新发传染病实际控制策略与最优控制策略的评估与比较:COVID-19 传播模型的启示

IF 8.8 3区 医学 Q1 Medicine Infectious Disease Modelling Pub Date : 2024-02-08 DOI:10.1016/j.idm.2024.02.003
Lili Liu , Xi Wang , Ou Liu , Yazhi Li , Zhen Jin , Sanyi Tang , Xia Wang
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引用次数: 0

摘要

要有效防治 COVID-19 等新发传染病,关键是要及时采取严格的防控措施,有效遏制疫情蔓延。在本文中,我们提出了一个传播模型来研究两种控制策略的影响:减少接触人数和改善医疗资源。我们从恒定控制和时变控制两个方面对这些策略进行了研究。通过对恒定控制模型的两个繁殖数量进行敏感性分析,我们证明减少接触人数比改善医疗资源更有效。此外,这两种恒定控制对感染的峰值和时间也有很大影响。具体来说,加强控制措施可以降低峰值,但代价是推迟峰值时间。在时变控制模型中,我们首先探讨了相应的最优控制问题,并推导出最优控制的特征表达式。随后,我们以武汉市 2020 年 1 月 10 日至 4 月 12 日的真实数据为案例,使用我们提出的改进算法进行参数估计。我们的研究结果表明,实施优化控制措施可以有效减少感染和死亡人数,缩短疫情持续时间。然后,我们从数值上探讨了及时实施控制措施并加大力度减少接触人数可使实际控制更接近优化控制。最后,我们利用 2021 年 10 月 31 日至 11 月 18 日河北省的真实数据作为第二个案例研究,以验证我们所提建议的可行性。
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Valuation and comparison of the actual and optimal control strategy in an emerging infectious disease: Implication from a COVID-19 transmission model

To effectively combat emerging infectious diseases like COVID-19, it is crucial to adopt strict prevention and control measures promptly to effectively contain the spread of the epidemic. In this paper, we propose a transmission model to investigate the influence of two control strategies: reducing contact numbers and improving medical resources. We examine these strategies in terms of constant control and time-varying control. Through sensitivity analysis on two reproduction numbers of the model with constant control, we demonstrate that reducing contact numbers is more effective than improving medical resources. Furthermore, these two constant controls significantly influence the peak values and timing of infections. Specifically, intensifying control measures can reduce peak values, albeit at the expense of delaying the peak time. In the model with time-varying control, we initially explore the corresponding optimal control problem and derive the characteristic expression of optimal control. Subsequently, we utilize real data from January 10th to April 12th, 2020, in Wuhan city as a case study to perform parameter estimation by using our proposed improved algorithm. Our findings illustrate that implementing optimal control measures can effectively reduce infections and deaths, and shorten the duration of the epidemic. Then, we numerically explore that implementing control measures promptly and increasing intensity to reduce contact numbers can make actual control be more closer to optimized control. Finally, we utilize the real data from October 31st to November 18th, 2021, in Hebei province as a second case study to validate the feasibility of our proposed suggestions.

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来源期刊
Infectious Disease Modelling
Infectious Disease Modelling Mathematics-Applied Mathematics
CiteScore
17.00
自引率
3.40%
发文量
73
审稿时长
17 weeks
期刊介绍: Infectious Disease Modelling is an open access journal that undergoes peer-review. Its main objective is to facilitate research that combines mathematical modelling, retrieval and analysis of infection disease data, and public health decision support. The journal actively encourages original research that improves this interface, as well as review articles that highlight innovative methodologies relevant to data collection, informatics, and policy making in the field of public health.
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