Open Access ISSN: 2155-6180
Journal of
Biometrics & Biostatistics
Research Article
Volume 12:1, 2021
Bayesian Sir Modeling in the Case of Undocumented
Infectious Individuals of COVID 19
Abstract
Covid 19 that began in the end 0f 2019 has spread rapidly across continents in a short of time. This event makes most countries do not report and record the disease
properly. There is considerable number of undocumented infectious individuals that should be considered when we want to estimate the Susceptible, Infectious, and
Removal (SIR) parameters and to predict the future cases. The covid 19 data obtained from City of Surabaya were analyzed using Bayesian SIR modeling by BaySIR
package in RStudio. The estimated and predicted medians of SIR compartment tend to decrease over time. The estimated and predicted medians of effective reproduction
number tend to decrease over time. The results depend on the assumptions of SIR model to use such as the dynamic of covid 19, local government policies, and individual
behavior in the community.
Keywords: Covid 19 Undocumented individuals • Bay SIR • Infectious Disease
Kuntoro Kuntoro*
Department of Biostatistics and Population Study, Airlangga University School of Public Health, Indonesia
*Address for Correspondence: Kuntoro Kuntoro, Department of Biostatistics
and Population Study, Airlangga University School of Public Health, Indonesia, Tel:
62318700289; E-mail: kuntoro@fkm.unair.ac.id
Copyright: © 2021 Kuntoro K. 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.
Received 16 September 2020; Accepted 29 January 2021; Published 05 February
2021
Introduction
Covid 19 is an infectious disease phenomenon in the 21th century. It began in the
end of 2019 in Wuhan province, China [1]. It has spread out across continents
in a short of time. It affects individuals in the developing countries as well as the
developed countries. It shakes socio-economic-political-psychological order in
most countries. The occurrence of covid 19 that is so fast makes most countries
lack of medical infrastructures in the hospitals as well as health infrastructures
in the public health facilities. Lack of ventilators in the hospitals enhances death
among severe cases. Lack of public health personnel who promote better
health behaviors and perform mass screening in the community enhances
asymptomatic cases. These cases make high undocumented cases. They are
not reported officially so that they cannot be controlled properly.
Over years epidemiological experts implement Susceptible, Infectious, and
Recovery (SIR) Compartment Model in understanding the dynamics of
infectious diseases. Yang et al. [2] used SIR model as basis for estimating
effective reproduction number of pandemic for pandemic influenza H1N1.
This model is categorized as deterministic model in closed epidemic. It holds
assumption of closed population in which there is no emigration as well as
immigration, birth and death do not change [3]. In fact, the development of
infectious diseases is dynamic and changes across time [4]. Change of health
behaviors of individuals in the community as well as change of health policies
affects the course of infectious diseases. Hence, deterministic model of SIR
cannot accommodate these conditions. Besides an infectious disease is a
random process, it needs probabilistic model to understand its progression.
Theoretical Frame-Work
Classical SIR Model
Kermack and MacKendrik [5] began their works concerning the difficulty of
finding a causal factor that accounted for epidemic of a disease in the population.
When an infected individual was introduced into a population, more or less
susceptible to the disease in question. Disease spreading occurred when an
infectious individual contacted unaffected one. Finally, an infected individual
was removed from the number of infected individuals by recovery or by death.
These stories inspired them to develop concepts of Susceptible, Infectious, and
Removal compartments as part of SIR model.
According to Zhou and Ji [4]; Bjørnstad et al. [3], a population is divided into
three compartments based on SIR model. First of all, susceptible individuals(S)
are those who do not have the disease but they may be infected. Second,
infectious individuals (I) are those who have the disease and they may infect
the susceptible individuals. Third, recovered/removed individuals are those
who had the disease, however, they are removed from the possibility of being
reinfected or spreading the disease. They are removed due to several reasons
such as recovery with immunity against reinfection, quarantine and isolation
from the rest of the population, and death. Moreover, the SIR model can be
expressed as differential system equations as follows.
⁄ = −⁄
⁄ = ⁄
−
(1)
⁄ =
Transmission rate of the disease is denoted by β, while removal rate is denoted
by α. When an infectious individual is doing effective contact with individuals
per unit time, then I infectious individuals result to a rate of new infections
(βS=N) · I . This is the explanation of the first part of equation (1). Moreover,
the infectious individuals leave the infectious compartment at a rate of αI.
This is the explanation of the third part of equation (1). Hence, the explanation
of second part of equation follows immediately the explanations of first and
second parts.
According to Zhou and Ji [4], to make easy to compute S,I, and Rina given time
t, we use a discrete-time approximation of equation (1) as follows.
=
−1
−
−1
−1
⁄
= (1 − )
−1
+
−1
−1
⁄ (2)
=
−1
+
−1
Stochastic sir model
When the spreading of a disease is not deterministic, then Classical SIR Model
is not recommended. The spreading of a disease is a random process. Disease
transmission among individuals is more random than deterministic, it is called