Modeling the Impact of Social Behavior, Under-Reporting, and Resources on Tuberculosis During COVID-19

SaritaBugalia

The University of Arizona

"Modeling the Impact of Social Behavior, Under-Reporting, and Resources on Tuberculosis During COVID-19"

Despite being curable and preventable, tuberculosis (TB) still causes the highest mortality rates in the human population. However, the number of TB cases significantly reduced globally in 2020, according to the Global Tuberculosis Report by the World Health Organization, coinciding with the COVID-19 pandemic. These reductions in TB cases are likely due to a complex interplay between disruptions in TB health services and the case counts resulting from COVID-19. We developed a compartmental model for the co-infection of tuberculosis and COVID-19 in the human population to assess the impact of medical resources, mobility, under-reporting, and the social behavior (follow social distancing and face mask) of infected individuals with either disease. We computed the basic reproduction numbers for TB alone, COVID-19 alone, and the co-infection scenario. Additionally, key parameters and basic reproduction numbers were estimated by utilizing case studies from low-income, middle-income, and high-income countries in a multi-patch scenario. Our results indicate that increased social behavior among infected individuals significantly reduces the number of co-infected individuals. The impact of mobility was assessed using a two-patch model with emigration and immigration rates. It shows that the mobility of unreported infectious individuals significantly increases both active cases of TB and COVID-19. This study provides significant recommendations for medical providers and public health officials regarding TB elimination in high-income countries and TB reduction in lower-income countries with a high disease burden. The findings are also relevant for studying TB in the context of future pandemic scenarios.
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