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  <front>
    <journal-meta />
    <article-meta>
      <title-group>
        <article-title>Stochastic Modelling for Coronavirus (COVID'19) Pandemic in Bulgaria</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <string-name>Maroussia Slavtchova-Bojkova</string-name>
          <xref ref-type="aff" rid="aff0">0</xref>
          <xref ref-type="aff" rid="aff1">1</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Valeriya Simeonova</string-name>
          <email>simeonova@fmi.uni-sofia.bg</email>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <aff id="aff0">
          <label>0</label>
          <institution>Faculty of Mathematics and Informatics, Sofia University</institution>
          ,
          <addr-line>No5, J. Bourchier Blvd.,1164 Sofia</addr-line>
          ,
          <country country="BG">Bulgaria</country>
        </aff>
        <aff id="aff1">
          <label>1</label>
          <institution>Institute of Mathematics and Informatics. Bulgarian Academy of Sciences</institution>
        </aff>
      </contrib-group>
      <fpage>143</fpage>
      <lpage>158</lpage>
      <abstract>
        <p>The aim of this paper is to present the development and improvements done in the specific stochastic branching model during the progress of the COVID'19 pandemic caused by SARS-CoV-2 coronavirus up to spring of the year 2022. Our approach is data-driven and uses the parsimonious continuous time Crump-Mode-Jagers branching processes (CMJBP) model. The model provides a basis for decision makers to understand the likely trade-offs as an outbreak begins.</p>
      </abstract>
      <kwd-group>
        <kwd>eol&gt;SARS-CoV-2 coronavirus</kwd>
        <kwd>immigration</kwd>
        <kwd>Crump-Mode-Jagers branching processes</kwd>
      </kwd-group>
    </article-meta>
  </front>
  <body>
    <sec id="sec-1">
      <title>1. Introduction</title>
      <p>
        The theory of branching processes is a powerful tool for study of population
dynamics where the members of the population produce new members whose
evolution is driven by one and the same stochastic laws. That is why branching
processes have relevant applications in physics, biology, medicine, demography,
epidemiology, economics, computer science and many other areas where such
patterns appear in a natural way. We would like to point out the classical
monograph [1] and some recent ones [2]–[6] among others where fundamental models
and results of branching processes are presented. Related to the applications of
branching processes in biology and medicine [7]–[9] could be pointed out as
useful references. On the other hand, statistical inferences of branching processes are
considered in [
        <xref ref-type="bibr" rid="ref16 ref19">10</xref>
        ]–[13].
      </p>
      <p>This paper continues the stochastic modelling research based on the
continuous time Crump-Mode-Jagers branching model started in [14] at the beginning of
the COVID’19 pandemic. In the two-year period of time we were witnessed of
ifve waves of the pandemic due to the diferent variants of the SARS-CoV-2 coro
navirus, which were spreading with various intensities all over the world. That is
leading to the need of many improvements and modifications of the general tool
[15] and in [16] we are using for the simulation and computational procedures,
as well.</p>
      <p>In what follows we would like to make a short review of the papers devoted
to the stochastic modelling of COVID’19 in Bulgaria for the same period.
Concerning the lines of research towards the modeling of COVID’19 and statistical
procedures for estimating model parameters, the recent paper by [17] could be
pointed out. The results reported there extend the previous research of the authors
initiated in [18]. More precisely, the authors incorporated into the model an
immigration component, vaccination policy and adaptive immunity as additional
factors that turned out to be important for the pandemic spreading in Bulgaria.
The parameters of the model were estimated from daily available data,
representing the number of registered infected individuals. That is mainly the basic
reproduction number or the mean number of daily secondary cases, i.e., number
of infected individuals by one individual per day. The analyses are made in the
frame of two-type Galton-Watson branching process.</p>
      <p>
        In [
        <xref ref-type="bibr" rid="ref23">19</xref>
        ] using oficial data for Bulgaria, the authors investigated the relation
between registered COVID’19infections and related deaths by age and time to
estimate the absolute and relative mortality risk. Their aim is to design a basic
framework for risk management strategies in order to minimize deaths during the
ongoing COVID’19 epidemic in countries with similar quality of healthcare. The
used statistical methods are based on dynamic regression models and classical
time series analysis.
      </p>
      <p>The paper is organized as follows: Section 2 briefly reminds some prelimi
naries of the CMJBP model, while Section 3 is devoted to the improvements
of the statistical methodology developed in [16] and aims to present the results
established by simulation method with especially calibrated parameters of the
model fitted to the available data.</p>
      <p>We end up the paper by discussion of the results and a brief plan for future
work in Section 4.</p>
    </sec>
    <sec id="sec-2">
      <title>2. Preliminaries of Crump-Mode-Jagers branching processes model</title>
      <p>Before proceeding we give outline descriptions of some common
branching process models (see e.g., Jagers [9] for further details), which describe the
evolution of a single-type population, which in what follows will be supposed
to be the one of infected individuals. In all these branching models, individuals
have independent and identically distributed reproduction processes. The
reproduction process in terms of epidemic spread is meaning the random process
signifying the new infected by each contact with infectious one. In the case of
SARS-CoV-2 coronavirus it is known that each contact results in new infective.
In a general branching process, also called a Crump-Mode-Jagers branching
process (CMJBP), each individual lives until a random age, distributed
according to I, and reproduces at ages according to a point process ζ. More precisely,
if an individual, i say having reproduction profile (Ii,ξi), is born at time bi and 0
≤ τi1 ≤ τi2 ≤ ... ≤ Ii denote the points of ξi, then individual i has one child at each
of times bi + τi1,bi + τi2,.... This model allows that a mother could have more than
one child during her life or in terms of epidemic that every contaminated case
could contact and pass the viral infection to more than one susceptible during
its infectious period. However, the situation with SARS-CoV-2 coronavirus is
rather diferent in comparison to other viruses existed till now. It was reported
that an individual could just transfer the virus without being ill and/or
symptomatic, which complicates the contact process as a whole and the tracing of
contacts consequently.</p>
      <p>This paper is primarily concerned with models for epidemics of diseases
which follow the so-called SEIR (Susceptible → Exposed → Infective → Re
moved) scheme in a closed, homogeneously mixing population or some of its
extensions. A key epidemiological parameter for such an epidemic model is
the basic reproduction number R0 (see Heesterbeek and Dietz [20]), which in
the present setting is given by the mean of the ofspring distribution of the ap
proximating branching process. A major outbreak (i.e., one whose size is of the
same order as the population size) occurs with non-zero probability if and only
if R0 &gt; 1.</p>
      <p>Let us point out another interesting model proposed in [21] where a gamma
negative binomial branching process is accepted for the number of new infections
generated by an infected individual.</p>
      <p>Suppose that R0 &gt; 1 and some preventive transmission measures are taken
in advance of an epidemic. If there were a vaccine this could be expressed in
such a way that fraction c of the population is vaccinated with a perfect vaccine
in advance of an epidemic. Then R0 is reduced to (1 − c) R0, since a proportion
c of infectious contacts is with vaccinated individuals. It follows that a major
outbreak is almost surely prevented if and only if c ≥ 1 – R0-1. This well-known
result, which gives the critical vaccination coverage to prevent a major outbreak
and goes back at least to 1964 (e.g., Smith [22]), is widely used to inform public
health authorities, but only if there is a vaccine.</p>
    </sec>
    <sec id="sec-3">
      <title>3. Improvements of the statistical method and simulation results</title>
      <sec id="sec-3-1">
        <title>3.1. Improvements of the statistical modelling</title>
        <p>Our methodology is based primarily on the CMJBP as a model of epidemic
spread. We would like to point out here the fundamental result of Ball and
Donnelly [23] giving us the theoretical evidence of the almost sure convergence of
the epidemic models to the proper CMJBP under certain conditions. By use of
the statistical software especially developed for branching processes simulations
[16] we first fit the parameters of the model to the data available for particular
country. The two main characteristics running the behavior of the CMJBP are the
distribution of the life period of individuals and the point process governing the
reproduction process of any infected individual which may depend on the age of
individual. These quantities in terms of epidemic spreading mean the distribution
of the serial interval which is the sum of incubation period and delay period and
the point process signifying the number of new infected individuals any infective
individual may pass the virus to.</p>
        <p>In the present study for the parameters of the CMJBP, we use the
left-truncated normal distribution N(35,5.12), using the estimates from [16]. For the point
process modelling, i.e. the number of infected individuals by one infected, we
use gamma distribution with appropriately defined parameters, i.e. Γ (7.27,1.32)
(see [16]).</p>
        <p>The essential changes we make in the tool [15] are as follows: we started
with variables’ initialization: dates range, R0, horizon, µ – the immigration mean,
confidence interval, number of simulations. We have applied three forecast mod
els called:
• Main scenario corresponding to the case when an immigration and R0
estimation is determined, so that the algorithm recalculates them until is found
such R0 s in [0.3; 5] which are smoothly changing in time. For them is
calculated the immigration mean (outside incoming infectious people), being the
newly infected ones in the population;
• Optimistic scenario that is the main scenario with new R˜ = R0 – 0.2;
• Pessimistic scenario that is the main scenario with new R0 + [0.8; 1.2].</p>
        <p>Data filtering options have been added so that process research can be done
after a certain date. They not to be dependable by year (it was hardcoded in the
original version). We have added the ability to smooth the data, given that we are
seeing several waves of the pandemic. We have created a version of the code with
Bulgarian text on the generated graphics (before is missing language support).
The number of simulations initially in [15] was set to be 1000. It was time
consuming still in parallel work. After repeated attempts and testing with the number
of simulations in the interval [100; 1000] it was found that the critical minimum
that provides normally good and almost indistinguishable results compared to
1000 is 150 simulations. Therefore, all subsequent predictions were made with
150 simulations.</p>
      </sec>
      <sec id="sec-3-2">
        <title>3.2. From the last two waves in Bulgaria</title>
        <p>We are illustrating the methodology using the CMJBP after fitting the theo
retical model to the historical data published at Worldometer (see [25]) for
Bulgaria illustrated the fourth wave on Figure 1 and fifth one on Figure 2. This way
we acquire the values which are best revealing and explaining the structure of
the historical data representing the new cases and total cases, as well. Then we
are projecting further the behavior of the new daily cases in three scenarios in 45
days horizon.
3.2.1. Fourth wave caused by the Delta variant of the virus</p>
        <p>We have considered the period between July 27, 2021 – December 12, 2021,
as the fourth wave of pandemic with observed maximum on October 26, 2021, of
new cases of 6 816 and duration of 5 months.</p>
        <p>We have obtained the following computer visualization as a result of the
implementation of the code:
• the model fit versus observed data for the total and new daily cases during
the period between July 27, 2021 –December 12, 2021 (see Figure 3);
• the estimated R0 and immigration (see Figure 4);
• the three forecasts for new daily cases corresponding to the three
scenarios (see Figure 5).
• On Figure 3 (on the left) could compare the behavior of the branching
processes model (in blue dotted line) to the observed size (in black line) for
the total cases and new daily cases during the fourth wave. The conclusion
that could be drawn is that the graphs reveal the good fit of the model to data
observed, in general.</p>
        <p>It is worth mentioning here (Figure 4) that the peak of curve representing the
behavior of R0 has its peak in the week between 21st and 28th of October 2021,
which is agree with the peak in real data observed on 26th of October. On the
other side, the immigration curve (in red dotted line) is following the occurrence
of immigration wave at the beginning of August 2021, then its gradual decrement
and slight increment after that at the end of the year.
3.2.2. Fifth wave caused by the Omicron variant of the virus</p>
        <p>We have considered the period between December 15, 2021 – March 25,
2022 as the fifth wave of pandemic with observed maximum on January 25, 2022
of new cases of 12 399 and duration of 2.5 months.</p>
        <p>We have obtained the following computer visualization as a result of the
implementation of the code:
• the model fit versus observed data for the total and new daily cases during
the period between July 13, 2021 – March 25, 2022 (see Figure 6);
• the estimated R0 and immigration (see Figure 7);
• the three forecasts for new daily cases corresponding to the three
scenarios (see Figure 8).</p>
        <p>The Fifth wave was not possible to be calculated accurately before
parameters’ changes in MATLAB tool, described in Sections 3.1 and 4.1, nor just the
Fifth wave, nor both Fourth and Fifth waves. The reason in Figure 6, Figure 7,
and Figure 8 to be shown both waves is to test if the tool has the possibility to
analyze and fit both waves. It is evident the success we made with the param
eters’ optimization. The optimization shows correctly at the same time main,
optimistic, and pessimistic scenario including in retrospection. If we have to
make some general remark on the obtained results, we could say there is no
significant diference in trends for all scenarios in both waves. We could make
similar conclusions also for the Immigration processes, shown on Figure 4 and
Figure 7.</p>
      </sec>
    </sec>
    <sec id="sec-4">
      <title>4. Discussion</title>
      <sec id="sec-4-1">
        <title>4.1. Discussion on obtained prognosis with branching processes</title>
        <p>In this paper we have presented an updated mathematical tool to tackle
pandemic outbreaks considering the efect of immigration. This tool (see description
in 3.1) addresses various technical questions to support the ongoing public health
response to COVID’19. Our approach considers both estimation eforts for key
parameters, and investigative eforts (often numerical simulations) in assessing
the efectiveness of various intervention or control measures. The tool is written
in MATLAB and has the described structure bellow:
• buildPlots_filtered plots_wit_bg_subs.m: includes only function
buildPlots(NewCasesDaily, TotalCasesDaily, ActiveCasesDaily,
NewCasesHist, dates, horizon, detection_time, alpha, scenario_name, scenario_title,
varargin) which is used for plot generating with Bulgarian interface
• buildPlots.m: the original plot generating function
• Confinterval.m: includes only one function that calculates the confidence
interval: function [Z_mean, Z_lower, Z_upper, Z_median]=confInterval(Z,
alpha). Currently, it works with the mean measure, but it is possible to be
used the calculated median with branching process’s function.
• Im_function.m: The function determines immigration process:
Im_matrix = Im_function(mu, sgm, Im_age_struct_prob)
• obj_Mu_and_Im.m: The function aims to evaluate BP’s parameters such
as R0 and the Immigration probability.
• Y_projection.m: Applies numerical method to calculate the BP’s
generation with the presumption there is no fatal cases at any time point. This
should be used by BP Simulator.
• readCSVData.m: used for CSV data reading. We rewrote the script as the
time pass the resource links were changed several times.
• readWorldometerData.m: Reads COVID’19 data from Worldometer. We
rewrote the main part of the script, so now it is not dependent by the year.
• BranchingProcessSimulator.m: Includes the function that simulates
Branching processes.
• new_bg.m: The main script. It includes parameters’ settings and uses all
the other script. We modified the script, so now it is possible to choose date
range and time lags.</p>
        <p>It is possible the tool to be optimized using Python and fully rewritten
including in additionally graphic user interface. Even more BP model is applicable
not only in analyzing epidemic data but also in analyzing demographic processes
and many other areas, that implying branching in next generations.</p>
      </sec>
      <sec id="sec-4-2">
        <title>4.2. Comparative analysis with other forecasting Methods</title>
        <p>Some of the classical methods for forecasting time forecasts with variables
have been selected: Autoregression (AR), Moving Average (MA), Autoregressive
Moving Average (ARMA), Autoregressive Integrated Moving Average
(ARIMA), Seasonal Autoregressive Integrated Moving-Average (SARIMA), Simple
Exponential Smoothing (SES), Holt Winter’s Exponential Smoothing (HWES).
These methods are widely used for data analyzing when it is needed to forecast
a process.</p>
        <p>Due to the nature of time-series data, there are several specificities involved
in time series modeling that are not relevant to other datasets as the timestamp
that identifies the data has intrinsic meaning. Time-series data are mostly Univar
iate, which doesn’t mean there is no Decomposition. Contrariwise, the
decomposition is a technique to determine whether there is seasonality, trend or stationery,
and noise in data. The main rule is if there is present trend then the data are not
stationary. The time series models bellow are not able to deal with trends. We can
detect non-stationarity using the Dickey-Fuller Test and if it is present, we can
remove non-stationarity using diferencing.</p>
        <p>ARIMA family (AR, MA, ARMA, ARIMA, SARIMA, SARIMAX) models
are used to forecast the observation at (t+1) based on the historical data of
previous time spots recorded for the same observation. All these models give close
enough prediction about any particular time series.</p>
        <p>Simple research in Web of Science shows what looks like the use or ARIMA
family in forecasting over the years, as all numbers are in terms of ‘about’:
Applied model
Over the time
In last 6 years
In last 6 years, only for analyzing COVID’19
data (only by search term ‘covid’)
ARMA</p>
        <p>ARIMA</p>
        <p>SARIMA
5000
1500
23
9000
4000
345
1100
600
44</p>
        <p>We can make an aggregated formula for all ARIMA family models in form
of parameters describing the model:</p>
        <p>ARIMA_family_model (p,d,q)
will describe models AR, MA, ARMA, ARIMA, SARIMA, where:
p: is how many previous timesteps adjusted by a multiplier and then adding
white noise we are using. Comes from AR model.</p>
        <p>d: is the diference order, which is the number of transformations needed to
make the data stationary. Comes from I model.</p>
        <p>q: is the number of lagged forecasting error terms in the prediction. Comes
from MA model. In an MA (1) model, the forecast is a constant term plus the
previous white noise term times a multiplier, added with the current white noise
term. This is just simple probability and statistics, as we are adjusting our forecast
based on previous white noise terms.</p>
        <p>Obtained result for stationarity has p-value&lt;0.05 which means that
COVID’19 time-series is stationary, so all the above models are applicable. We are
using AR, MA, ARMA and ARIMA with the presumption the data are not
seasonal, as there is not exactly and identical measure for seasons in COVID’19 data
nevertheless we have several waves. In the table below are shown the values of
parameters p, d, and q for MA, ARMA, ARIMA and SARIMA that were applied
testing the model with COVID’19 data:
Model
AR
MA
1
2
1
1
d
NA
NA
0
1
1</p>
        <p>NA
q
1
1
1
1</p>
        <p>SARIMA model is very similar to the ARIMA, except that there is an
additional set of autoregressive and moving average components. The additional lags
are ofset by the frequency of seasonality (ex. 12 — monthly, 24 — hourly). Im
plementation doesn’t include seasons, but it is possible to introduce for example
weekly dependence as it is a well-known fact the values for Saturday and Sunday
often are smaller than the values from the other days. So, on a weekly base it
is possible to identify mini waves. The other opportunity is to approximate the
intervals between picks of waves and to use this measure as seasonal parameter.</p>
        <p>Data on new daily cases for COVID’19 were downloaded from the
Worldometer website and processed using the listed methods using Python [27] with
Python module statsmodels 0.14.0 [28]. There is comparability because the
algorithm for branching processes uses the same data set. Forecasts are generated
quickly and represent specific integers that should reflect new cases. Each pre
dicted value is added to the original data so that we can predict the next one in
chronological order. The forecast horizon is 45 days.</p>
        <p>The SES and HWES methods are not applicable, as manage to make a
forecast in just two days and then there is no change in the forecast value within the
desired forecast period. The ARIMA and SARIMA methods give similar results,
with the diference that they manage to make a forecast for the next 6 days. How
ever, they could be used for short-term forecasts, and in both cases the trend is
sharply rising, but the slope is low. The results themselves are identical. The
AR and ARMA methods are interesting because the forecast is not monotonous.
For them, the maximum of possible days for forecast is 26, and then
continues unchanged. We could refer them to the pessimistic variant in the simulation
of branching processes. The MA method gives a negative trend but manages to
make predictions for 3 consecutive days. It could be assumed that it reflects the
optimistic option in simulating branching processes.</p>
        <p>The conclusion to be drawn is that branching processes can be taken as a
method that can summarize the trends, we obtain through other forecasting methods.</p>
      </sec>
      <sec id="sec-4-3">
        <title>4.3. Future work</title>
        <p>Work on the analysis of the predictions obtained through branching
processes will continue with the conduct of a series of comparative analyzes, including
modern methods such as neural networks, including transfer neural networks. At
a minimum, the following forecasting options will be considered:
1. A neural network that uses the entire time series of data
2. A set of at least 3 separate neural networks, each working on a piece
of data. The idea comes from the fact that the algorithm we use to predict
branching processes makes data smoothing – sometimes every 3 days,
sometimes every 5 days. This allows us to use diferent windows to generate dif
ferent data sets based on the original complete data set. This technique will
ensure, among other things, comparability of results with diferent start dates
and the same smoothing window.
3. Variant of 2., in which neural networks will be represented as a
convolutional neural network. The result should be a consolidated forecast with a
horizon of 45 days.
4. Variant of 2. using transfer training. A study by Todor Tsokov, Milena
Lazarova and Adelina Aleksieva-Petrova will be used for the
“Spatial-temporal neural model for predicting air pollution”, presented at the spring
scientific session of FMI 2022 FMI SU “St. Kliment Ohridski” [26]. We believe
that there is a great similarity between the spread of dust particles and the
spread of viruses. This gives us reason to test the theory by applying transfer
learning with the data from the distribution of COVID’19 on the neural
network from the cited study.</p>
      </sec>
    </sec>
    <sec id="sec-5">
      <title>5. Acknowledgements</title>
      <p>This work was supported by the project BG05M2OP001-1.001-0004 (UNITe)
funded by Operational Program Science and Education for Smart Growth
cofunded by European Regional Development Fund for theoretical development
of the stochastic modelling of COVID’19 pandemic by means of branching
processes and for computational resources by the project KP-6-H22/3 of NSF at the
Bulgarian Ministry of Education and Science.
6. References</p>
      <p>K. B. Athreya and P. Ney, Branching processes. Springer-Verlag Berlin,
New York, 1972.</p>
      <p>M. González Velasco, I. M. del Puerto García, and G. P. Yanev, Controlled
branching processes.</p>
      <p>P. Haccou, P. Jagers, and V. A. Vatutin, Branching Processes. Cambridge
University Press, 2005.</p>
      <p>T. E. Harris, The Theory of Branching Processes. Berlin, Heidelberg:
Springer Berlin Heidelberg, 1963.</p>
      <p>C. J. Mode, Multitype branching processes : theory and applications. New
York (N.Y.) : American Elsevier, 1971.</p>
      <p>B. A. Sevastʹyanov, Ветвящиеся процессы. (Russian) [Branching
processes]. Moscow: Nauka, 1971.</p>
      <p>A. Y. Yakovlev and N. M. Yanev, Transient Processes in Cell Proliferation
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M. Kimmel and D. E. Axelrod, “Branching processes in biology,” in
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P. Jagers, ‘Branching Processes with Biological Applications’. John
Wiley &amp; Sons, London-New York-Sydney-Toronto 1975. VIII, 268
[22] C. E. Smith, “Factors in the transmission of virus infections from animals
to man.,” Sci. Basis Med. Annu. Rev., pp. 125–150, 1964.
[23] F. Ball and P. Donnelly, “Strong approximations for epidemic models,”
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Available: https://econpapers.repec.org/RePEc:eee:spapps:v:55:y:1995:i:1:p:1-21.
[24] J. Hellewell et al., “Feasibility of controlling 2019-nCoV outbreaks by
isolation of cases and contacts,” medRxiv, p. 2020.02.08.20021162, Feb.
2020, doi: 10.1101/2020.02.08.20021162.
[25] “COVID Live – Coronavirus Statistics – Worldometer.”
https://www.worldometers.info/coronavirus/#countries (accessed Apr. 17, 2022).
[26] T. Tsokov, M. Lazarova, and A. Aleksieva-Petrova, “Spatial-temporal
neural model for predicting air pollution,” Sofia, 2022. [Online]. Available:
https://intranet.fmi.uni-sofia.bg/index.php/s/W3ynwaJ4zM6dVel.
[27] Van Rossum, G. &amp; Drake, F.L., 2009. Python 3 Reference Manual, Scotts</p>
      <p>Valley, CA: CreateSpace.
[28] Seabold, S. &amp; Perktold, J., 2010. statsmodels: Econometric and statistical
modeling with python. In 9th Python in Science Conference.</p>
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