COVID 19: Real-time Forecasts of Confirmed Cases, Active Cases, and Health Infrastructure Requirements for India and its States using the ARIMA model.

BackgroundCOVID-19 is an emerging infectious disease which has been declared a Pandemic by the World Health Organization (WHO) on 11th March 2020. The Indian public health care system is already overstretched, and this pandemic is making things even worse. That is why forecasting cases for India is necessary to meet the future demands of the health infrastructure caused due to COVID-19. ObjectiveOur study forecasts the confirmed and active cases for COVID-19 until July mid, using time series Autoregressive Integrated Moving Average (ARIMA) model. Additionally, we estimated the number of isolation beds, Intensive Care Unit (ICU) beds and ventilators required for the growing number of COVID-19 patients. MethodsWe used ARIMA model for forecasting confirmed and active cases till the 15th July. We used time-series data of COVID-19 cases in India from 14th March to 22nd May. We estimated the requirements for ICU beds as 10%, ventilators as 5% and isolation beds as 85% of the active cases forecasted using the ARIMA model. ResultsOur forecasts indicate that India will have an estimated 7,47,772 confirmed cases (95% CI: 493943, 1001601) and 296,472 active cases (95% CI:196820, 396125) by 15th July. While Maharashtra will be the most affected state, having the highest number of active and confirmed cases, Punjab is expected to have an estimated 115 active cases by 15th July. India needs to prepare 2,52,001 isolation beds (95% CI: 167297, 336706), 29,647 ICU beds (95% CI: 19682, 39612), and 14,824 ventilator beds (95% CI: 9841, 19806). ConclusionOur forecasts show an alarming situation for India, and Maharashtra in particular. The actual numbers can go higher than our estimated numbers as India has a limited testing facility and coverage.