论文标题

隔离,隔离和测试作为控制措施的COVID-19的模型

A model for COVID-19 with isolation, quarantine and testing as control measures

论文作者

Aronna, M. Soledad, Guglielmi, Roberto, Moschen, Lucas M.

论文摘要

在本文中,我们提出了一个针对2019年冠状病毒疾病动力学的隔室模型(Covid-19)。我们考虑到迄今为止采用的无症状感染以及已采用的主要政策,以包含流行病:部分人群的隔离(或社会距离),用于确认病例和测试的隔离。我们通过将种群分为两组来建模隔离:一个由关键人工组成的人在大流行期间继续工作并具有平常的接触率,而第二组由由强制执行/建议留在家里的人组成。我们将隔离性称为严格的隔离,并将其应用于确认的受感染病例。在提议的模型中,孤立的人的比例,接触降低和测试率是可以随时间变化的控制参数,代表了在不同阶段发展的策略。就疾病和控制策略的参数而言,我们获得了基本繁殖数$ \ Mathcal {r} _0 $的显式表达式。通过这种方式,我们可以量化隔离和测试对流行病的演变的影响。我们提供了一系列模拟,以说明不同的现实情况。从$ \ Mathcal {r} _0 $的表达中,我们得出的结论是,无症状案例中的隔离(社会距离)和测试是控制流行病的基本行动,并且这些措施更加严格,并且越早实施了这些措施,}可以挽救生命。此外,我们表明,保持孤立的人会大大降低其触传的可能性,因此应建议在流行病学期间保持风险群体以保持较低的接触率。

In this article we propose a compartmental model for the dynamics of Coronavirus Disease 2019 (COVID-19). We take into account the presence of asymptomatic infections and the main policies that have been adopted so far to contain the epidemic: isolation (or social distancing) of a portion of the population, quarantine for confirmed cases and testing. We model isolation by separating the population in two groups: one composed by key-workers that keep working during the pandemic and have a usual contact rate, and a second group consisting of people that are enforced/recommended to stay at home. We refer to quarantine as strict isolation, and it is applied to confirmed infected cases. In the proposed model, the proportion of people in isolation, the level of contact reduction and the testing rate are control parameters that can vary in time, representing policies that evolve in different stages. We obtain an explicit expression for the basic reproduction number $\mathcal{R}_0$ in terms of the parameters of the disease and of the control policies. In this way we can quantify the effect that isolation and testing have in the evolution of the epidemic. We present a series of simulations to illustrate different realistic scenarios. From the expression of $\mathcal{R}_0$ and the simulations we conclude that isolation (social distancing) and testing among asymptomatic cases are fundamental actions to control the epidemic, {and the stricter these measures are and the sooner they are implemented,} the more lives can be saved. Additionally, we show that people that remain in isolation significantly reduce their probability of contagion, so risk groups should be recommended to maintain a low contact rate during the course of the epidemic.

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