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Background: The structure of age groups and social contacts of the total population influenced infection scales and hospital-bed requirements, especially influenced severe infections and deaths during the global prevalence of COVID-19. Before the end of the year 2022, Chinese government implemented the national vaccination and had built the herd immunity cross the country, and announced Twenty Measures (November 11) and Ten New Measures (December 7) for further modifications of dynamic zero-COVID polity on the Chinese mainland. With the nation-wide vaccination and modified measures background, Fuzhou COVID-19 large wave (November 19, 2022-February 9, 2023) led by Omicron BA.5.2 variant was recorded and prevailed for three months in Fujian Province. Methods: A multi-age groups susceptible-exposed-infected-hospitalized-recovered (SEIHR) COVID-19 model with social contacts was proposed in this study. The main object was to evaluate the impacts of age groups and social contacts of the total population. The idea of Least Squares method was governed to perform the data fittings of four age groups against the surveillance data from Fujian Provincial Center for Disease Control and Prevention (Fujian CDC). The next generation matrix method was used to compute basic reproduction number for the total population and for the specific age group. The tendencies of effective reproduction number of four age groups were plotted by using the Epiestim R package and the SEIHR model for in-depth discussions. The sensitivity analysis by using sensitivity index and partial rank correlation coefficients values (PRCC values) were operated to reveal the differences of age groups against the main parameters. Results: The main epidemiological features such as basic reproduction number, effective reproduction number and sensitivity analysis were extensively discussed for multi-age groups SEIHR model in this study. Firstly, by using of the next generation matrix method, basic reproduction number R0 of the total population was estimated as 1.57 using parameter values of four age groups of Fuzhou COVID-19 large wave. Given age group k, the values of R0k (age group k to age group k), the values of R0k (an infected of age group k to the total population) and the values of R^0k (an infected of the total population to age group k) were also estimated, in which the explorations of the impacts of age groups revealed that the relationship R0k>R0k>R^0k was valid. Then, the fluctuating tendencies of effective reproduction number Rt were demonstrated by using two approaches (the surveillance data and the SEIHR model) for Fuzhou COVID-19 large wave, during which high-risk group (G4 group) mainly contributed the infection scale due to high susceptibility to infection and high risks to basic diseases. Further, the sensitivity analysis using two approaches (the sensitivity index and the PRCC values) revealed that susceptibility to infection of age groups played the vital roles, while the numerical simulation showed that infection scale varied with the changes of social contacts of age groups. The results of this study claimed that the high-risk group out of the total population was concerned by the local government with the highest susceptibility to infection against COVID-19. Conclusions: This study verified that the partition structure of age groups of the total population, the susceptibility to infection of age groups, the social contacts among age groups were the important contributors of infection scale. The less social contacts and adequate hospital beds for high-risk group were profitable to control the spread of COVID-19. To avoid the emergence of medical runs against new variant in the future, the policymakers from local government were suggested to decline social contacts when hospital beds were limited.

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Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is a novel virus known as coronavirus 2 (SARS-CoV-2) that affects the pulmonary structure and results in the coronavirus illness 2019 (COVID-19). Tuberculosis (TB) and COVID-19 codynamics have been documented in numerous nations. Understanding the complexities of codynamics is now critically necessary as a consequence. The aim of this research is to construct a co-infection model of TB and COVID-19 in the context of fractional calculus operators, white noise and probability density functions, employing a rigorous biological investigation. By exhibiting that the system possesses non-negative and bounded global outcomes, it is shown that the approach is both mathematically and biologically practicable. The required conditions are derived, guaranteeing the eradication of the infection. Sensitivity analysis and bifurcation of the submodel are also investigated with system parameters. Furthermore, existence and uniqueness results are established, and the configuration is tested for the existence of an ergodic stationary distribution. For discovering the system's long-term behavior, a deterministic-probabilistic technique for modeling is designed and operated in MATLAB. By employing an extensive review, we hope that the previously mentioned approach improves and leads to mitigating the two diseases and their co-infections by examining a variety of behavioral trends, such as transitions to unpredictable procedures. In addition, the piecewise differential strategies are being outlined as having promising potential for scholars in a range of contexts because they empower them to include particular characteristics across multiple time frame phases. Such formulas can be strengthened via classical technique, power-law, exponential decay, generalized Mittag-Leffler kernels, probability density functions and random procedures. Furthermore, we get an accurate description of the probability density function encircling a quasi-equilibrium point if the effect of TB and COVID-19 minimizes the propagation of the codynamics. Consequently, scholars can obtain better outcomes when analyzing facts using random perturbations by implementing these strategies for challenging issues. Random perturbations in TB and COVID-19 co-infection are crucial in controlling the spread of an epidemic whenever the suggested circulation is steady and the amount of infection eliminated is closely correlated with the random perturbation level.

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A novel (nonlinear) mathematical model for the transmission of Coronavirus 19 (COVID-19) with eight compartments and considering the impact of vaccination is examined in this manuscript. The qualitative behavior of the system such as the boundedness of solutions, the basic reproduction number, and the stability of the equilibrium points is investigated in detail. Some domestic real data collected from the Kerman University of Medical Science (KUMC) is used to estimate the parameters of the proposed model. We predict the dynamical behavior of the system through numerical simulations based on a combined spectral matrix collocation methodology. In this respect, we first linearize the nonlinear system of equations by the method of quasilinearization (QLM). Hence, the shifted version of Chebyshev polynomials of the second kind (SCPSK) is utilized along with the domain-splitting strategy to acquire the solutions of the system over a long time interval. The uniform convergence and upper bound estimation of the SCPSK bases are proved in a rigorous manner. Moreover, the technique of residual error functions is used to testify the accuracy of the QLM-SCPSK method. The presented numerical results justify the robustness and good accuracy of the QLM-SCPSK technique. The achieved numerical orders of convergence indicate that the QLM-SCSK algorithm has exponential rate of convergence. Using the linearization technique in one hand and the domain-splitting strategy on the other hand, enable us to predict the behaviour of similar disease problems with high accuracy and maximum efficiency on an arbitrary domain of interest.

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A striking feature of COVID-19 disease is the broad spectrum of risk factors associated with case severity, as well as the diversity of clinical manifestations. While no central agent has been able to explain the pathogenesis of SARS-CoV-2 infection, the factors that most robustly correlate with severity are risk factors linked to aging. Low serum levels of Klotho, an anti-aging protein, strongly correlate with the pathogenesis of the same risk factors and manifestations of conditions similar to those expressed in severe COVID-19 cases. The current manuscript presents original research on the effects of the exogenous application of Klotho, an anti-aging protein, in COVID-19 model mice. Klotho supplementation resulted in a statistically significant survival benefit in parametric and non-parametric models. Further research is required to elucidate the mechanistic role Klotho plays in COVID-19 pathogenesis as well as the possible modulation SARS-CoV-2 may have on the biological aging process.

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INTRODUCTION: Expansion of hospital service models was one of the strategies implemented to manage the COVID-19 pandemic through virtual models of care. COVID-19 patients were hospital inpatients transferred to virtual wards and managed outside the hospital. Pharmacists had to provide distance medication management and support services. Virtual care patient support incorporated telehealth consultations by doctors, pharmacists and nurses. This study explored hospital clinicians' experiences and perspectives on medication management and safety issues of the COVID-19 patients transferred from inpatient units (IPUs) to virtual models of care at the time of transfer. METHODS: Semi-structured qualitative interviews were conducted with purposively selected doctors, pharmacists and nurses involved in the management of COVID-19 patients in a virtual model of care (home or hotel). Clinicians were interviewed face-to-face or via MS Teams between March and May 2022. An interview schedule included 13 questions and prompts to explore perceptions of medication management and safety aspects. RESULTS: Twenty clinicians were interviewed: six doctors, seven pharmacists, and seven nurses. The average interview time was 26 min (SD: 4.7; range 21-39). Four major medication management and safety themes emerged from the data: (1) complexities involved in efficient handover between IPU and virtual models of care; (2) lack of clarity on roles and responsibilities between hospital and primary care clinicians; (3) communication challenges when pharmacists work remotely; and (4) proactive management of specific medication safety risks. A common thread throughout the themes was concerns for potential impact on patient safety. CONCLUSION: Overall, clinicians were supportive of the virtual models although patient safety issues were raised that need to be addressed in the development of future services. The results from this study may inform improvements in medication safety implementation of future virtual models of care.

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A computational approach is adapted to analyze the parameter identifiability of a compartmental model. The model is intended to describe the progression of the COVID-19 pandemic in Chile during the initial phase in early 2020 when government declared quarantine measures. The computational approach to analyze the structural and practical identifiability is applied in two parts, one for synthetic data and another for some Chilean regional data. The first part defines the identifiable parameter sets when these recover the true parameters used to create the synthetic data. The second part compares the results derived from synthetic data, estimating the identifiable parameter sets from regional Chilean epidemic data. Experiments provide evidence of the loss of identifiability if some initial conditions are estimated, the period of time used to fit is before the peak, and if a significant proportion of the population is involved in quarantine periods.

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Introduction: The coronavirus disease 2019 (COVID-19) pandemic caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has highlighted the danger posed by human coronaviruses. Rapid emergence of immunoevasive variants and waning antiviral immunity decrease the effect of the currently available vaccines, which aim at induction of neutralizing antibodies. In contrast, T cells are marginally affected by antigen evolution although they represent the major mediators of virus control and vaccine protection against virus-induced disease. Materials and methods: We generated a multi-epitope vaccine (PanCoVac) that encodes the conserved T cell epitopes from all structural proteins of coronaviruses. PanCoVac contains elements that facilitate efficient processing and presentation of PanCoVac-encoded T cell epitopes and can be uploaded to any available vaccine platform. For proof of principle, we cloned PanCoVac into a non-integrating lentivirus vector (NILV-PanCoVac). We chose Roborovski dwarf hamsters for a first step in evaluating PanCoVac in vivo. Unlike mice, they are naturally susceptible to SARS-CoV-2 infection. Moreover, Roborovski dwarf hamsters develop COVID-19-like disease after infection with SARS-CoV-2 enabling us to look at pathology and clinical symptoms. Results: Using HLA-A*0201-restricted reporter T cells and U251 cells expressing a tagged version of PanCoVac, we confirmed in vitro that PanCoVac is processed and presented by HLA-A*0201. As mucosal immunity in the respiratory tract is crucial for protection against respiratory viruses such as SARS-CoV-2, we tested the protective effect of single-low dose of NILV-PanCoVac administered via the intranasal (i.n.) route in the Roborovski dwarf hamster model of COVID-19. After infection with ancestral SARS-CoV-2, animals immunized with a single-low dose of NILV-PanCoVac i.n. did not show symptoms and had significantly decreased viral loads in the lung tissue. This protective effect was observed in the early phase (2 days post infection) after challenge and was not dependent on neutralizing antibodies. Conclusion: PanCoVac, a multi-epitope vaccine covering conserved T cell epitopes from all structural proteins of coronaviruses, might protect from severe disease caused by SARS-CoV-2 variants and future pathogenic coronaviruses. The use of (HLA-) humanized animal models will allow for further efficacy studies of PanCoVac-based vaccines in vivo.

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An expanding field of study that offers fresh and intriguing approaches to both mathematicians and biologists is the symbolic representation of mathematics. In relation to COVID-19, such a method might provide information to humanity for halting the spread of this epidemic, which has severely impacted people's quality of life. In this study, we examine a crucial COVID-19 model under a globalized piecewise fractional derivative in the context of Caputo and Atangana Baleanu fractional operators. The said model has been constructed in the format of two fractional operators, having a non-linear time-varying spreading rate, and composed of ten compartmental individuals: Susceptible, Infectious, Diagnosed, Ailing, Recognized, Infectious Real, Threatened, Recovered Diagnosed, Healed and Extinct populations. The qualitative analysis is developed for the proposed model along with the discussion of their dynamical behaviors. The stability of the approximate solution is tested by using the Ulam-Hyers stability approach. For the implementation of the given model in the sense of an approximate piecewise solution, the Newton Polynomial approximate solution technique is applied. The graphing results are with different additional fractional orders connected to COVID-19 disease, and the graphical representation is established for other piecewise fractional orders. By using comparisons of this nature between the graphed and analytical data, we are able to calculate the best-fit parameters for any arbitrary orders with a very low error rate. Additionally, many parameters' effects on the transmission of viral infections are examined and analyzed. Such a discussion will be more informative as it demonstrates the dynamics on various piecewise intervals.

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In this paper, a stochastic COVID-19 model with large-scale nucleic acid detection and isolation measures is proposed. Firstly, the existence and uniqueness of the global positive solution is obtained. Secondly, threshold criteria for the stochastic extinction and persistence in the mean with probability one are established. Moreover, a sufficient condition for the existence of unique ergodic stationary distribution for any positive solution is also established. Finally, numerical simulations are carried out in combination with real COVID-19 data from Urumqi, China and the theoretical results are verified.

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Since November 2021, there have been cases of COVID-19's Omicron strain spreading in competition with Delta strains in many parts of the world. To explore how these two strains developed in this competitive spread, a new compartmentalized model was established. First, we analyzed the fundamental properties of the model, obtained the expression of the basic reproduction number, proved the local and global asymptotic stability of the disease-free equilibrium. Then by means of the cubic spline interpolation method, we obtained the data of new Omicron and Delta cases in the United States of new cases starting from December 8, 2021, to February 12, 2022. Using the weighted nonlinear least squares estimation method, we fitted six time series (cumulative confirmed cases, cumulative deaths, new cases, new deaths, new Omicron cases, and new Delta cases), got estimates of the unknown parameters, and obtained an approximation of the basic reproduction number in the United States during this time period as R 0 ≈ 1.5165 . Finally, each control strategy was evaluated by cost-effectiveness analysis to obtain the optimal control strategy under different perspectives. The results not only show the competitive transmission characteristics of the new strain and existing strain, but also provide scientific suggestions for effectively controlling the spread of these strains.

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Due to the importance of control actions in spreading coronavirus disease, this paper is devoted to first modeling and then proposing an appropriate controller for this model. In the modeling procedure, we used a nonlinear mathematical model for the covid-19 outbreak to form a T-S fuzzy model. Then, for proposing the suitable controller, multiple optimization techniques including Linear Quadratic Regulator (LQR) and mixed H 2 - H ∞ are taken into account. The mentioned controller is chosen because the model of corona-virus spread is not only full of disturbances like a sudden increase in infected people, but also noises such as unavailability of the exact number of each compartment. The controller is simulated accordingly to validate the results of mathematical calculations, and a comparative analysis is presented to investigate the different situations of the problem. Comparing the results of controlled and uncontrolled situations, it can be observed that we can tackle the devastating hazards of the covid-19 outbreak effectively if the suggested approaches and policies of controlling interventions are executed, appropriately.

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To achieve the aim of immediately halting spread of COVID-19 it is essential to know the dynamic behavior of the virus of intensive level of replication. Simply analyzing experimental data to learn about this disease consumes a lot of effort and cost. Mathematical models may be able to assist in this regard. Through integrating the mathematical frameworks with the accessible disease data it will be useful and outlay to comprehend the primary components involved in the spreading of COVID-19. There are so many techniques to formulate the impact of disease on the population mathematically, including deterministic modeling, stochastic modeling or fractional order modeling etc. Fractional derivative modeling is one of the essential techniques for analyzing real-world issues and making accurate assessments of situations. In this paper, a fractional order epidemic model that represents the transmission of COVID-19 using seven compartments of population susceptible, exposed, infective, recovered, the quarantine population, recovered-exposed, and dead population is provided. The fractional order derivative is considered in the Caputo sense. In order to determine the epidemic forecast and persistence, we calculate the reproduction number R 0 . Applying fixed point theory, the existence and uniqueness of the solutions of fractional order derivative have been studied . Moreover, we implement the generalized Adams-Bashforth-Moulton method to get an approximate solution of the fractional-order COVID-19 model. Finally, numerical result and an outstanding graphic simulation are presented.

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This paper presents and investigates a new fractional discrete COVID-19 model which involves three variables: the new daily cases, additional severe cases and deaths. Here, we analyze the stability of the equilibrium point at different values of the fractional order. Using maximum Lyapunov exponents, phase attractors, bifurcation diagrams, the 0-1 test and approximation entropy (ApEn), it is shown that the dynamic behaviors of the model change from stable to chaotic behavior by varying the fractional orders. Besides showing that the fractional discrete model fits the real data of the pandemic, the simulation findings also show that the numbers of new daily cases, additional severe cases and deaths exhibit chaotic behavior without any effective attempts to curb the epidemic.

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In this paper, a new mathematical model that describes the dynamics of the within-host COVID-19 epidemic is formulated. We show the stochastic dynamics of Target-Latent-Infected-Virus free within the human body with discrete delay and noise. Positivity and uniqueness of the solutions are established. Our study shows the extinction and persistence of the disease inside the human body through the stability analysis of the disease-free equilibrium [Formula: see text] and the endemic equilibrium [Formula: see text], respectively. Moreover, we show the impact of delay tactics and noise on the extinction of the disease. The most interesting result is even if the deterministic system is inevitably pandemic at a specific point, extinction will become possible in the stochastic version of our model.

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In this paper, we explore local behavior at fixed points, chaos and bifurcations of a discrete COVID-19 epidemic model in the interior of R + 5 . It is explored that for all involved parametric values, COVID-19 model has boundary fixed point and also it has an interior fixed point under certain parametric condition(s). We have investigated local behavior at boundary and interior fixed points of COVID-19 model by linear stability theory. It is also explored the existence of possible bifurcations at respective fixed points, and proved that at boundary fixed point there exists no flip bifurcation but at interior fixed point it undergoes both flip and hopf bifurcations, and we have explored said bifurcations by explicit criterion. Moreover, chaos in COVID-19 model is also investigated by feedback control strategy. Finally, theoretical results are verified numerically.

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This manuscript is devoted to investigate the mathematical model of fractional-order dynamical system of the recent disease caused by Corona virus. The said disease is known as Corona virus infectious disease (COVID-19). Here we analyze the modified SEIR pandemic fractional order model under nonsingular kernel type derivative introduced by Atangana, Baleanu and Caputo ([Formula: see text]) to investigate the transmission dynamics. For the validity of the proposed model, we establish some qualitative results about existence and uniqueness of solution by using fixed point approach. Further for numerical interpretation and simulations, we utilize Adams-Bashforth method. For numerical investigations, we use some available clinical data of the Wuhan city of China, where the infection initially had been identified. The disease free and pandemic equilibrium points are computed to verify the stability analysis. Also we testify the proposed model through the available data of Pakistan. We also compare the simulated data with the reported real data to demonstrate validity of the numerical scheme and our analysis.

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Omicron, a mutant strain of COVID-19, has been sweeping the world since November 2021. A major characteristic of Omicron transmission is that it is less harmful to healthy adults, but more dangerous for people with underlying disease, the elderly, or children. To simulate the spread of Omicron in the population, we developed a new 9-dimensional mathematical model with high-risk and low-risk exposures. Then we analyzed its dynamic properties and obtain the basic reproduction number R 0 . With the data of confirmed cases from March 1, 2022 published on the official website of Shanghai, China, we used the weighted nonlinear least square estimation method to estimate the parameters, and get the basic reproduction number R 0 ≈ 1 . 5118 . Finally, we considered three control measures (isolation, detection and treatment), and studied the optimal control strategy and cost-effectiveness analysis of the model. The control strategy G is determined to be the optimal control strategy from the purpose of making fewer people infected. In strategy G, the three human control measures contain six control variables, and the control strength of these variables needs to be varied according to the pattern shown in Figure 11, so that the number of infections can be minimized and the percentage of reduction of infections can reach more than 95%.

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Covid Act Now (CAN) developed an epidemiological model that takes various non-pharmaceutical interventions (NPIs) into account and predicts viral spread and subsequent health outcomes. In this study, the projections of the model developed by CAN were back-tested against real-world data, and it was found that the model consistently overestimated hospitalizations and deaths by 25%-100% and 70%-170%, respectively, due in part to an underestimation of the efficacy of NPIs. Other COVID models were also back-tested against historical data, and it was found that all models generally captured the potential magnitude and directionality of the pandemic in the short term. There are limitations to epidemiological models, but understanding these limitations enables these models to be utilized as tools for data-driven decision-making in viral outbreaks. Further, it can be valuable to have multiple, independently developed models to mitigate the inaccuracies of or to correct for the incorrect assumptions made by a particular model.

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In this paper, we investigate the dynamics of novel coronavirus infection (COVID-19) using a fractional mathematical model in Caputo sense. Based on the spread of COVID-19 virus observed in Algeria, we formulate the model by dividing the infected population into two sub-classes namely the reported and unreported infective individuals. The existence and uniqueness of the model solution are given by using the well-known Picard-Lindelöf approach. The basic reproduction number R 0 is obtained and its value is estimated from the actual cases reported in Algeria. The model equilibriums and their stability analysis are analyzed. The impact of various constant control parameters is depicted for integer and fractional values of α . Further, we perform the sensitivity analysis showing the most sensitive parameters of the model versus R 0 to predict the incidence of the infection in the population. Further, based on the sensitivity analysis, the Caputo model with constant controls is extended to time-dependent variable controls in order obtain a fractional optimal control problem. The associated four time-dependent control variables are considered for the prevention, treatment, testing and vaccination. The fractional optimality condition for the control COVID-19 transmission model is presented. The existence of the Caputo optimal control model is studied and necessary condition for optimality in the Caputo case is derived from Pontryagin's Maximum Principle. Finally, the effectiveness of the proposed control strategies are demonstrated through numerical simulations. The graphical results revealed that the implantation of time-dependent controls significantly reduces the number of infective cases and are useful in mitigating the infection.

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In this work we fit an epidemiological model SEIAQR (Susceptible - Exposed - Infectious - Asymptomatic - Quarantined - Removed) to the data of the first COVID-19 outbreak in Rio de Janeiro, Brazil. Particular emphasis is given to the unreported rate, that is, the proportion of infected individuals that is not detected by the health system. The evaluation of the parameters of the model is based on a combination of error-weighted least squares method and appropriate B-splines. The structural and practical identifiability is analyzed to support the feasibility and robustness of the parameters' estimation. We use the Bootstrap method to quantify the uncertainty of the estimates. For the outbreak of March-July 2020 in Rio de Janeiro, we estimate about 90% of unreported cases, with a 95% confidence interval (85%, 93%).