PLoS Computational Biology,
Год журнала:
2024,
Номер
20(10), С. e1012498 - e1012498
Опубликована: Окт. 7, 2024
Non-pharmaceutical
interventions
(NPIs)
are
effective
in
mitigating
infections
during
the
early
stages
of
an
infectious
disease
outbreak.
However,
these
measures
incur
significant
economic
and
livelihood
costs.
To
address
this,
we
developed
optimal
control
framework
aimed
at
identifying
strategies
that
minimize
such
costs
while
ensuring
full
a
cross-regional
outbreak
emerging
diseases.
Our
approach
uses
spatial
SEIR
model
with
for
epidemic
process,
incorporates
population
flow
gravity
dependent
on
gross
domestic
product
(GDP)
geographical
distance.
We
applied
this
to
identify
strategy
COVID-19
caused
by
Delta
variant
Xi’an
City,
Shaanxi,
China,
between
December
2021
January
2022.
The
was
parameterized
fitting
it
daily
case
data
from
each
district
City.
findings
indicate
increase
basic
reproduction
number,
latent
period
or
leads
prolonged
larger
final
size.
This
indicates
diseases
greater
transmissibility
more
challenging
costly
control,
so
is
important
governments
quickly
cases
implement
strategies.
Indeed,
identified
suggests
should
be
implemented
as
soon
they
deemed
necessary.
results
demonstrate
regimes
exhibit
spatial,
economic,
heterogeneity.
More
populated
economically
regions
require
robust
regular
surveillance
mechanism
ensure
timely
detection
imported
infections.
Regions
higher
GDP
tend
experience
larger-scale
epidemics
and,
consequently,
Notably,
our
proposed
significantly
reduced
compared
actual
expenditures
Nature Medicine,
Год журнала:
2021,
Номер
27(12), С. 2111 - 2119
Опубликована: Окт. 27, 2021
Among
tool
kits
to
combat
the
coronavirus
disease
2019
(COVID-19),
caused
by
severe
acute
respiratory
syndrome
2,
school
closures
are
one
of
most
frequent
non-pharmaceutical
interventions.
However,
bring
about
substantial
costs,
such
as
learning
loss.
To
date,
studies
have
not
reached
a
consensus
effectiveness
these
policies
at
mitigating
community
transmission,
partly
because
they
lack
rigorous
causal
inference.
Here
we
assess
effect
in
Japan
on
reducing
spread
COVID-19
spring
2020.
By
matching
each
municipality
with
open
schools
closed
that
is
similar
terms
potential
confounders,
can
estimate
how
many
cases
would
had
if
it
its
schools.
We
do
find
any
evidence
reduced
COVID-19.
Our
null
results
suggest
should
be
reexamined
given
negative
consequences
for
children
and
parents.
International Journal of Applied Earth Observation and Geoinformation,
Год журнала:
2021,
Номер
106, С. 102649 - 102649
Опубликована: Дек. 12, 2021
Governments
worldwide
have
rapidly
deployed
non-pharmaceutical
interventions
(NPIs)
to
mitigate
the
COVID-19
pandemic.
However,
effect
of
these
individual
NPI
measures
across
space
and
time
has
yet
be
sufficiently
assessed,
especially
with
increase
policy
fatigue
urge
for
relaxation
in
vaccination
era.
Using
decay
ratio
suppression
infections
multi-source
big
data,
we
investigated
changing
performance
different
NPIs
waves
from
global
regional
levels
(in
133
countries)
national
subnational
United
States
America
[USA])
scales
before
implementation
mass
vaccination.
The
synergistic
effectiveness
all
reducing
declined
along
waves,
95.4%
first
wave
56.0%
third
recently
at
level
similarly
83.3%
58.7%
USA
level,
while
it
had
fluctuating
on
scales.
Regardless
geographical
scale,
gathering
restrictions
facial
coverings
played
significant
roles
epidemic
mitigation
vaccine
rollout.
Our
findings
important
implications
continued
tailoring
strategies,
together
vaccination,
future
caused
by
new
variants,
other
emerging
respiratory
infectious
diseases.
Systems Research and Behavioral Science,
Год журнала:
2022,
Номер
40(1), С. 207 - 234
Опубликована: Авг. 19, 2022
This
study
systematically
reviews
applications
of
three
simulation
approaches,
that
is,
system
dynamics
model
(SDM),
agent-based
(ABM)
and
discrete
event
(DES),
their
hybrids
in
COVID-19
research
identifies
theoretical
application
innovations
public
health.
Among
the
372
eligible
papers,
72
focused
on
transmission
dynamics,
204
evaluated
both
pharmaceutical
non-pharmaceutical
interventions,
29
prediction
pandemic
67
investigated
impacts
COVID-19.
ABM
was
used
275
followed
by
54
SDM
32
DES
papers
11
hybrid
papers.
Evaluation
design
intervention
scenarios
are
most
widely
addressed
area
accounting
for
55%
four
main
categories,
COVID-19,
pandemic,
evaluation
societal
impact
assessment.
The
complexities
demand
models
can
simultaneously
capture
micro
macro
aspects
socio-economic
systems
involved.
JAMA Pediatrics,
Год журнала:
2022,
Номер
176(7), С. 679 - 679
Опубликована: Апрель 20, 2022
Importance
In
addition
to
illness,
the
COVID-19
pandemic
has
led
historic
educational
disruptions.
March
2021,
federal
government
allocated
$10
billion
for
testing
in
US
schools.
Objective
Costs
and
benefits
of
strategies
were
evaluated
context
full-time,
in-person
kindergarten
through
eighth
grade
(K-8)
education
at
different
community
incidence
levels.
Design,
Setting,
Participants
An
updated
version
a
previously
published
agent-based
network
model
was
used
simulate
transmission
elementary
middle
school
communities
United
States.
Assuming
dominance
delta
SARS-CoV-2
variant,
simulated
an
(638
students
grades
K-5,
60
staff)
(460
6-8,
51
staff).
Exposures
Multiple
faculty/staff,
including
expanded
diagnostic
(test
stay)
designed
avoid
symptom-based
isolation
contact
quarantine,
screening
(routinely
asymptomatic
individuals
identify
infections
contain
transmission),
surveillance
(testing
random
sample
undetected
trigger
additional
investigation
or
interventions).
Main
Outcomes
Measures
Projections
included
30-day
cumulative
infection,
proportion
cases
detected,
planned
unplanned
days
out
school,
cost
programs,
childcare
costs
associated
with
strategies.
For
policies,
per
infection
averted
staff
estimated,
surveillance,
probability
correctly
falsely
triggering
outbreak
response
estimated
attack
rates.
Results
Compared
quarantine
test-to-stay
policies
are
similar
model-projected
transmission,
mean
less
than
0.25
student
month
isolation.
Weekly
universal
is
approximately
50%
in-school
one-seventh
one-half
societal
hybrid
remote
schooling.
The
by
weekly
lowest
schools
vaccination,
fewer
other
mitigation
measures,
higher
levels
transmission.
settings
where
local
unknown
rapidly
changing,
may
detect
moderate
large
outbreaks
resources
compared
schoolwide
screening.
Conclusions
Relevance
this
modeling
study
population
primary
COVID-19,
and/or
tests
facilitated
consistent
attendance
low
risk
across
range
incidence.
Surveillance
useful
reduced-cost
option
detecting
identifying
environments
that
would
benefit
from
increased
mitigation.
Scientific Reports,
Год журнала:
2023,
Номер
13(1)
Опубликована: Апрель 4, 2023
Abstract
Social
mixing
patterns
are
key
determinants
of
infectious
disease
transmission.
Mathematical
models
parameterised
with
empirical
data
from
contact
pattern
surveys
have
played
an
important
role
in
understanding
epidemic
dynamics
and
informing
control
strategies,
including
for
SARS-CoV-2.
However,
there
is
a
paucity
on
social
many
settings.
We
conducted
community-based
survey
Cambodia
2012
to
characterise
generate
setting-specific
matrices
according
age
urban/rural
populations.
Data
were
collected
using
diary-based
approach
2016
participants,
selected
by
stratified
random
sampling.
Contact
highly
age-assortative,
clear
intergenerational
between
household
members.
Both
home
school
high-intensity
settings,
27.7%
contacts
occurring
at
non-household
differed
rural
urban
residents;
participants
tended
more
mixing,
higher
number
outside
home,
work
or
school.
Participants
had
low
spatial
mobility,
88%
within
1
km
the
participants’
homes.
These
broaden
evidence-base
middle-income
countries
Southeast
Asia,
highlight
within-country
heterogeneities
which
may
be
consider
when
modelling
pathogens
transmitted
via
close
contact.
Epidemics,
Год журнала:
2024,
Номер
47, С. 100759 - 100759
Опубликована: Март 2, 2024
Over
the
past
several
years,
emergence
of
novel
SARS-CoV-2
variants
has
led
to
multiple
waves
increased
COVID-19
incidence.
When
Omicron
variant
emerged,
there
was
considerable
concern
about
its
potential
impact
in
winter
2021-2022
due
fitness.
However,
also
uncertainty
regarding
likely
questions
relative
transmissibility,
severity,
and
degree
immune
escape.
We
sought
evaluate
ability
an
agent-based
model
forecast
incidence
context
this
emerging
pathogen
variant.
To
project
cases
deaths
Indiana,
we
calibrated
our
hospitalizations,
deaths,
test-positivity
rates
through
November
2021,
then
projected
April
2022
under
four
different
scenarios
that
covered
plausible
ranges
Omicron's
Our
initial
projections
from
December
2021
March
indicated
a
pessimistic
scenario
with
high
disease
peak
weekly
Indiana
would
be
larger
than
previous
2020.
retrospective
analyses
indicate
severity
closer
optimistic
scenario,
even
though
hospitalizations
reached
new
peak,
fewer
occurred
during
peak.
According
results,
rapid
spread
consistent
combination
higher
transmissibility
escape
earlier
variants.
updated
starting
January
accurately
predicted
mid-January
decline
rapidly
over
next
months.
The
performance
shows
following
variant,
models
can
help
quantify
range
outbreak
magnitudes
trajectories.
Agent-based
are
particularly
useful
these
because
they
efficiently
track
individual
vaccination
infection
histories
varying
degrees
cross-protection.
medRxiv (Cold Spring Harbor Laboratory),
Год журнала:
2021,
Номер
unknown
Опубликована: Апрель 6, 2021
Abstract
Governments
worldwide
have
rapidly
deployed
non-pharmaceutical
interventions
(NPIs)
to
mitigate
the
COVID-19
pandemic.
However,
effect
of
these
individual
NPI
measures
across
space
and
time
has
yet
be
sufficiently
assessed,
especially
with
increase
policy
fatigue
urge
for
relaxation
in
vaccination
era.
Using
decay
ratio
suppression
infections,
we
investigated
changing
performance
different
NPIs
waves
from
global
regional
levels
(in
133
countries)
national
subnational
United
States
America
[USA])
scales
before
implementation
mass
vaccination.
The
synergistic
effectiveness
all
reducing
infections
declined
along
waves,
95.4%
first
wave
56.0%
third
recently
at
level
similarly
83.3%
58.7%
USA
level,
while
it
had
fluctuating
on
scales.
Regardless
geographical
scale,
gathering
restrictions
facial
coverings
played
significant
roles
epidemic
mitigation
vaccine
rollout.
Our
findings
important
implications
continued
tailoring
strategies,
together
vaccination,
future
caused
by
new
variants,
other
emerging
respiratory
infectious
diseases.
The Lancet Regional Health - Americas,
Год журнала:
2021,
Номер
5, С. 100133 - 100133
Опубликована: Ноя. 25, 2021
We
examined
school
reopening
policies
amidst
ongoing
transmission
of
the
highly
transmissible
Delta
variant,
accounting
for
vaccination
among
individuals
≥12
years.
BMC Infectious Diseases,
Год журнала:
2022,
Номер
22(1)
Опубликована: Март 10, 2022
The
San
Francisco
Bay
Area
was
the
first
region
in
United
States
to
enact
school
closures
mitigate
SARS-CoV-2
transmission.
effects
of
on
contact
patterns
for
schoolchildren
and
their
household
members
remain
poorly
understood.We
conducted
serial
cross-sectional
surveys
(May
2020,
September
February
2021)
households
with
children
estimate
age-structured
daily
rates
adult
members.
We
examined
changes
over
course
COVID-19
pandemic,
including
after
vaccination
members,
compared
by
demographics
using
generalized
estimating
equations
clustered
household.We
captured
histories
1,967
behalf
2,674
children,
comprising
15,087
non-household
contacts
three
waves
data
collection.
Shortly
start
shelter-in-place
orders
May
were
higher
among
from
Hispanic
families
(1.52
more
per
child
day;
[95%
CI:
1.14-2.04]),
whose
parents
unable
work
home
(1.82;
[1.40-2.40]),
income
<
$150,000
(1.75;
[1.33-2.33]),
adjusting
other
demographic
characteristics
clustering.
Between
August
increased
145%
(ages
5-12)
172%
13-17),
despite
few
returning
in-person
instruction.
Non-household
higher-by
1.75
[1.28-2.40]
1.42
[0.89-2.24]
day
5-12
13-17
age
groups,
respectively,
where
at
least
one
vaccinated
against
COVID-19,
children's
unvaccinated
households.Child
rebounded
schools
remaining
closed,
as
obtained
childcare,
engaged
non-school
settings,
family
vaccinated.
waning
reductions
observed
during
a
prolonged
closure
suggests
strategy
may
be
ineffective
long-term
transmission
mitigation.
Reductions
age-assortative
not
apparent
amongst
lower
or
adults
could
home.
Heterogeneous
raise
concerning
racial,
ethnic
income-based
inequities
associated
mitigation
strategy.