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疫苗分配不当、延误和民族主义造成的福利损失。

The Welfare Cost of Vaccine Misallocation, Delays and Nationalism.

作者信息

Gollier Christian

机构信息

Toulouse School of Economics, University of Toulouse-Capitole, Toulouse, France.

出版信息

J Benefit Cost Anal. 2021 Summer;12(2):199-226. doi: 10.1017/bca.2021.4.

Abstract

I calibrate an eco-epidemiological age-structured Susceptible-Infected-Recovered (SIR) model of the B.1.1.7 covid variant on the eve of the vaccination campaign in France, under a stop-and-go lockdown policy. Three-quarters of the welfare benefit of the vaccine can be achieved with a speed of 100,000 full vaccination per day. A 1-week delay in the vaccination campaign raises the death toll by approximately 2500, and it reduces wealth by 8 billion euros. Because of the large heterogeneity of the rates of hospitalization and mortality across age classes, it is critically important for the number of lives saved and for the economy to vaccinate older people first. Any departure from this policy has a welfare cost. Prioritizing the allocation of vaccines to the most vulnerable people save 70,000 seniors, but it also increases the death toll of younger people by 14,000. Vaccine nationalism is modeled by assuming two identical Frances, one with a vaccine production capacity and the other without it. If the production country vaccinates its entire population before exporting to the other, the global death toll would be increased by 20 %. I also measure the welfare impact of the strong French anti-vax movement, and of the prohibition of an immunity passport.

摘要

在法国疫苗接种运动前夕,在间歇性封锁政策下,我校准了一个关于B.1.1.7新冠变种的生态流行病学年龄结构易感-感染-康复(SIR)模型。疫苗福利的四分之三可以通过每天10万次全面接种的速度实现。疫苗接种运动推迟1周会使死亡人数增加约2500人,并使财富减少80亿欧元。由于各年龄组住院率和死亡率差异很大,先为老年人接种疫苗对于挽救生命和经济至关重要。任何偏离这一政策的做法都会带来福利成本。优先为最脆弱人群分配疫苗可挽救7万名老年人的生命,但也会使年轻人的死亡人数增加1.4万。通过假设两个相同的法国来模拟疫苗民族主义,一个有疫苗生产能力,另一个没有。如果生产国在向另一个国家出口之前为其全部人口接种疫苗,全球死亡人数将增加20%。我还衡量了法国强大的反疫苗运动以及禁止免疫护照的福利影响。

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本文引用的文献

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If the Objective is Herd Immunity, on Whom Should it be Built?如果目标是群体免疫,那么它应建立在谁的基础之上?
Environ Resour Econ (Dordr). 2020;76(4):671-683. doi: 10.1007/s10640-020-00504-2. Epub 2020 Aug 11.
8
Estimating the burden of SARS-CoV-2 in France.估算法国 SARS-CoV-2 的负担。
Science. 2020 Jul 10;369(6500):208-211. doi: 10.1126/science.abc3517. Epub 2020 May 13.
9
Temporal dynamics in viral shedding and transmissibility of COVID-19.新冠病毒脱落和传播的时间动态。
Nat Med. 2020 May;26(5):672-675. doi: 10.1038/s41591-020-0869-5. Epub 2020 Apr 15.

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