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运用工程安全原则进行大流行风险管理。

Pandemic risk management using engineering safety principles.

作者信息

Alauddin Md, Khan Faisal, Imtiaz Syed, Ahmed Salim, Amyotte Paul

机构信息

Centre for Risk, Integrity, and Safety Engineering (C-RISE), Faculty of Engineering and Applied Science, Memorial University of Newfoundland, St. John's, NL, Canada.

出版信息

Process Saf Environ Prot. 2021 Jun;150:416-432. doi: 10.1016/j.psep.2021.04.014. Epub 2021 Apr 15.

Abstract

The containment of infectious diseases is challenging due to complex transmutation in the biological system, intricate global interactions, intense mobility, and multiple transmission modes. An emergent disease has the potential to turn into a pandemic impacting millions of people with loss of life, mental health, and severe economic impairment. Multifarious approaches to risk management have been explored for combating an epidemic spread. This work presents the implementation of engineering safety principles to pandemic risk management. We have assessed the pandemic risk using Paté-Cornell's six levels of uncertainty. The susceptible, exposed, infected, quarantined, recovered, deceased (SEIQRD), an advanced mechanistic model, along with the Monte Carlo simulation, has been used to estimate the fatality risk. The risk minimization strategies have been categorized into hierarchical safety measures. We have developed an event tree model of pandemic risk management for distinct risk-reducing strategies realized due to natural evolution, government interventions, societal responses, and individual practices. The roles of distinct interventions have also been investigated for an infected individual's survivability with the existing healthcare facilities. We have studied the Corona Virus Disease of 2019 (COVID-19) for pandemic risk management using the proposed framework. The results highlight effectiveness of the proposed strategies in containing a pandemic.

摘要

由于生物系统中的复杂变异、错综复杂的全球相互作用、高度的流动性以及多种传播方式,传染病的控制极具挑战性。一种新发疾病有可能演变成大流行,影响数百万人的生命、心理健康,并造成严重的经济损失。人们探索了多种风险管理方法来抗击疫情传播。这项工作介绍了工程安全原则在大流行风险管理中的应用。我们使用帕特 - 康奈尔的六个不确定性级别评估了大流行风险。采用了易感、暴露、感染、隔离、康复、死亡(SEIQRD)这一先进的机理模型,并结合蒙特卡罗模拟来估计死亡风险。风险最小化策略已被分类为分级安全措施。我们针对因自然演变、政府干预、社会反应和个人行为而实现的不同风险降低策略,开发了一个大流行风险管理的事件树模型。还研究了不同干预措施对于感染者在现有医疗设施下生存能力的作用。我们使用所提出的框架对2019年冠状病毒病(COVID - 19)进行了大流行风险管理研究。结果突出了所提出策略在控制大流行方面的有效性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b96/8049212/73e254ad9444/gr1_lrg.jpg

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