论文标题

低贫乏的最佳和最差的政策控制

Best and worst policy control in low-prevalence SEIR

论文作者

Sheffield, Scott

论文摘要

我们认为,对于一个决心在预期疫苗方面保持较低感染的社会,我们考虑了低偏见的线性化SEIR流行模型。该社会可以随着时间的推移在一定可行的范围内改变其潜在的传播活动的数量。由于该活动具有社会或经济价值,因此该社会旨在最大程度地提高活动的总体受感染率​​限制。我们发现,在活动方面,一致的政策可能是最糟糕的,而最佳政策在高活动和低活动之间进行了交替。在涉及多个亚群的变体中,我们发现最佳策略是最大协调的(在亚群中保持相似的患病率),但振荡性(随时间变化)。事实证明,线性化的SEIR在数学上等同于理想化的赛车模型(具有与不同汽车相对应的不同亚群),所使用的燃料量与活动量相对应。使用这种类比,稳定的V形地层(其中一个亚群“导致”以持续较高的患病率和活动,而其他人则遵循较低的患病率和活动)尤其有问题。这些地层非常有效地最大程度地减少燃料的使用,因此在增强活动方面非常无效。在附录中,我们获得了替代活动概念的类似结果,这些概念融合了拥挤效应。

We consider the low-prevalence linearized SEIR epidemic model for a society that has resolved to keep future infections low in anticipation of a vaccine. The society can vary its amount of potentially-infection-spreading activity over time, within a certain feasible range. Because the activity has social or economic value, the society aims to maximize activity overall subject to infection rate constraints. We find that consistent policies are the worst possible in terms of activity, while the best policies alternate between high and low activity. In a variant involving multiple subpopulations, we find that the best policies are maximally coordinated (maintaining similar prevalence among subpopulations) but oscillatory (having growth rates that vary in time). It turns out that linearized SEIR is mathematically equivalent to an idealized racecar model (with different subpopulations corresponding to different cars) and the amount of fuel used corresponds to the amount of activity. Using this analogy, steady V-shaped formations (in which one subpopulation "leads the way" with consistently higher prevalence and activity, while others follow behind with lower prevalence and activity) are especially problematic. These formations are very effective at minimizing fuel use, hence very ineffective at boosting activity. In an appendix, we obtain analogous results for alternative notions of activity, which incorporate crowding effects.

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