School of Mathematical Sciences, University of Chinese Academy of Sciences, Beijing, China.
International College, University of Chinese Academy of Sciences, Beijing, China.
Risk Anal. 2023 Jan;43(1):62-77. doi: 10.1111/risa.14027. Epub 2022 Sep 13.
The COVID-19 pandemic has threatened public health and caused substantial economic loss to most countries worldwide. A multigroup susceptible-exposed-asymptomatic-infectious-hospitalized-recovered-dead (SEAIHRD) compartment model is first constructed to model the spread of the disease by dividing the population into three age groups: young (aged 0-19), prime (aged 20-64), and elderly (aged 65 and over). Then, we develop a free terminal time, partially fixed terminal state optimal control problem to minimize deaths and costs associated with hospitalization and the implementation of different control strategies. And the optimal strategies are derived under different assumptions about medical resources and vaccination. Specifically, we explore optimal control strategies for reaching herd immunity in the COVID-19 outbreak in a free terminal time situation to evaluate the effect of nonpharmaceutical interventions (NPIs) and vaccination as control measures. The transmission rate of SARS-CoV-2 is calibrated by using real data in the United States at the early stage of the epidemic. Through numerical simulation, we conclude that the outbreak of COVID-19 can be contained by implementing appropriate control of the prime age population and relatively strict control measures for young and elderly populations. Within a specific period, strict control measures should be implemented before the vaccine is marketed.
COVID-19 大流行威胁着公共卫生,给世界上大多数国家造成了巨大的经济损失。本文首先构建了一个多群组易感-暴露-无症状感染-住院-恢复-死亡(SEAIHRD) compartment 模型,通过将人群分为三个年龄组:年轻(0-19 岁)、壮年(20-64 岁)和老年(65 岁及以上)来模拟疾病的传播。然后,我们开发了一个具有自由终端时间、部分固定终端状态的最优控制问题,以最小化与住院和实施不同控制策略相关的死亡人数和成本。并在不同医疗资源和疫苗接种假设下推导出最优策略。具体来说,我们探索了在自由终端时间情况下达到 COVID-19 大流行群体免疫的最优控制策略,以评估非药物干预(NPIs)和疫苗接种作为控制措施的效果。使用大流行早期美国的真实数据对 SARS-CoV-2 的传播率进行了校准。通过数值模拟,我们得出结论,通过对壮年人口实施适当的控制以及对年轻和老年人口实施相对严格的控制措施,可以控制 COVID-19 的爆发。在特定时期内,应在疫苗上市之前实施严格的控制措施。