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在新冠疫情期间,疫苗接种、新变种以及放松限制的赛跑时机

Timing the race of vaccination, new variants, and relaxing restrictions during COVID-19 pandemic.

作者信息

Xavier Carolina Ribeiro, Oliveira Rafael Sachetto, Vieira Vinícius da Fonseca, Rocha Bernardo Martins, Reis Ruy Freitas, Quintela Bárbara de Melo, Lobosco Marcelo, Santos Rodrigo Weber Dos

机构信息

Universidade Federal de São João del-Rei, São João del-Rei, MG, Brazil.

Universidade Federal de Juiz de Fora, Juiz de Fora, MG, Brazil.

出版信息

J Comput Sci. 2022 May;61:101660. doi: 10.1016/j.jocs.2022.101660. Epub 2022 Apr 8.

Abstract

Late in 2019, China identified a new type of coronavirus, SARS-CoV-2, and due to its fast spread, the World Health Organisation (WHO) declared a pandemic named COVID-19. Some variants of this virus were detected, including the Delta, which caused new waves of infections. This work uses an extended version of a SIRD model that includes vaccination effects to measure the impact of the Delta variant in three countries: Germany, Israel and Brazil. The calibrated models were able to reproduce the dynamics of the above countries. In addition, hypothetical scenarios were simulated to quantify the impact of vaccination and mitigation policies during the Delta wave. The results showed that the model could reproduce the complex dynamics observed in the different countries. The estimated increase of transmission rate due to the Delta variant was highest in Israel (7.9), followed by Germany (2.7) and Brazil (1.5). These values may support the hypothesis that people immunised against COVID-19 may lose their defensive antibodies with time since Israel, Germany, and Brazil fully vaccinated half of the population in March, July, and October. The scenario to study the impact of vaccination revealed relative reductions in the total number of deaths between 30% and 250%; an absolute reduction of 300 thousand deaths in Brazil due to vaccination during the Delta wave. The second hypothetical scenario revealed that mitigation policies saved up to 300 thousand Brazilians; relative reductions in the total number of deaths between 24% and 120% in the three analysed countries. Therefore, the results suggest that both vaccination and mitigation policies were crucial in decreasing the spread and the number of deaths during the Delta wave.

摘要

2019年末,中国发现了一种新型冠状病毒——严重急性呼吸综合征冠状病毒2(SARS-CoV-2),由于其传播速度极快,世界卫生组织(WHO)宣布这是一场名为新冠肺炎(COVID-19)的大流行病。人们检测到了该病毒的一些变种,包括德尔塔变种,它引发了新一波感染浪潮。本研究使用了一个包含疫苗接种效应的SIRD模型扩展版本,来衡量德尔塔变种在德国、以色列和巴西这三个国家造成的影响。校准后的模型能够再现上述国家的疫情动态。此外,还模拟了假设情景,以量化德尔塔毒株传播浪潮期间疫苗接种和缓解政策的影响。结果表明,该模型能够再现不同国家观察到的复杂疫情动态。因德尔塔变种导致的传播率估计增幅在以色列最高(7.9),其次是德国(2.7)和巴西(1.5)。这些数值可能支持这样一种假设,即接种了新冠疫苗的人可能会随着时间推移失去防御性抗体,因为以色列、德国和巴西分别在3月、7月和10月有一半人口完成了疫苗接种。研究疫苗接种影响的情景显示,死亡总数相对减少了30%至250%;在德尔塔毒株传播浪潮期间,巴西因疫苗接种死亡人数绝对减少了30万。第二个假设情景显示,缓解政策拯救了多达30万巴西人;在三个被分析国家中,死亡总数相对减少了24%至120%。因此,研究结果表明,疫苗接种和缓解政策对于在德尔塔毒株传播浪潮期间减少传播和死亡人数都至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/111a/8990534/e3081210f5fc/gr1_lrg.jpg

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