论文标题

建模COVID-19退出策略的关键问题

Key Questions for Modelling COVID-19 Exit Strategies

论文作者

Thompson, Robin N, Hollingsworth, T Deirdre, Isham, Valerie, Arribas-Bel, Daniel, Ashby, Ben, Britton, Tom, Challoner, Peter, Chappell, Lauren H K, Clapham, Hannah, Cunniffe, Nik J, Dawid, A Philip, Donnelly, Christl A, Eggo, Rosalind, Funk, Sebastian, Gilbert, Nigel, Gog, Julia R, Glendinning, Paul, Hart, William S, Heesterbeek, Hans, House, Thomas, Keeling, Matt, Kiss, Istvan Z, Kretzschmar, Mirjam, Lloyd, Alun L, McBryde, Emma S, McCaw, James M, Miller, Joel C, McKinley, Trevelyan J, Morris, Martina, ONeill, Philip D, Pearson, Carl A B, Parag, Kris V, Pellis, Lorenzo, Pulliam, Juliet R C, Ross, Joshua V, Tildesley, Michael J, Tomba, Gianpaolo Scalia, Silverman, Bernard W, Struchiner, Claudio J, Trapman, Pieter, Webb, Cerian R, Mollison, Denis, Restif, Olivier

论文摘要

在全球国家中引入了强烈的非药物干预措施(“锁定”)的组合,以减少SARS-COV-2传播。许多政府已经开始实施锁定退出策略,这些策略允许在试图控制案件激增的风险的同时放松限制。数学建模在指导干预措施中发挥了核心作用,但是面对正在进行的传输时,设计最佳退出策略的挑战是前所未有的。在这里,我们报告了艾萨克·牛顿学院“出口战略模型”研讨会的讨论(2020年5月11日至15日)。要求一个多元化的建模者社区向全世界的政府提供证据,以找出主要问题,如果回答,这些问题将允许对不同退出策略的影响进行更准确的预测。基于这些问题,我们提出了一个路线图,以促进可靠模型的开发以指导退出策略。路线图需要科学界和政策制定者的全球合作努力,由三个部分组成:i)改善对主要流行病学参数的估计; ii)了解种群异质性的来源; iii)专注于数据收集的要求,特别是在低到中等收入国家。这将为计划退出策略提供重要信息,以平衡社会经济利益与公共卫生。

Combinations of intense non-pharmaceutical interventions ('lockdowns') were introduced in countries worldwide to reduce SARS-CoV-2 transmission. Many governments have begun to implement lockdown exit strategies that allow restrictions to be relaxed while attempting to control the risk of a surge in cases. Mathematical modelling has played a central role in guiding interventions, but the challenge of designing optimal exit strategies in the face of ongoing transmission is unprecedented. Here, we report discussions from the Isaac Newton Institute 'Models for an exit strategy' workshop (11-15 May 2020). A diverse community of modellers who are providing evidence to governments worldwide were asked to identify the main questions that, if answered, will allow for more accurate predictions of the effects of different exit strategies. Based on these questions, we propose a roadmap to facilitate the development of reliable models to guide exit strategies. The roadmap requires a global collaborative effort from the scientific community and policy-makers, and is made up of three parts: i) improve estimation of key epidemiological parameters; ii) understand sources of heterogeneity in populations; iii) focus on requirements for data collection, particularly in Low-to-Middle-Income countries. This will provide important information for planning exit strategies that balance socio-economic benefits with public health.

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