Optimal COVID-19 Containment Strategies: Evidence Across Multiple Mathematical Models

Hyun-Soo Ahn, J. Silberholz, Xueze Song, Xiaoyu Wu
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引用次数: 7

Abstract

Since March 2020, numerous models have been developed to support policymakers in understanding, forecasting, and controlling the COVID-19 pandemic. Differences in data, assumptions, and underlying theory, coupled with unknowns about a novel virus, led these models to generate divergent forecasts and proposed responses. A policymaker using a single model is left to wonder if their decision is truly of high quality or if they are being misled by the idiosyncrasies of the selected model. In addition, many COVID-19 optimization models are cast as optimal control problems with abstract decision variables and frequent changes to policy, so translating the optimal solution to implementable actions is not straightforward.

We propose a multi-model optimization (MMO) framework that identifies policies that perform well across structurally distinct models, and we apply this to design 12-month COVID-19 containment strategies. Our approach differs from the existing literature in two important aspects. First, we optimize using multiple state-of-the-art forecasting models currently in use. Second, we intentionally draw feasible intervention levels from each state’s own past and current responses, making it easy to implement the proposed policy.

We find that a policy based on a single model can perform badly (cost increases of 100% or more) when models are misspecified, and that the MMO policy significantly diminishes the impact of model uncertainties. We propose optimal containment policies for all 50 US states over a one-year period and find that the optimal policy can vary significantly by state. We also study the impacts of virus variants and lockdown fatigue.
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最佳COVID-19遏制策略:跨多个数学模型的证据
自2020年3月以来,已经开发了许多模型,以支持政策制定者了解、预测和控制COVID-19大流行。数据、假设和基础理论的差异,加上对新型病毒的未知,导致这些模型产生不同的预测和建议的应对措施。使用单一模型的政策制定者会怀疑,他们的决策是否真的是高质量的,还是被所选模型的特性误导了。此外,许多COVID-19优化模型被视为具有抽象决策变量和频繁策略变化的最优控制问题,因此将最优解决方案转化为可实施的行动并不简单。我们提出了一个多模型优化(MMO)框架,该框架确定了在结构不同的模型中表现良好的策略,并将其应用于设计12个月的COVID-19遏制策略。我们的方法与现有文献在两个重要方面有所不同。首先,我们使用当前使用的多个最先进的预测模型进行优化。其次,我们有意从每个州自己过去和现在的反应中得出可行的干预水平,使所提议的政策易于实施。我们发现,当模型被错误指定时,基于单一模型的策略可能会表现不佳(成本增加100%或更多),而MMO策略显著减少了模型不确定性的影响。我们为美国所有50个州提出了为期一年的最佳遏制政策,并发现最佳政策可能因州而异。我们还研究了病毒变异和封锁疲劳的影响。
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