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通过SIR-D模型对早期疫情的封锁和重新开放政策进行优化设计。

Optimal design of lock-down and reopening policies for early-stage epidemics through SIR-D models.

作者信息

Borri Alessandro, Palumbo Pasquale, Papa Federico, Possieri Corrado

机构信息

Istituto di Analisi dei Sistemi ed Informatica "A. Ruberti", Consiglio Nazionale delle Ricerche (IASI-CNR), 00185 Roma, Italy.

Department of Biotechnologies and Biosciences, University of Milano-Bicocca, 20126 Milan, Italy.

出版信息

Annu Rev Control. 2021;51:511-524. doi: 10.1016/j.arcontrol.2020.12.002. Epub 2020 Dec 23.

Abstract

The diffusion of COVID-19 represents a real threat for the health and economic system of a country. Therefore the governments have to adopt fast containment measures in order to stop its spread and to prevent the related devastating consequences. In this paper, a technique is proposed to optimally design the lock-down and reopening policies so as to minimize an aggregate cost function accounting for the number of individuals that decease due to the spread of COVID-19. A constraint on the maximal number of concomitant infected patients is also taken into account in order to prevent the collapse of the health system. The optimal procedure is built on the basis of a simple SIR model that describes the outbreak of a generic disease, without attempting to accurately reproduce all the COVID-19 epidemic features. This modeling choice is motivated by the fact that the containing measurements are actuated during the very first period of the outbreak, when the characteristics of the new emergent disease are not known but timely containment actions are required. In fact, as a consequence of dealing with poor preliminary data, the simplest modeling choice is able to reduce unidentifiability problems. Further, the relative simplicity of this model allows to compute explicitly its solutions and to derive closed-form expressions for the maximum number of infected and for the steady-state value of deceased individuals. These expressions can be then used to design static optimization problems so to determine the (open-loop) optimal lock-down and reopening policies for early-stage epidemics accounting for both the health and economic costs.

摘要

新冠病毒的传播对一个国家的健康和经济体系构成了切实威胁。因此,政府必须采取迅速的防控措施,以阻止其传播并防止相关的毁灭性后果。本文提出了一种技术,用于优化设计封锁和重新开放政策,以最小化一个综合成本函数,该函数考虑了因新冠病毒传播而死亡的人数。还考虑了对同时感染患者最大数量的限制,以防止医疗系统崩溃。最优程序基于一个简单的SIR模型构建,该模型描述了一种普通疾病的爆发,并未试图准确再现新冠病毒的所有流行特征。这种建模选择的动机是,防控措施是在疫情爆发的最初阶段实施的,此时新出现疾病的特征尚不清楚,但需要及时采取防控行动。事实上,由于处理的初步数据有限,最简单的建模选择能够减少不可识别性问题。此外,该模型相对简单,能够明确计算其解,并推导出感染人数最大值和死亡个体稳态值的闭式表达式。这些表达式随后可用于设计静态优化问题,从而确定考虑健康和经济成本的早期疫情(开环)最优封锁和重新开放政策。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb75/7758039/44f323a644a1/gr12_lrg.jpg

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