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一种新型严重急性呼吸综合征冠状病毒2变体对人群的影响:一种数学建模方法。

Impact of a New SARS-CoV-2 Variant on the Population: A Mathematical Modeling Approach.

作者信息

Gonzalez-Parra Gilberto, Martínez-Rodríguez David, Villanueva-Micó Rafael J

机构信息

Department of Mathematics, New Mexico Tech, Socorro, NM 87801, USA.

Instituto Universitario de Matemática Multidisciplinar, Universitat Politècnica de València, Camí de Vera, s/n, 46022 València, Spain.

出版信息

Math Comput Appl. 2021 Jun;26(2). doi: 10.3390/mca26020025. Epub 2021 Mar 27.

Abstract

Several SARS-CoV-2 variants have emerged around the world, and the appearance of other variants depends on many factors. These new variants might have different characteristics that can affect the transmissibility and death rate. The administration of vaccines against the coronavirus disease 2019 (COVID-19) started in early December of 2020 and in some countries the vaccines will not soon be widely available. For this article, we studied the impact of a new more transmissible SARS-CoV-2 strain on prevalence, hospitalizations, and deaths related to the SARS-CoV-2 virus. We studied different scenarios regarding the transmissibility in order to provide a scientific support for public health policies and bring awareness of potential future situations related to the COVID-19 pandemic. We constructed a compartmental mathematical model based on differential equations to study these different scenarios. In this way, we are able to understand how a new, more infectious strain of the virus can impact the dynamics of the COVID-19 pandemic. We studied several metrics related to the possible outcomes of the COVID-19 pandemic in order to assess the impact of a higher transmissibility of a new SARS-CoV-2 strain on these metrics. We found that, even if the new variant has the same death rate, its high transmissibility can increase the number of infected people, those hospitalized, and deaths. The simulation results show that health institutions need to focus on increasing non-pharmaceutical interventions and the pace of vaccine inoculation since a new variant with higher transmissibility, such as, for example, VOC-202012/01 of lineage B.1.1.7, may cause more devastating outcomes in the population.

摘要

几种严重急性呼吸综合征冠状病毒2(SARS-CoV-2)变体已在全球出现,其他变体的出现取决于多种因素。这些新变体可能具有不同特征,会影响传播性和死亡率。2019冠状病毒病(COVID-19)疫苗接种于2020年12月初开始,在一些国家,疫苗短期内无法广泛供应。在本文中,我们研究了一种新的、传播性更强的SARS-CoV-2毒株对与SARS-CoV-2病毒相关的患病率、住院率和死亡率的影响。我们研究了关于传播性的不同情景,以便为公共卫生政策提供科学支持,并提高对与COVID-19大流行相关的潜在未来情况的认识。我们构建了一个基于微分方程的 compartmental 数学模型来研究这些不同情景。通过这种方式,我们能够了解一种新的、传染性更强的病毒毒株如何影响COVID-19大流行的动态。我们研究了与COVID-19大流行可能结果相关的几个指标,以评估新的SARS-CoV-2毒株更高的传播性对这些指标的影响。我们发现,即使新变体的死亡率相同,其高传播性也会增加感染人数、住院人数和死亡人数。模拟结果表明,卫生机构需要专注于加强非药物干预措施和加快疫苗接种速度,因为一种传播性更高的新变体,例如B.1.1.7谱系的VOC-202012/01,可能会在人群中造成更具毁灭性的后果。

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