Li Han, Huang Jianping, Lian Xinbo, Zhao Yingjie, Yan Wei, Zhang Li, Li Licheng
Collaborative Innovation Center for Western Ecological Safety, College of Atmospheric Sciences, Lanzhou University, Lanzhou, 730000, China.
College of Atmospheric Sciences, Lanzhou University, Lanzhou, 730000, China.
Infect Dis Model. 2023 Oct 5;8(4):1108-1116. doi: 10.1016/j.idm.2023.10.001. eCollection 2023 Dec.
COVID-19 has posed formidable challenges as a significant global health crisis. Its complexity stems from factors like viral contagiousness, population density, social behaviors, governmental regulations, and environmental conditions, with interpersonal interactions and large-scale activities being particularly pivotal. To unravel these complexities, we used a modified SEIR epidemiological model to simulate various outbreak scenarios during the holiday season, incorporating both inter-regional and intra-regional human mobility effects into the parameterization scheme. In addition, evaluation metrics were used to evaluate the accuracy of the model simulation by comparing the congruence between simulated results and recorded confirmed cases. The findings suggested that intra-city mobility led to an average surge of 57.35% in confirmed cases of China, while inter-city mobility contributed to an average increase of 15.18%. In the simulation for Tianjin, China, a one-week delay in human mobility attenuated the peak number of cases by 34.47% and postponed the peak time by 6 days. The simulation for the United States revealed that human mobility played a more pronounced part in the outbreak, with a notable disparity in peak cases when mobility was considered. This study highlights that while inter-regional mobility acted as a trigger for the epidemic spread, the diffusion effect of intra-regional mobility was primarily responsible for the outbreak. We have a better understanding on how human mobility and infectious disease epidemics interact, and provide empirical evidence that could contribute to disease prevention and control measures.
新冠疫情作为一场重大的全球健康危机带来了巨大挑战。其复杂性源于病毒传染性、人口密度、社会行为、政府规定和环境条件等因素,人际互动和大规模活动尤为关键。为了厘清这些复杂性,我们使用了一个改进的SEIR流行病学模型来模拟节假日期间的各种疫情场景,将区域间和区域内人员流动的影响纳入参数设置方案。此外,通过比较模拟结果与记录的确诊病例之间的一致性,使用评估指标来评估模型模拟的准确性。研究结果表明,城市内部流动导致中国确诊病例平均激增57.35%,而城市间流动导致确诊病例平均增加15.18%。在中国天津的模拟中,人员流动延迟一周使病例峰值数量减少了34.47%,并将峰值时间推迟了6天。对美国的模拟显示,人员流动在疫情爆发中起到了更为显著的作用,考虑人员流动时峰值病例存在显著差异。这项研究强调,虽然区域间流动是疫情传播的触发因素,但区域内流动的扩散效应是疫情爆发的主要原因。我们对人员流动与传染病疫情如何相互作用有了更深入的了解,并提供了有助于疾病预防和控制措施的实证依据。