论文标题
测试,追踪,社会距离和卫生在印度解决Covid-19的有效性:系统动态模型
Effectiveness of Testing, Tracing, Social Distancing and Hygiene in Tackling Covid-19 in India: A System Dynamics Model
论文作者
论文摘要
我们提出了在印度的COVID-19大流行传播的系统动力学(SD)模型。详细的基于年龄隔间的模型内源性地捕获了各种疾病传播途径,从标准SEIR模型中显着扩展。该模型是通过使用适当的人口金字塔,接触率矩阵,外部到达(根据实际数据)以及基于报告的COVID-19案例在印度的COVID案例来定制的。此外,我们已经使用独立的时间变化杠杆明确建模,测试,接触式追踪,隔离相互阳性患者的影响,隔离,使用面具/更好的卫生实践,通过降低家庭(H),工作(W),学校,学校,(S)和其他(o)位置的接触率降低通过接触率降低的社交距离。仿真结果表明,即使在扩展锁定后,也会留下一些非平凡的感染(甚至无症状),并且大流行也会浮出水面。只有与大流行作用的工具是对表现出Covid-19症状的人的高测试率,如果它们是阳性的,则将其隔离,并接触阳性患者的所有接触并隔离它们,并结合使用口罩和个人卫生。接触追踪,隔离,隔离和个人卫生措施的各种有效性的组合有助于最大程度地减少大流行影响,并通过更好地实施其他措施来补偿一项措施的某些措施。
We present a System Dynamics (SD) model of the Covid-19 pandemic spread in India. The detailed age-structured compartment-based model endogenously captures various disease transmission pathways, expanding significantly from the standard SEIR model. The model is customized for India by using the appropriate population pyramid, contact rate matrices, external arrivals (as per actual data), and a few other calibrated fractions based on the reported cases of Covid-19 in India. Also, we have explicitly modeled, using independent time-variant levers, the effects of testing, contact tracing, isolating Covid-positive patients, quarantining, use of mask/better hygiene practices, social distancing through contact rate reductions at distinct zones of home(H), work(W), school(S) and other(O) locations. Simulation results show that, even after an extended lock-down, some non-trivial number of infections (even asymptomatic) will be left and the pandemic will resurface. Only tools that work against the pandemic is high rate of testing of those who show Covid-19 like symptoms, isolating them if they are positive and contact tracing all contacts of positive patients and quarantining them, in combination with use of face masks and personal hygiene. A wide range of combination of effectiveness of contact tracing, isolation, quarantining and personal hygiene measures help minimize the pandemic impact and some imperfections in implementation of one measure can be compensated by better implementation of other measures.