Conditions for a Second Wave of COVID-19 Due to Interactions Between Disease Dynamics and Social Processes

In May 2020, many jurisdictions around the world began lifting physical distancing restrictions against the spread of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). This gave rise to concerns about a possible second wave of coronavirus disease 2019 (COVID-19). These restrictions were...

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Main Authors: Sansao A. Pedro, Frank T. Ndjomatchoua, Peter Jentsch, Jean M. Tchuenche, Madhur Anand, Chris T. Bauch
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-10-01
Series:Frontiers in Physics
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fphy.2020.574514/full
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author Sansao A. Pedro
Frank T. Ndjomatchoua
Peter Jentsch
Peter Jentsch
Jean M. Tchuenche
Madhur Anand
Chris T. Bauch
author_facet Sansao A. Pedro
Frank T. Ndjomatchoua
Peter Jentsch
Peter Jentsch
Jean M. Tchuenche
Madhur Anand
Chris T. Bauch
author_sort Sansao A. Pedro
collection DOAJ
description In May 2020, many jurisdictions around the world began lifting physical distancing restrictions against the spread of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). This gave rise to concerns about a possible second wave of coronavirus disease 2019 (COVID-19). These restrictions were imposed in response to the presence of COVID-19 in populations, usually with the broad support of affected populations. However, the lifting of restrictions is also a population response to the accumulating socio-economic impacts of restrictions, and lifting of restrictions is expected to increase the number of COVID-19 cases, in turn. This suggests that the COVID-19 pandemic exemplifies a coupled behavior-disease system where disease dynamics and social dynamics are locked in a mutual feedback loop. Here we develop a minimal mathematical model of the interaction between social support for school and workplace closure and the transmission dynamics of SARS-CoV-2. We find that a second wave of COVID-19 occurs across a broad range of plausible model input parameters governing epidemiological and social conditions, on account of instabilities generated by behavior-disease interactions. The second wave tends to have a higher peak than the first wave when the efficacy of restrictions is greater than 40% and when the basic reproduction number R0 is less than 2.4. Surprisingly, we also found that a lower R0 value makes a second wave more likely, on account of behavioral feedback (although a lower R0 does not necessarily cause more infections, in total). We conclude that second waves of COVID-19 can be interpreted as the outcome of non-linear interactions between disease dynamics and social behavior. We also suggest that further development of mathematical models exploring behavior-disease interactions could help us better understand how social and epidemiological conditions together determine how pandemics unfold.
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spelling doaj.art-f57e15a68e7b4fe5b0ce5bf1b217f8fb2022-12-21T23:09:00ZengFrontiers Media S.A.Frontiers in Physics2296-424X2020-10-01810.3389/fphy.2020.574514574514Conditions for a Second Wave of COVID-19 Due to Interactions Between Disease Dynamics and Social ProcessesSansao A. Pedro0Frank T. Ndjomatchoua1Peter Jentsch2Peter Jentsch3Jean M. Tchuenche4Madhur Anand5Chris T. Bauch6Departamento de Matemática e Informática, Universidade Eduardo Mondlane, Maputo, MozambiqueSustainable Impact Platform, Geospatial Science and Modelling Cluster, International Rice Research Institute, Metro Manila, PhilippinesSchool of Environmental Sciences, University of Guelph, Guelph, ON, CanadaDepartment of Applied Mathematics, University of Waterloo, Waterloo, ON, CanadaAvenir Health, Glastonbury, CT, United StatesSchool of Environmental Sciences, University of Guelph, Guelph, ON, CanadaDepartment of Applied Mathematics, University of Waterloo, Waterloo, ON, CanadaIn May 2020, many jurisdictions around the world began lifting physical distancing restrictions against the spread of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). This gave rise to concerns about a possible second wave of coronavirus disease 2019 (COVID-19). These restrictions were imposed in response to the presence of COVID-19 in populations, usually with the broad support of affected populations. However, the lifting of restrictions is also a population response to the accumulating socio-economic impacts of restrictions, and lifting of restrictions is expected to increase the number of COVID-19 cases, in turn. This suggests that the COVID-19 pandemic exemplifies a coupled behavior-disease system where disease dynamics and social dynamics are locked in a mutual feedback loop. Here we develop a minimal mathematical model of the interaction between social support for school and workplace closure and the transmission dynamics of SARS-CoV-2. We find that a second wave of COVID-19 occurs across a broad range of plausible model input parameters governing epidemiological and social conditions, on account of instabilities generated by behavior-disease interactions. The second wave tends to have a higher peak than the first wave when the efficacy of restrictions is greater than 40% and when the basic reproduction number R0 is less than 2.4. Surprisingly, we also found that a lower R0 value makes a second wave more likely, on account of behavioral feedback (although a lower R0 does not necessarily cause more infections, in total). We conclude that second waves of COVID-19 can be interpreted as the outcome of non-linear interactions between disease dynamics and social behavior. We also suggest that further development of mathematical models exploring behavior-disease interactions could help us better understand how social and epidemiological conditions together determine how pandemics unfold.https://www.frontiersin.org/article/10.3389/fphy.2020.574514/fullCOVID-19epidemic modelbehavioral fatiguecoupled behavior-disease systemSARS-CoV-2evolutionary game theory
spellingShingle Sansao A. Pedro
Frank T. Ndjomatchoua
Peter Jentsch
Peter Jentsch
Jean M. Tchuenche
Madhur Anand
Chris T. Bauch
Conditions for a Second Wave of COVID-19 Due to Interactions Between Disease Dynamics and Social Processes
Frontiers in Physics
COVID-19
epidemic model
behavioral fatigue
coupled behavior-disease system
SARS-CoV-2
evolutionary game theory
title Conditions for a Second Wave of COVID-19 Due to Interactions Between Disease Dynamics and Social Processes
title_full Conditions for a Second Wave of COVID-19 Due to Interactions Between Disease Dynamics and Social Processes
title_fullStr Conditions for a Second Wave of COVID-19 Due to Interactions Between Disease Dynamics and Social Processes
title_full_unstemmed Conditions for a Second Wave of COVID-19 Due to Interactions Between Disease Dynamics and Social Processes
title_short Conditions for a Second Wave of COVID-19 Due to Interactions Between Disease Dynamics and Social Processes
title_sort conditions for a second wave of covid 19 due to interactions between disease dynamics and social processes
topic COVID-19
epidemic model
behavioral fatigue
coupled behavior-disease system
SARS-CoV-2
evolutionary game theory
url https://www.frontiersin.org/article/10.3389/fphy.2020.574514/full
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