1. Introduction
The susceptible-infected-recovered/removed-vaccinated (SIRV) epidemics model [
1,
2,
3,
4,
5] is an important generalization of the simpler susceptible-infected-recovered/removed-(SIR) epidemics model, developed originally by Kermack and McKendrick [
6] and refined by Kendall [
7], as it accounts for the effects of vaccination campaigns on a considered population. Both models are realistic compartment models where persons from the considered population are assigned to the three (SIR) and four (SIRV) compartments
S (susceptible),
I (infectious),
R (recovered/removed) and (
V) vaccinated, respectively. The SIR and SIRV-epidemic models provide a good explanation for the temporal evolution of COVID-19 waves from different mutants [
8,
9,
10]. Later refinements of these models such as the SEIR [
11,
12,
13,
14,
15,
16,
17,
18,
19,
20], SVEIR [
21,
22], SEIRD [
23], SIRD [
24,
25,
26], and SIRS [
27,
28] have introduced additional compartments (for reviews, see refs. [
29,
30,
31,
32,
33,
34,
35]).
Within the SIR and SIRV models the time-dependent infection (
), recovery (
) and vaccination (
) rates regulate the transitions between the compartments
,
and
, respectively. Two important key parameters of the SIRV pandemics model are the ratios
of the recovery to infection rate and
of the vaccination to infection rate. The recently derived analytical solutions to the SIRV equations [
1,
2] have adopted originally stationary values of the ratios
and
allowing for arbitrary time-dependent infection rates
. This implies that the recovery and vaccination rates have the same time dependence as the infection rate.
Here we apply the recently analyzed inversion approach [
36] for the SIR-model also to the SIRV-model. Instead of adopting different choices of the time dependence of the key parameters
and
and then solve the SIRV equations as before, we express the ratios
and
in terms of the observed rate of new infections
, its corresponding cumulative fraction
and the known time dependence of the cumulative fraction of vaccinated persons
by using well monitored data from several countries.
2. SIRV Model
2.1. Starting Equations
The original SIRV-equations read
obeying the sum constraint
at all times
after the start of the wave at time
with the initial conditions [
37]
where
is positive and usually very small,
.
2.2. Key Parameter
In terms of the reduced time
the SIR equations (
1) read
with the time-dependent ratios
Combining Eqs. (
8) and (11) yields
in terms of the rate of new infections
and the cumulative number of new infections
. Equation (
13) immediately integrates to
where the initial conditions (
6) determine the integration constant and where the last identity follows from the sum constraint (
5).
Equation (
8) with Eq. (
14) provides
For the ratio
we use Eq. (11) in the form
where we inserted
S from Eq. (
14). Combining Eqs. (
15) - (
16) then provides
Likewise Eq. (9) yields
where we used Eqs. (
14) and (
17).
Equations (
16) and (
18) are the first two central results of our investigation. As can be seen the two key parameters
b and
k can be expressed in terms of the observed epidemic quantities: the rate of new infections
j, its cumulative number
J and the cumulative number of vaccinated persons
V.
2.3. Comparison with the SIR Model Limit
The SIR model corresponds to the limit of no vaccinations
corresponding to
. In this limit the general result (
18) reduces readily to
The derived
agrees exactly with the earlier derived Eq. (12) in ref. [
36]. The difference
is always non-negative because all quantities on the right-hand side of (
20) are positive including the derivative
of the cumulative fraction of vaccinated persons. Consequently, for the same values of
and
the general ratio
k for the SIRV-model is always smaller than the ratio
for the SIR-model for finite values of
. This result is very reasonable: to yield an unchanged cumulative number of new infections, compared with the SIR-scenario without vaccinations, the value of the ratio
k of the SIRV has to be smaller than the
. This inequality is accompanied by a correspondingly higher infection rate.
To shed some light on the obtained results and the difference between
k and
, consider a synthetic scenario, where
and
are given analytically, and the SIRV equations (
8)–(11) used to calculate the reduced time evolution of the SIRV quantities. In the next section, we will do the reverse and use measured real-time
and
to calculate
and
.
Figure 1 shows the numerical solution of the coupled system of differential SIRV equations for the case of a constant ratio between vaccination and infection rates,
, and a time-dependent ratio
, that rises during the course of reduced time
from 0.3 to 0.8. The initial condition at
is given by Eq. (
6) with a tiny
. The chosen form of
is specified in the caption of
Figure 1, and plotted in
Figure 1c.
Figure 1a and b display the solutions of the SIR and SIRV models, respectively. While
in the former case,
rises monotonously in the latter, giving rise to a significant decrease of the amount of infected fraction. Because vaccination is assumed to be ongoing after the number of infections has been dropped, the fraction of susceptible persons continues decreasing towards zero. While
denotes the fraction of infected persons at time
, the quantity
is the usually measured differential fraction of infected persons.
Figure 1c highlights the difference between
and
, if both are evaluated using the data shown in
Figure 1b. As discussed,
is seen to overestimate
.
2.4. Real Time Dependence
In terms of the real time,
,
,
and
the general ratios (
16) and (
18) read
As before [
36] we also consider the case of a stationary infection rate
. In this case the entire real time dependencies of the ratios
and
are attributed to time-dependent recovery (
) and vaccination (
) rates. Equation (
21) then reduces to
The difference between
and
in real time, analogous to (
20), is confirmed by
Figure 2b where for Germany using
day
−1 [
38] the difference between the values of
k is shown calculated with and without the effect of vaccinations. The sign change of
visible at late times in
Figure 2b may be used as an indicator, that the sum
(
Figure 2a) approaches unity, or alternatively, that the mortality ratio
has significantly changed at the time of the divergency. This time (end of 2021) seems to coincide with the onset of the omicron wave.
The curves are qualitatively very similar for other countries. In
Figure 3a we report data for the daily number of new fatalities divided by
and the size of the population, to account for the fatality rate
f. This approach allows to estimate the daily population fraction of newly infected persons,
, at a much higher accuracy than using the often incomplete reported fraction of newly infected persons. The latter numbers cannot be used due to an unknown dark number of infections. Using this approach we follow previous works [
38,
39].
Figure 3b shows the corresponding cumulative fraction of infected persons, while
Figure 4a,b display the reported vaccination data for the same eight countries: Australia (AUS), Switzerland (CHE), Germany (DEU), France (FRA), Italy (ITA), Sweden (SWE), and the United States (USA). The dimensionless rates
and
that we obtain using these data in Eq. (
22) are given in
Figure 5. As for Germany, the
decreases with time until the fraction of vaccinated and infected persons approaches unity.
3. Cumulative Vaccination Fraction
In
Figure 4 the real time history of the vaccination campaigns in selected countries is shown indicating the daily fractions of fully vaccinated persons and the total fraction summed over all vaccination campaigns. It can be seen that the shape of cumulative fraction as a function of real time and their values are of the same order.
The cumulative fraction of total vaccinated persons shown in
Figure 4 can be well represented by the function
where
denotes the step function. The parameters
of the function (
23) differ for different countries and are listed in
Table 1. The starting time of the vaccination campaigns
in general is later than the starting time of the mutant wave
.
4. Conclusions
We have derived explicit expressions for the two potentially time-dependent, and dimensionless parameters and of the SIRV model in terms of measured and measurable fractions. Obtaining such parameters from reported data is an important prerequisite in the forecasting of the time-evolution of the epidemics. The time-evolution of these parameters, that are often considered constant to simplify the analysis, may be better modeled with time-evolutions from past epidemics at hand. To this end we here analyzed their time-dependency and moreover showed that using the classical SIR model, the ratio between recovery and infection rate, , can be highly overestimated in the presence of vaccinations. We furthermore highlighted the effect of vaccinations on the time-evolution of the and , which in turn determine the S, I, R, and V-dynamics in a straightforward fashion.
The proposed inversion method allows to infer the key parameters of the SIRV pandemic model from past Covid-19 mutant waves in terms of the well monitored cumulative fractions of new infections and vaccinations. A sign change in the temporal evolution of the ratio between recovery and infection rate can be used as a diagnostic indicator for a significant change in the mortality ratio of an ongoing mutant wave.
Author Contributions
Conceptualization, R.S.; methodology, R.S., M.K.; software, M.K.; writing—original draft preparation, R.S.; writing—review and editing, R.S., M.K.; visualization, M.K.; All authors have read and agreed to the published version of the manuscript.
Funding
This research received no external funding
Informed Consent Statement
Not applicable.
Data Availability Statement
The raw, real-time data used in this study has been retrieved from [
40].
Conflicts of Interest
The authors declare no conflict of interest.
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