Sensitivity assessment and optimal economic evaluation of a new COVID-19 compartmental epidemic model with control interventions

Joshua Kiddy K. Asamoah, Zhen Jin, Gui-Quan Sun, Baba Seidu, Ernest Yankson, Afeez Abidemi, F.T. Oduro, Stephen E. Moore and Eric Okyere

Chaos, Solitons & Fractals, 2021, vol. 146, issue C

Abstract: Optimal economic evaluation is pivotal in prioritising the implementation of non-pharmaceutical and pharmaceutical interventions in the control of diseases. Governments, decision-makers and policy-makers broadly need information about the effectiveness of a control intervention concerning its cost-benefit to evaluate whether a control intervention offers the best value for money. The outbreak of COVID-19 in December 2019, and the eventual spread to other parts of the world, have pushed governments and health authorities to take drastic socioeconomic, sociocultural and sociopolitical measures to curb the spread of the virus, SARS-CoV-2. To help policy-makers, health authorities and governments, we propose a Susceptible, Exposed, Asymptomatic, Quarantined asymptomatic, Severely infected, Hospitalized, Recovered, Recovered asymptomatic, Deceased, and Protective susceptible (individuals who observe health protocols) compartmental structure to describe the dynamics of COVID-19. We fit the model to real data from Ghana and Egypt to estimate model parameters using standard incidence rate. Projections for disease control and sensitivity analysis are presented using MATLAB. We noticed that multiple peaks (waves) of COVID-19 for Ghana and Egypt can be prevented if stringent health protocols are implemented for a long time and/or the reluctant behaviour on the use of protective equipment by individuals are minimized. The sensitivity analysis suggests that: the rate of diagnoses and testing, the rate of quarantine through doubling enhanced contact tracing, adhering to physical distancing, adhering to wearing of nose masks, sanitizing-washing hands, media education remains the most effective measures in reducing the control reproduction number Rc, to less than unity in the absence of vaccines and therapeutic drugs in Ghana and Egypt. Optimal control and cost-effectiveness analysis are rigorously studied. The main finding is that having two controls (transmission reduction and case isolation) is better than having one control, but is economically expensive. In case only one control is affordable, then transmission reduction is better than case isolation. Hopefully, the results of this research should help policy-makers when dealing with multiple waves of COVID-19.

Keywords: Mathematical epidemiology; COVID-19 model; Quarantine; Hospitalization; Optimal control analysis; Cost-effectiveness analysis (search for similar items in EconPapers)
Date: 2021
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (10)

Downloads: (external link)
http://www.sciencedirect.com/science/article/pii/S0960077921002381
Full text for ScienceDirect subscribers only

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:eee:chsofr:v:146:y:2021:i:c:s0960077921002381

DOI: 10.1016/j.chaos.2021.110885

Access Statistics for this article

Chaos, Solitons & Fractals is currently edited by Stefano Boccaletti and Stelios Bekiros

More articles in Chaos, Solitons & Fractals from Elsevier
Bibliographic data for series maintained by Thayer, Thomas R. ().