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大流行早期高效筛查的策略制定框架

A Strategy Formulation Framework for Efficient Screening during the Early Stage of a Pandemic.

作者信息

Wang Shuangyan, Zhang Yuan, Zhang Qiang, Lu Qibin, Liu Chengcheng, Yi Fangxin

机构信息

Party School of the Central Committee of C.P.C. (National Academy of Governance), Beijing 100089, China.

School of Social Development and Public Policy, Beijing Normal University, Beijing 100875, China.

出版信息

Trop Med Infect Dis. 2023 Jan 21;8(2):78. doi: 10.3390/tropicalmed8020078.

Abstract

For viruses that can be transmitted by contacts of people, efficiently screening infected individuals is beneficial for controlling outbreaks rapidly and avoiding widespread diffusion, especially during the early stage of a pandemic. The process of virus transmission can be described as virus diffusion in complex networks such as trajectory networks. We propose a strategy formulation framework (SFF) for generating various screening strategies to identify influential nodes in networks. We propose two types of metrics to measure the nodes' influence and three types of screening modes. Then, we can obtain six combinations, i.e., six strategies. To verify the efficiencies of the strategies, we build a scenario model based on the multi-agent modelling. In this model, people can move according to their self-decisions, and a virtual trajectory network is generated by their contacts. We found that (1) screening people will have a better performance based on their contact paths if there is no confirmed case yet, and (2) if the first confirmed case has been discovered, it is better to screen people sequentially by their influences. The proposed SFF and strategies can provide support for decision makers, and the proposed scenario model can be applied to simulate and forecast the virus-diffusion process.

摘要

对于可通过人与人接触传播的病毒,有效筛查感染者有利于迅速控制疫情爆发并避免广泛传播,尤其是在大流行的早期阶段。病毒传播过程可描述为病毒在诸如轨迹网络等复杂网络中的扩散。我们提出一种策略制定框架(SFF),用于生成各种筛查策略以识别网络中的有影响力节点。我们提出两类度量来衡量节点的影响力以及三种筛查模式。然后,我们可以得到六种组合,即六种策略。为验证这些策略的有效性,我们基于多智能体建模构建一个情景模型。在这个模型中,人们可以根据自身决策移动,并且通过他们的接触生成一个虚拟轨迹网络。我们发现:(1)如果尚未出现确诊病例,基于接触路径筛查人员会有更好的效果;(2)如果已发现首例确诊病例,按影响力依次筛查人员会更好。所提出的SFF和策略可为决策者提供支持,所提出的情景模型可用于模拟和预测病毒扩散过程。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a890/9960745/6513683cab2b/tropicalmed-08-00078-g001.jpg

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