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在传染病的整个生命周期中减轻其爆发:一种基于扩散的方法。

Mitigating the outbreak of an infectious disease over its life cycle: A diffusion-based approach.

机构信息

Department of Business Administration, Tennessee State University, Nashville, Tennessee, United States of America.

Department of Public Administration, Renmin University of China, Beijing, China.

出版信息

PLoS One. 2023 Jan 26;18(1):e0280429. doi: 10.1371/journal.pone.0280429. eCollection 2023.

Abstract

We first qualitatively divide the cycle of an infectious disease outbreak into five distinct stages by following the adoption categorization from the diffusion theory. Next, we apply a standard mechanistic model, the susceptible-infected-recovered model, to simulate a variety of transmission scenarios and to quantify the benefits of various countermeasures. In particular, we apply the specific values of the newly infected to quantitatively divide an outbreak cycle into stages. We therefore reveal diverging patterns of countermeasures in different stages. The stage is critical in determining the evolutionary characteristics of the diffusion process. Our results show that it is necessary to employ appropriate diverse strategies in different stages over the life cycle of an infectious disease outbreak. In the early stages, we need to focus on prevention, early detection, and strict countermeasure (e.g., isolation and lockdown) for controlling an epidemic. It is better safe (i.e., stricter countermeasures) than sorry (i.e., let the virus spread out). There are two reasons why we should implement responsive and strict countermeasures in the early stages. The countermeasures are very effective, and the earlier the more total infected reduction over the whole cycle. The economic and societal burden for implementing countermeasures is relatively small due to limited affected areas, and the earlier the less burden. Both reasons change to the opposite in the late stages. The strategic focuses in the late stages become more delicate and balanced for two reasons: the same countermeasures become much less effective, and the society bears a much heavier burden. Strict countermeasures may become unnecessary, and we need to think about how to live with the infectious disease.

摘要

我们首先根据扩散理论的采用分类,将传染病爆发的周期定性地分为五个不同阶段。然后,我们应用标准的机制模型——易感-感染-恢复模型,模拟各种传播场景,并量化各种对策的效益。特别是,我们应用新感染的特定值来定量划分爆发周期的阶段。因此,我们揭示了不同阶段对策的不同模式。阶段在决定扩散过程的演化特征方面至关重要。我们的结果表明,在传染病爆发的生命周期中,在不同阶段需要采用适当的多样化策略。在早期阶段,我们需要专注于预防、早期检测和严格的对策(例如隔离和封锁)以控制疫情。宁严勿松(即采取更严格的对策)好过放任自流(即让病毒传播开来)。我们应该在早期阶段实施响应和严格对策有两个原因。对策非常有效,而且早期实施可以减少整个周期内的总感染人数。由于受影响的区域有限,实施对策的经济和社会负担相对较小,而且早期实施的负担也较小。这两个原因在后期阶段都发生了变化。由于两个原因,后期阶段的战略重点变得更加微妙和平衡:相同的对策效果大大降低,社会负担也更加沉重。严格的对策可能变得不必要,我们需要思考如何与传染病共存。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e881/9879393/35ea82e11c90/pone.0280429.g001.jpg

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