论文标题
感染率和社会接触矩阵对疫苗优先级策略的影响
Effects of infection fatality ratio and social contact matrices on vaccine prioritization strategies
论文作者
论文摘要
有效的疫苗优先策略对于减轻严重传染病的影响至关重要。我们使用由不同疾病和国家的现实世界数据推动的隔室流行病模型研究了感染死亡率(IFR)和社会接触矩阵对疫苗接种优先次序的作用。我们的研究证实,如果疾病降低了疾病,大规模和早期疫苗接种对于减少疾病的死亡非常有效,但是随着疫苗接种开始在不受控制的流行病学情景下疫苗接种开始延迟,效力越来越降低。最佳且最小有效的优先级策略非线性取决于流行病学变量。流行病学参数空间的区域比最具传染性的个体更有效地取决于IFR年龄的特征,例如,与季节性的流感相比,IFR年龄概况在Covid-19中更为广泛。人口统计和社交接触矩阵变形了相图,但不会改变其定性形状。
Effective strategies of vaccine prioritization are essential to mitigate the impacts of severe infectious diseases. We investigate the role of infection fatality ratio (IFR) and social contact matrices on vaccination prioritization using a compartmental epidemic model fueled by real-world data of different diseases and countries. Our study confirms that massive and early vaccination is extremely effective to reduce the disease fatality if the contagion is mitigated, but the effectiveness is increasingly reduced as vaccination beginning delays in an uncontrolled epidemiological scenario. The optimal and least effective prioritization strategies depend non-linearly on epidemiological variables. Regions of the epidemiological parameter space, in which prioritizing the most vulnerable population is more effective than the most contagious individuals, depend strongly on the IFR age profile being, for example, substantially broader for COVID-19 in comparison with seasonal influenza. Demographics and social contact matrices deform the phase diagrams but do not alter their qualitative shapes.