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评估智能手机接触者追踪技术如何减少传染病传播:以COVID-19为例。

Evaluating How Smartphone Contact Tracing Technology Can Reduce the Spread of Infectious Diseases: The Case of COVID-19.

作者信息

Hernandez-Orallo Enrique, Manzoni Pietro, Calafate Carlos Tavares, Cano Juan-Carlos

机构信息

Computer Engineering DepartmentUniversitat Politècnica de València46022ValenciaSpain.

出版信息

IEEE Access. 2020 May 27;8:99083-99097. doi: 10.1109/ACCESS.2020.2998042. eCollection 2020.

Abstract

Detecting and controlling the diffusion of infectious diseases such as COVID-19 is crucial to managing epidemics. One common measure taken to contain or reduce diffusion is to detect infected individuals and trace their prior contacts so as to then selectively isolate any individuals likely to have been infected. These prior contacts can be traced using mobile devices such as smartphones or smartwatches, which can continuously collect the location and contacts of their owners by using their embedded localisation and communications technologies, such as GPS, Cellular networks, Wi-Fi, and Bluetooth. This paper evaluates the effectiveness of these technologies and determines the impact of contact tracing precision on the spread and control of infectious diseases. To this end, we have created an epidemic model that we used to evaluate the efficiency and cost (number of people quarantined) of the measures to be taken, depending on the smartphone contact tracing technologies used. Our results show that in order to be effective for the COVID-19 disease, the contact tracing technology must be precise, contacts must be traced quickly, and a significant percentage of the population must use the smartphone contact tracing application. These strict requirements make smartphone-based contact tracing rather ineffective at containing the spread of the infection during the first outbreak of the virus. However, considering a second wave, where a portion of the population will have gained immunity, or in combination with some other more lenient measures, smartphone-based contact tracing could be extremely useful.

摘要

检测和控制新冠病毒等传染病的传播对于疫情管理至关重要。为遏制或减少传播而采取的一项常见措施是检测感染者并追踪其之前的接触者,以便随后有选择地隔离任何可能已被感染的人。可以使用智能手机或智能手表等移动设备来追踪这些之前的接触者,这些设备可以通过使用其嵌入式定位和通信技术(如GPS、蜂窝网络、Wi-Fi和蓝牙)持续收集其所有者的位置和接触者信息。本文评估了这些技术的有效性,并确定了接触者追踪精度对传染病传播和控制的影响。为此,我们创建了一个疫情模型,用于根据所使用的智能手机接触者追踪技术评估要采取的措施的效率和成本(被隔离的人数)。我们的结果表明,为了对新冠病毒疾病有效,接触者追踪技术必须精确,必须迅速追踪接触者,并且很大一部分人口必须使用智能手机接触者追踪应用程序。这些严格的要求使得基于智能手机的接触者追踪在病毒首次爆发期间遏制感染传播方面相当无效。然而,考虑到第二波疫情,届时一部分人口将获得免疫力,或者与其他一些更宽松的措施相结合,基于智能手机的接触者追踪可能会非常有用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1402/8043499/0b3644f8f50d/herna1ab-2998042.jpg

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