Previously submitted to: JMIR Public Health and Surveillance (no longer under consideration since Nov 26, 2020)
Date Submitted: Jul 8, 2020
Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.
Forecast of COVID-19 Trend Following Countrywide Movement Control Order in Malaysia: SEIR Model Approach
ABSTRACT
Background:
On March 18, 2020, the Malaysian government implemented Movement Control Order (MCO) to limit the contact rates among the population and infected individuals.
Objective:
The objective of this study was to forecast the trend of the COVID-19 epidemic in Malaysia in terms of its magnitude and duration.
Methods:
Data for this analysis was obtained from publicly available databases, from March 17 until March 27, 2020. By applying the Susceptible, Exposed, Infectious and Removed (SEIR) mathematical model and several predetermined assumptions, two analyses were carried out: without and with MCO implementation.
Results:
Without MCO, it is forecasted that it would take 18 days to reach the peak of infection incidence. The incidence rate would plateau at day 80 and end by day 94, with 43% of the exposed population infected. With the implementation of the MCO, it is forecasted that new cases of infection would peak at day 25, plateau at day 90 and end by day 100. At its peak, the infection could affect up to about 40% of the exposed population.
Conclusions:
It is forecasted that the COVID-19 epidemic in Malaysia will subside soon after the mid-year of 2020. Although the implementation of MCO can flatten the epidemiological curve, it also prolongs the duration of the epidemic. The MCO can result in several unfavorable consequences in economic and psychosocial aspects. A future work of an exit plan for the MCO should also be devised and implemented gradually. The exit plan raises several timely issues of re-infection resurgence after MCO are lifted.
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