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  <front>
    <journal-meta />
    <article-meta>
      <title-group>
        <article-title>Model to Analyze the Epidemiological Situation in Kazakhstan and Neighboring Countries</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <string-name>Saya Sapakova</string-name>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Askar Sapakov</string-name>
          <email>sapakov_a@mail.ru</email>
          <xref ref-type="aff" rid="aff1">1</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Madina Ipalakova</string-name>
          <email>m.ipalakova@iitu.edu.kz</email>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <aff id="aff0">
          <label>0</label>
          <institution>International Information Technology University</institution>
          ,
          <addr-line>Manas St. 34/1, Almaty, 050000</addr-line>
          ,
          <country country="KZ">Kazakhstan</country>
        </aff>
        <aff id="aff1">
          <label>1</label>
          <institution>Kazakh National Agrarian Research University</institution>
          ,
          <addr-line>Valikhanov St. 137, Almaty, 050000</addr-line>
          ,
          <country country="KZ">Kazakhstan</country>
        </aff>
      </contrib-group>
      <abstract>
        <p>In this paper, we study the epidemic situation in Kazakhstan and neighboring countries, taking into account territorial features in emergency situations. As you know, the excessive concentration of the population in large cities and the transition to a world without borders created ideal conditions for a global pandemic. The article also provides the results of a detailed analysis of the solution approaches to modeling the development of epidemics by types of models (basic SIR model, modified SEIR models) and the practical application of the SIR model using an example (Kazakhstan, Russia, Kyrgyzstan, Uzbekistan and other neighboring countries). The obtained processing results are based on statistical data from open sources on the development of the COVID-19 epidemic. The result obtained is a general solution of the SIR-model of the spread of the epidemic according to the fourth-order Runge-Kutta method. The parameters β, ɣ, which are indicators of infection, recovery, respectively, were calculated using data at the initial phase of the Covid 2019 epidemic. An analysis of anti-epidemic measures in neighboring countries is given. COVID-19, epidemic prediction SIR model; SEIR model; prediction and analysis; forecasting Proceedings of the 7th International Conference on Digital Technologies in Education, Science and Industry (DTESI 2022), October 20-21,</p>
      </abstract>
      <kwd-group>
        <kwd>Keywords1</kwd>
      </kwd-group>
    </article-meta>
  </front>
  <body>
    <sec id="sec-1">
      <title>1. Introduction</title>
      <p>
        In today's world, the globalization of travel and trade, free urbanization and environmental issues
such as climate change have a significant impact on the spread of disease. Issues of urbanization are
becoming increasingly important in connection with the task of entering Kazakhstan into the 30 highly
developed countries of the world [
        <xref ref-type="bibr" rid="ref1">1</xref>
        ]. Today, high rates of urbanization are observed in Astana, Almaty
and the Almaty region. It is expected that over the next 20 years urbanization will increase by another
10%, which, naturally, will increase the burden on the social sector of the country [
        <xref ref-type="bibr" rid="ref2 ref3">2, 3</xref>
        ].
      </p>
      <p>At this time, the relevance of the work lies in the fact that obtaining accurate forecasts about the
course of the epidemic is of paramount importance for taking the right action, and the society needs
adequate data on the current epidemiological situation. A subjective reason for the increased attention
to the epidemic consists in the enormous informational pressure on people's consciousness. For
example, there are many sources on the Internet where users can obtain daily statistics for the entire
world and for individual regions. This data is necessary and needed, but it is important to interpret it
correctly. Thus, the ratio of fatalities to infections varies greatly among countries with roughly the same
level of health care. The reasons for this variation are related not only to differences in the real severity
of the epidemic situation, but also to the peculiarities of case detection and the practice of registering
the virus as lethal. The fatality rate is closely related to the main urbanization factors, and these have
worsened due to worldwide quarantine. In the current epidemiological situation, the extent of this
deterioration and its duration cannot be assessed. The shutdown of the businesses, the closure of</p>
      <p>2022 Copyright for this paper by its authors.
enterprises increases the number of unemployed and socially vulnerable people. As we know, in
countries with good social protection, the number of fatalities is lower. Besides, the number of people
on planned treatment has sharply decreased, while it is impossible to evaluate the consequences of this
fact. Unlike "regular" seasonal flu epidemics, this virus dramatically increases the burden on the health
care system, so realistic predictive estimates are fundamental to understanding the damage and are used
as a benchmark for developing new policies to control viral infection of any type and to assess
quarantine conditions. It helps in measuring and predicting the health needs of the population and in
determining how to allocate and manage health care resources.</p>
      <p>In order to predict disease dynamics, assess threats, and select measures to control disease incidence,
there is a need for mathematical modeling of the processes that occur during epidemics. Methods of
modeling infectious diseases have been actively developed since the beginning of the 20th century. In
recent years, the number of works on this topic has grown rapidly due to the deployment of information
surveillance systems and the emergence of large volumes of statistics available for analysis.
Epidemiological forecasts are performed for different time frames and serve different purposes
depending on them.</p>
      <p>The object of the study is a modified model of SIR epidemic. The aim of this work is to analyze a
modified model of SIR epidemic, which considers the division of infected into two subgroups
quarantine and non-quarantine, the introduction of restrictive measures and the testing factor. In the
course of the work, existing epidemic models, and their application to simulate the spread of the current
COVID-19 virus were studied. A program was developed in the Python programming language to
estimate model parameters and build trajectories. The results of the program are demonstrated using
statistical data for one of the regions. It was found that the modified epidemic model is well suited for
predicting the spread of the disease due to its simple modification and the possibility to consider
different scenarios. The results of the work can be useful in predicting a new wave of disease or used
in modeling the spread of a new virus strain. For the epidemiological situation of the country, in addition
to internal emigration, immigration between neighboring countries also plays an important role. As we
know, Kazakhstan borders Russia to the east, north and northwest, Uzbekistan, Kyrgyzstan and
Turkmenistan to the south, and China to the southeast. It also shares the Caspian Sea coastline with Iran
and Azerbaijan. Therefore, in this paper, we investigated the course of Covid situation in Kazakhstan
and the neighboring countries such as: China, Kyrgyzstan, Uzbekistan, Iran, Azerbaijan, also with
Turkey. For Kazakhstan, Turkey is one of the most important and reliable partners in the Eurasian
continent, as well as a popular destination for Kazakhstan's tourists due to the intersection of common
history and spiritual heritage. Therefore, this paper is devoted to the study of the epidemiological
situation in these countries, considering the geographical location and the flow of movement.</p>
      <p>Statistical and machine learning methods were applied using epidemiological data, air passenger
traffic volumes, vector habitat suitability data, socioeconomic and demographic data for all affected
regions of the country. Model performance will be quantified based on model prediction accuracy. The
application of ANN in epidemic prediction requires analytical solutions that improve prediction
performance. These decisions require the selection of ANN algorithm approaches or techniques. They
include decisions about data preprocessing, network architecture or structure, number of input, hidden
layers or output nodes, training algorithms, training parameter specification, number of epoch runs, and
means of measuring accuracy.</p>
      <p>Epidemic forecasting uses past incidence data to predict future epidemic size, peak periods, and
duration. This process does not need to understand the details of disease dynamics; it simply aims to
accurately predict future epidemics using appropriate methods. Predicting epidemics is critical to
implementing effective infectious disease prevention and control measures. Forecasting problems arise
in all areas of life. Predicting future events based on past history is performed using various methods in
order to plan and evaluate disease control. Predictions allow users to gain insight before making
decisions and taking actions that will affect the future course of an epidemic.</p>
      <p>
        As shown by a preliminary study, there is a lack of Kazakhstani model structures and algorithms,
brought to computer implementation and tested on the data of a particular city or the country as a whole.
In this regard, the practice of creating neural network models to analyze and forecast the development
of Kazakh cities should be widely spread, also to use them as a decision support system for
administrative authorities in complex epidemiological situations [
        <xref ref-type="bibr" rid="ref2 ref3">2, 3</xref>
        ].
      </p>
      <p>
        In this article we study the process of urbanization and its impact on the spread of infectious diseases
in general settings. Various types of linear and nonlinear models are used to predict epidemics; these
models use epidemiological time series data to predict short- and long-term outcomes from viral
infections [
        <xref ref-type="bibr" rid="ref4 ref5 ref6">4, 5, 6</xref>
        ]. Each prediction method aims to achieve high accuracy in predicting future
epidemiological conditions. Although the performance measurement tools for prediction models may
differ, preventive medical and control decisions to contain an outbreak must be provided with highly
accurate predictions. Achieving high-precision predictions depends on using the right tools and analysis
methods. Making the right choice among the various methods for analyzing epidemic growth is
complicated. Methodologies that must fully account for nonlinearity to represent the reality of disease
dynamics with a more accurate prediction and that address underlying urbanization factors are to be
preferred often.
      </p>
    </sec>
    <sec id="sec-2">
      <title>2. Methods and models</title>
      <p>
        In the works of the foreign scientists there are several epidemiological models that are used to predict
the number of infected people and the rate of lethal outcomes from an outbreak of viral infections [
        <xref ref-type="bibr" rid="ref6 ref7">6,
7</xref>
        ]. Artificial neural network (ANN) is a convenient apparatus for predicting epidemics, considering
factors of different nature. It will help to make analytical important decisions when forecasting
epidemics with their help. Application of neural networks for epidemic risk prediction has been
previously used for dengue prediction and risk classification [
        <xref ref-type="bibr" rid="ref10 ref6 ref7 ref8 ref9">6,7, 8, 9, 10</xref>
        ], simulation of
epidemiological time series by fusion of neural networks, fuzzy systems, and genetic algorithms [
        <xref ref-type="bibr" rid="ref11">11</xref>
        ].
      </p>
      <p>
        Most studies have considered the multilayer direct coupled perceptron neural network (MLPFFNN),
which does not imply that epidemic prediction cannot be modeled according to other network
architectures. To improve the accuracy of the ANN, hybrid ANNs are usually used [
        <xref ref-type="bibr" rid="ref12">12</xref>
        ].
      </p>
      <p>
        The recurrent neural network is the most frequently used model for predicting epidemics compared
to the non-recurrent architecture [
        <xref ref-type="bibr" rid="ref13">13</xref>
        ].
2.1.
      </p>
    </sec>
    <sec id="sec-3">
      <title>SIR-models</title>
      <p>
        Mathematical modeling in epidemiology began with the work of D. Bernoulli in 1760, which
demonstrated the effectiveness of vaccinating the population against chickenpox [D. Bernoulli, 1760].
Subsequently, a series of mathematical models based on the law of mass balance appeared (see review
articles [N. Bacaer, 2011, F. Brauer, 2017] and the literature cited therein). The works of R. Ross in
1911 [R. Ross, 1911], A.J. Lotka in 1920 [A.J. Lotka, 1920] and V. Volterra in 1926 [V. Volterra, 1926]
(the "predator-prey" model), led to the creation of the chamber SIR model by W.O. Kermack and A.G.
McKendrick [A.G. McKendrick, 1926, W.O. Kermack, A.G. McKendrick, 1927]. In the works of E.N.
Pelinovsky and colleagues [E. Pelinovsky et al., 2020, P. Wang et al., 2020, E.M. Koltsova, 2020] apply
a generalized logistic equation to model the spread of COVID-19, describing the increase in the
population of the disease. The assumption of a singular outbreak peak  ( ) epidemic limits the
application of the logistic model to describe a long pandemic period and consider restrictive measures.
To account for the incubation period of the COVID-19 course, a modification of the
KermackMcKendrick SEIR-type model (see Figure 3.3b for a schematic of the SEIR model), of which more
than 100 models have been developed to date (see, for example, [Y. Chen et al., 2020, M.V. Tamm,
2020, E. Unlu et al., 2020, O.I. Krivorotko et al, 2020, A.I. In these models, the population is divided
into groups (besides  ,  ,  ;  - asymptomatic carriers,  - hospitalized,  - critical cases requiring
ventilator connection,  - dead due to COVID-19,  - placed under quarantine and others). This allows
us to clarify the epidemiological picture in the region by varying a more detailed set of coefficients in
the equations. The disadvantage of SIR models is their lack of flexibility - the inability to consider
changes in parameters (new virus and strain mutations, restrictive measures, vaccination). At an attempt
to introduce these changes into SIR models (e.g., make the transmission rate  =  ( ) variable) [S.
Margenov et al., 2021], we are confronted with the nonuniformity and instability of the solution to the
inverse problem of identifying this parameter  ( ). Note that SIR models are also used to predict
pandemic development control outcomes [C.J. Silva et al., 2021], i.e., a piecewise constant control
function (restrictive measures: mask-wearing, social distance, quarantine) is added to the right-hand
side of the equations. However, even in these cases, the problem of refining the coefficients of SIR
models remains open and requires the application of inverse problem theory methods. Also, in SIR
models it is possible to consider the influence of super predators on the spread of COVID-19 (infected
individuals with an increased viral concentration) [F. Ndairou et al., 2020]. However, theoretical
determination of this phenomenon requires modeling at the scale of individuals (ASM, see Section 4.3)
[
        <xref ref-type="bibr" rid="ref14 ref15 ref16 ref17 ref18 ref19 ref20">14-22</xref>
        ]. Further development of mathematical models can be divided into two components:
introduction of sp1atial coordinate into logistic equations and consideration of discrete spatial
heterogeneity. In the first case we get a new class of "reaction-diffusion" mathematical models (see
Section 3.3), and in the second one - a new approach, in which systems of differential equations are
connected in space by a graph structure. All reasonable models of coronavirus epidemic spread are in
one way, or another derived from the SIR model. Each person can be in one of the states (vulnerable,
infected, sick, cured/immune, dead, etc.), and transition rules between them are defined. A distinction
is made between mean-field models and agent-based models.
(1)
      </p>
      <p>One of the important results of [W.O. Kermack, A.G. McKendrick, 1927] was the introduction of
the reproduction index (infectivity)
In which the population of  individuals is divided into three groups (chambers):  - susceptible, 
infected ( &lt;&lt;  ) and  - cured and dead, interconnected by probabilistic transitions  ,  .
The initial conditions for system (1) have the form:
 (0) =  0,  (0) =  0,  (0) =</p>
      <p>−  0 −  0.
,


 0 =
,
here, β represents the infection parameter that causes the susceptible population to decrease, when the
population of the infected group is considered. If the population of the susceptible group is considered,
β then causes the infected population to increase. When the removed population is considered, the
removal parameter, γ, is introduced, causing a portion of the infected population to move to the removed
population. If an individual is infectious for an average time period D, then γ = 1/D.  0 is the most
important characteristic of the disease and the parameter of the spread of the epidemic. The virus
reproduction index  0 is defined as the average number of people who are infected by an active infected
person in a completely non-immunized environment in the absence of special epidemiological measures
aimed at preventing the spread of the disease. Also,  0 is the stability boundary of the equilibrium state
of the SIR system in the absence of infected people. If  0 &gt; 1, then at the initial stage the number of
cases will grow exponentially. If  0 ∈ (0, 1), then a small number of infected people who fall into a
completely susceptible population will, on average, not be able to maintain their group, and there will
be no epidemic.
freely, then the total proportion of those who become sick is equal to (1 - exp [- 0]).</p>
      <p>Group immunity occurs when the fraction immune is equal to (1 - 1/ 0). If the epidemic develops
2.2.</p>
    </sec>
    <sec id="sec-4">
      <title>The model SEIR (Susceptible-Exposed-Infected-Recovered)</title>
      <p>In SEIR model, individuals are classified into four infection stages, namely susceptible, exposed,
infectious, and removed. All individuals in the population are assumed to be susceptible to the virus
before the pandemic begins.
where S – susceptible individuals, E– infected individuals without symptoms, I– infected individuals
with symptoms, R – recovered individuals, N – whole population.</p>
      <p>We have S+E+I+R=N, but this is only constant because of the simplifying assumption that birth and
death rates are equal; in general N is a variable.  (0) =  0,  (0) =  0,  (0) =  0,  (0) =  0.
(2)
(3)
where β, ɣ, µ are the rates of infection, recovery, and mortality, respectively. The latency period is a
random variable with exponential distribution with parameter α (i.e. the average latency period is α -1).</p>
      <p>The classical SIR is written as a system of differential equations. This implicitly assumes that the
lifetime in each state is exponentially distributed, and its variance is equal to the mean. This does not
agree well with experimental data, e.g., on the distribution of the incubation period, the time between
successive infections (serial interval), the duration of the disease, etc. Due to this fact, many models
(the Neyer model, perhaps, remains a rare exception) use integral operators, most often with
gammadistributed kernels, rather than local in time differential equations, to describe transitions. This slows
down the counting, but not significantly.</p>
    </sec>
    <sec id="sec-5">
      <title>3. Implementing the SIR model</title>
      <p>In this study, we used the Runge-Kutta numerical method to solve the system of differential
equations. As can be seen Figure 1, the number of those infected increases over a period of time and
then eventually decreases as people recover/die from the disease. The susceptible portion of the
population decreases as the virus is transmitted and eventually goes to an absorptive state of 0. The
opposite happens for the cured/dead case. Note that other initial conditions and parameter values will
lead to different scenarios, feel free to play with these numbers to explore the system.
parameters β and γ for each case to predict the system values.</p>
      <p>In most of the studied works on the topic, the value of the parameter  0 (the number of infected at
the time of the beginning of the epidemic) is taken as approximately known, and the value of the
parameter  0 (the initial number of susceptible) is often uncertain.</p>
      <p>In the following chart, we examine the analysis for 9 countries that are geographically located in the
border areas with Kazakhstan.</p>
      <p>As you know, the countries of the region (Kazakhstan, Kyrgyzstan, Tajikistan) directly border
China, where the virus first appeared, as well as (Turkmenistan) Iran, where the epidemic has become
extremely widespread. If we consider the actions of the leadership in individual countries at the initial
stage of the epidemic, then, for example, in Turkmenistan, mass quarantine was not announced in the
country, therefore, in March-April 2020, Turkmenistan continued to hold mass events and celebrate
holidays with a large crowd of people (Novruz celebration). And, as of April 28, 695 infected people
were registered in neighboring Kyrgyzstan, therefore, starting from March 25, the President of
Kyrgyzstan declared a state of emergency in Bishkek, Osh, Jalal-Abad, Nookat, Kara-Suu and Suzak
regions.</p>
      <p>In Uzbekistan, the first case of coronavirus infection was recorded on March 15. As of April 28,
1904 cases of infection have been registered. Since March 16, Uzbekistan has closed communication
with other countries, mass events and meetings in state bodies have been canceled, educational
institutions have been transferred to remote work, a regime of self-isolation and quarantine has been
established, and residents of the republic are prohibited from using personal vehicles.</p>
      <p>In our country, the first case of infection with the coronavirus COVID-19 was detected on March
13. Since March 16, a state of emergency has been in effect in our country. As of April 28, according
to official data, 2835 infected people were registered in Kazakhstan. The epicenters of the spread of
coronavirus are Nur-Sultan, Almaty, Shymkent. In this regard, all foreign flights were canceled and
arriving passengers were sent to quarantine. As we can see, during that period, similar measures were
taken in neighboring countries to reduce the degree of infection with this virus. This can be seen from
the results of this study, for these countries we received similar graphs, unlike Russia, China and Turkey
where the population there is very different from the above countries.</p>
    </sec>
    <sec id="sec-6">
      <title>4. Conclusion</title>
      <p>Especially the Kazakh government has taken many emergency actions in order to help reduce the
contagion probability and cure the infectious individuals. On the other hand, the imported disease cases
unavoidably affects the exploration of COVID-19 in Kazakhstan. All lead to it that the system for this
epidemic transmission should be considered within the on-extensive application rather than the classical
ideal one. We have used the SIR model to investigate the time evolution of infectious individuals in
Kazakhstan and 8 neighboring countries with it. Using the SIR model, the graphs in Figures 2-5 are obtained
and the optimal values of the beta and gamma parameters for these countries are calculated.</p>
      <p>We can also notice that according to the graphs of neighboring countries with Kazakhstan, the
epidemiological situation is similar, except for China and Turkey, which differ due to the population. The
results of this work can be used to obtain assessments in the country and abroad, to apply anti-epidemic
measures against COVID-19, which include a set of measures aimed at preventing the importation and
spread of infection, and are organized by authorized territorial bodies, taking into account the factors of
urbanization, external and internal migration of Kazakhstan.</p>
    </sec>
    <sec id="sec-7">
      <title>5. References</title>
      <p>[21] L. Muhammad, J., Algehyne Ebrahem., A. Fuzzy based expert system for diagnosis of coronary
artery disease in Nigeria. Health and Technology. 2021 doi: 10.1007/s12553-021-00531-z.
[22] WHO: Coronavirus disease 2019 (COVID-19): situation report 2020 (51).
[23] Yang Z F, et al. 2020, Modified SEIR and AI prediction of the epidemics trend of COVID-19 in</p>
      <p>China under public health interventions J. Thorac. Dis 12 (3) 165-174.
[24] Teles P, 2020, A time-dependent SEIR model to analyse the evolution of the SARS-covid-2
epidemic outbreak in Portugal, Bull World Health Organ. E-pub: 7 April 2020.
[25] Ahmad Z, et al. 2020 A report on COVID-19 epidemic in Pakistan using SEIR fractional model,</p>
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[26] Radha M, Balamuralitharan S. 2020 A study on COVID-19 transmission dynamics: stability
analysis of SEIR model with Hopf bifurcation for effect of time delay, Adv. in Diff. Equa. 523.
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    </sec>
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