The impact of disease control measures on the spread of COVID-19 in the province of Sindh, Pakistan

Bilal Ahmed Usmani*, Mustafain Ali Khan, Muhammad Abul Hasan, Amna Rehana Siddiqui, Sameen Siddiqi, Aaron G Lim, Saad Ahmed Qazi

*Corresponding author for this work

Research output: Contribution to journalArticle (Academic Journal)peer-review

1 Citation (Scopus)
42 Downloads (Pure)

Abstract

The province of Sindh reported the first COVID-19 case in Pakistan on 26th February 2020. The Government of Sindh has employed numerous control measures to limit its spread. However, for low-and middle-income countries such as Pakistan, the management protocols for controlling a pandemic are not always as definitive as they would be in other developed nations. Given the dire socio-economic conditions of Sindh, continuation of province wise lockdowns may inadvertently cause a potential economic breakdown. By using a data
driven SEIR modelling framework, this paper describes the evolution of the epidemic projections because of government control measures. The data from reported COVID-19 prevalence and google mobility is used to parameterize the model at different time points. These time points correspond to the government’s call for advice on the prerequisite actions required to curtail the spread of COVID-19 in Sindh. Our model predicted the epidemic peak
to occur by 18th June 2020 with approximately 3500 reported cases at that peak, this projection correlated with the actual recorded peak during the first wave of the disease in Sindh. The impact of the governmental control actions and religious ceremonies on the epidemic profile during this first wave of COVID-19 are clearly reflected in the model outcomes through variations in the epidemic peaks. We also report these variations by displaying the trajectory of the epidemics had the control measures been guided differently; the epidemic
peak may have occurred as early as the end of May 2020 with approximately 5000 reported cases per day had there been no control measures and as late as August 2020 with only around 2000 cases at the peak had the lockdown continued, nearly flattening the epidemic curve.
Original languageEnglish
Article numbere0260129
Pages (from-to)1-13
Number of pages13
JournalPLoS ONE
Volume16
Issue number11
Early online date18 Nov 2021
DOIs
Publication statusPublished - Nov 2021

Bibliographical note

Publisher Copyright:
© 2021 Usmani et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Keywords

  • COVID-19 modeling
  • government control measures
  • impact
  • data-driven models
  • SEIR
  • data simulation
  • data fitting
  • basic reproductive number.

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