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微观动态建模揭示了无症状病毒携带者在生物和社会因素相互作用下在 SARS-CoV-2 流行中的作用。

Microscopic dynamics modeling unravels the role of asymptomatic virus carriers in SARS-CoV-2 epidemics at the interplay between biological and social factors.

机构信息

Department of Theoretical Physics, Jožef Stefan Institute, Jamova 39, Ljubljana, Slovenia; Complexity Science Hub, Josefstaedter Strasse 39, Vienna, Austria.

MS2Discovery Interdisciplinary Research Institute, M2NeT Laboratory and Department of Mathematics, Wilfrid Laurier University, Waterloo, ON, Canada; BCAM - Basque Center for Applied Mathematics, Alameda de Mazarredo 14, E-48009, Bilbao, Spain.

出版信息

Comput Biol Med. 2021 Jun;133:104422. doi: 10.1016/j.compbiomed.2021.104422. Epub 2021 Apr 24.

DOI:10.1016/j.compbiomed.2021.104422
PMID:33930762
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8078086/
Abstract

The recent experience of SARS-CoV-2 epidemics spreading revealed the importance of passive forms of infection transmissions. Apart from the virus survival outside the host, the latent infection transmissions caused by asymptomatic and presymptomatic hosts represent major challenges for controlling the epidemics. In this regard, social mixing and various biological factors play their subtle, but often critical, role. For example, a life-threatening condition may result in the infection contracted from an asymptomatic virus carrier. Here, we use a new recently developed microscopic agent-based modelling framework to shed light on the role of asymptomatic hosts and unravel the interplay between the biological and social factors of these nonlinear stochastic processes at high temporal resolution. The model accounts for each human actor's susceptibility and the virus survival time, as well as traceability along the infection path. These properties enable an efficient dissection of the infection events caused by asymptomatic carriers from those which involve symptomatic hosts before they develop symptoms and become removed to a controlled environment. Consequently, we assess how their relative proportions in the overall infection curve vary with changing model parameters. Our results reveal that these proportions largely depend on biological factors in the process, specifically, the virus transmissibility and the critical threshold for developing symptoms, which can be affected by the virus pathogenicity. Meanwhile, social participation activity is crucial for the overall infection level, further modulated by the virus transmissibility.

摘要

最近 SARS-CoV-2 疫情的传播经验表明,被动感染传播的重要性。除了宿主外的病毒存活外,无症状和症状前宿主引起的潜伏性感染传播对控制疫情构成了重大挑战。在这方面,社会混合和各种生物因素发挥着微妙但往往至关重要的作用。例如,危及生命的情况可能导致从无症状病毒携带者那里感染。在这里,我们使用一种新的最近开发的基于微观代理的建模框架,以揭示无症状宿主的作用,并在高时间分辨率下揭示这些非线性随机过程中生物和社会因素之间的相互作用。该模型考虑了每个人类参与者的易感性和病毒存活时间,以及感染路径上的可追溯性。这些特性使我们能够有效地从无症状携带者引起的感染事件中分离出那些在出现症状并被转移到受控环境之前涉及有症状宿主的感染事件。因此,我们评估了它们在整体感染曲线中的相对比例如何随模型参数的变化而变化。我们的结果表明,这些比例在很大程度上取决于该过程中的生物因素,特别是病毒的传染性和出现症状的关键阈值,这可能受到病毒致病性的影响。同时,社会参与活动对于整体感染水平至关重要,进一步受到病毒传染性的调节。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4237/8078086/c69682fb5c5f/fx1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4237/8078086/f732acd3ccae/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4237/8078086/3cb75f905ec7/gr2_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4237/8078086/a164ad3d4e24/gr3_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4237/8078086/b810f2c5e77f/gr4_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4237/8078086/5a7a6249a731/gr5_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4237/8078086/76f27400df47/gr6_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4237/8078086/c69682fb5c5f/fx1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4237/8078086/f732acd3ccae/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4237/8078086/3cb75f905ec7/gr2_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4237/8078086/a164ad3d4e24/gr3_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4237/8078086/b810f2c5e77f/gr4_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4237/8078086/5a7a6249a731/gr5_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4237/8078086/76f27400df47/gr6_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4237/8078086/c69682fb5c5f/fx1_lrg.jpg

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