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建模 COVID-19 爆发期间的自愿人群疫苗接种策略:疾病流行率的影响。

Modelling Voluntary General Population Vaccination Strategies during COVID-19 Outbreak: Influence of Disease Prevalence.

机构信息

"VINČA" Institute of Nuclear Sciences-National Institute of the Republic of Serbia, University of Belgrade, Mike Petrovica Alasa 12-14, P.O. Box 522, 11351 Vinca, Belgrade, Serbia.

出版信息

Int J Environ Res Public Health. 2021 Jun 8;18(12):6217. doi: 10.3390/ijerph18126217.

Abstract

A novel statistical model based on a two-layer, contact and information, graph is suggested in order to study the influence of disease prevalence on voluntary general population vaccination during the COVID-19 outbreak. Details about the structure and number of susceptible, infectious, and recovered/vaccinated individuals from the contact layer are simultaneously transferred to the information layer. The ever-growing wealth of information that is becoming available about the COVID virus was modelled at each individual level by a simplified proxy predictor of the amount of disease spread. Each informed individual, a node in a heterogeneous graph, makes a decision about vaccination "motivated" by their benefit. The obtained results showed that disease information type, global or local, has a significant impact on an individual vaccination decision. A number of different scenarios were investigated. The scenarios showed that in the case of the stronger impact of globally broadcasted disease information, individuals tend to vaccinate in larger numbers at the same time when the infection has already spread within the population. If individuals make vaccination decisions based on locally available information, the vaccination rate is uniformly spread during infection outbreak duration. Prioritising elderly population vaccination leads to an increased number of infected cases and a higher reduction in mortality. The developed model accuracy allows the precise targeting of vaccination order depending on the individuals' number of social contacts. Precisely targeted vaccination, combined with pre-existing immunity, and public health measures can limit the infection to isolated hotspots inside the population, as well as significantly delay and lower the infection peak.

摘要

为了研究疾病流行率对 COVID-19 爆发期间自愿人群接种疫苗的影响,提出了一种基于两层、接触和信息图的新型统计模型。接触层中易感、感染和恢复/接种个体的结构和数量的详细信息同时传递到信息层。通过疾病传播量的简化代理预测器,在个体水平上对 COVID 病毒不断增加的大量信息进行建模。每个知情个体,即异质图中的一个节点,根据他们的利益做出接种疫苗的“动机”决定。研究结果表明,疾病信息类型(全局或局部)对个体接种决策有重大影响。研究了多种不同的情况。结果表明,在全球传播的疾病信息影响更强的情况下,当感染已经在人群中传播时,个体往往会同时大量接种疫苗。如果个体根据本地可用信息做出接种决策,则在感染爆发期间接种率将均匀分布。优先为老年人群接种疫苗会导致感染病例增加,并降低死亡率。所开发模型的准确性允许根据个体的社交接触数量精确确定接种顺序。精确的目标接种疫苗,结合现有的免疫力和公共卫生措施,可以将感染限制在人群内的孤立热点中,同时显著延迟和降低感染高峰。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee76/8229990/209fa7065bc7/ijerph-18-06217-g001.jpg

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