Effective immunization scenarios by vaccination against COVID-19 obtained through Bayesian analysis

H. F. S. Freitas, P. H. Soares, C. M. Andrade
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Abstract

: The COVID-19 pandemic caused a health crisis on an unprecedented scale, due to the unstoppable spread of the disease through the global integration provided by the current strongly globalized society. Isolation policies recommended by WHO impacted countries economies, making it necessary to implement a range of economic, health, social and economic security policies, such as: financial aid packages for the population and companies, investment of resources for the structuring of hospital beds for the treatment of patients, implementation of population testing programs, among others. The impact of the pandemic proved to be quite significant especially for the so-called "developing countries", due to the difficulties in establishing the aforementioned range of security policies as well as mass testing of the population in order to reliably map the disease spreading. The implementation of those measure were limited not only by economic reasons, but also by political impediments. In the present study, a Bayesian analysis of the immunization rate against COVID-19 through vaccination, evaluating the immunization scenarios lasting or temporary. The logistics required for the vaccination campaign in Brazil were assessed by considering uncertainties in determining the daily rate of immunization, as well as the effectiveness of the vaccine made available for the population. In this intent, an epidemiological model was used compartmentalized, calibrated against historical data using the CATMIP stochastic algorithm. The obtained results indicate that the daily vaccination rate is the most important parameter of a successful immunization program, given an effectiveness rate equal or superior to 50%. However, a massive immunization rate needs to be conjugated with a responsible relaxing of the social distancing measures after the vaccination program start, under the risk of compromising any positive result in terms of the number of contaminated and deceased individuals.
通过贝叶斯分析获得COVID-19疫苗接种的有效免疫情景
·COVID-19大流行造成了前所未有的大规模卫生危机,因为在当今全球化程度高的社会中,这种疾病的传播势不可挡。世卫组织建议的隔离政策影响了各国的经济,因此有必要实施一系列经济、卫生、社会和经济安全政策,例如:为人口和公司提供一揽子财政援助,为治疗患者的医院病床结构投入资源,实施人口检测规划等。事实证明,这种流行病的影响相当大,特别是对所谓的"发展中国家",因为在制定上述一系列安全政策以及对人口进行大规模检测以可靠地绘制疾病传播地图方面存在困难。这些措施的执行不仅受到经济原因的限制,而且受到政治障碍的限制。本研究采用贝叶斯方法分析了通过疫苗接种对COVID-19的免疫接种率,评估了持续或暂时的免疫情景。考虑到确定每日免疫接种率的不确定性以及向人口提供的疫苗的有效性,对巴西疫苗接种运动所需的后勤进行了评估。为此,采用了一种划分的流行病学模型,并使用CATMIP随机算法对历史数据进行校准。所得结果表明,在有效率等于或大于50%的情况下,日疫苗接种率是成功免疫规划的最重要参数。然而,在疫苗接种计划启动后,大规模免疫接种率需要与负责任地放松社会距离措施相结合,这有可能损害在感染和死亡人数方面取得的任何积极成果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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