The coronavirus disease 2019 (COVID-19) has resulted in an ongoing pandemic worldwide. Countries have adopted non-pharmaceutical interventions (NPI) to slow down the spread. This study proposes an agent-based model that simulates the spread of COVID-19 among the inhabitants of a city. The agent-based model can be accommodated for any location by integrating parameters specific to the city. The simulation gives the number of total COVID-19 cases. Considering each person as an agent susceptible to COVID-19, the model causes infected individuals to transmit the disease via various actions performed every hour. The model is validated by comparing the simulation to the real data of Ford County, KS, USA. Different interventions, including contact tracing, are applied on a scaled-down version of New York City, USA, and the parameters that lead to a controlled epidemic are determined. Our experiments suggest that contact tracing via smartphones with more than 60% of the population owning a smartphone combined with city-wide lockdown results in the effective reproduction number ( R t ) to fall below 1 within 3 weeks of intervention. For 75% or more smartphone users, new infections are eliminated, and the spread is contained within 3 months of intervention. Contact tracing accompanied with early lockdown can suppress the epidemic growth of COVID-19 completely with sufficient smartphone owners. In places where it is difficult to ensure a high percentage of smartphone ownership, tracing only emergency service providers during a lockdown can go a long way to contain the spread. Supplementary Information The online version contains supplementary material available at (10.1007/s12559-020-09801-w)

The Coronavirus disease 2019 (COVID-19) has resulted in an ongoing pandemic worldwide. Countries have adopted Non-pharmaceutical Interventions (NPI) to slow down the spread. This study proposes an Agent Based Model that simulates the spread of COVID-19 among the inhabitants of a city. The Agent Based Model can be accommodated for any location by integrating parameters specific to the city. The simulation gives the number of daily confirmed cases. Considering each person as an agent susceptible to COVID-19, the model causes infected individuals to transmit the disease via various actions performed every hour. The model is validated by comparing the simulation to the real data of Ford county, Kansas, USA. Different interventions including contact tracing are applied on a scaled down version of New York city, USA and the parameters that lead to a controlled epidemic are determined. Our experiments suggest that contact tracing via smartphones with more than 60% of the population owning a smartphone combined with a city-wide lock-down results in the effective reproduction number (Rt) to fall below 1 within three weeks of intervention. In the case of 75% or more smartphone users, new infections are eliminated and the spread is contained within three months of intervention. Contact tracing accompanied with early lock-down can suppress the epidemic growth of COVID-19 completely with sufficient smartphone owners. In places where it is difficult to ensure a high percentage of smartphone ownership, tracing only emergency service providers during a lock-down can go a long way to contain the spread. No particular funding was available for this project.

Background: The COVID-19 pandemic, that has resulted in millions of deaths and hundreds of millions of cases worldwide, continues to affect the lives, health and economy of various countries including Bangladesh. Despite the high proportion of asymptomatic cases and relatively low mortality, the virus's spread had been a significant public health problem for densely populated Bangladesh. With the healthcare system at stress, understanding the disease dynamics in the unique Bangladesh context became essential to guide policy decisions. Methods: With a goal to capture the COVID-19 disease dynamics, we developed two stochastic Agent-Based Models (ABMs) considering the key characteristics of COVID-19 in Bangladesh, which vastly differ from the developed countries. We have implemented our ABMs extending the popular (but often inadequate) SIR model, where the infected population is sub-divided into Asymptomatic, Mild Symptomatic and Severe Symptomatic populations. One crucial issue in Bangladesh is the lack of enough COVID-19 tests as well as unwillingness of people to do the tests resulting in much less number of official positive cases than the actual reality. Although not directly relevant to the epidemiological process, our model attempts to capture this crucial aspect while calibrating against official daily test-positive cases. Our first model, ABM-BD, divides the population into age-groups that interact among themselves based on an aggregated Contact Matrix. Thus ABM-BD considers aggregate agents and avoids direct agent level interactions as the number of agents are prohibitively large in our context. We also implement a scaled down model, ABM-SD, that is capable of simulating agent level interactions. Results: ABM-BD was quite well-calibrated for Dhaka: the Mean Absolute Percentage Error (MAPE) between official and forecasted cases was 1.845 approximately during the period between April 4, 2020 and March 31, 2021. After an initial model validation, we conducted a number of experiments - including retrospective scenario analysis, and hypothetical future scenario analysis. For example, ABM-BD has demonstrated the trade off between a strict lockdown with low infections and a relaxed lockdown with reduced burden on the economy. Leveraging the true agent level interaction capability of ABD-SD, we have also successfully analyzed the relative severity of different strains thereby (confidently) capturing the effect of different virus mutations. Conclusions: Our models have adequately captured the COVID-19 disease transmission dynamics in Bangladesh. This is a useful tool to forecast the impact of interventions to assist policymakers in planning appropriate COVID response. Our models will be particularly useful in a resource constrained setting in countries like Bangladesh where the population size is huge.

Lung cancer is a leading cause of death in most countries of the world. Since prompt diagnosis of tumors can allow oncologists to discern their nature, type and the mode of treatment, tumor detection and segmentation from CT Scan images is a crucial field of study worldwide. This paper approaches lung tumor segmentation by applying two-dimensional discrete wavelet transform (DWT) on the LOTUS dataset for more meticulous texture analysis whilst integrating information from neighboring CT slices before feeding them to a Deeply Supervised MultiResUNet model. Variations in learning rates, decay and optimization algorithms while training the network have led to different dice co-efficients, the detailed statistics of which have been included in this paper. We also discuss the challenges in this dataset and how we opted to overcome them. In essence, this study aims to maximize the success rate of predicting tumor regions from two-dimensional CT Scan slices by experimenting with a number of adequate networks, resulting in a dice co-efficient of 0.8472.