Department of Electreical-Electronics Engineering, Adana Alparslan Turkes Science and Technology University, Adana, 01250, Turkey.
METU MEMS Center, Middle East Technical University, Ankara, 06800, Turkey.
BMC Med Inform Decis Mak. 2022 Jan 6;22(1):4. doi: 10.1186/s12911-021-01720-6.
There have been several destructive pandemic diseases in the human history. Since these pandemic diseases spread through human-to-human infection, a number of non-pharmacological policies has been enforced until an effective vaccine has been developed. In addition, even though a vaccine has been developed, due to the challenges in the production and distribution of the vaccine, the authorities have to optimize the vaccination policies based on the priorities. Considering all these facts, a comprehensive but simple parametric model enriched with the pharmacological and non-pharmacological policies has been proposed in this study to analyse and predict the future pandemic casualties.
This paper develops a priority and age specific vaccination policy and modifies the non-pharmacological policies including the curfews, lockdowns, and restrictions. These policies are incorporated with the susceptible, suspicious, infected, hospitalized, intensive care, intubated, recovered, and death sub-models. The resulting model is parameterizable by the available data where a recursive least squares algorithm with the inequality constraints optimizes the unknown parameters. The inequality constraints ensure that the structural requirements are satisfied and the parameter weights are distributed proportionally.
The results exhibit a distinctive third peak in the casualties occurring in 40 days and confirm that the intensive care, intubated, and death casualties converge to zero faster than the susceptible, suspicious, and infected casualties with the priority and age specific vaccination policy. The model also estimates that removing the curfews on the weekends and holidays cause more casualties than lifting the restrictions on the people with the chronic diseases and age over 65.
Sophisticated parametric models equipped with the pharmacological and non-pharmacological policies can predict the future pandemic casualties for various cases.
人类历史上曾发生过多次具有破坏性的大流行病。由于这些大流行病通过人际传播,因此在开发出有效的疫苗之前,实施了许多非药物干预政策。此外,即使开发出了疫苗,但由于疫苗生产和分配方面的挑战,当局仍需根据优先级优化疫苗接种政策。鉴于所有这些事实,本研究提出了一个综合但简单的参数模型,该模型结合了药理学和非药物干预政策,用于分析和预测未来的大流行病死亡人数。
本文提出了一种按优先级和年龄划分的疫苗接种政策,并修改了包括宵禁、封锁和限制在内的非药物干预政策。这些政策与易感者、疑似感染者、感染者、住院者、重症监护者、插管者、康复者和死亡者子模型相结合。该模型可通过可用数据进行参数化,其中递归最小二乘法和不等式约束优化未知参数。不等式约束确保了结构要求得到满足,并且参数权重按比例分配。
结果显示,在 40 天内死亡人数出现明显的第三个高峰,并且证实,与按优先级和年龄划分的疫苗接种政策相比,重症监护、插管和死亡人数更快地收敛到零,而易感者、疑似感染者和感染者人数则收敛到零的速度较慢。该模型还估计,周末和节假日取消宵禁比放宽对患有慢性疾病和年龄超过 65 岁的人的限制会导致更多的死亡人数。
配备药理学和非药物干预政策的复杂参数模型可以为各种情况预测未来的大流行病死亡人数。