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The Missing Link: A Closed Form Solution to the Kermack and McKendrick Model Equations

Duclos, T. G.; Reichert, T. A.

2021-03-05 epidemiology
10.1101/2021.03.02.21252781 medRxiv
Show abstract

Susceptible-infectious-recovered (SIR) models are widely used for estimating the dynamics of epidemics. Such models project that containment measures "flatten the curve", i.e., reduce but delay the peak in daily infections, cause a longer epidemic, and increase the death toll. These projections have entered common understanding; individuals and governments often advocate lifting containment measures such as social distancing to shift the peak forward, limit societal and economic disruption, and reduce mortality. It was, then, an extraordinary surprise to discover that COVID-19 pandemic data exhibit phenomenology opposite to the projections of SIR models. With the knowledge that the commonly used SIR equations only approximate the original equations developed to describe epidemics, we identified a closed form solution to the original epidemic equations. Unlike the commonly used approximations, the closed form solution replicates the observed phenomenology and quantitates pandemic dynamics with simple analytical tools for policy makers. The complete solution is validated using independently measured mobility data and accurately predicts COVID-19 case numbers in multiple countries.

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