论文标题

受控大流行的计划干预措施:COVID-19案件

Planning interventions in a controlled pandemic: the COVID-19 case

论文作者

Galante, Franco, Ravazzi, Chiara, Garetto, Michele, Leonardi, Emilio

论文摘要

对社会和经济活动以及疫苗接种的限制一直是包含199流行病的关键干预措施。我们的工作重点是更好地理解政策制定者在新大流行病造成的不确定性下可用的选择。更确切地说,我们专注于两种控制策略。第一个旨在控制新感染的速度,以防止医疗保健系统充血。后者直接控制住院和重症监护病房(ICU)职业。通过一阶分析,我们表明,一方面,由于触点追踪的困难和缺乏准确的信息,控制传输速率可能很困难,导致不稳定。另一方面,尽管住院和ICU易于进入,并且比新感染率较不吵,但在控制环中引入了延迟,这可能会危害系统的稳定性。我们的框架允许在以下情况下评估上述策略对以下情况的影响:

Restrictions on social and economic activities, as well as vaccinations, have been a key intervention in containing the COVID-19 epidemic. Our work focuses on better understanding the options available to policymakers under the conditions and uncertainties created by the onset of a new pandemic. More precisely, we focus on two control strategies. The first aims to control the rate of new infections to prevent congestion of the health care system. The latter directly controls hospitalizations and intensive care units (ICUs) occupation. By a first-order analysis, we show that, on the one hand, due to the difficulty in contact tracing and the lack of accurate information, controlling the transmission rate may be difficult, leading to instability. On the other hand, although hospitalizations and ICUs are easily accessible and less noisy than the rate of new infections, a delay is introduced in the control loop, which may endanger system stability. Our framework allows assessing the impact on economic and social costs of the above strategies in a scenario enriched by: i) population heterogeneity in terms of mortality rate and risk exposure, ii) closed-loop control of the epidemiological curve, and iii) progressive vaccination of individuals.

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