论文标题
COVID-19大流行期间健康经济权衡的不平等影响
The unequal effects of the health-economy tradeoff during the COVID-19 pandemic
论文作者
论文摘要
健康成果与经济影响之间的潜在权衡是在19日大流行期间政策制定过程中的重大挑战。旨在解决这个问题的流行经济模型要么过于汇总,无法考虑社会经济群体之间的异质结果,或者如果足够细粒度,无法以经验数据为基础。为了填补这一空白,我们引入了一个基于数据驱动的,基于颗粒的代理模型,该模型模拟了具有地理现实主义的行业,职业和收入水平的流行病和经济成果。结合流行病和经济模块的关键机制是由于担心感染而减少了消费需求。我们将模型校准为纽约大都会地区的Covid-19的第一波浪潮,表明它重现了关键的流行病和经济统计,然后检查反事实场景。我们发现:(a)对感染的高恐惧和严格的限制同样损害了经济,但减少了感染; (b)低收入工人首当其冲地受到经济和流行病的危害; (c)关闭制造和建设等非客户面临的行业只会略微减少死亡人数,同时大大增加了失业; (d)在所有情况下,延迟保护措施的开始几乎没有帮助经济和流行病的恶化。我们预计我们的模型将有助于设计有效,公平的非药物干预措施,从而最大程度地减少面对新大流行的破坏。
The potential tradeoff between health outcomes and economic impact has been a major challenge in the policy making process during the COVID-19 pandemic. Epidemic-economic models designed to address this issue are either too aggregate to consider heterogeneous outcomes across socio-economic groups, or, when sufficiently fine-grained, not well grounded by empirical data. To fill this gap, we introduce a data-driven, granular, agent-based model that simulates epidemic and economic outcomes across industries, occupations, and income levels with geographic realism. The key mechanism coupling the epidemic and economic modules is the reduction in consumption demand due to fear of infection. We calibrate the model to the first wave of COVID-19 in the New York metropolitan area, showing that it reproduces key epidemic and economic statistics, and then examine counterfactual scenarios. We find that: (a) both high fear of infection and strict restrictions similarly harm the economy but reduce infections; (b) low-income workers bear the brunt of both the economic and epidemic harm; (c) closing non-customer-facing industries such as manufacturing and construction only marginally reduces the death toll while considerably increasing unemployment; and (d) delaying the start of protective measures does little to help the economy and worsens epidemic outcomes in all scenarios. We anticipate that our model will help designing effective and equitable non-pharmaceutical interventions that minimize disruptions in the face of a novel pandemic.