o e dea h since ea men
has been s a ed and he is qua an ined. So, qua an ined pe sons (Q)
ge eco e ed a a p obabili y o (1 − 𝑥). Basic Rep oduc ion Numbe
(𝑅) = 𝛽
𝛾de e mines he se e i y o sp ead a any ime and a key ac o
in his model. We ha e p oposed he i us ansmission by he ollowing
nonlinea o dina y di e en ial equa ions (ODE) as SEIAQFR model:
𝑑𝑆
𝑑𝑡 = − 𝛽𝑆(𝑡)𝐼(𝑡)
𝑁,
𝑑𝐸
𝑑𝑡 =𝛽𝑆(𝑡)𝐼(𝑡)
𝑁−𝛼𝐸(𝑡),
𝑑𝐴
𝑑𝑡 =𝛼(1 − 𝑝)𝐸(𝑡) − 𝛷𝐴(𝑡),
𝑑𝐼
𝑑𝑡 =𝛼𝑝𝐸(𝑡) + 𝛷(1 − 𝑞)𝐴(𝑡) − 𝛾𝐼(𝑡),
𝑑𝑄
𝑑𝑡 =𝛾𝐼(𝑡) − 𝜃(1 − 𝑥)𝑄(𝑡) − 𝛿𝑥𝑄(𝑡),
𝑑𝑅
𝑑𝑡 =𝛷𝑞𝐴(𝑡) + 𝜃(1 − 𝑥)𝑄(𝑡),
𝑑𝐹
𝑑𝑡 =𝛿𝑥𝑄(𝑡).
In his s udy, ou model is used wi h he ollowing assump ions:
Resul s in Physics 40 (2022) 105855
4
P. Rakshi e al.
•Cons an popula ion numbe s (an equal numbe o dea hs bal-
ances he numbe o bi hs)
•Homogeneous popula ion which means each indi idual has he
same oppo uni y o make con ac wi h o he indi iduals.
•The sp ead o he co ona i us only occu s be ween human o
human.
•Indi iduals a ec ed by COVID-19 can ei he eco e o dies.
•Indi iduals who ha e eco e ed canno be in ec ed again.
•In ec ion can only sp ead when he pe son is in in ec ious s age,
all o he possibili ies like Qua an ined pa ien in Hospi al o home
canno sp ead in ec ion, so hey can ei he eco e o die.
In his s udy, we will analyze he numbe o asymp oma ic cases
and un epo ed in ec ious cases, as well as he numbe o epo ed
in ec ious cases o i he model pa ame e wi h he eal-wo ld da a.
The model building and simula ion has been de eloped in py hon.
Pa ame e es ima ion
Acco ding o p esen scena io, he numbe o Dea hs (F) and he
numbe o Reco e ed (R) om Qua an ined ( om hospi alized o
home) and he es s posi i e (In ec ed-I) cases a e a ailable in Go e n-
men published s a is ics. Since he alues o he abo e pa ame e s a y
on se e al ime dependen ac o s, we ha e ca e ully es ima ed hem
acco ding o he demog aphic ea u es, pe iods o in ec ion sp ead,
socio-economic s uc u e and public heal h. The ini ial alues o In-
ec ed, Reco e ed and Dead (𝐼0, 𝑅0, 𝐹0) a e a ailable om he da ase o
espec i e popula ion, whe eas he (𝐸0, 𝑄0, 𝐴0) a e calcula ed acco d-
ing o he ini ial sp ead o disease in ha egion and also dependen
on he ime e e ence o he model. In his op imiza ion p oblem o
de e mining he co ec coe icien alues o all pa ame e s a e e y
c i ical, ei he o e i ing o unde es ima ion happen due e y small
a ia ion o ime dependen model dynamics. To ix his, we i s ly
de e mine some pa ame e alues om he p e ious analysis o disease
dynamics and hen i o he s o achie e he bes possible esul s. Du ing
he analysis o di e en da a o he li e a u es [15,19,21] we decided
o simula e ou model wi h da a o India du ing i s i s and second
su ge, as well as Coun y wi h less huge popula ion like US and UK
whe e he e was an e iden su ge o Co id-19 wi h high in ec ion
a e . Though he e a e a lo o o he ac o s like Lockdown pe iod,
social dis ancing awa eness, p e en i e measu es o ace mask and
hand washing, and he UnLock-1 ha e impac s on he ime se ies
da a o i he model, bu he analysis om medical bulle in [22] and
discussion o heal h p o essionals pu he ac ual pic u e o he disease
sp ead. Incuba ion Pe iod (𝛼−) and In ec ious pe iod (𝛾−) a e wo
impo an pa ame e s o de e mine he disease sp eading and hey a y
in di e en coun y in di e en ime phase o hei pandemic ou b eak.
No mally he e is a linea p opo ional ela ionship i.e., 𝛼−∝𝛼−. Again,
when he se e i y o disease sp eading is as e i.e., he 𝑅0is inc easing
o highe alue, and hen 𝛼−and 𝛾− end o he lowe side which helps
he disease o sp ead mo e sha ply. The 𝛼−has gained a ange o 5–20
days depending upon he locali y and in ec ion peak, so on a e age,
i akes 10–15 days o an in ec ious indi idual o ge symp oms and
become (I) om (E) s a e.
Now acco ding o he da a om medical esea ch all o e he
wo ld, he COVID-19 i us has a ypical con agious pe iod o a ound
5–7 days a e in ec ing a pe son, so 𝛾−is conside ed. This 𝛾− alue
holds good o US, whe eas UK ha e a ange o 11–20 and India
ha e 5–16 days depending upon he in ec ing s ain o he disease and
he con amina ion eloci y. These pa ame e s (𝛼−and 𝛾−) a e ge ing
changed wi h p opo ional o e e y changing i us cha ac e is ic and
impo an se e i y de e minan . The o he pa ame e s like 𝛿−( he a e -
age day spen be o e dea h), 𝜑−( he a e age day o ge eco e ed om
asymp oma ic condi ion) and 𝜃−( he a e age day o ge eco e ed om
a e p ope ea men ) a e dependen on he pa ien ’s immuni y powe
and medical acili y o ha geog aphy. So, in ou model op imiza ion,
Table 1
S a is ics o SEIAQFR model pa ame e alues o bes i o cu en ac ual da a o US,
UK and India in di e en phases o disease sp ead.
Coun y Span 𝛾−𝛼−𝑅 𝛿−𝛷−𝜃−𝑝 𝑞 𝑥
UK Sep2020–Feb2021 20 12.5 2.7 18 16 12 0.6 0.6 0.009
UK Sep2020–Dec2020 22 21 2.9 18 16 12 0.6 0.55 0.0095
UK Dec2020–Feb2021 11.6 14 3 18 14 12 0.75 0.74 0.007
US Ma ch2020–May2020 7 6 2.8 14 10 14 0.68 0.65 0.032
US Ma ch20–Ap il2020 5 5 3.45 12 10 10 0.77 0.65 0.045
US Ap il2020–May2020 7 7 3.45 12 10 10 0.77 0.65 0.016
India Ma ch 2021 12 11.5 2.59 14 9.35 14 0.56 0.61 0.0003
India Ap il 2021 11.5 12 3.65 12 9 14 0.56 0.6 0.0045
India May 2021 16 10 3.4 10 9.2 14 0.56 0.61 0.0034
India May2020–Sep2020 4.5 5 1.76 18 15 10 0.75 0.8 0.004
India Ma ch2021–May2021 11.5 13.5 2.6 14 14 12 0.52 0.57 0.0015
hese h ee pa ame e s alues a e kep almos cons an h ough he
analysis pe iod o Peak o O -Peak pe iod o a speci ic egion, e -
e enced in Table 1. While i ing he model, obse a ion pe iod o
UK, US and India is conside ed a he peak ou b eak o he disease
a ha Geog aphy: Sep embe 2020–Feb ua y 2021 i.e. 180 days o
UK, Ma ch 2020–May 2020 i.e., 90 days o US and o India we ha e
conside ed wo pe iods May 2020–Sep 2020(Co ona i s wa e), Ma ch
2021–May 2021(Co ona second wa e). Also, hese spans a e di ided
in o sho e ime span o i he model wi h mo e accu acy and a ying
pa ame e alues. Fo Ini ial alues o ODE equa ions: 𝑆0is he o al
popula ion, whe eas 𝐼0, 𝑅0and 𝐹0a e aken om he ac ual da a [23]
and 𝐸0, 𝐴0and 𝑄0is assumed o be in ini ial alues o ha egion
and aken as a ixed pe cen age o o al popula ion acco ding o he
popula ion densi y. While i ing he cu e in smalle span o du ing he
Co id-19 s wa e, he ini ial pa ame e s a e conside ed as co esponding
da ase synch oniza ion wi h ou come o he p e ious ime span in ou
Model e.g., he May mon h Cu e i ing s a s wi h he da a alues
gene a ed as a esul o Ap il mon h cu e i .
While i ing he model, se e al simula ions esul he alue o 𝑝, 𝑞
and R, hence 𝛽. The 𝑥is a ying o di e en coun ies which esembles
o he ac ual da a o his coun y. The ep oduc ion a e (R) plays a
i al ole in eaching he peak, while he la ge alue e lec s a sha p
ise and pandemic ou b eak, bu he smalle alue ep esen s he slow
sp ead, bu o a longe du a ion. Fo India, ou analysis pe iod co e s
he Lock down pe iod in a con olled en i onmen and as well as he
Unlock o Phase 1 na ionwide. Du ing he ini ial pe iod o Lockdown
and he Vi us sp ead, as he medical diagnosis and es s esul s we e
doub ul in India whe eas o US and UK, we we e con iden abou he
epo ed ou come, so pe iods we e chosen acco dingly. Also he second
wa e is conside ed while p edic ing he India da a om Ma ch 2021
o May 2021. Also, we ha e aken a longe pe iod o i ou model
and compa e he esul wi h ac ual da a as compa ed o o he a ailable
model unde esea ch. We ha e plo ed he cu es o i ou model wi h
he ac ual dea h and in ec ed numbe as pe he s a is ics [22] and he
o he cu es a e de i ed.
Resul s and discussion
Conside ing he exis ing da a o he In ec ed and Dea h [23], he
ollowing Table 1 and co esponding cu es (Figs. 2–7) a e ob ained o
US, UK and India. As men ioned abo e, he model has been calib a ed
on he basis o he o al numbe o in ec ed and casual ies o a ce ain
ime pe iod. In his model, Rep oduc ion Ra e (R) ac s as h eshold o
de e mine whe he he in ec ion disease sp ead is coming ou as an
epidemic o going o die down. Theo e ically, a ini ial he in ec ed
coun inc eases exponen ially and a a peak he a e o change o
in ec ed popula ion is ze o i.e., 𝑑𝐼(𝑡)
𝑑𝑡 = 0 and he cu e s a declining,
hus when 𝑡→∞, S and I →∞; hence he p edic ion o 𝑡is impo an .
Bu he hidden disease sp ead by asymp oma ic ca ie (A) and sudden
su ge o in ec ion cause he inc ease in R alue and hus impac ing he
cu e o disease ise and die down. Mo eo e , he Vaccina ion p ocess
has also accele a ed he disease con olling imeline.
Resul s in Physics 40 (2022) 105855
5
P. Rakshi e al.
Fig. 2. UK: Ac ual and Model p edic ed Cu e alue o In ec ed and Dea h coun in di e en ime phases o disease (a) In ec ed Coun : pe iod: Sep 2020–Feb 2021 (b) Dea h
Coun : pe iod: Sep 2020–Feb 2021 (c) In ec ed Coun : pe iod: Sep 2020–Dec 2020 (d) Dea h Coun : pe iod: Sep 2020–Dec 2020 (e) In ec ed Coun : pe iod: Dec 2020–Feb 2021
( ) Dea h Coun : pe iod: Dec 2020–Feb 2021. Red line: P edic id alue, Blue line: Ac ual alue. (Fo in e p e a ion o he e e ences o colo in his igu e legend, he eade is
e e ed o he web e sion o his a icle.)
Fig. 3. UK: (a) Model SEIAQFR p edic ed pa ame e s ajec o ies du ing peak pe iod Sep 2020 - Feb 2021 (b) Model SEIAQFR P edic ed Pa ame e s alue o pandemic’s p edic ed
li espan.
In e p e a ion o exis ing da a
Wi h he ollowing pa ame e s, we ha e implemen ed he p oposed
model using py hon. He e we ha e analyzed on he da a o UK, US
and India wi h hei esponse o COVID 19. As men ioned ea lie ,
he ac ual in ec ed and dea h numbe a e compa ed wi h he model
p edic ed numbe wi h a ying pa ame e alues. Di e en coun ies
ac ual Dea h and In ec ed coun is compa ed wi h he model p edic ion
o phases o he disease ou b eak.
UK: The o al Popula ion o his is 68 000 000 and he ac ual
da a conside ed o i wi h ou model is he peak span o he disease
sp ead Sep embe 2020–Feb ua y 2021 (160 days). Fig. 2.(a) and (b)

Resul s in Physics 40 (2022) 105855
6
P. Rakshi e al.
Fig. 4. US Ac ual and Model p edic ed Cu e alue o In ec ed and Dea h coun in di e en ime phases o disease (a) In ec ed Coun : pe iod: Ma 2020–May 2020 (b) Dea h
Coun : pe iod: Ma 2020–May 2020 (c) In ec ed Coun : pe iod: Ma 2020–Ap 2020 (d) Dea h Coun : pe iod: Ma 2020–Ap 2020 (e) In ec ed Coun : pe iod: Ap 2020–May 2020
( ) Dea h Coun : pe iod: Ap 2020–May 2020.
has ma ched he model p edic ion wi h ac ual da a o he 160 days o
he dea h and in ec ed coun , whe eas he (c), (d) & (e), ( ) analyzes
he pa e n wi h small span o in e al by di iding he 160 days in o
smalle span o 100 and 60 days. When he disease was in i s ea ly s age
o sp eading, he incuba ion and in ec ious pe iod was longe (20–22
days), bu in 2nd hal hey ge s sho ened wi h an inc eased R alue, 3
compa ed o p e ious 2.7.
The alue o 𝛿−, 𝜑−and 𝜃−a e almos kep cons an o e lec
ha in as uc u e and human immuni y a e esponding uni o mly
h ough he whole pe iod. As he model is calib a ed wi h he ini ial
assump ions o 1 000 000 as exposed, 80000 asymp oma ic and 70 000
qua an ined, and he in ec ed, eco e ed and dea h coun a e 340546,
1847 and 41 697 espec i ely om he a ailable da a. While he 1s
ime pe iod (Sep 20 o Dec 20) uses he abo e said ini ial assump ion,
he 2-nd pe iod is plo ed agains he ou come o he 1s pe iod . In
Fig. 3.(a) and (b) depic s he cu es ela ed o he all ypes o a ec ed
coun s o he pe iod o 160 days and he o al span(app ox 350 days) o
pandemic end espec i ely. Fig. 3. p o es ha due o he bes medical
sys em in he wo ld in UK, hough he exposed and in ec ed cu e is
highe han he asymp oma ic and qua an ine cu e, bu he sp ead is
con olled.
US: The same analysis o ou model i wi h espec o p edic ion
o dea h and in ec ed is done du ing Peak in ec ious pe iod o US.
He e he o al span is aken om Ma 2020–May 2020 o 80 days
and hen smalle ime pe iod o Ma ch 2020–Ap il 2020 and Ap il
2020–May 2020 is conside ed. The esul s a e cap u ed in Fig. 4.(a)–
( ). The popula ion is 33 000 000 and ini ial alues o 𝐸0, 𝐴0and 𝑄0a e
900 000, 700 000 and 300 000... The sho e pe iod cu es o Fig. 4.(c),
(d) and Fig. 4.(e), ( ) shows be e esul s compa ed o he la ge
pe iod cu e o Fig. 4.(a) and (b). Analy ically, li e sa ing ea men
signi ican ly con ols he dea h a e compa ed o p edic ion in Fig. 4.( )
while he in ec ion cu e Fig. 4.(e) is plo ed wi h same pa ame e
calib a ion. Fig. 5(a) and (b) p o ides a p obable indica ion o end o
his pandemic, he highe R and smalle 𝛾−and 𝛼−in US has sho ened
he pandemic li espan o 250 days compa ed o UK.
India: India being a de eloping coun y and ha ing a popula ion o
1 300 000000 showed a good con olling o e i s phase, bu second
wa e le a bad impac . In bo h he cases, asymp oma ic cases play a
i al ole as o simula e he model pe o mance. Fig. 6(a), (b) and (c)
ha e simula ed he pandemic i s wa e ime pe iod o 120 days (May
2020 o Sep 2020). Ini ial alues o 𝐸0, 𝐴0and 𝑄0a e 100000. 60 000
and 30000 and he end indica e a la ge numbe o qua an ined a e
he end o i s wa e.
The second phase ou b eak in India in Fig. 7(a)–(h) has a o al
pe iod o 72 days (10 h Ma ch 2021 o 20 h May 2021) and also hei
mon h wise indi idual cu e.
Resul s in Physics 40 (2022) 105855
7
P. Rakshi e al.
Fig. 5. US (a) Model SEIAQFR p edic ed pa ame e s ajec o ies du ing peak pe iod Ma 2020–May 2020 (b) Model SEIAQFR P edic ed Pa ame e s alue o pandemic’s p edic ed
li espan.
Fig. 6. India Ac ual and Model p edic ed Cu e alue o In ec ed and Dea h coun in di e en ime phases o disease du ing i s ou b eak in i s wa e (a) In ec ed Coun : pe iod:
May 2020–Sep 2020 (b) Dea h Coun : pe iod: May 2020–Sep 2020 (c) Model SEIAQFR P edic ed Pa ame e s alue o pandemic’s p edic ed li espan du ing i s wa e in India.
Fig. 6(a), (b) shows an imp o emen o medical ea men in he las
span o Sep embe 2020, so ha he expec ed dea h a e supe sedes
he ac ual alue. In Fig. 6(c), he qua an ined coun is g ea es and
ob iously a la ge numbe o asymp oma ic has a con ibu ion in ha ,
Fig. 7(a)–(h) shows ha he indi idual cu e o indi idual mon h
pe o ms be e han he whole pe iod o second wa e (Ma ch 21 o
May 21). As an example, In May i s week, we ha e seen ha he
Hospi al s ay becomes longe due o in ec ion(inc easing 𝛾) and he
demise o people in sho e pe iod o ime( educing 𝛿) due o del a
a ian a ack, so adjus ing he pa ame e s he R is ound o be smalle
han p e ious mon h, bu wi h a inc eased mo ali y a e. The o e all R
sco e is impac ed due o he heal h sys em be e men and he in ec ion
& dea h a e dec eases.
Analysis and discussion
Analyzing Figs. 2–7and Table 1, we ha e he ollowing obse a ion
while i ing he in ec ed and dea h coun wi h he ac ual alue:
•When he Rep oduc ion Fac o (R) is changed om smalle o
highe alue, he ising o in ec ion cu e is sha pe and he
cu es ge la ened wi h he lowe alues o R. The alue o he
ep oduc ion ac o (R) and he incuba ion pe iod (𝛼−)de e mines
he sp ead o epidemics, R a ec s he in ensi y o sp ead and 𝛼−
a ec s he speed o ansmission di ec ly. We can obse e om
Table 1 and Figs. 2–7 ha high R and less 𝛼− alues makes an
highe in ec ed a e in US in he i s phase o COVID and UK
emained in bes posi ion wi h high 𝛼− alue and less R alue,
while India s ands in be ween ha means as ea ly as he exposed
pe sons becomes in ec ious and hei con ac wi h o he pe sons
a e mo e, hen he g ow h o disease is also highe . The smalle
in ec ious pe iod (𝛾−)also slows down he sp ead.
•Longe 𝛿− alue la ens he dea h cu e whe eas he 𝜑and 𝜃
also con ibu e o ise o he cu e alue. UK and India pe o ms
be e o comba he disease wi h espec o mo ali y, so longe
hospi al s ay, bu be e su i al a e. om q alue, The immuni y
o all coun ies UK, US and India a e esponding almos in simila
p opo ion.
•𝑝, 𝑞 moni o s he in ec ed coun cu e, while changing he 𝑥 alue
has a di ec impac on he dea h cu e. F om he 𝑝 alue a ia ion,
he asymp oma ic cases a e ollowing he pa e n o India > UK >
US which e lec s he same ela ion wi h he coun ies popula ion
Resul s in Physics 40 (2022) 105855
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P. Rakshi e al.
Fig. 7. India Ac ual and Model p edic ed Cu e alue o In ec ed and Dea h coun in di e en ime phases o disease du ing i s ou b eak in second wa e in 2021 (a) In ec ed
Coun : pe iod: Ma 2021–May 2021 (b) Dea h Coun : pe iod: Ma 2021–May 2021 (c) In ec ed Coun : pe iod: Ma 2021 (d) Dea h Coun : pe iod: Ma 2021 (e) In ec ed Coun :
pe iod: Ap 2021 ( ) Dea h Coun : pe iod: Ap 2021 (g) In ec ed Coun : pe iod: May 2021 (h) Dea h Coun : pe iod: May 2021.
densi y. So Asymp oma ic case ∝Popula ion Densi y, which is
e y ue o such con agious disease.
•In ou model he asymp oma ic cases (𝑝 alue de i a ion) a e
ge ing e alua ed o be 30%–40%, which is inline wi h di e en
s a is ical analysis in India [24].
•As in his model, qua an ined means he pa ien is ei he kep
in home isola ion o hospi alized o ea men , so om all he
epidemic o ecas ing, i is e iden ha he numbe o qua an-
ined pe sons a e g ea e han he in ec ed pe sons a any ime,
because o he slow a e o ge ing eco e ed o dea h compa ed
o he in ec ion a e. The obse ed cases in di e en s a es whe e
he numbe o home qua an ined a e ge ing inc eased due o
sho age o hospi al bed, as a esul he se ious pe sons a e dying
wi hou p ope a angemen o en ila ion & ICCU bed. In sho ,
Resul s in Physics 40 (2022) 105855
9
P. Rakshi e al.
he e is a posi i e co ela ion be ween economic de elopmen and
mo ali y a e in India as compa ed o US and UK. The hospi al
beds and in ec ed co ela ion is es ablished in [25].
•All he cu es in Fig. 5, clea ly depic he ac o e y high eco -
e y numbe as compa ed o he da a ha ha e been published [23,
24]. This is because o he eason ha he e is a la ge numbe o
asymp oma ic cases who a e ge ing eco e ed au oma ically in
sho e ime compa ed o a pe son who a e ge ing qua an ined
and ea ed.
I we deno e om Exposed s a e, asymp oma ic cases ime o eco e
as a and in ec ed pe son ime o eco e du ing p ope ea men &
qua an ine as i, hen
𝑡𝑎=𝑖𝑛𝑐𝑢𝑏𝑎𝑡𝑖𝑜𝑛 𝑝𝑒𝑟𝑖𝑜𝑑+𝑖𝑛𝑓 𝑒𝑐𝑡𝑖𝑜𝑢𝑠 𝑝𝑒𝑟𝑖𝑜𝑑+𝑞𝑢𝑎𝑟𝑎𝑛𝑡𝑖𝑛𝑒𝑑 𝑝𝑒𝑟𝑖𝑜𝑑 =𝛼−+𝛾−+𝜃−
and
𝑡𝑖=𝑖𝑛𝑐𝑢𝑏𝑎𝑡𝑖𝑜𝑛 𝑝𝑒𝑟𝑖𝑜𝑑 +𝑡𝑖𝑚𝑒 𝑓 𝑜𝑟 𝑎𝑢𝑡𝑜𝑚𝑎𝑡𝑖𝑐 𝑟𝑒𝑐𝑜𝑣𝑒𝑟𝑦 𝑜𝑓 𝑝𝑎𝑡𝑖𝑒𝑛𝑡 =𝛼−+𝜑−
F om bo h he s udy o all coun ies we ind ha 𝑡𝑎> 𝑡𝑖. Fo his
ime di e ence, a any poin o ime (𝑡)in ou de i ed model, almos
80% asymp oma ic cases ge s eco e ed in sho e pe iod o ime.
So, we can say ha he ac ually in ec ed pe sons a e much highe
han he con i med cases, because o he p esence o many asymp o ic
indi iduals o he less numbe o es ings.
•Lockdown has a posi i e impac on he g ow h o Co ona. F om
all igu e, he ini ial a ali y a e is a pa o ou model p edic ion
whe eas he e ec i e social awa eness and Lockdown es ic ion
along wi h expe ise o handle Co id pa ien s ha e enabled a 10%
di e ence be ween p edic ed and ac ual dea h coun o each s a e.
•US, UK, India’s i s wa e basic ep oduc ion numbe is on he
lowe side as compa ed o B azil [25] and I aly [26], and his
may be because o he s ic lockdown and immedia e isola ion
o he in ec ed, bu he second wa e in India has shown a ise in
𝑅 alue.
•As hese da a a e dynamic ones a ec ing he cu es in ends,
he e o e e o s in posi i e case de ec ion, epo ing o o he la ge
unce ain ies associa ed wi h hese alues may d ama ically al e
calib a ion pa ame e s and he conclusi e in e ence in e ms o
numbe o in ec ed and associa ed mo ali y.
•The adi ional concep o SIR model wi h a speci ic eloci y o
in ec ion and eco e y a e has been enhanced wi h a a ying
na u e o disease wi h a co ela ion among di e en ac o s. The
a ying alues o 𝛼, 𝛾, 𝑅 es ablish he dynamic cha ac e is ic o
SIR model o e ime pe iod and demog aphic o ien a ion. I e-
lec s he s eng h o medical in as uc u e o he coun y, human
immune sys em o speci ic e hnic, likewise he US, UK and India
has di e en a ying pa ame e alues o ha e a bes i , so hese
pa ame e s a e no cons an s o any epidemic disease e olu ion.
To measu e he pe o mance o ou model we ha e calcula ed some
ele an pa ame e like he MAPE and R-Squa ed me ics and he
esul s a e shown in Table 2.
MAPE (mean absolu e pe cen age e o ) measu es model accu acy
as a pe cen age, and can be calcula ed as he a e age absolu e pe cen
e o o each ime pe iod minus ac ual alues di ided by ac ual alues.
𝑀𝐴𝑃 𝐸 =1
𝑁
𝑁
∑
𝑥=1 |𝑦𝑥−𝑦|
𝑦𝑥
× 100%.
R-squa ed (Coe icien o de e mina ion) ep esen s he coe icien o
how well he alues i compa ed o he o iginal alues. The alue om
0 o 1 in e p e ed as pe cen ages. The highe he alue is, he be e he
model is.
The abo e me ics can be exp essed,
𝑅2= 1 − ∑𝑁
𝑥=1(𝑦𝑥−𝑦)2
∑𝑁
𝑥=1(𝑦𝑥−𝑦)2,
whe e
𝑦𝑥=𝐴𝑐𝑡𝑢𝑎𝑙 𝑣𝑎𝑙𝑢𝑒,
𝑦 =𝑃 𝑟𝑒𝑑𝑖𝑐𝑡𝑒𝑑 𝑣𝑎𝑙𝑢𝑒,
𝑦 =𝑀𝑒𝑎𝑛 𝑣𝑎𝑙𝑢𝑒,
The alue o R-squa e measu e and co esponding MAPE e lec s a
signi ican pe o mance o ou Model p edic ion. Minimizing he Mean
Absolu e E o and Maximizing he R-squa e alue gi es an op imum
model pa ame e o bes i o he ac ual li e da a.
•In case S udying he In ec ed coun o he ac ual and he model
p edic ed alue we ound an accu acy (R-squa e sco e) o > .98
and e o (MAPE) o <5%. o mos o he pe iods. Whe eas
o he Dea h coun o he ac ual and he model p edic ed alue
accu acy (R-squa e sco e) and e o (MAPE) a e a e age 0.95 and
10% espec i ely.
•In India, he model pe o ms bes in 2-nd wa e wi h an 99%
accu acy o in ec ed and dea h (R-Squa e ≈0.99 and MAPE ≈
1%).
•Du ing analysis, i is obse ed ha when he change o 𝑝 alue is
0.11%, i is a ec ing he R-Squa e alue wi h a a ia ion o 60%.
•The R-Squa e and he MAPE alue has a g ea e pe o mance in
he sho e pe iod o ime o model i compa ed o longe ime
span.
•While making he bes i Cu e, o en o achie e op imized MAPE
alue, he accu acy o R-Squa e is ge ing sac i iced.
Fu u e wo k
Model i indica es ha he pandemic end o UK and US a e 350
and 250 days ime pe iod espec i ely, bu he changing beha iou o
i us a ian and endu ance o acqui ed esis ance o i us is a chal-
lenging goal oday and alongside he ecu ence o he in ec ion despi e
accina ion is a ec ing he p edic ion in long e m. The immuniza ion
p ocess and he e icacy o ha agains a pa icula s ain o i us
ha e p oposed a second hough in ou mind o imp o e he model
conside ing di e en uelling ac o s as well as p e en ion echniques.
Unlike adi ional s a is ical analysis, ou model p ope ly ies o assess
and inco po a e impac s o hidden asymp oma ic and in ec ious cases
on he en i e p ocedu e o epidemic. In ou u he s udy, we a e
aiming o inco po a e he ollowing poin s like conside ing a ce ain
quan i y o popula ion wi h s ic con inemen , di e en age g oup,
sex and people wi h co mo bidi y, in oducing he p e en i e measu es
aken by di e en adminis a ion, he i al load o he in ec ions [27],
he s ic ness o lockdown & he mig a ion o people among di e en
places. Though we ha e conside ed he la en pe iod o asymp oma ic
pe son as cons an , i is a ying na u e is ano he majo con ibu ing
ac o o he i us sp ead which should be aken ca e o .
Conclusions
The p esen analysis o he p oposed model indica es a e y high
numbe o peak in ec ions in India by compa ing he exis ing da a o
he model simula ion. Howe e , he pa ame e s chosen o he model
calib a ion a e no unique, as di e en choices o pa ame e alues
wi h he same good i cu e, da a can esul o e y di e en model
p edic ions. Fo example, The epo ed numbe o deceased people
could possibly be unde es ima ed due o undecla ed cases and can also
be o e es ima ed due o he como bidi y ac o s o elde ly whe e he
pa ien s could ha e su i ed om COVID-19, bu o he illness like
exis ing lungs-kidney p oblem, diabe es has accele a ed he a ali y
a e. In a wo d, he age g oup, wea he condi ions o di e en s a es
(as he humid and ainy season in India may pu a b eak in he
ou b eak o he epidemic) can be conside ed as o he impac ing ac o s.