Campos Marcelino, Sempere José M, Galán Juan C, Moya Andrés, Cantón Rafael, Llorens Carlos, Baquero Fernando
Department of Microbiology, Ramón y Cajal University Hospital, Ramón y Cajal Institute for Health Research (IRYCIS), M-607, km 9,1 28034 Madrid, Spain.
Valencian Research Institute for Artificial Intelligence (VRAIN), Universitat Politécnica de Valencia, Camí de Vera s/n, 46022 Valencia, Spain.
Microlife. 2022 Sep 16;3:uqac018. doi: 10.1093/femsml/uqac018. eCollection 2022.
Membrane computing is a natural computing procedure inspired in the compartmental structure of living cells. This approach allows mimicking the complex structure of biological processes, and, when applied to transmissible diseases, can simulate a virtual 'epidemic' based on interactions between elements within the computational model according to established conditions. General and focused vaccination strategies for controlling SARS-Cov-2 epidemics have been simulated for 2.3 years from the emergence of the epidemic in a hypothetical town of 10320 inhabitants in a country with mean European demographics where COVID-19 is imported. The age and immunological-response groups of the hosts and their lifestyles were minutely examined. The duration of natural, acquired immunity influenced the results; the shorter the duration, the more endemic the process, resulting in higher mortality, particularly among elderly individuals. During epidemic valleys between waves, the proportion of infected patients belonging to symptomatic groups (mostly elderly) increased in the total population, a population that largely benefits from standard double vaccination, particularly with boosters. There was no clear difference when comparing booster shots provided at 4 or 6 months after standard double-dose vaccination. Vaccines even of moderate efficacy (short-term protection) were effective in decreasing the number of symptomatic cases. Generalized vaccination of the entire population (all ages) added little benefit to overall mortality rates, and this situation also applied for generalized lockdowns. Elderly-only vaccination and lockdowns, even without general interventions directed to reduce population transmission, is sufficient for dramatically reducing mortality.
膜计算是一种受活细胞区室结构启发的自然计算过程。这种方法能够模拟生物过程的复杂结构,并且在应用于传染病时,可以根据既定条件,基于计算模型内各元素之间的相互作用来模拟虚拟的“流行病”。对于一个具有欧洲平均人口统计学特征且新冠病毒为输入性病例的国家中一个有10320名居民的假设城镇,从疫情出现开始,已经对控制新冠病毒疫情的通用和针对性疫苗接种策略进行了为期2.3年的模拟。对宿主的年龄、免疫反应组及其生活方式进行了细致研究。自然获得性免疫的持续时间影响了结果;持续时间越短,该过程的地方性越强,导致死亡率越高,尤其是在老年人中。在疫情波峰之间的低谷期,有症状群体(大多为老年人)中感染患者在总人口中的比例增加,而这一群体在很大程度上受益于标准的双剂疫苗接种,特别是接种加强针。在标准双剂疫苗接种后4个月或6个月接种加强针时,没有明显差异。即使是中等效力(短期保护)的疫苗也能有效减少有症状病例的数量。对全体人口(所有年龄段)进行普遍接种对总体死亡率的益处不大,这种情况也适用于全面封锁。仅对老年人进行疫苗接种和封锁,即使没有旨在减少人群传播的一般干预措施,也足以大幅降低死亡率。