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1.
Infect Dis Model ; 6: 15-23, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33200107

RESUMO

Coronavirus disease 2019 is caused by severe acute respiratory syndrome coronavirus 2. Kenya reported its first case on March 13, 2020 and by March 16, 2020 she instituted physical distancing strategies to reduce transmission and flatten the epidemic curve. An age-structured compartmental model was developed to assess the impact of the strategies on COVID-19 severity and burden. Contacts between different ages are incorporated via contact matrices. Simulation results show that 45% reduction in contacts for 60-days period resulted to 11.5-13% reduction of infections severity and deaths, while for the 190-days period yielded 18.8-22.7% reduction. The peak of infections in the 60-days mitigation was higher and happened about 2 months after the relaxation of mitigation as compared to that of the 190-days mitigation, which happened a month after mitigations were relaxed. Low numbers of cases in children under 15 years was attributed to high number of asymptomatic cases. High numbers of cases are reported in the 15-29 years and 30-59 years age bands. Two mitigation periods, considered in the study, resulted to reductions in severe and critical cases, attack rates, hospital and ICU bed demands, as well as deaths, with the 190-days period giving higher reductions.

2.
BMC Res Notes ; 13(1): 352, 2020 Jul 23.
Artigo em Inglês | MEDLINE | ID: mdl-32703315

RESUMO

OBJECTIVE: Coronavirus disease 2019 (COVID-19) is a pandemic respiratory illness spreading from person-to-person caused by a novel coronavirus and poses a serious public health risk. The goal of this study was to apply a modified susceptible-exposed-infectious-recovered (SEIR) compartmental mathematical model for prediction of COVID-19 epidemic dynamics incorporating pathogen in the environment and interventions. The next generation matrix approach was used to determine the basic reproduction number [Formula: see text]. The model equations are solved numerically using fourth and fifth order Runge-Kutta methods. RESULTS: We found an [Formula: see text] of 2.03, implying that the pandemic will persist in the human population in the absence of strong control measures. Results after simulating various scenarios indicate that disregarding social distancing and hygiene measures can have devastating effects on the human population. The model shows that quarantine of contacts and isolation of cases can help halt the spread on novel coronavirus.


Assuntos
Betacoronavirus , Infecções por Coronavirus/transmissão , Exposição Ambiental , Fidelidade a Diretrizes , Controle de Infecções/métodos , Modelos Teóricos , Pandemias , Pneumonia Viral/transmissão , COVID-19 , Busca de Comunicante , Convalescença , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/prevenção & controle , Suscetibilidade a Doenças , Previsões , Higiene das Mãos , Humanos , Controle de Infecções/estatística & dados numéricos , Máscaras , Pandemias/prevenção & controle , Cooperação do Paciente , Isolamento de Pacientes , Pneumonia Viral/epidemiologia , Pneumonia Viral/prevenção & controle , Quarentena , SARS-CoV-2 , Fatores de Tempo , Viagem
3.
Interdiscip Perspect Infect Dis ; 2020: 6231461, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33381170

RESUMO

Mathematical modeling of nonpharmaceutical interventions (NPIs) of coronavirus disease (COVID-19) in Kenya is presented. A susceptible-exposed-infected-recovered (SEIR) compartment model is considered with additional compartments of hospitalized population whose condition is severe or critical and the fatality compartment. The basic reproduction number (R 0) is computed by the next-generation matrix approach and later expressed as a time-dependent function so as to incorporate the NPIs into the model. The resulting system of ordinary differential equations (ODEs) is solved using fourth-order and fifth-order Runge-Kutta methods. Different intervention scenarios are considered, and the results show that implementation of closure of education institutions, curfew, and partial lockdown yields predicted delayed peaks of the overall infections, severe cases, and fatalities and subsequently containment of the pandemic in the country.

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