Comparison of different exit scenarios from the lock-down for COVID-19 epidemic in the UK and assessing uncertainty of the predictions
Zhigljavsky, A.; Whitaker, R.; Fesenko, I.; Kremnitzer, Y.; Noonan, J.
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We model further development of the COVID-19 epidemic in the UK given the current data and assuming different scenarios of handling the epidemic. In this research, we further extend the stochastic model suggested in [1] and incorporate in it all available to us knowledge about parameters characterising the behaviour of the virus and the illness induced by it. The models we use are flexible, comprehensive, fast to run and allow us to incorporate the following: O_LItime-dependent strategies of handling the epidemic; C_LIO_LIspatial heterogeneity of the population and heterogeneity of development of epidemic in different areas; C_LIO_LIspecial characteristics of particular groups of people, especially people with specific medical pre-histories and elderly. C_LI Standard epidemiological models such as SIR and many of its modifications are not flexible enough and hence are not precise enough in the studies that requires the use of the features above. Decision-makers get serious benefits from using better and more flexible models as they can avoid of nuanced lock-downs, better plan the exit strategy based on local population data, different stages of the epidemic in different areas, making specific recommendations to specific groups of people; all this resulting in a lesser impact on economy, improved forecasts of regional demand upon NHS allowing for intelligent resource allocation. In this work, we investigate the sensitivity of the model to all its parameters while considering several realistic scenarios of what is likely to happen with the dynamics of the epidemic after the lock-down, which has started on March 23, is lifted. The main findings from this research are the following O_LIvery little gain, in terms of the projected hospital bed occupancy and expected numbers of death, of continuing the lock-down beyond April 13, provided the isolation of older and vulnerable people continues and the public carries on some level of isolation in the next 2-3 months, see Section 3.1; C_LIO_LIin agreement with [1], isolation of the group of vulnerable people during the next 2-3 months should be one of the main priorities, see Section 3.2; C_LIO_LIit is of high importance that the whole population carries on some level of isolation in the next 2-3 months, see Section 3.5; C_LIO_LIthe timing of the current lock-down seems to be very sensible in areas like London where the epidemic has started to pick up by March 23; in such areas the second wave of epidemic is not expected, see figures in Sections 2.2 and 3; C_LIO_LIthe epidemic should almost completely finish in July, no global second wave should be expected, except areas where the first wave is almost absent, see Section 3.4. C_LI
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