4.7 Article

Analysis of second outbreak of COVID-19 after relaxation of control measures in India

Journal

NONLINEAR DYNAMICS
Volume 106, Issue 2, Pages 1149-1167

Publisher

SPRINGER
DOI: 10.1007/s11071-020-05989-6

Keywords

COVID-19; Relaxing control; Compartment model; Inflection point; Second outbreak

Funding

  1. National Natural Science Foundation of China [61873186]

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This study examines the development of COVID-19 in India after relaxation of control measures, emphasizing that premature relaxation can have disastrous consequences, while relaxation after the inflection point may lead to a secondary outbreak, increasing deaths and healthcare system pressure. The research highlights the importance of medical quarantine capacity and public cooperation, showing that increasing kit supply and detection speed, along with enhanced public cooperation, can effectively prevent a second outbreak and reduce deaths.
At present, more and more countries have entered the parallel stage of fighting the epidemic and restoring the economy after reaching the inflection point. Due to economic pressure, the government of India had to implement a policy of relaxing control during the rising period of the epidemic. This paper proposes a compartment model to study the development of COVID-19 in India after relaxing control. The Sigmoid function reflecting the cumulative effect is used to characterize the model-based diagnosis rate, cure rate and mortality rate. Considering the influence of the lockdown on the model parameters, the data are fitted using the method of least squares before and after the lockdown. According to numerical simulation and model analysis, the impact of India's relaxation of control before and after the inflection point is studied. Research shows that adopting a relaxation policy prematurely will have disastrous consequences. Even if the degree of relaxation is only 5% before the inflection point, it will increase the number of deaths by 15.03%. If the control is relaxed after the inflection point, the higher degree of relaxation, the more likely a secondary outbreak will occur, which will extend the duration of the pandemic, leading to more deaths and put more pressure on the health care system. It is found that after the implementation of the relaxation policy, medical quarantine capability and public cooperation are two vital indicators. The results show that if the supply of kits and detection speed can be increased after the control is relaxed, the secondary outbreak can be effectively avoided. Meanwhile, the increase in public cooperation can significantly reduce the spread of the virus, suppress the second outbreak of the pandemic and reduce the death toll. It is of reference significance to the government's policy formulation.

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