Childs Meghan Rowan, Wong Tony E
Rochester Institute of Technology, 1 Lomb Memorial Dr, Rochester, NY, 14623, USA.
Infect Dis Model. 2023 Jun;8(2):374-389. doi: 10.1016/j.idm.2023.04.002. Epub 2023 Apr 9.
From the beginning of the COVID-19 pandemic, universities have experienced unique challenges due to their dual nature as a place of education and residence. Current research has explored non-pharmaceutical approaches to combating COVID-19, including representing in models different categories such as age groups. One key area not currently well represented in models is the effect of pharmaceutical preventative measures, specifically vaccinations, on COVID-19 spread on college campuses. There remain key questions on the sensitivity of COVID-19 infection rates on college campuses to potentially time-varying vaccine immunity. Here we introduce a compartment model that decomposes a campus population into constituent subpopulations and implements vaccinations with time-varying efficacy. We use this model to represent a campus population with both vaccinated and unvaccinated individuals, and we analyze this model using two metrics of interest: maximum isolation population and symptomatic infection. We demonstrate a decrease in symptomatic infections occurs for vaccinated individuals when the frequency of testing for unvaccinated individuals is increased. We find that the number of symptomatic infections is insensitive to the frequency of testing of the unvaccinated subpopulation once about 80% or more of the population is vaccinated. Through a Sobol' global sensitivity analysis, we characterize the sensitivity of modeled infection rates to these uncertain parameters. We find that in order to manage symptomatic infections and the maximum isolation population campuses must minimize contact between infected and uninfected individuals, promote high vaccine protection at the beginning of the semester, and minimize the number of individuals developing symptoms.
自新冠疫情开始以来,大学因其作为教育和居住场所的双重性质而面临独特挑战。当前研究探索了抗击新冠疫情的非药物方法,包括在模型中体现不同类别,如年龄组。模型中目前未得到充分体现的一个关键领域是药物预防措施,特别是疫苗接种,对大学校园新冠疫情传播的影响。关于大学校园新冠感染率对可能随时间变化的疫苗免疫力的敏感性,仍存在关键问题。在此,我们引入一个 compartment 模型,该模型将校园人群分解为组成亚群,并实施具有随时间变化效力的疫苗接种。我们使用这个模型来代表既有接种疫苗者又有未接种疫苗者的校园人群,并使用两个感兴趣的指标分析这个模型:最大隔离人群和有症状感染。我们证明,当未接种疫苗者的检测频率增加时,接种疫苗者的有症状感染会减少。我们发现,一旦约 80%或更多的人群接种了疫苗,有症状感染的数量对未接种疫苗亚群的检测频率就不敏感。通过 Sobol' 全局敏感性分析,我们刻画了模型感染率对这些不确定参数的敏感性。我们发现,为了控制有症状感染和最大隔离人群,校园必须尽量减少感染者与未感染者之间的接触,在学期开始时提高疫苗保护率,并尽量减少出现症状的人数。