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Register a new userAgent-based simulations for protecting nursing homes with prevention and vaccination strategies
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Due to its high lethality amongst the elderly, the safety of nursing homes has been of central importance during the COVID-19 pandemic. With test procedures becoming available at scale, such as antigen or RT-LAMP tests, and increasing availability of vaccinations, nursing homes might be able to safely relax prohibitory measures while controlling the spread of infections (meaning an average of one or less secondary infections per index case). Here, we develop a detailed agent-based epidemiological model for the spread of SARS-CoV-2 in nursing homes to identify optimal prevention strategies. The model is microscopically calibrated to high-resolution data from nursing homes in Austria, including detailed social contact networks and information on past outbreaks. We find that the effectiveness of mitigation testing depends critically on the timespan between test and test result, the detection threshold of the viral load for the test to give a positive result, and the screening frequencies of residents and employees. Under realistic conditions and in absence of an effective vaccine, we find that preventive screening of employees only might be sufficient to control outbreaks in nursing homes, provided that turnover times and detection thresholds of the tests are low enough. If vaccines that are moderately effective against infection and transmission are available, control is achieved if 80% or more of the inhabitants are vaccinated, even if no preventive testing is in place and residents are allowed to have visitors. Since these results strongly depend on vaccine efficacy against infection, retention of testing infrastructures, regular voluntary screening and sequencing of virus genomes is advised to enable early identification of new variants of concern.
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In the face of serious infectious diseases, governments endeavour to implement containment measures such as public vaccination at a macroscopic level. Meanwhile, individuals tend to protect themselves by avoiding contacts with infections at a microscopic level. However, a comprehensive understanding of how such combined strategy influences epidemic dynamics is still lacking. We study a susceptible-infected-susceptible epidemic model with imperfect vaccination on dynamic contact networks, where the macroscopic intervention is represented by random vaccination of the population and the microscopic protection is characterised by susceptible individuals rewiring contacts from infective neighbours. In particular, the model is formulated both in populations without and then with demographic effects. Using the pairwise approximation and the probability generating function approach, we investigate both dynamics of the epidemic and the underlying network. For populations without demography, the emerging degree correlations, bistable states, and oscillations demonstrate the combined effects of the public vaccination program and individual protective behavior. Compared to either strategy in isolation, the combination of public vaccination and individual protection is more effective in preventing and controlling the spread of infectious diseases by increasing both the invasion threshold and the persistence threshold. For populations with additional demographic factors, the integration between vaccination intervention and individual rewiring may promote epidemic spreading due to the birth effect. Moreover, the degree distributions of both networks in the steady state is closely related to the degree distribution of newborns, which leads to uncorrelated connectivity. All the results demonstrate the importance of both local protection and global intervention, as well as the demographic effects.
In a world being hit by waves of COVID-19, vaccination is a light on the horizon. However, the roll-out of vaccination strategies and their influence on the pandemic are still open problems. In order to compare the effect of various strategies proposed by the World Health Organization and other authorities, a previously developed SEIRS stochastic model of geographical spreading of the virus is extended by adding a compartment for vaccinated people. The parameters of the model were fitted to describe the pandemic evolution in Argentina, Mexico and Spain to analyze the effect of the proposed vaccination strategies. The mobility parameters allow to simulate different social behaviors (e.g. lock-down interventions). Schemes in which vaccines are applied homogeneously in all the country, or limited to the most densely-populated areas, are simulated and compared. The second strategy is found to be more effective. Moreover, under the current global shortage of vaccines, it should be remarked that immunization is enhanced when mobility is reduced. Additionally, repetition of vaccination campaigns should be timed considering the immunity lapse of the vaccinated (and recovered) people. Finally, the model is extended to include the effect of isolation of detected positive cases, shown to be important to reduce infections.
Since the beginning of the COVID-19 spreading, the number of studies on the epidemic models increased dramatically. It is important for policy makers to know how the disease will spread, and what are the effects of the policies and environment on the spreading. In this paper, we propose two extensions to the standard infectious disease models: (a) We consider the prevention measures adopted based on the current severity of the infection, those measures are adaptive and change over time. (b) Multiple cities and regions are considered, with population movements between those cities/regions, while taking into account that each region may have different prevention measures. While the adaptive measures and mobility of the population were often observed during the pandemic, these effects are rarely explicitly modeled and studied in the classical epidemic models. The model we propose gives rise to a plateau phenomenon: the number of people infected by the disease stay at the same level during an extended period of time. We show what are conditions needs to be met in order for the spreading to exhibit a plateau period, and we show that this phenomenon is interdependent: when considering multiples cities, the conditions are different from a single city. We verify from the real-world data that plateau phenomenon does exists in many regions of the world in the current COVID-19 development. Finally, we provide theoretical analysis on the plateau phenomenon for the single-city model, and derive a series of results on the emergence and ending of the plateau, and on the height and length of the plateau. Our theoretical results match well with our empirical findings.
Vaccination and outbreak monitoring are essential tools for preventing and minimizing outbreaks of infectious diseases. Targeted strategies, where the individuals most important for monitoring or preventing outbreaks are selected for intervention, offer a possibility to significantly improve these measures. Although targeted strategies carry a strong potential, identifying optimal target groups remains a challenge. Here we consider the problem of identifying target groups based on digital communication networks (telecommunication, online social media) in order to predict and contain an infectious disease spreading on a real-world person-to-person network of more than 500 individuals. We show that target groups for efficient outbreak monitoring can be determined based on both telecommunication and online social network information. In case of vaccination the information regarding the digital communication networks improves the efficacy for short-range disease transmissions but, surprisingly, performance is severely reduced in the case of long-range transmission. These results are robust with respect to the strategy used to identify targeted individuals and time-gap between identification of targets and the intervention. Thus, we demonstrate that data available from telecommunication and online social networks can greatly improve epidemic control measures, but it is important to consider the details of the pathogen spreading mechanism when such policies are applied.
Interactions between humans give rise to complex social networks that are characterized by heterogeneous degree distribution, weight-topology relation, overlapping community structure, and dynamics of links. Understanding such networks is a primary goal of science due to serving as the scaffold for many emergent social phenomena from disease spreading to political movements. An appropriate tool for studying them is agent-based modeling, in which nodes, representing persons, make decisions about creating and deleting links, thus yielding various macroscopic behavioral patterns. Here we focus on studying a generalization of the weighted social network model, being one of the most fundamental agent-based models for describing the formation of social ties and social networks. This Generalized Weighted Social Network (GWSN) model incorporates triadic closure, homophilic interactions, and various link termination mechanisms, which have been studied separately in the previous works. Accordingly, the GWSN model has an increased number of input parameters and the model behavior gets excessively complex, making it challenging to clarify the model behavior. We have executed massive simulations with a supercomputer and using the results as the training data for deep neural networks to conduct regression analysis for predicting the properties of the generated networks from the input parameters. The obtained regression model was also used for global sensitivity analysis to identify which parameters are influential or insignificant. We believe that this methodology is applicable for a large class of complex network models, thus opening the way for more realistic quantitative agent-based modeling.
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