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疫情扩张的转折点和终点无法精确预测。

The turning point and end of an expanding epidemic cannot be precisely forecast.

机构信息

Grupo Interdisciplinar de Sistemas Complejos, 28911 Madrid, Spain.

Instituto de Investigación Tecnológica, Universidad Pontificia Comillas, 28015 Madrid, Spain.

出版信息

Proc Natl Acad Sci U S A. 2020 Oct 20;117(42):26190-26196. doi: 10.1073/pnas.2007868117. Epub 2020 Oct 1.

DOI:10.1073/pnas.2007868117
PMID:33004629
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7585017/
Abstract

Epidemic spread is characterized by exponentially growing dynamics, which are intrinsically unpredictable. The time at which the growth in the number of infected individuals halts and starts decreasing cannot be calculated with certainty before the turning point is actually attained; neither can the end of the epidemic after the turning point. A susceptible-infected-removed (SIR) model with confinement (SCIR) illustrates how lockdown measures inhibit infection spread only above a threshold that we calculate. The existence of that threshold has major effects in predictability: A Bayesian fit to the COVID-19 pandemic in Spain shows that a slowdown in the number of newly infected individuals during the expansion phase allows one to infer neither the precise position of the maximum nor whether the measures taken will bring the propagation to the inhibition regime. There is a short horizon for reliable prediction, followed by a dispersion of the possible trajectories that grows extremely fast. The impossibility to predict in the midterm is not due to wrong or incomplete data, since it persists in error-free, synthetically produced datasets and does not necessarily improve by using larger datasets. Our study warns against precise forecasts of the evolution of epidemics based on mean-field, effective, or phenomenological models and supports that only probabilities of different outcomes can be confidently given.

摘要

疫情传播的特点是呈指数级增长,这本质上是不可预测的。在转折点实际出现之前,无法确定感染人数增长何时停止并开始减少;也无法确定转折点后的疫情何时结束。带有禁闭措施的易感-感染-移除(SIR)模型(SCIR)说明了封锁措施如何仅在我们计算的阈值之上抑制感染传播。该阈值的存在对可预测性有重大影响:对西班牙 COVID-19 大流行的贝叶斯拟合表明,在扩张阶段新感染人数的减缓既不能推断出最大值的确切位置,也不能推断出所采取的措施是否会将传播带入抑制状态。可靠预测的时间窗口很短,随后可能的轨迹会迅速扩散。中期无法预测并不是因为数据错误或不完整,因为它在无错误、合成生成的数据集以及通过使用更大的数据集并不一定会得到改善的情况下仍然存在。我们的研究警告不要基于平均场、有效或现象学模型对流行病的演变进行精确预测,并支持只能给出不同结果的概率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/11c0/7585017/71cac2bc6984/pnas.2007868117fig04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/11c0/7585017/9dd52f719b1c/pnas.2007868117fig01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/11c0/7585017/7a95e46fa6a8/pnas.2007868117fig02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/11c0/7585017/d6d71cb0162c/pnas.2007868117fig03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/11c0/7585017/71cac2bc6984/pnas.2007868117fig04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/11c0/7585017/9dd52f719b1c/pnas.2007868117fig01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/11c0/7585017/7a95e46fa6a8/pnas.2007868117fig02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/11c0/7585017/d6d71cb0162c/pnas.2007868117fig03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/11c0/7585017/71cac2bc6984/pnas.2007868117fig04.jpg

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