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具有无症状群体的分区模型中检疫策略的效果

Effect of Quarantine Strategies in a Compartmental Model with Asymptomatic Groups.

作者信息

Chladná Zuzana, Kopfová Jana, Rachinskii Dmitry, Štepánek Pavel

机构信息

Department of Applied Mathematics and Statistics, Faculty of Mathematics, Physics and Informatics, Comenius University, Mlynská dolina, 84248 Bratislava, Slovakia.

Mathematical Institute of the Silesian University, Na Rybníčku 1, 746 01 Opava, Czech Republic.

出版信息

J Dyn Differ Equ. 2021 Aug 25:1-24. doi: 10.1007/s10884-021-10059-5.

Abstract

We present an epidemiological model, which extend the classical SEIR model by accounting for the presence of asymptomatic individuals and the effect of isolation of infected individuals based on testing. Moreover, we introduce two types of home quarantine, namely gradual and abrupt one. We compute the equilibria of the new model and derive its reproduction number. Using numerical simulations we analyze the effect of quarantine and testing on the epidemic dynamic. Given a constraint that limits the maximal number of simultaneous active cases, we demonstrate that the isolation rate, which enforces this constraint, decreases with the increasing testing rate. Our simulations show that massive testing allows to control the infection spread using a much lower isolation rate than in the case of indiscriminate quarantining. Finally, based on the effective reproduction number we suggest a strategy to manage the epidemic. It consists in introducing abrupt quarantine as well as relaxing the quarantine in such a way that the epidemic remains under control and further waves do not occur. We analyze the sensitivity of the model dynamic to the quarantine size, timing and strength of the restrictions.

摘要

我们提出了一种流行病学模型,该模型通过考虑无症状个体的存在以及基于检测对感染个体进行隔离的影响,对经典的SEIR模型进行了扩展。此外,我们引入了两种类型的居家隔离,即渐进式和突然式隔离。我们计算了新模型的平衡点并推导了其再生数。通过数值模拟,我们分析了隔离和检测对疫情动态的影响。在给定限制同时活跃病例最大数量的约束条件下,我们证明,执行该约束的隔离率会随着检测率的增加而降低。我们的模拟表明,大规模检测能够以比不加区分地进行隔离低得多的隔离率来控制感染传播。最后,基于有效再生数,我们提出了一种管理疫情的策略。该策略包括引入突然式隔离以及以疫情得到控制且不会出现后续波峰的方式放宽隔离。我们分析了模型动态对隔离规模、时间和限制强度的敏感性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2145/8385487/dcc7c948e1ff/10884_2021_10059_Fig1_HTML.jpg

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