Networks and Urban Systems Centre, University of Greenwich, London, United Kingdom.
ISI Foundation, Turin, Italy.
PLoS Comput Biol. 2021 Sep 10;17(9):e1009346. doi: 10.1371/journal.pcbi.1009346. eCollection 2021 Sep.
The promise of efficacious vaccines against SARS-CoV-2 is fulfilled and vaccination campaigns have started worldwide. However, the fight against the pandemic is far from over. Here, we propose an age-structured compartmental model to study the interplay of disease transmission, vaccines rollout, and behavioural dynamics. We investigate, via in-silico simulations, individual and societal behavioural changes, possibly induced by the start of the vaccination campaigns, and manifested as a relaxation in the adoption of non-pharmaceutical interventions. We explore different vaccination rollout speeds, prioritization strategies, vaccine efficacy, as well as multiple behavioural responses. We apply our model to six countries worldwide (Egypt, Peru, Serbia, Ukraine, Canada, and Italy), selected to sample diverse socio-demographic and socio-economic contexts. To isolate the effects of age-structures and contacts patterns from the particular pandemic history of each location, we first study the model considering the same hypothetical initial epidemic scenario in all countries. We then calibrate the model using real epidemiological and mobility data for the different countries. Our findings suggest that early relaxation of safe behaviours can jeopardize the benefits brought by the vaccine in the short term: a fast vaccine distribution and policies aimed at keeping high compliance of individual safe behaviours are key to mitigate disease resurgence.
对抗 SARS-CoV-2 的有效疫苗已面世,疫苗接种工作已在全球范围内展开。然而,抗击这一大流行病的战斗远未结束。在这里,我们提出了一个具有年龄结构的房室模型,以研究疾病传播、疫苗推出和行为动态之间的相互作用。我们通过计算机模拟研究了个体和社会行为的变化,这些变化可能是由于疫苗接种工作的开始而引起的,表现为对非药物干预措施的放松。我们探讨了不同的疫苗推出速度、优先接种策略、疫苗效力以及多种行为反应。我们将我们的模型应用于全球六个国家(埃及、秘鲁、塞尔维亚、乌克兰、加拿大和意大利),这些国家的选择旨在代表不同的社会人口和社会经济背景。为了将年龄结构和接触模式的影响与每个地点的特定大流行历史隔离开来,我们首先在所有国家中研究具有相同假设初始流行病情景的模型。然后,我们使用不同国家的真实流行病学和流动数据对模型进行校准。我们的研究结果表明,早期放松安全行为可能会在短期内危及疫苗带来的好处:快速分发疫苗和政策旨在保持个人安全行为的高遵从性是减轻疾病反弹的关键。