扩展贝叶斯层次模型预测英国疫苗接种后SARS-CoV-2病例和繁殖

CONVERTER Pub Date : 2021-01-01 DOI:10.17762/converter.36
Jiajing Zha, Xiangdong Liu
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摘要

在英国,受SARS-CoV-2全球大流行影响最严重的国家之一,英国政府发布了一项全面的SARS-CoV-2疫苗接种计划,并将在未来几个月内建立更多的疫苗接种点,以扩大服务范围。我们建立了一个扩展贝叶斯层次预测模型来预测英格兰9个地区接种疫苗后的病例数和繁殖情况。根据每个区域的人口,预测每个区域的死亡人数和感染死亡率(IFR)。结果表明,东部、西北部和东南部的IFR最大,死亡人数分别为29,079人、28,734人和25,201人。预计1月7日、1月12日、1月16日、1月13日、1月10日、1月17日、1月10日、1月18日、1月14日各地区的复制数()将分别降至1以下。鉴于受感染者的死亡率和SARS-CoV-2的流行病学特征,主要的疫苗干预措施在减少英格兰九个地区的传播方面是有效的。我们还发现,在70至80岁的人群中接种疫苗对减少病毒的传播做出了重大贡献。该模型可以扩展到预测突发公共卫生事件中某些干预措施的效果,预防疾病传播的效果,以及不同干预措施在不同年龄组的效果,以找到控制疾病传播的最佳方法。它也可以扩展到药物和非药物干预,以找到解决方案的最佳组合。
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An Extended Bayesian Hierarchical Model Predicted SARS-CoV-2 Cases and Reproductions After Vaccination in England
In the UK, one of the worst affected countries by the SARS-CoV-2 global pandemic, the UK government has released a comprehensive vaccination plan for SARS-CoV-2 and will set up more vaccination sites in the coming months to expand the service to more people. We built an extended Bayesian hierarchical prediction model to predict the number of cases and breeding situation after vaccination in the nine districts of England. Based on the population of each region, the number of deaths and the IFR (the infection mortality ratio) for each region were predicted. We found that EAST, NORTHWEST and SOUTHEAST had the largest IFR, and the corresponding death numbers were 29,079, 28,734 and 25,201, respectively. Reproduction number ( ) is expected to drop below 1 in all regions on January 7, January 12, January 16, January 13, January 10, January 17, January 10, January 18 and January 14, respectively. Major vaccine interventions have been effective in reducing transmission in the nine areas of England given the mortality rate of the infected people and epidemiological characteristics of SARS-CoV-2. We also found that vaccination among people aged 70 to 80 had made a significant contribution to reducing transmission of the virus. The model can be extended to forecast the effects of certain interventions in public health emergencies, the effect of preventing the spread of disease, and the effect of different interventions in different age groups to find the best way to control the spread of disease. It can also be extended to drug and non-drug interventions to find the best combination of solutions.
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