Alım Muzaffer, Kesen Saadettin Erhan
Besiri Vocational School, Batman University, Turkey.
Industrial Engineering Department, Konya Technical University, Turkey.
Simulation. 2023 Feb;99(2):113-125. doi: 10.1177/00375497221116641.
The coronavirus disease 2019 (COVID-19) which began in Wuhan in December 2019 has permeated all over the world in such a short time and was declared as a pandemic by World Health Organization (WHO). The pandemic that is erupting all of a sudden attracts the researchers to examine the spread and effects of the disease as well as the possible treatments and vaccine developments. In addition to the analytical models, such as compartmental modeling, Markov decision process, and so on, simulation and system dynamics (SD) are also widely applied in this field. In this study, we adopt the compartmental modeling stages to build an SD approach for the spread of the disease. A dynamic control measure decision support system (DSS) that varies depending on the number of daily cases is incorporated to the model. Furthermore, the economic loss in the gross domestic product (GDP) and workforce due to hospital stay and death caused by the COVID-19 are also investigated. The model is tested with various numerical parameters and the results are presented. The results on the spread of the disease and the associated economic loss provide meaningful insights into when control measures need to be imposed at which level. We also provide some policy insights, including some alternative policies, such as increasing awareness of people and vaccination in addition to control measures. The results reveal that the total number of cases and deaths is approximately 37% higher in the absence of dynamic DSS. However, everything comes at a price and applying such control measures brings about an increase in the economic loss about 47%.
2019年12月始于武汉的2019冠状病毒病(COVID-19)在短时间内便蔓延至全球,并被世界卫生组织(WHO)宣布为大流行病。这场突如其来的大流行病吸引了研究人员去研究该疾病的传播、影响以及可能的治疗方法和疫苗研发。除了诸如分区建模、马尔可夫决策过程等分析模型外,模拟和系统动力学(SD)在该领域也得到了广泛应用。在本研究中,我们采用分区建模阶段来构建一种针对该疾病传播的系统动力学方法。一个根据每日病例数变化的动态控制措施决策支持系统(DSS)被纳入模型。此外,还研究了因COVID-19导致的住院和死亡造成的国内生产总值(GDP)和劳动力方面的经济损失。该模型用各种数值参数进行了测试并给出了结果。关于疾病传播和相关经济损失的结果为何时以及在何种程度上需要实施控制措施提供了有意义的见解。我们还提供了一些政策见解,包括一些替代政策,如除控制措施外提高民众意识和进行疫苗接种。结果显示,在没有动态决策支持系统的情况下,病例总数和死亡人数大约高出37%。然而,凡事都有代价,应用此类控制措施会使经济损失增加约47%。