传染病的最佳干预措施

Xu Sun, Yunan Liu
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摘要

最近爆发的新型冠状病毒突出表明,需要一个效益-成本框架来指导旨在减少感染者和易感人群之间密切接触的非常规公共卫生干预措施。本文提出了一个传染病模型的最优控制问题,其中社会规划者可以通过实施或解除封锁措施来控制传播率。目标是尽量减少总成本,其中包括感染成本以及与封锁措施相关的固定和可变成本。我们建立了关于模型原语的条件,以保证存在一个直接的最优策略。该政策指定了两个切换点(公式所示),当感染个体的百分比超过(公式所示)时,社会规划者实施封锁,当感染个体的百分比低于(公式所示)时,重新开放经济。随后,我们将该模型扩展到社会规划者可能实施多个封锁级别的情况。最后,进行数值研究以获得对这些控制值的额外见解。©2023 Wiley期刊有限责任公司
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Optimal interventions of infectious disease
The recent outbreak of novel coronavirus has highlighted the need for a benefit-cost framework to guide unconventional public health interventions aimed at reducing close contact between infected and susceptible individuals. In this paper, we propose an optimal control problem for an infectious disease model, wherein the social planner can control the transmission rate by implementing or lifting lockdown measures. The objective is to minimize total costs, which comprise infection costs, as well as fixed and variable costs associated with lockdown measures. We establish conditions concerning model primitives that guarantee the existence of a straightforward optimal policy. The policy specifies two switching points (Formula presented.), whereby the social planner institutes a lockdown when the percentage of infected individuals exceeds (Formula presented.), and reopens the economy when the percentage of infected individuals drops below (Formula presented.). We subsequently extend the model to cases where the social planner may implement multiple lockdown levels. Finally, numerical studies are conducted to gain additional insights into the value of these controls. © 2023 Wiley Periodicals LLC.
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