An Integrated Simulation of Pandemic Influenza Evolution, Mitigation and Infrastructure Response

J. Fair, R. LeClaire, M. Wilson, A. L. Turk, S. DeLand, D. Powell, P.C. Klare, M. Ewers, L. Dauelsberg, D. Izraelevitz
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引用次数: 13

Abstract

Decision makers, faced with highly complex alternatives for protecting our nation's critical infrastructures must understand the consequences of policy options before they enact solutions to prevent and mitigate disasters. An effective way to examine these tradeoffs is to use a computer simulation that integrates high level representations of each infrastructure, their interdependencies and reactions to a variety of potential disruptions. To address this need, the Critical Infrastructure Protection Decision Support System (CIPDSS) project, funded by the Department of Homeland Security Science and Technology Directorate (DHS S&T), has developed a decision support tool that provides insights to help decision makers make risk-informed decisions. With the addition of a disease progression simulation, the CIPDSS tool has a unique ability to provide a high-level, integrated analysis of a pandemic influenza outbreak while representing the impact on critical infrastructures. This simulation models the time-dependent evolution of the disease and can be calibrated to prior data or to other higher fidelity models as appropriate. Mitigation options such as the use of antivirals and vaccines as prophylaxis, treatment or some combination as well as quarantine options can be assessed. Special attention is given to impacts to the population through sickness, targeted quarantine, or fear-based self-isolation and the resulting impacts on critical infrastructure operations.
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大流行性流感演变、缓解和基础设施应对的综合模拟
决策者在制定预防和减轻灾害的解决方案之前,必须了解政策选择的后果,以保护我们国家的关键基础设施。检查这些权衡的有效方法是使用计算机模拟,该模拟集成了每个基础设施的高级表示,它们的相互依赖性以及对各种潜在中断的反应。为了满足这一需求,由国土安全部科学技术局(DHS S&T)资助的关键基础设施保护决策支持系统(CIPDSS)项目开发了一种决策支持工具,该工具可以提供洞察力,帮助决策者做出风险知情的决策。随着疾病进展模拟的增加,CIPDSS工具具有独特的能力,可以提供大流行性流感爆发的高级综合分析,同时代表对关键基础设施的影响。这种模拟模拟了疾病随时间的演变,可以根据先前的数据或其他适当的更高保真度的模型进行校准。可以评估缓解备选方案,例如使用抗病毒药物和疫苗作为预防、治疗或某种组合以及隔离备选方案。特别关注通过疾病、有针对性的隔离或基于恐惧的自我隔离对人口的影响以及由此对关键基础设施运营的影响。
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