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Gaetano Perone

Publications and source records attributed to Gaetano Perone.

4 recordsLinked to original sources

Comparison of ARIMA, ETS, NNAR and hybrid models to forecast the second wave of COVID-19 hospitalizations in Italy

Coronavirus disease (COVID-19) is a severe ongoing novel pandemic that has emerged in Wuhan, China, in December 2019. As of October 13, the outbreak has spread rapidly across the world, affecting over 38 million people, and causing over 1 million deaths. In this article, I analysed several time series forecasting methods to predict the spread of COVID-19 second wave in Italy, over the period after October 13, 2020. I used an autoregressive model (ARIMA), an exponential smoothing state space model (ETS), a neural network autoregression model (NNAR), and the following hybrid combinations of them: ARIMA-ETS, ARIMA-NNAR, ETS-NNAR, and ARIMA-ETS-NNAR. About the data, I forecasted the number of patients hospitalized with mild symptoms, and in intensive care units (ICU). The data refer to the period February 21, 2020-October 13, 2020 and are extracted from the website of the Italian Ministry of Health (www.salute.gov.it). The results show that i) the hybrid models, except for ARIMA-ETS, are better at capturing the linear and non-linear epidemic patterns, by outperforming the respective single models; and ii) the number of COVID-19-related hospitalized with mild symptoms and in ICU will rapidly increase in the next weeks, by reaching the peak in about 50-60 days, i.e. in mid-December 2020, at least. To tackle the upcoming COVID-19 second wave, on one hand, it is necessary to hire healthcare workers and implement sufficient hospital facilities, protective equipment, and ordinary and intensive care beds; and on the other hand, it may be useful to enhance social distancing by improving public transport and adopting the double-shifts schooling system, for example.

stat.AP

The determinants of COVID-19 case fatality rate (CFR) in the Italian regions and provinces: an analysis of environmental, demographic, and healthcare factors

The Italian government has been one of the most responsive to COVID-19 emergency, through the adoption of quick and increasingly stringent measures to contain the outbreak. Despite this, Italy has suffered a huge human and social cost, especially in Lombardy. The aim of this paper is dual: i) first, to investigate the reasons of the case fatality rate (CFR) differences across Italian 20 regions and 107 provinces, using a multivariate OLS regression approach; and ii) second, to build a taxonomy of provinces with similar mortality risk of COVID-19, by using the Ward hierarchical agglomerative clustering method. I considered health system metrics, environmental pollution, climatic conditions, demographic variables, and three ad hoc indexes that represent the health system saturation. The results showed that overall health care efficiency, physician density, and average temperature helped to reduce the CFR. By the contrary, population aged 70 and above, car and firm density, level of air pollutants (NO2, O3, PM10, and PM2.5), relative average humidity, COVID-19 prevalence, and all three indexes of health system saturation were positively associated with the CFR. Population density, social vertical integration, and altitude were not statistically significant. In particular, the risk of dying increases with age, as 90 years old and above had a three-fold greater risk than the 80 to 89 years old and four-fold greater risk than 70 to 79 years old. Moreover, the cluster analysis showed that the highest mortality risk was concentrated in the north of the country, while the lowest risk was associated with southern provinces. Finally, since prevalence and health system saturation indexes played the most important role in explaining the CFR variability, a significant part of the latter may have been caused by the massive stress of the Italian health system.

physics.soc-ph

ARIMA forecasting of COVID-19 incidence in Italy, Russia, and the USA

The novel Coronavirus disease (COVID-19) is a severe respiratory infection that officially occurred in Wuhan, China, in December 2019. In late February, the disease began to spread quickly across the world, causing serious health, social, and economic emergencies. This paper aims to forecast the short to medium-term incidence of COVID-19 epidemic through the medium of an autoregressive integrated moving average (ARIMA) model, applied to Italy, Russia, and the USA The analysis is carried out on the number of new daily confirmed COVID-19 cases, collected by Worldometer website. The best ARIMA models are Italy (4,2,4), Russia (1,2,1), and the USA (6,2,3). The results show that: i) ARIMA models are reliable enough when new daily cases begin to stabilize; ii) Italy, the USA, and Russia reached the peak of COVID-19 infections in mid-April, mid-May, and late May, respectively; and iii) Russia and the USA will require much more time than Italy to drop COVID-19 cases near zero. This may suggest the importance of the application of quick and effective lockdown measures, which have been relatively stricter in Italy. Therefore, even if the results should be interpreted with caution, ARIMA models seem to be a good tool that can help the health authorities to monitor the diffusion of the outbreak.

stat.AP

An ARIMA model to forecast the spread and the final size of COVID-2019 epidemic in Italy

Coronavirus disease (COVID-2019) is a severe ongoing novel pandemic that is spreading quickly across the world. Italy, that is widely considered one of the main epicenters of the pandemic, has registered the highest COVID-2019 death rates and death toll in the world, to the present day. In this article I estimate an autoregressive integrated moving average (ARIMA) model to forecast the epidemic trend over the period after April 4, 2020, by using the Italian epidemiological data at national and regional level. The data refer to the number of daily confirmed cases officially registered by the Italian Ministry of Health (www.salute.gov.it) for the period February 20 to April 4, 2020. The main advantage of this model is that it is easy to manage and fit. Moreover, it may give a first understanding of the basic trends, by suggesting the hypothetic epidemic's inflection point and final size.

stat.AP